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Personalform

This document contains a personal data form for an employee of a hospital. It collects information such as the employee's name, identification number, job details, education history, languages, contact information, date of appointment, and accommodation type. The form is signed by the employee to declare that the provided information is true and correct to the best of their knowledge. It also includes a space for a photograph and is signed and stamped by the head of the office.

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mariabad48122
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87 views1 page

Personalform

This document contains a personal data form for an employee of a hospital. It collects information such as the employee's name, identification number, job details, education history, languages, contact information, date of appointment, and accommodation type. The form is signed by the employee to declare that the provided information is true and correct to the best of their knowledge. It also includes a space for a photograph and is signed and stamped by the head of the office.

Uploaded by

mariabad48122
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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HRMS Input Form Ver. 10.0 Photograph here of


Revised on 02-01-2012 Identity Card Size

PERSONAL DATA FORM-I


1. Hospital Name :
2. N.I.C. No.
2A. Employee Code = =

3. Employee Name

4. BPS 5. Designation Description

6. Father’s / Husband’s Name

 7. Gender 8. Date of Birth 9. Religion


Male Female - -

11. Family 12. Blood


 10. Marital Status Size Group  13. Medical Facility
Single Married MF CMA

14. Highest Academic Qualification 15. Highest Professional Qualification

16. D.P.E Passed 17. Training for Promotion

18. Languages (R) ead, (W) rite, S (peak)


R W S R W S R W S
19. Home Address 19-A. Phone (s)

20. Current Office Name, Address and Telephone No.

21. Initial posting office Name, Address and Telephone No.

22. Current Posting Date 23. Date of appointment 24. Domicile (Province – District)
- - - -
 25. Job Type
Regular Contract D. Wages W. Charge Deputation Other

 26. Employment Quota


Open Merit Employee Children Disabled Quota

27. Employee Cadre 28. G.P.F. No.

 29. Type of Accommodation


WAPDA Acquisition House Rent Other
DECLARATION: I hereby declare that the information given in this Form-I is true & correct to the best of my knowledge & belief.

Employee’s Signature : Signature & Stamp of Head of the Office /AD(Admin) :

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