Employee Personal Information Form (1).pdf

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ABC BUILDWARES (INDIA) PVT. LTD KANNUR I CALICUT I COCHIN I THIRUVANANTHAPURAM SECTION 2- RECRUITMENT DETAILS EMPLOYEE PERSONAL INFORMATION SECTION 1- ORGANIZATION DETAILS Entity Name Branch Location Country State / Province Referral Program Recruitment Drive Head Hunter Career Portal (LinkedIn, Recruitme nt requisition Number Recruitment requisition Date Recruitment Source Shine.com, Naukri.com, Indeed, etc.) Others, Specify SECTION 3- GENERAL INFORMATION ( ALONG WITH EMPLOYEE PICTURE- LATEST, CONTRACT, OFFER LETTER, ALL REQUIRED DOCUMENTS WHERE EVER APPLICABLE) First Name ( As per passport / Aadhaar/ SSLC) Date of Birth. Aadhar Number. Aadhar Number linked with Mobile Number : Middle Name Last Name Personal Mobile Number. ☐ Yes ☐ No Muslim Indian Male Female Transgender Hindu Christian Buddhist Gender: Religion Nationality Sikh Others Single Married Marriage Date (optional) Marital Status Divorced Widow Separated Permanent Land Number (optional) Email ID Date of Joining Specific ( Specify Duration) Unspecific Contract Status Full Time Part-time Employee Category Staff WorkerEmployee Type Temporary Consultant Working Remotely Designation Department Division Line Manager Emp# Line Manager Name

ABC BUILDWARES (INDIA) PVT. LTD KANNUR I CALICUT I COCHIN I THIRUVANANTHAPURAM SECTION 6- LANGUAGES PROFICIENCY Language Malayalam Speak English Hindi Gujarati Tamil Kannada Other: Read Write Passport No. (optional) Issue Date Expiry Date LMV Driving License Number Badge No, if any DL Type Two Wheeler other (Specify) Current Address P.O BOX: Permanent Address Employee Housing Status SECTION 4- EMERGENCY CONTACT DETAILS(THREE POINT OF CONTACTSISMUST) P.O BOX: Own House FamilyHouse Rent House (Flat/Quarters/ Villa) Emergency Contact Name Relationship Contact No. SECTION 5- BACKGROUND VERIFICATION-PERMENANT RESIDENCE REFERENCE (NOT FAMILY RELATIONS) (THREE POINT OF CONTACTS IS MUST) Contact Person Name Contact No. Residential Address

ABC BUILDWARES (INDIA) PVT. LTD KANNUR I CALICUT I COCHIN I THIRUVANANTHAPURAM SECTION 10- EMPLOYEE EDUCATION DETAILS School/Institute/ University City / State Country Year (From- To) SECTION 7- EMPLOYEE FAMILY DETAILS (ATTACHMENTS ESI CARD) Relationship Name DOB Occupation Diploma/Graduate/ Post Graduate/ Certifications Majors Aadhar # GPA/ Divisions/ Percentage SECTION 8-PARENTSINFORMATION Name Relationship Father DOB Contact Number Status Living with us No longer with us Living with us No longer with usMother SECTION 9 – TYPE OF RATION CARD Yellow Card (Backward Section) Pink Card (BPL) Blue Card (APL) White Card (Non - Priority) N/A Beneficiary/ Dependent’s: ( Hereby nominate beneficiary/ i.e., in event of my death, attach nominee form of EPFO & Gratuity) Country of Residence Name of the Beneficiary Relation Contact

ABC BUILDWARES (INDIA) PVT. LTD KANNUR I CALICUT I COCHIN I THIRUVANANTHAPURAM Name of the Person SECTION 13- PROFESSIONAL EXPERIENCE HISTORY Start&End Company Position Date SECTION 11-Medical History Do you have anyMedical History- If yes, Details: Medication if any: Diabetic Blood Pressure Cardiac Blood Type: O+ O- A+ A- B+ B- AB+ AB- Medical Insurance, if any: Yes No Govt. Private N/A Specify name of Insurance : SECTION 12- Salary Bank Details ( Nationalized Bank only) : Bank Name Account Number Branch Name IFSC Number UAN# Yes No ESI EPFO Section 6 - Other Information Section 6 - Other Information Section 6 - Any relatives working in any of the ABC Group of Companies: Yes Emp# Employee Name Relationship Entity Name CTC & Benefits Yes No Plan to engage in other work- Yes No Reference Contact Details (please provide three referees we may contact) Company Position Email ID Contact Number Reason forLeaving Section 6 - Other Information No Designation

ABC BUILDWARES (INDIA) PVT. LTD KANNUR I CALICUT I COCHIN I THIRUVANANTHAPURAM VERIFIED BY(Official Purpose): Name : Signature: Date : Entity Seal SECTION 15- CHECKLIST Updated Curriculum Vitae Educational certificates Ration Card copy Latest passport size photographs (3) Aadhar copy Pan Cardcopy,Ifavailable Passport copy, if available Driving License copy ESI cardcopy Bank passbook copy SECTION 14 - DECLARATION I, the under-signed, hereby declare that all the information I have provided on this employee information form is true and accurate to the best of my ability and in case of emergency, the nominated persons may be contacted. Employee name : Emp# Signature: Date :