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CONTROL & AUTOMATION SYSTEMS

EMPLOYEE JOINING FORM


DATE:

Personal Details
Name (in full) DATE OF BIRTH
Birth Place Height/Weight
Blood Group Age
Disability If Yes, details
Identification Mark
Email Id (personal)
Marital Status
Mobile Number
Hobbies
Nationality Religion
Passport details
Passport No. Date of Issue
Place of Issue Date of Expiry

REFERRED TO BY Name Emp Id Post Held Area Branch

Educational Background

Graduation, PG & diplomas if Year of


Specialization Grade attained University & City
any. completion

References: Name Post Held Area Institution City

Prior Experience
Company Tenure in years/
Post held Department / Function City
(Name and size) months

Relationship with
References: Name Designation Area Organization
Reference

Head office : Pasaydan, Plot No. 72, Sector No. 24, PCNTDA, Nigdi, Pune – 411044, MH, INDIA.
Email : kishor@cnaindia.in / sohan@cnaindia.in Phone No: +91-9967366092 / +91-8600005548
CONTROL & AUTOMATION SYSTEMS

Skill-set
Certification &
Area Skills acquired Project Summary
Grade

Address details
Door No

Street
Location
Local Address City Local Contact No.
District
State
Pin code

Door No

Street
Location
Permanent Address City Permanent Contact No.
District
State
Pin code

Family Details
Father's Full Name Age
Occupation CURRENT W ORK STATUS
Mobile No.
Mother’s Maiden Name Occupation
Brothers/Sisters Educational
Current Work Status Marital Status Residing In
(Name) Status

Items for submission


Photographs: Passport details
5 passport size, 2 stamp size Photocopy

Relieving order Photocopy UG certificates Photocopy

Offer Letter Signature in Duplicate PG certificates Photocopy

MANAGER - HR & ADMIN (Signature) EMPLOYEE (Signature)

Head office : Pasaydan, Plot No. 72, Sector No. 24, PCNTDA, Nigdi, Pune – 411044, MH, INDIA.
Email : kishor@cnaindia.in / sohan@cnaindia.in Phone No: +91-9967366092 / +91-8600005548

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