E Service Book of 130176-> GAGANDEEP KAUR

Govt Of Punjab
HEALTH AND FAMILY WELFARE

Designation STAFF NURSES

Parent Department HEALTH AND FAMILY WELFARE
Posting Department HEALTH AND FAMILY WELFARE
Establishment Department HEALTH AND FAMILY WELFARE
Posting Office CH AMRITSAR - AMRITSAR -PUNJAB
Establishment Office CIVIL SURGEON AMRITSAR - AMRITSAR - PUNJAB

Section-A (Form1: Employee Personal Information)

Father/Husband Name PRITHVIPAL SINGH Gender Female

Employee Name 130176-> GAGANDEEP KAUR Category General

Date of Birth 08 Sep 1989 Blood Group O+

Caste Gill Height(In Cms) 165

Religion SIKH Home State PUNJAB

Marital Status MARRIED Home District AMRITSAR

Date of Retirement 30 Sep 2047 Home Town Amritsar

Joining Date in Current Office 09 Jan 2015 E-salary Code/Belt

No.
Identity Mark Linear Scar of Old Injury on Left Cheek
UID No ************
Sub Designation
Service Paramedical
Source of Appointment NHRM
Service Grade
Pay Commision Fixed/Tenure
Basic Pay 11069
Pay Band
IncrementDate 21 Apr 2017
Pay Scale
Grade Pay NA
Total Services 4 Years 7 Months

Section - B (FORM 2:Employee Address Details)

Present Address Detail Permanent Address Detail
Present Address H. No. 5, Uttam Avenue, Sultanwind Road, Amritsar Permanent Address H. No. 5, Uttam Avenue, Sultanwind Road, Amritsar

House Number 5 House Number 5

Street Number Sultanwind road Street Number Sultanwind road

Block - Block -

Ward Number - Ward Number -

Mohalla/Village Uttam Avenue Mohalla/Village Uttam Avenue

State PUNJAB State PUNJAB

Distict AMRITSAR District AMRITSAR

Pin Code 143001 Pin Code 143001

Phone Number - Phone Number -

Mobile No 9876783567 Email gill70362@gmail.com

Section - C (FORM 3:Employee Joining Details)

Initial Joining State PUNJAB

Printed On:29 Aug,2019 Page 1 of 3 NIC-PB

 E Service Book of 130176-> GAGANDEEP KAUR
Govt Of Punjab
HEALTH AND FAMILY WELFARE

Initial Joining Department HEALTH AND FAMILY WELFARE

Office CIVIL SURGEON AMRITSAR - AMRITSAR - PUNJAB

Designation STAFF NURSES

Appointment Order NHM/Pb/MHR/15/92

Appointment Date 09 Jan 2015 Initial Joining Date 09 Jan 2015

Service Regularisation Date Service Confirmation Date

Mode of Recrultment DIRECT Employee Type CONTRACT

Current Cadre District Cadre Class GROUP-D

Appointing Authority NRHM

Financial Detail at the Time of Initial Joining

GPF/CPS Type GIS Number Yes

GPF/CPF/EPF Number 0000 Basic Pay 1000

Pay Commision 5th Pay Commission Pay Band PB-3

Pay Scale Grade Pay 4200

Section - D (FORM-4 (A):Employee Education Details)

Sr.No Education Board/University Name Passing Year Marks

1 B.Sc. B.Sc. Any Baba Farid University Health and Science 2012 75
2 10+2 Science CBSE 2008 78
3 Matric Matric ICSE 2006 78

Section - F (FORM 6:Employee Family Details)

Member Name Relation Date of Birth Member Education Dependent

Rustamjeet Singh HUSBAND 01 Jul 1987 Yes

Section-H (FORM-8 Emploee Service Details)

Part-I
Index Data
<---------------Joining Details---------------> <---------Relieving Details------->
SrNo Transaction Effective Designation Joining-Office Area Home District Relieving Date Relieve to office Designation
Order Date
1 Fresh Joining 09 Jan 2015 STAFF NURSES CIVIL SURGEON
AMRITSAR(DHS)

Employee Sevice Detail:Establishment Transaction

Transaction Order Number Order Date From State From Department From Office From Designation
To State To Department To Office To Designation
Joining After Proper E6(1)PB2017/1700- Apr 21 2017 PUNJAB HEALTH AND FAMILY WELFARE CIVIL SURGEON STAFF NURSES
Channel Selection 2373 AMRITSAR

- - -
Joining DHS letter No. EE6(1)PB2017/1700-2373 date 21/4/17

Printed On:29 Aug,2019 Page 2 of 3 NIC-PB

Resign 121 Apr 21 2017 PUNJAB HEALTH AND FAMILY WELFARE CIVIL SURGEON STAFF NURSES
AMRITSAR

- - -

Employee Sevice Detail:Financial Transaction

Transaction Order Number From Designation Real/Notional Pay Commision Pay Scale Financial
Order Date From Office Basic Pay Pay Band Grade Pay Beneficial Date

Increment E4/17/793 STAFF NURSES Real Fixed/Tenure - N.A.

11 Jul 2017 CIVIL SURGEON AMRITSAR 11069 - N.A.

According to Punjab Govt. Rules (Fix Pay) Without probation period Clearance date 21/4/17 order no. E4/17/793 date 11/7/17

Initial NHM/Pb/MHR/15/92 STAFF NURSES Real 5th Pay Commission - 09 Jan 2015
Appointment
Order 09 Jan 2015 CIVIL SURGEON AMRITSAR 1000 PB-3 4200

Employee Sevice Detail:Establishment/FinancialTransaction

Transaction Order Number From State From Department From Office From Designation Pay Commision Pay Band Basic Pay
Order Date To State To Department To Office To Designation Pay Scale Grade Pay

Section-I (FORM-9: Employee Leave Details)

Section - K(FORM11:Employee Nomination Details)
Nominee Name Relation Date of Birth Nomination Type Share Percentage Present Address
Rustamjeet Singh HUSBAND 01/07/1987 EPF 100.00 H. No. 5, Uttam Avenue, Sultanwind Road, Amritsar

Section - M (Online Service Request)

Sr.No. Service Name Service Request Id Financial Year Order Name Order Date

Section - P (FORM-13:Employee Verification)

I, hereby, certify that the information furnished herewith are true and correct to the best of my knowledge.

Date: 29/08/2019
Signature:

Place: Employee Name: 130176->GAGANDEEP KAUR

Designation: STAFF NURSES

Printed On:29 Aug,2019 Page 3 of 3 NIC-PB