VEEKESY FOOTGEAR (INDIA) PVT LTD

Personal Information Record (PIR) (FOR WORKERS)

All details to be filled in Capital Letters
Personal Details:
Name of the Employee :
Date of Birth

: DD/MM/YY

Age

Male/Female

Blood Group

Present Address

Permanent Address

Mob No

PHOTO

Landline:

In case of Emergency call Mr. /Ms:

Mobile No:
Languages Known

Landline:
:

Voter ID or any other Govt Issued ID proof to be submitted: School Certificate not
entertained

Family Details:
Fathers Name & Date of Birth

Mothers Name & Date of Birth

Marital Status

Married

Single

Widower

If Married Specify the Following:

Spouse Name & Date of Birth
Previous Employment

Official Details
Date of Joining

Educational Qualification

Designation & Department

Salary

SIGNATURE / THUMB IMPRESSION