You are on page 1of 2

HUMAN RESOURCE INFORMATION MANAGEMENT SYSTEM (HRIMS)

HRIMS BIO DATA VALIDATION FORM

Item Data in HRIMS Feedback from Remarks


Employee

Picture Yes, I confirm

Employee Number 995744 Yes, I confirm

Title Mr. Yes, I confirm

Surname Abdulai Yes, I confirm

Other Names Yussif Yes, I confirm

Nationality Ghanaian Yes, I confirm

Gender Male Yes, I confirm

Date of Birth 06-01-1988 Yes, I confirm

Religion Islam Yes, I confirm

Marital Status Married Yes, I confirm

Social Security H048801060050 Yes, I confirm


Number

Contact Number 248274240 Yes, I confirm


Item Data in HRIMS Feedback from Remarks
Employee
ID type & Number National ID (Ghana Yes, I confirm
Card) |
GHA-716449307-3

Region Northern Yes, I confirm

District/Division Nanumba North Yes, I confirm

Facility/Unit Bimbilla District Yes, I confirm


Hospital

Grade at First Staff Nurse Yes, I confirm


Appointment

Date of First 08-09-2012 Yes, I confirm


Appointment

Current Staff Professional Nurse Yes, I confirm


Category (Degree)

Current Staff Grade Nursing Officer Yes, I confirm

Salary Level 18L Step 1 Yes, I confirm

Date of Current 2022-11-01 Yes, I confirm


Appointment

Speciality Yes, I confirm

Declaration

I, ABDULAI YUSSIF hereby declare that the information provided is true and correct. I also
consent to the processing of my personal data for the purpose of this validation.

Signature: ______________________

Date(dd/mm/yyyy): ______/______/____________

Powered by TCPDF (www.tcpdf.org)

You might also like