BASIC INFORMATION
Full Name Gender
Qualification Blood Group
BASIC DETAILS
Telephone Number Mobile Number
Date of Birth (DD.MM.YYYY) Place of Birth
Marital Status Date of Marriage (DD.MM.YYYY)
PLEASE MENTION BANK ACCOUNT NUMBER & I
BANK NAME ACCOUNT NUMBER
ADDRESS INFORMATION
Care of House number and Buildi
PERMANENT ADDRESS
Pincode Area . Locality
State Country
Care of House number and Buildi
ADDRESS
PRESENT ADDRESS
Pincode Area . Locality
State Country
Care of House number and Buildi
EMERGENCY ADDRESS
Pincode Area . Locality
State Country
WORK LOCATION ADDRESS
Care of House number and Buildi
Pincode Area . Locality
State Country
EDUCATIONAL INFORMATION
Educational Establishment
Start Month & Year (DD.MM.YYYY)
10 STANDARD
10 Standard
Institute and Location City
10 STANDAR
Duration of Course Final Grade . Rank
Educational Establishment
Start Month & Year (DD.MM.YYYY)
12 STANDARD
12 Standard
Institute and Location City
Duration of Course Final Grade . Rank
Educational Establishment
Start Month & Year (DD.MM.YYYY)
Graduation
GRADUATION
Institute and Location City
Duration of Course Final Grade . Rank
Educational Establishment
Start Month & Year (DD.MM.YYYY)
POST GRADUATION
Post Graduation
Institute and Location City
Duration of Course Final Grade . Rank
PREVIOUS EMPLOYER INFORMATION
Employer Name 1 Start Month & Year (DD.MM.YYYY)
ER 1
City State
EMPLOYER 1
Job Title Work Nature
Ending Pay Pay per Annually
Employer Name 2 Start Month & Year (DD.MM.YYYY)
City State
EMPLOYER 2
Job Title Work Nature
Ending Pay Pay per Annually
Employer Name 1 Start Month & Year (DD.MM.YYYY)
City State
EMPLOYER 3
Job Title Work Nature
Ending Pay Pay per Annually
Employer Name 2 Start Month & Year (DD.MM.YYYY)
R4
City State
EMPLOYER 4
Job Title Work Nature
Ending Pay Pay per Annually
Employer Name 1 Start Month & Year (DD.MM.YYYY)
City State
EMPLOYER 5
Job Title Work Nature
Ending Pay Pay per Annually
Employer Name 2 Start Month & Year (DD.MM.YYYY)
City State
EMPLOYER 6
Job Title Work Nature
Ending Pay Pay per Annually
Employer Name 2 Start Month & Year (DD.MM.YYYY)
ER 7
City State
EMPLOYER 7
Job Title Work Nature
Ending Pay Pay per Annually
FAMILY MEMBER INFORMA * FATHER NAME AND HIS DATE OF
Relationship of Family Member Name
Father
FATHER
Nationality Religion
Country of Birth Dependent (Yes . No)
Relationship of Family Member Name
Mother
MOTHER
Nationality Religion
Country of Birth Dependent (Yes . No)
Relationship of Family Member Name
SPOUSE
SPOUSE
Nationality Religion
INDIAN
SPOUS
Country of Birth Dependent (Yes . No)
Relationship of Family Member Name
CHILD 1
CHILD 1
Nationality Religion
Country of Birth Dependent (Yes . No)
Relationship of Family Member Name
CHILD 2
CHILD 2
Nationality Religion
Country of Birth Dependent (Yes . No)
IDENTITY INFORMATION
Identity Name ID Number
PAN CARD
PAN Card
Date of Issue (DD.MM.YYYY)Valid Upto (DD.MM.YYYY)
AADHAR . UID DRIVING LICENSE Identity Name ID Number
Driving License
Date of Issue (DD.MM.YYYY)Valid Upto (DD.MM.YYYY)
Identity Name ID Number
Aadhar . UID Card
Date of Issue (DD.MM.YYYY)Valid Upto (DD.MM.YYYY)
Identity Name ID Number
PASSPORT
Passport
Date of Issue (DD.MM.YYYY)Valid Upto (DD.MM.YYYY)
NOMINATION INFORMATION
Benefit Type Name of Nominee
PROVIDENT FUND
Provident Fund - Share I
Allotted Share If nominee is minor, Gaurdian Name
Nominee Address
1. FILL ALL THE DETAILS IN UPPER CASE
2. DO NOT
ALTER/MODIFY THIS FORMAT
3. FATHER NAME & DATE OF
BIRTH FIELDS ARE COMPULSORY
Nationality
Email ID Date of Joining (DD.MM.YYY)
State of Birth
MM.YYYY) No. of Children
NUMBER & IFSC CODE AS PER BANK CHEQUE LEAF
IFSC CODE
d Buildi Address
City
Telephone number
d Buildi Address
City
Telephone number
d Buildi Address
City
Telephone number
d Buildi Address
City
Telephone number
.MM.YYYY)
End Month & Year (DD.MM.YYYY)
Education . Training details
State
Branch of Study 1
.MM.YYYY)
End Month & Year (DD.MM.YYYY)
Education . Training details
State
Branch of Study 1
.MM.YYYY)
End Month & Year (DD.MM.YYYY)
Education . Training details
State
Branch of Study 1
.MM.YYYY)
End Month & Year (DD.MM.YYYY)
Education . Training details
State
Branch of Study 1
.MM.YYYY)
End Month & Year (DD.MM.YYYY)
Country
Starting Pay
Reasons for Leaving
FOR CAREER GROWTH
.MM.YYYY)
End Month & Year (DD.MM.YYYY)
Country
Starting Pay
Reasons for Leaving
.MM.YYYY)
End Month & Year (DD.MM.YYYY)
Country
Starting Pay
Reasons for Leaving
.MM.YYYY)
End Month & Year (DD.MM.YYYY)
Country
Starting Pay
Reasons for Leaving
FOR CAREER GROWTH
.MM.YYYY)
End Month & Year (DD.MM.YYYY)
Country
Starting Pay
Reasons for Leaving
.MM.YYYY)
End Month & Year (DD.MM.YYYY)
Country
Starting Pay
Reasons for Leaving
.MM.YYYY)
End Month & Year (DD.MM.YYYY)
Country
Starting Pay
Reasons for Leaving
HIS DATE OF BIRTH COLUMNS ARE TO BE FILLED MANDATORILY
Gender Date of Birth (DDD.MM.YYYY)
City of Birth
Qualification
Gender Date of Birth (DDD.MM.YYYY)
City of Birth
Qualification
Gender Date of Birth (DDD.MM.YYYY)
City of Birth
Qualification
Gender Date of Birth (DDD.MM.YYYY)
City of Birth
Qualification
Gender Date of Birth (DDD.MM.YYYY)
City of Birth
Qualification
Issuing Authority
.YYYY) Place of Issue
Issuing Authority
.YYYY) Place of Issue
Issuing Authority
.YYYY) Place of Issue
Issuing Authority
.YYYY) Place of Issue
Relationship of Family Member
Date of Birth (DD.MM.YYYY)
rdian Name
Start Date (DD.MM.YYYY)
Gaurdian Address
AILS IN UPPER CASE
2. DO NOT
FORMAT
3. FATHER NAME & DATE OF
LDS ARE COMPULSORY
Religion
Date of Joining (DD.MM.YYY)
Country of Birth
R BANK CHEQUE LEAF
BRANCH
Address
District
Mobile number
Address
District
Mobile number
Address
District
Mobile number
Address
District
Mobile number
Education . Training details
Country
Branch of Study 2
Education . Training details
Country
Branch of Study 2
Education . Training details
Country
Branch of Study 2
Education . Training details
Country
Branch of Study 2
Industry
Job
Pay per Annually
sons for Leaving
CAREER GROWTH
Industry
Job
Pay per Annually
sons for Leaving
Industry
Job
Pay per Annually
sons for Leaving
Industry
Job
Pay per Annually
sons for Leaving
CAREER GROWTH
Industry
Job
Pay per Annually
sons for Leaving
Industry
Job
Pay per Annually
sons for Leaving
Industry
Job
Pay per Annually
sons for Leaving
NS ARE TO BE FILLED MANDATORILY
Date of Birth (DDD.MM.YYYY)
State of Birth
Employment Status
Date of Birth (DDD.MM.YYYY)
State of Birth
Employment Status
Date of Birth (DDD.MM.YYYY)
State of Birth
Employment Status
Date of Birth (DDD.MM.YYYY)
State of Birth
Employment Status
Date of Birth (DDD.MM.YYYY)
State of Birth
Employment Status
Permitted Type
Country of Issue
INDIA
Permitted Type
Country of Issue
Permitted Type
Country of Issue
INDIA
Permitted Type
Country of Issue
Date of Birth (DD.MM.YYYY)
End Date (DD.MM.YYYY)
urdian Address
Emp Code Year Month Hiring Date Action Type Reason Designation Grade STATE FOA
Field Staff Name DOB Gender Country Nationality Married Since Child Religion
0 12/30/1899 0 0 0 0 12/30/1899 0 0
Blood group SBU HQ Reporting to Reporting to Code PAN NUMBER ADHAR NO MOBILE NO
0 0 0 0
EMAIL ADDRESS ADD1 ADD2 ADD3 City Name
0 0 0 0
ADD4 State Name PIN CODE BASIC HRA ACTING SPL ALLOW CTC PER ANN BANK NAME
0 0 0
AC NO IFSC CODE FATHER NAME FATHER DOB MATHER NAME
0 0 0 0 0
MOTHER DOB SPOUSE SPOUSE DOB CHILD1 CHILD1 DOB CHILD2 CHILD2 DOB
0 0 0 0 0 0 0
Total Years Prev.Org'n
Qualification of Exp 10th Inst Name 12th
0 Dec-99 Dec-99 0 Dec-99
12th Inst Name Graduation Inst Name Post Graduation
Dec-99 0 Dec-99 Dec-99 0 Dec-99
Post Graduation Inst Name 1 Employer Name 1 Employement Period 2 Employer Name
Dec-99 0 Dec-99 Dec-99 Dec-99 Dec-99
2 Employement Period 3 Employer Name 3 Employement Period 4 Employer Name
Dec-99 Dec-99 Dec-99 Dec-99 Dec-99 0
4 Employement Period 5 Employer Name 5 Employement Period
Dec-99 Dec-99 0 Dec-99 Dec-99
6 Employer Name 6 Employement Period 7 Employer Name
0 Dec-99 Dec-99 0
7 Employement Period
Dec-99 Dec-99
