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    This document is a form for collecting spouse information for an employee, including the spouse's name, employment status and employer if employed, basic pay and benefits like HRA, whether the spouse avails of medical or LTC facilities, and a signature from the employee and head of office.

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    This document is a form for collecting spouse information for an employee, including the spouse's name, employment status and employer if employed, basic pay and benefits like HRA, whether the spouse avails of medical or LTC facilities, and a signature from the employee and head of office.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    19 views1 page

    Spouse Information

    Uploaded by

    Start
    This document is a form for collecting spouse information for an employee, including the spouse's name, employment status and employer if employed, basic pay and benefits like HRA, whether the spouse avails of medical or LTC facilities, and a signature from the employee and head of office.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    PERFORMA FOR SPOUSE INFORMATION

    Employee Name & ID

    Designation

    Basic Pay

    HRA per month

    Medical facility allow per month

    Accommodation. Own / Rental / Govt.

    Residential Address

    Name of Spouse

    Whether Spouse employed,


    if yes, the name of employer and address

    Basic pay of the Spouse

    HRA of Spouse

    Whether Spouse availing Medical / LTC


    facilities

    Any other information

    Signature of Employee

    Signature & Seal of Head of office

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