Instructions:

Use Date as DD/MM/YYYY only

Contact number with 10 digits only
Keep your name as per aadhar card only
Details should be as per documents only
Major details of statutory forms are auto filled, kindly check it once you are done with basic details and fill pending details if an
Align the details to set in cell
and fill pending details if any.
 Employee Joining Form

New Joinee Announcement Details

Name Deepak J shukla
Designation Trainee Software Engineer
Department PHP
Date of Joining (DD/MM/YYYY) 1/19/2022
Graduation Qualification B.Tech
Graduation Specialization Information Technlogy
Post Graduation Qualification
Post Graduation Specialization
Previous Company
Hobbies travelling,football,indoor games.
Area of Interest PHP,web devloping
Employee's Personal Details

Particular Name Gender Date of Birth (DD/MM/YYYY) Age Location Dependancy Occupation

Name Deepak J shukla Male 8/6/2001 21.36 Ahmedabad Yes Student

Father's Name Jayram K Shukla Male 2-Aug-1976 46.39 Ahmedabad No Businessman
Mother's Name Meera J Shukla Female 11-Jun-1978 44.53 Ahmedabad Yes Home maker
Spouse's Name 123.03
Brother's Name Parth J Shukla Male 4-Oct-2005 17.20 Ahmedabad Yes Student
Brother's Name 123.03
Sister's Name 123.03
Sister's Name 123.03
Child's Name 123.03
Child's Name 123.03
Place of Birth Ahmedabad
State of Birth Gujarat
Nationality Indian
Mother Tongue Hindi
Blood Group A+
Marrital Status Single
Marriage Date (DD/MM/YYYY)
Reservation Type General
Father's Occupation and field Businessman
Current Address type Owned
Transportation Type Owned Vehicle
Vehicle No.
Vehicle Type and Model Bike
Height 5'7''
Weight 62 kg
Permanent Address
Line-1 3 gokuldham society, nr. Sarthi bunglows BRTS
Taluka Chandkheda
District Ahmedabad
State Gujarat
PIN Code 382424
Present Address Address
Line-1 3 gokuldham society, nr. Sarthi bunglows BRTS
Taluka Chandkheda
District Ahmedabad
State Gujarat
PIN Code 382424
Contact Details
Email ID dshukla293@rku.ac.in
Mobile No. 9512912088
Alternate Mobile No. 9879526230
Employee's Documents Details

Documents Name Name as per document Document No. Issue Date (DD/MM/YYYY) Expiry Date (DD/MM/YYYY)

PAN Shukla DEEPAK LWTPS3714H

Election Card
Aadhar card Shukla DEEPAK 382261034491
Passport
Driving License DEEPAK JAYRAM SHUKLA GJ0120200034842 11/10/2020 6/7/2041
Education Details (Starting from SSC)
Post
Qualification SSC HSC Graducation Graduation
Graduation Type Bachelor of Technology (B.Tech. or B.Tech.)
English Science

Specialization
University Name Birla public school Infocity junior science college RK University
Institute Name
From (MM/YYYY) 2015 2016 2018
To (MM/YYYY) 2016 2018 2022
Medium English English English
Grade B D. B+
Percentage 68.00% 48.00% 74.00%
Qualification Time Type Full Time Full Time Full Time
Banking Details (IF HDFC)
Name as per Bank
Bank Name
Bank account No.
IFSC
Branch Name

CERTIFICATE BY EMPLOYEE
Certified that the above details are filled by me and these are as per my documents which are correct.

Place: Chandkheda
Dated: 2/1/2022 Signature of the employee

CERTIFICATE BY EMPLOYER (HR)

Certified that the above details are verified by me and these are as per employee's documents which are correct.

Name:
Designation:
Place:
Dated: Signature of the verifying person
 ESIC Declaration Form

Employee Name Deepak Jayram Shukla

Father/Husband name Jayram K Shukla
Marital Status Not married

3-Gokuldham society chandkheda, nr.

Present Address Sarthi bunglows brts,kalol highway,
ahmedabad (382424)

Date of Joining 19-Jan-2022

Family Details

Relation With
Sr. No Family Member's name Date of Birth
Employee

1 Jayram K Shukla FATHER 2-Aug-1976

2 Meera J Shukla MOTHER 11-Jun-1978
3 Parth J Shukla BROTHER 4-Oct-2005
4 Belavati K Shukla GRAND MOTHER 1-Jun-1957
5

Nominee Details
Relation With
Name of Nominee Address of Nominee
Employee
3-Gokuldham society chandkheda, nr. Sarthi bunglo
Jayram K Shukla Father
brts,kalol highway, ahmedabad (382424)
tion Form

Date Of Birth 8-Jun-2001

Gender Male
Blood Group A+

3-Gokuldham society
chandkheda, nr. Sarthi
Permanent Address
bunglows brts,kalol highway,
ahmedabad (382424)

Mobile Number 9512912088

etails
If No, State Place of
Whether Residing Residence
with IP? State District

Details

Address of Nominee Contact No.

am society chandkheda, nr. Sarthi bunglows

9879526230
s,kalol highway, ahmedabad (382424)
Dt.: 44580

To,
HR Team,
Radixweb Technosoft LLP

Subject: Health assurance letter.

This is to certify that I, Deepak J shukla joining

as Trainee Softw in 0 assure that I am physically fit to
join the services as discussed.

Thanks,

Deepak J shukla
 Radixweb Technosoft LLP
assure that I am physically fit to
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