Personal Data Sheet

[Only for the employees of Khulna WASA]

1. Employees name: 2. Mothers name: 3. Fathers name: 4. Date of birth: 5. Present address: 6. Permanent address: 7. Contact no. 8. Educational background: 9. Training (if any): Local Overseas None

10. Job Experience (before this org.): 11. Date of joining at KWASA: 12. Employment type: Contractual 13. Present designation: 14. Blood group: 15. NID / Passport no. 16. Marital Status: 17. If married: a) Spouse name: b) No. of children: 18. Nominee (for accidental benefits): Married Unmarried Divorced/separated Permanent Daily basis

Signature with date:

Prepared by: CEO, LIFE / lifeforexcellence@gmail.com / www.lifebangladesh.com

PDS Checklist
(Kindly remember and check whether you have submitted following documents to your office or not)

Name of employee: Designation: Section/Dept: Date of Joining: Staff ID no. Contact no: Provided by the employee SL 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. Required documents for the personal file Yes Application for the job Curriculum Vitae/Resume/Bio-Data Passport size photograph National Identity Card/ Citizenship Certificate Copy of Passport Birth registration certificate Educational certificate Certificate on Training/ experience TIN Driving License Blood Group Report Letter of clearance, if served earlier any other organizations Receipt Copy of Appointment related papers No Not Applicable

Signature with date:

Prepared by: CEO, LIFE / lifeforexcellence@gmail.com / www.lifebangladesh.com