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NO EMPLOYEE ID NAME OF THE EMPLOYEE DEPARTMENT

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DESIGNATION LOCATION
 DATE OF JOINING
SL. NO EMPLOYEE ID NAME OF THE EMPLOYEE
AS PER ESI & PF

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DOJ AS PER OUR DATE OF RESIGNED REASON FOR FULL AND FINAL
COMPANY RELIVING ON RESIGNATION SETTLEMENT AMOUNT
 SETTLEMENT
FULL AND FINAL SETTLEMENT SETTLEMENT
REFERENCE
SETTLEMENT DETAILS DATE MODE
NUMBER
SL. NO EMPLOYEE ID NAME OF THE EMPLOYEE FATHERS NAME

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D.O.B / AGE FATHERS OCCUPATION FATHERS INCOME MOTHERS NAME
D.O.B / AGE MOTHERS OCCUPATION MOTHERS INCOME
 OCCUPATION OF THE
NAME OF THE SPOUSE HUSBAND / WIFE D.O.B / AGE
SPOUSE
 OCCUPATION OF INCOME OF THE
INCOME OF THE SPOUSE CHILD 1 D.O.B / AGE CHILD 2
THE CHILD CHILD
 OCCUPATION INCOME OF D.O.B / OCCUPATION INCOME OF
D.O.B / AGE CHILD 3
OF THE CHILD THE CHILD AGE OF THE CHILD THE CHILD
JOINT OR OVER ALL FAMILY TOTAL
NUCLEAR MEMBERS FAMILY
FAMILY INCOME INCOME

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SL. NO EMPLOYEE ID NAME OF THE EMPLOYEE
DOOR NO

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 PRESENT

STREET NAME AREA NAME CITY/VILLAGE TALUK/POST DISTRICT

 PERMANENT

STATE DOOR NO STREET NAME AREA NAME CITY/VILLAGE

TALUK/POST DISTRICT STATE
 MOBILE NUMBER
SL. NO EMPLOYEE ID NAME OF THE EMPLOYEE
PERSONAL

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 LAND LINE NUMBER LAND LINE MAIL ID MAIL ID MAIL ID
MOBILE NUMBER OFFICIAL
-1 NUMBER - 2 OFFICIAL PERSONAL PERSONAL
SL. NO EMPLOYEE ID NAME OF THE EMPLOYEE
COURSE NAME

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 1

COMPLETION DISCRIPTION
NAME OF THE INSTITUTE YEAR OF PASS OUT % SCORED
STATUS OF COURSE
 2

COMPLETION DISCRIPTION
COURSE NAME NAME OF THE INSTITUTE YEAR OF PASS OUT
STATUS OF COURSE
 3

COMPLETION
% SCORED COURSE NAME NAME OF THE INSTITUTE YEAR OF PASS OUT
STATUS
 4

DISCRIPTION
% SCORED COURSE NAME NAME OF THE INSTITUTE YEAR OF PASS OUT
OF COURSE
 5

COMPLETION DISCRIPTION
% SCORED COURSE NAME NAME OF THE INSTITUTE
STATUS OF COURSE
 5

COMPLETION DISCRIPTION
YEAR OF PASS OUT % SCORED
STATUS OF COURSE
SL. NO EMPLOYEE ID NAME OF THE EMPLOYEE
DESIGNATION

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 1
RELIVING IS
TOTAL YEARS OF NATURE OF THE REASON FOR
NAME OF THE COMPANY FORMAL /
EXPERIENCE JOB RELIVING
INFORMAL
 2

REMARKS IF TOTAL YEARS OF NATURE OF THE

DESIGNATION NAME OF THE COMPANY
ANY EXPERIENCE JOB
 3
RELIVING IS
REASON FOR REMARKS IF
FORMAL / DESIGNATION NAME OF THE COMPANY
RELIVING ANY
INFORMAL
 3
RELIVING IS
TOTAL YEARS OF NATURE OF THE REASON FOR REMARKS IF
FORMAL /
EXPERIENCE JOB RELIVING ANY
INFORMAL
 4

TOTAL YEARS OF NATURE OF THE REASON FOR

DESIGNATION NAME OF THE COMPANY
EXPERIENCE JOB RELIVING
 5
RELIVING IS
REMARKS IF TOTAL YEARS OF
FORMAL / DESIGNATION NAME OF THE COMPANY
ANY EXPERIENCE
INFORMAL
5
RELIVING IS
NATURE OF THE REASON FOR REMARKS IF
FORMAL /
JOB RELIVING ANY
INFORMAL
SL. NO EMPLOYEE ID NAME OF THE EMPLOYEE NAME OF THE
DOCUMENT

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 1

NAME OF THE DATE OF

DOCUMENT NUMBER PLACE OF ISSUE ISSUED DATE
ISSUING AUTHORITY EXPIRE
 2

REMARKS IF NAME OF THE NAME OF THE

DOCUMENT NUMBER PLACE OF ISSUE
ANY DOCUMENT ISSUING AUTHORITY
 3

DATE OF REMARKS IF NAME OF THE

ISSUED DATE DOCUMENT NUMBER
EXPIRE ANY DOCUMENT
 3

NAME OF THE DATE OF REMARKS IF

PLACE OF ISSUE ISSUED DATE
ISSUING AUTHORITY EXPIRE ANY
 4

NAME OF THE NAME OF THE

DOCUMENT NUMBER PLACE OF ISSUE ISSUED DATE
DOCUMENT ISSUING AUTHORITY
 5

DATE OF REMARKS IF NAME OF THE NAME OF THE

DOCUMENT NUMBER
EXPIRE ANY DOCUMENT ISSUING AUTHORITY
5

DATE OF REMARKS IF
PLACE OF ISSUE ISSUED DATE
EXPIRE ANY
SL. NO EMPLOYEE ID NAME OF THE EMPLOYEE
NAME OF THE BANK

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 OFFICIAL - Company Account

PLACE OF THE DEBIT CARD DEBIT CARD

ACCOUNT NUMBER ACCOUNT TYPE
ACCOUNT NUMBER TYPE
 PERSONAL - 1

REMARKS IF PLACE OF THE

NAME OF THE BANK ACCOUNT NUMBER ACCOUNT TYPE
ANY ACCOUNT
 PERSONAL -

DEBIT CARD DEBIT CARD REMARKS IF

NAME OF THE BANK ACCOUNT NUMBER
NUMBER TYPE ANY
 PERSONAL - 2

PLACE OF THE DEBIT CARD DEBIT CARD REMARKS IF

ACCOUNT TYPE
ACCOUNT NUMBER TYPE ANY
 PERSONAL - 3

PLACE OF THE DEBIT CARD

NAME OF THE BANK ACCOUNT NUMBER ACCOUNT TYPE
ACCOUNT NUMBER
DEBIT CARD REMARKS IF
TYPE ANY
 LANGUAG
SL. NO EMPLOYEE ID NAME OF THE EMPLOYEE
TO SPEAK

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LANGUAGE - 1 LANGUAGE - 2

TO READ TO WRITE TO SPEAK TO READ TO WRITE

 LANGUAGE - 3 LANGUAGE - 4

TO SPEAK TO READ TO WRITE TO SPEAK TO READ

AGE - 4 LANGUAGE - 5

TO WRITE TO SPEAK TO READ TO WRITE

 SKILLS
SL. NO EMPLOYEE ID NAME OF THE EMPLOYEE
NAME OF THE SKILL

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 SKILLS - 1 SKILLS - 2

NAME OF THE YEARS OF

YEARS OF EXPERIENCE REMARKS REMARKS
SKILL EXPERIENCE
 SKILLS - 3

NAME OF
YEARS OF EXPERIENCE REMARKS
THE SKILL
 OTHER SKI
SL. NO EMPLOYEE ID NAME OF THE EMPLOYEE
NAME OF THE SKILL

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OTHER SKILLS - 1 OTHER SKILLS - 2

NAME OF THE YEARS OF

YEARS OF EXPERIENCE REMARKS REMARKS
SKILL EXPERIENCE
 OTHER SKILLS - 3

NAME OF
YEARS OF EXPERIENCE REMARKS
THE SKILL
 OTHER SKI
SL. NO EMPLOYEE ID NAME OF THE EMPLOYEE
NAME OF THE HOBBY

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OTHER SKILLS - 1 OTHER SKILLS - 2
TIME BOUD (FREQUENT, TIME BOUD (FREQUENT,
OFTEN, OCASSIONAL, REMARKS NAME OF THE HOBBY OFTEN, OCASSIONAL,
RARE) RARE)
S-2 OTHER SKILLS - 3
TIME BOUD (FREQUENT,
REMARKS NAME OF THE HOBBY OFTEN, OCASSIONAL, REMARKS
RARE)
SL. NO EMPLOYEE ID NAME OF THE EMPLOYEE HEIGHT

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 MOLE
WEIGHT COLOR IDENTIFICATION OR BLOOD GORUP EYE POWER
OTHER MARKS
 PHYSICHAL ILLNESS IF
MULTIPLE
HANDICAPPED IF YES % IF YES % ANY PROLONG MORE
HANDICAPPED
THAN A WEEK - 1
 NAME OF THE CURRENT STATUS
HOSPITAL NAME DURATION OF TREATMENT
TREATMENT TAKEN OF ILLNESS
MENTAL ILLNESS IF ANY
NAME OF THE DURATION OF CURRENT STATUS
PROLONG MORE THAN A HOSPITAL NAME
TREATMENT TAKEN TREATMENT OF ILLNESS
WEEK - 1