Paste your

handsome/
beautiful
Photograph
Welcome to the New Journey- INTRO Form
Please build a true intro of yourself. * means we would love to have that from you (wherever possible)

My name as per
AADHAAR UID No*
AADHAAR is*
I am designated
I am on boarded on*
as*

I am a* Male/Female I was born on*

I may receive/donate I have this UAN for

blood and my group is* PF scheme
I can file IT with
I hold passport with No*
this PAN*
About myself

My father's name is* He was born on*

My mother's name is* She was born on*

I am a* Single/Married I was married on
He/she was born
My spouse's name is
on
My lovely children/s He/she/they were
is/are named as born on
My origin/permanent
residence is*
I currently reside in*

I can be contacted through Ph. No* My email ID is*

Languages Speak Read Write I am technically strong in the below topics
Fluent or Learning?
I know to (Y/N) (Y/N) (Y/N) related to my job
English
1) _______________________________________
Tamil
Hindi 2) _______________________________________

Telugu 3) _______________________________________

Kannada

I like to spend my free time doing*

I love to learn professionally more about*

 My formal educational qualification/s
Secured
I earned a Exactly Between the
From a institution called as Through this mode Grade/Class/
degree in located at period
GPA
Full-Time/
Part-Time/E-Learning
Full-Time/
Part-Time/E-Learning
Full-Time/
Part-Time/E-Learning
Full-Time/
Part-Time/E-Learning
My formal technical certification/s
Secured
I earned a Exactly Between the
From a institution called as Through this mode Grade/Class/
certificate in located at period
GPA
Full-Time/
Part-Time/E-Learning
Full-Time/
Part-Time/E-Learning
My employment history

I had a job Exactly Between the Compensated with But left due
In a company called as
titled as located at period fixed pay of to

My monthly/any other pay can be credited in the name of: ______________________________with

Bank: ____________________________________ Branch put at: _____________________________

on A/c. No: ________________________________ with IFSC: _________________________________

I am quite excited to join DISPRZ and provide the above facts to help the company know me better and aware that
misrepresentation of me might disrupt the association at any given time.

Signing-in on day For HR Use

My Autograph