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Proforma II

Template for Employee Registration (HRIS)


Personal Details
* AadhaarNo. 871192410284
* Mobile No. 8096980307
* Employee ID
* Employee Name DOLA RAVI TEJA
* Father / Husband Name DOLA RAMESH BABU
* Gender MALE
* Date Of Birth 10/10/1997
* Qualification B.SC NURSHING
Community
* SC
(SC/ST/BCA/BCB/BCC/BCD/OC)
* Ex service Men (Yes/No) NO
* Are you Differently Abeled (Yes/No) NO
* % Of Disability NO
* State ANDHARA PRADESH
* District KRISHNA
* Mandal NUZVID

DO.NO 6-26,PALLERLAMUDI,NUZVID
* Personal Residential Address
MANDAL,KRISHNA(DIST)

* Pin Code 521105


* PAN Number EYDPD2293D
* E Mail ID Of The Individual ravitejadola3@gmail.com
Present Job Details
* Posted District (Present Post) KRISHNA
Facility Type
* (PHC/ CHC/ PP Unit/ AH/ Sub Centre/ UFWC/ UHC/MAK) SUB-CENTER
* Facility Name PHC VENTRAPRAGADA
* Sub Centre Name MOPARRU
* Designation MID LEVEL HEALTH PROVIDER
* Date of Joining at Present Place 12/09/2021
* Date Of Retirement
* CPS Number
* Present Posting Order Number
* Present Posting Order Date 981/R2A/NHM/HWC/2021
* Gross Salary Per Month 25000/- Rs
* Last Date of Increment
* Name Of The Bank ICICI BANK
* Account No. 236801508316
* IFSC Code ICIC0002368
* Name Of The Branch PORANKI
*

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