HUMAN RESOURCE INFORMATION SYSTEM (HRIS) PROFORMA PES FOR NEWLY INDUCTED EMPLOYEES * Please write legibly in block letters A. PERSONAL A. Name : Ad Nationality: A Date of Birth: A.4 Father/Husband’s Name: Human Resources Division A.20 Name and Telephone No. of the person to be contacted in emergency: A.S Domicile Distric/Provinee: A6 Religion: A.7 National ID Number:, A.8 National Income Tax Number: A9 Blood Group: A.11 EOBI Registration No:, A21 Nominee for Group Life Insurance: Provident Fund: Gratuity A22 Health Limitation (iN): A.10 Identification Mark: A23 If, Yes, please describe: 12 Passport Number: A24 Marital Status: A.13 Date & Place of Issue: A.25 Name(s) of Spouse(s): A.14 Permanent Address: A.26 Date(s) of Birth of Spouse(s): A.15 Phone No: A.16 Mobile No: A27 Number of Children: AIT Present Address A28 Particulars of Children: Sr. Full Name Gender | Date of Birth v A.18 Phone No: 2. A.19 E-mail Address: 3 a B. ACADEMIC QUALIFICATIONS AND LANGUAGES B.1 Qualifications: (Start with Matric or equivalent) Sr. Board/University Qualification’ | Country | Month Subjects Degree | and Year 1. 2. 3 4. - _ x | B.2 Foreign Languages (fuent, good, poor) Page 1 of 2C, SPECIALIZATION AND PUBLICATIONS Cl Field(s) of Specialization: C.2 Training Courses attended: (Please do not enlist technical lectures) Institution Dates Sr.No. Course Title From | To afylale]e| = C.3 Technical Publications (Extra sheets can be enclosed, if required) Title of Paper Name of Journal Issue No. & date Country D.SERVICE D.1 NESPAK Joining Date Grade Designation Divisiow/Office D.2 Cadre (Temp/Regular) D.3 Category (Prof, Para- Prof, Non- Prof, Deputation) D.4 Afiiliation/Registration with Professional Institutions/Societies: D.5_ Pre-NESPAK Service: Dates Place! Sr. | From | To | Coun Name of Employer Designation E, Any other information; Signature: Dated: Page 2 of 2Undertaking 1, Slo. 7 hereby confirm that I have produced complete and relevant educational and experience certificates as per my CV available with me and that I shall not claim any benefit whatsoever other than the certificates being produced now or those listed in the CV provided at the time of submission of my application. Name Slo, Designation. Division Dated,