M/S DHARI\ryAL BUILDTECH LIMITEI}

HISAR
STAF PERSONAL INFORMATION
Fill in your own hand\a,titing
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Father's rvame:.....L[a]h.k..r.^.......

Mother'sxame:....4.*.gnJal;,.......b.e.r-,
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Designation ...D.fi-i.tr.<-B*..................................satary

Technica I Qualification :.....................

pan no:.O.f |.Y.P.S'L& t K......... Driving ricence No:

aokil otrrer o,....$n .D.IL..-................ No,.....f.

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Address Proof:........... .........._...No:.
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Address:... ...g,c,-.h..a*uJ, ntf"JLo',f,|"L iiJ. -a-

Date of Joini
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Previous Employer Detail {lf any}}:

EPF / ESI Details:

Declaration:-

I certified that I am the same person whose appear name and other information
in this form.

Signature or tnifiarge-

Date:............. .. /................./
Attention Please:-

Documents to be attached:

1. One latest photograph {staple atongwith form}.

2. PAN Card + Copy of Bank passbook

3' Driving licence {compu}sary for Drivers & Machine operators onty}.

4. Degre Copy {compulsary for Engineer & Technicat Staff only).

5. Address Froof: Ration card, voter card, pass port, Aadhar card,
Driving licence.
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