EMPLOYEMENT DATA SHEET

MFG: REGRINDING: ALL TYPE OF CUTTING TOOL (HSS & CARBAIDE) Plot No :- E - 14, MIDC WALUJ, AURANGABAD
POST : NAME: (SURNAME) MARATIAL STATUS ADDRESS: CITY: STATE : MAHARASHTRA MOBILE NO: TELEPHONE NO: EMAIL ID: ADDRESS: (PERMANANT ADDRESS) PINCODE : (FIRST NAME) (MIDDLE NAME) EMPLOYEE NO:

PHOTOGRAPH

CITY: STATE: TELEPHONE NO: EMAIL ID: NATIONALITY : DATE OF BIRTH CASTE :

PINCODE: MOBILE NO: RELIGION: AGE: SUBCAST:

TYPE OF ACCOMODATION : MONTHLY RENTAL CHARGES PAID FOR ACCOMODATION: LANGUAGE KNOWN LANGUAGE ENGLISH HINDI MARATHI

SPEAK

READ

WRITE

DETAILS OF FAMILY MEMBERS

(Please give full details of family members including parents, spouse, children and anyother dependents) SR NO: NAME AGE RELATIONSHIP OCCUPATION

EDUCATIONAL DETAILS
SR NO 1 2 3 4 EXAMINATION PASSED YEAR OF PASSING GRADE % MARKS FULL/PART
TIME
SPECIALIZATION / NAME OF UNIVERSITY / INSTITUTION SUBJECT

TECHNICAL COURSES OR TRAINING

SR NO. 1 2 3 NAME OF THE TRAINING COURSE DURATION YEAR OF PASSING INSTITUTE OR ORGANISATION MARKS

EXTRA CURRICULAR ACTIVITY (Eg, SPORTS, SOCIAL, LITERARY ACTIVITIES ETC)

SR NO. 1 2 3 4 ACTIVITY INSTITUTION YEAR POSITION HELD PRIZE WON

HEALTH DETAILS
1 2 3 4 5 HEIGHT WEIGHT IDENTIFICATION MARK PHISICAL DISABILITY IF ANY BLOOD GROUP

CRIMINAL RECORD
HAVE YOU EVER BEEN INVOLVED IN ANY CRIMINAL PROCEEDINGS / CONVICTED OF ANY OFFENCE?

EMPLOYEE NAME:
DATE OF JOINING: POST / LEVEL: SHIFT : NATURE OF DUTIES : DEPARTMENT: REPORTING TO:

PAST WORK EXPERIENCE

EMPLOYERS NAME AND ADDRESS (PLEASE GIVE FULL ADDRESS) DURATION DESIGNATION NATURE OF DUTY GROSS SALARY PER MOTNH

DETAILS OF SALARY
PARTICULARS BASIC DEARNESS ALLOWANCES HRA CONVEYNIENCE CITY COMENSATORY ALLOWANCES EMOLUMENTS SALES COMMISSION / INCENTIVES BENEFITS EDUCATION ALLOWANCES ANY OTHER ( PLZ MODIFY) 1 2 SUB TOTAL (A) BONUS ( ) % ON RUPEES MONTHLY LEAVE TRAVEL ASSITANCE BENEFITS ANY OTHER ( PLZ MODIFY) 1 2 SUB TOTAL (B) PROVIDENT FUND CONTRI ( ) % BY EMPLOYER SUPERANNUATION GRATUITY SUB TOTAL TOTAL (A+B+C) YEARLY MONTHLY

EMPLOYEE FINANCIAL DETAILS

EMPLOYEE NAME:
BANK ACCOUNT NUMBER BANK NAME BRANCH AND ADDRESS

ANY OTHER SOURCE OF INCOME ( AGRICULTURAL OR FD ETC.) :

VEHICLE NUMBER PAN CARD NUMBER LICENSE NUMBER

DETAILS PAYAMENT OF PREMIUM FOR LIC OR ANY INSURANCE PAYAMENT OF PREMIUM PENSION PLAN OR ANY OTHER INSURANCE PUBLIC PROVIDENT FUND SCHEME NOTIFIED SAVING CERTIFICATE RENT PAID INTEREST PAID ON HOME LOAN PRINCIPAL PAID OF HOME LOAN CHILDREN EDUCATION INTEREST PAIN ON HIGHER STUDIES

ANNUAL AMOUNT

EMERGENCY CONTACT NUMBER: NAME

RELATION

CONTACT NUMBER

NAME AND SIGNATITURE:

NAME AND SIGNATURE OF EMPLOYEE

NAME AND SIGNATURE OF EMPLOYER