QualityKiosk - Personal Data Form 1.1
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Transcript of QualityKiosk - Personal Data Form 1.1
Master Form
EMPLOYEE DETAILS (PLEASE FILL ALL DETAILS IN BLOCK LETTERS) DATE : dd/mm/yyyy
NAMEMr/Ms (Please avoid initials)(First Name)(Middle Name)(Last Name) Date of Joiningdd/mm/yyyyEmployee Number(to be generated on the day of joining)DesignationGrade
Father's/Husband's NameMr (Please avoid initials)(First Name)(Middle Name) (Last Name )
A) PERSONAL DETAILS1)Current AddressLine 1:Line 2 :Line 3 :City : Pin code : Telephone (Landline): Mobile :
Permanent AddressLine 1:Line 2 :Line 3 :City : Pin code : Telephone (Landline): Mobile :
2)Personal e-mail IDAlternate e-mail ID
3)Date of Birthdd/mm/yyyy4)Marital Status
5)Gender6)Date of Marriage(if married)dd/mm/yyyy
7)Blood Group8)Maiden / Former Name
9)Height 10)Weight
11)Languages known (Indian)LanguageReadWriteSpeakProficient/ Elementary/ Basic Mother Tongue
12)Languages known (Foreign)LanguageRead WriteSpeakProficient/ Elementary/ Basic
13)Type of present Accomodation:14)Details of Vehicle ownedType :Vehicle No :15)Driving License DetailsLicense No :Date Valid upto :dd/mm/yyyy16)Passport DetailsPassport No :Date Valid upto :dd/mm/yyyy17)PAN Card DetailsPAN No :18)Aadhar Card Details Aadhar Card No :19)Account No. DetailsAccount No :B)FAMILY DETAILS1)Please provide details of parents, siblings, spouse & children
Sr. NoNameRelationshipDate of BirthOccupation1dd/mm/yyyy2dd/mm/yyyy3dd/mm/yyyy4dd/mm/yyyy5dd/mm/yyyy
2)If married and if spouse is employed please share his/ her office address and contact numberSpouse Name:Office Address:
Contact Details: Mobile :Landline & Extension:E-mail ID:
C)EMERGENCY DETAILS1)Details of two persons who can be contacted incase of an emergency
i.Name:Relationship with self:Address:
Telephone number:Mobile number:Contact Person's e-mail ID:ii.Name:Relationship with self:Address:
Telephone number:Mobile number:Contact Person's e-mail ID
D)EDUCATION DETAILS (To be given in reverse chronological order)1)(To be given in reverse chronological order)Sr.NoDegreePart Time / Full Time / Correspondence College/Institute & UniversityDuration%/Class/ Grade/ CGPAStart Date End Date1mm/yyyymm/yyyy2mm/yyyymm/yyyy3mm/yyyymm/yyyy4mm/yyyymm/yyyy5mm/yyyymm/yyyy
E) PREVIOUS EMPLOYMENT DETAILS (To be given in reverse chronological order)1)Sr.NoName of the OrganisationDesignation HeldStart DateEnd DateReason for leaving1dd/mm/yyyydd/mm/yyyy2dd/mm/yyyydd/mm/yyyy3dd/mm/yyyydd/mm/yyyy4dd/mm/yyyydd/mm/yyyy5dd/mm/yyyydd/mm/yyyy
2)Total Experience Relevant ExperienceYears MonthsYears Months3)Break up of the most recent Salary / Remuneration DrawnMonthly ComponentsAmount Annual ComponentsAmount Explanatory Notes:
Total Total (B)Annualized (A)Annual Total (A + B)
F)PROFESSIONAL TRAINING PROGRAMS / COURSES ATTENDED (To be given in reverse chronological order)Sr.NoDiploma/CertificateBranch Of studyInstitutionStart DateEnd Date1mm/yyyymm/yyyy2mm/yyyymm/yyyy3mm/yyyymm/yyyy
G)PROFESSIONAL CERTIFICATIONSSr.NoCertificationCertifying AuthorityCertification DateCertification Valid upto date1dd/mm/yyyydd/mm/yyyy2dd/mm/yyyydd/mm/yyyy3dd/mm/yyyydd/mm/yyyy
H) MEMBERSHIP OF PROFESSIONAL INSTITUTIONSSr.NoInstitution /societyType of MembershipMembership Valid upto date1dd/mm/yyyy2dd/mm/yyyy3dd/mm/yyyy
Employee Details Page &P of &N
Sheet1
EMPLOYEE DETAILS (PLEASE FILL ALL DETAILS IN BLOCK LETTERS) DATE : dd/mm/yyyy
NAMEMr/Ms 0(Please avoid initials)(First Name)0(Middle Name) 0(Last Name ) 0 Date of Joiningdd/mm/yyyyEmployee Number(to be generated on the day of joining)Designation0Grade
Father's/Husband's NameMr 0(Please avoid initials)(First Name)0(Middle Name) 0(Last Name ) 0
A) PERSONAL DETAILS1)Current AddressLine 1:0Line 2 :0Line 3 :0City : 0Pin code : 0Telephone (Landline): 0Mobile : 0Page no.10
Sheet2Permanent AddressLine 1:0Line 2 :0Line 3 :0City : 0Pin code : 0Telephone (Landline): 0Mobile : 0
2)Personal e-mail ID0Alternate e-mail ID0
3)Date of Birthdd/mm/yyyy4)Marital Status 0
5)Gender31 Dec 996)Date of Marriage(if married)dd/mm/yyyy7)Blood Group08)Maiden / Former Name0
9)Height 010)Weight0
11)Languages known (Indian)LanguageReadWriteSpeakProficient/ Elementary/ Basic Mother Tongue00000000000000000000
12)Languages known (Foreign)LanguageRead WriteSpeakProficient/ Elementary/ Basic 000000000000000
Page No. 20
Sheet3
13)Type of present Accomodation:014)Details of Vehicle owned:Type :0Vehicle No :015)Driving License DetailsLicense No :0Date Valid upto :dd/mm/yyyy16)Passport DetailsPassport No :0Date Valid upto :dd/mm/yyyy17)PAN Card DetailsPAN No :018)Aadhar Card Details Aadhar Card No :0000019)Account No. DetailsAccount No :0B)FAMILY DETAILS1)Pls provide details of parents, siblings, spouse & children
Sr. NoNameRelationshipDate of BirthOccupation100dd/mm/yyyy0200dd/mm/yyyy0300dd/mm/yyyy0400dd/mm/yyyy0500dd/mm/yyyy0
2) If married and if spouse is employed please share his/ her office address and contact numberSpouse Name:0Office Address:000Contact Details: 0Mobile :0Landline & Extension:0E-mail ID:0
Page No. 30
Sheet4
C)EMERGENCY DETAILS1)Details of two persons who can be contacted incase of an emergency
i.Name0Relationship with self0Address000Telephone number0Mobile number0Contact Person's e-mail ID0
ii.Name0Relationship with self0Address00Telephone number0Mobile number0Contact Person's e-mail ID0
D)EDUCATION DETAILS (To be given in reverse chronological order)1)(To be given in reverse chronological order)Sr.NoDegreePart Time / Full Time / Correspondence College/Institute & UniversityDuration%/Class/ Grade/ CGPAStart Date End Date1000mm/yyyymm/yyyy02000mm/yyyymm/yyyy03000mm/yyyymm/yyyy04000mm/yyyymm/yyyy05000mm/yyyymm/yyyy0
Page No. 40
Sheet5
E) PREVIOUS EMPLOYMENT DETAILS (To be given in reverse chronological order)1)Sr.NoName of the OrganisationDesignation HeldStart DateEnd DateReason for leaving100dd/mm/yyyydd/mm/yyyy0200dd/mm/yyyydd/mm/yyyy0300dd/mm/yyyydd/mm/yyyy0400dd/mm/yyyydd/mm/yyyy0500dd/mm/yyyydd/mm/yyyy0
2)Total Experience 0Relevant Experience0Years MonthsYears Months3)Break up of the most recent Salary / Remuneration DrawnMonthly ComponentsAmount Annual ComponentsAmount Explanatory Notes:0000000000000Total 0Total (B)0Annualized (A)0Annual Total (A + B)0
F)PROFESSIONAL TRAINING PROGRAMS / COURSES ATTENDED (To be given in reverse chronological order)Sr.NoDiploma/CertificateBranch Of studyInstitutionStart DateEnd Date1000mm/yyyymm/yyyy2000mm/yyyymm/yyyy3000mm/yyyymm/yyyy
Page no. 50G)PROFESSIONAL CERTIFICATIONSSr.NoCertificationCertifying AuthorityCertification DateCertification Valid upto date100dd/mm/yyyydd/mm/yyyy200dd/mm/yyyydd/mm/yyyy300dd/mm/yyyydd/mm/yyyy
H) MEMBERSHIP OF PROFESSIONAL INSTITUTIONSSr.NoInstitution /societyType of MembershipMembership Valid upto date100dd/mm/yyyy200dd/mm/yyyy300dd/mm/yyyy
Page No. 60