S. No.

1 Name of the Applicant with Surname

2 Designation

3 Father Name

4 Present Working Place

5 Mandal

6 District

7 Employee Treasury ID

8 PAN Number
GPF/ZPPF Account & Last
9 Subscription and month, year
New CFMS ID No.

10 Aadhar Number
11 EOL if any
12 Date Of Birth
Date of Entry into the Service
13
(First Appointment)
Deduction
14 Basic Pay APGLI
15 PP GIS
16 DA EHS
17 HRS Total

18 House Address

19 Bank Account Number

20 Bank Name & Branch
21 IFSC Code
22 DDO Name
23 DDO TAN Number
1.
24 Moles Of Employee
2.
Nominee Details :-
Nominee Name Age Relation Share
1.
25
1.
Moles
2.
Family Members Details
Married or
S. No. Name of the Family Member Relation D.O.B Employment Status
Not
1.
2.
26
3.
4.
5.
6.
27 Increment Date
28 Date Of Birth
29 Cell Number