Employee Information Form

Plz fillin Dates in DD.MM.YYYY Format

Please write in BLOCK LETTERS

Date of Joining dd.mm.yyyy

Personal Details
First Name Mr/Ms/Dr Mr. Mddle Name/Initials Last Name

Date of Birth dd.mm.yyyy

Place of Birth

Nationality

Date of Marriage dd.mm.yyyy

Marital Status (Single/Married/Widow/Divorcee/Separated)

No. of Children

Religion

Gender

Address Details

PERMANENT ADDRESS

PRESENT/TEMPORARY ADDRESS

EMERGENCY ADDRESS

C/o

Street & House No.

Pin Code City District State Tel No.

I hereby certify that the above information furnished by me is correct and true to the best of my knowledge.

Signature of Employee Verified by Full Name of the Employee: Date: Place:

Name: Date:

Bank Details (Pls fill this if you have an Account with HDFC only)

Payee Name ( In Bank Account )

City

Accont No.HDFC( 14 Digits)

IFSC CODE

Purpose

Currency

Communication Details
Personal e-mail ID Personal Mobile Number

Medical Information
Blood Group Rh Factor

Personal IDs

Type

ID No.

PAN NO

Other Details

Mother Tongue

Caste

Caste Classification

(SC/ST/OBC/Gen, etc)

I hereby certify that the above information furnished by me is correct and true to the best of my knowledge.

Signature of Employee Verified by Full Name of the Employee: Date: Place:

Name: Date:

Educational Qualifications - (10th standard onwards)

Certificate ( Ex:B.A / B.SC /B.Com / MBA/PGDBM) Branch of Study ( Ex :Markeitng /Finace )

From dd.mm.yyyy

To dd.mm.yyyy

Board/ University

Institution / College with Location

Country

Duration (Years)

Previous Employment (start with last employment)

From dd.mm.yyyy

To dd.mm.yyyy

Employer Name

City

Country

Industry ( Ex : FMCG /IT/Retail)

Last Position Held

Family Details (Please give details of father, mother, brothers, sisters, spouse, children)
Father's Details are Compulsory ( Even Incase of Death )

First Name

Middle Name

Last Name

Relationship

Gender

Date of Birth dd.mm.yyyy

Nationality

Dependent or Not (Yes or No)

I hereby certify that the above information furnished by me is correct and true to the best of my knowledge.

Signature of Employee Verified by Full Name of the Employee: Date: Place:

Name: Date:

H R Section
To Be Filled by HR

Reason for Recruitment

NEW POSITION

If Replcament ( Whose Position Plz mention Name )

(New Position / Replacement / Expansion, etc)

Personnel Area (Base Location/Division)

Personnel Sub Area (City of Placement) Plz Tick 1 Payroll Area

Employee Grade

Payroll Area

A1 - BIL

Reporting Supervisor Name

Terrioty Name ( Incase of Sales )

Corporate Function

Notice Period - Employer

PF No For SGR Grade

Employee No for SGR Grade

I hereby certify that the above information furnished by me is correct and true to the best of my knowledge.

Signature of Employee Verified by Full Name of the Employee: Date: Place:

Name: Date: