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Employee Details 2023
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Employee. No.
*
Employee Name as per Aadhar
*
Father/Husband Name
*
Father
Husband
Father's Name
*
Husband's Name
*
Permanent Address
*
Address Line 1
City
*
Pincode
*
State
*
Present Address
*
Address Line 1
City
*
Pincode
*
State
*
Religion
*
Mother Tongue
*
Mobile Number(Self)-Personal
*
Emergency Phone Number-Personal
*
Official Mobile No.
Personal Email ID
*
Official Email ID
Qualification
Please choose
Educated
Uneducated
10th/SSLC
(10th/SSLC) Institute Name
*
Year of Passing
*
% of Mark
*
12th/HSC
(12th/HSC) Institute Name
*
Year of Passing
*
% of Mark
*
Under Graduate/ Diploma
Degree/ Course Name
(UG/ Diploma) Institute Name
Year of Passing
% of Mark
Post Graduate
Degree/ Course Name
(PG) Institute Name
Year of Passing
% of Mark
Ph.D
(Ph.D) Institute Name
Year of Passing
% of Mark
Work Experience
Total years of Experience
*
Previous Company Name
*
Previous Company Designation
*
Previous Company Salary
*
Qualification Registration Number
Diabetology
Diabetes Supplies Centre
Nursing
Operation Theatre
Investigation Area
Ophthalmology
Others
Registration Number
*
Blood Group
*
Select
A Positive (A+)
A Negative (A-)
B Positive (B+)
B Negative (B-)
O Positive (O+)
O Negative (O-)
AB Positive (AB+)
AB Negative (AB-)
A1-positive(A1+)
A1-negative(A1-)
A1B-positive(A1B+)
A1B-negative(A1B-)
HH
Enter Celebrating Date of birth
*
Enter Certificate Date of birth
*
Aadhar Card Number
*
Pan Card Number
Photo upload
*
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Please upload your recent passport size photograph. Kindly rename your photograph with your Employee. No. Max file size 1MB
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