Employee Details in One Common Format

June 27, 2012

Here I am attaching one common file regarding PF Nomination, ESIC DF, Gratuity Form F, Form 15 & I card Register for Factory Act.

ADDRESS ESIC No. 31 000 12345 000 0123
SR. No. EPF No. ESIC No. D. O. J Name of the Employee Father’s / Husband Name Date of Birth Maritial Status Sex Nationality Religion Branch Department Nature of Work / Designation Present Address City District State Pincode Permanent Address City Post Office Village Sub division Thana District State Pincode Email ID Local Office Dispensary ESIC  – 1’st Nominee Family 1 Family 2 Family 3 Family 4 Family 5 Family 6 WITNESS SHOWN UNDER GRATUITY Mobile No. Personal Contact No. at House Bank Account No. Type of Account Name of Bank Name of the Branch MICR Code of Bank / Branch IFSC Code of the Bank / Branch Any Type of Disability Previous Employer
DD MM YYYY DD MM YYYY Name Relationshp Address Name Date of Birth Relationship Whether residing with him/her Town State Address Percent of Amount Share Name Date of Birth Relationship Whether residing with him/her Town State Address Percent of Amount Share Name Date of Birth Relationship Whether residing with him/her Town State Address Percent of Amount Share Name Date of Birth Relationship Whether residing with him/her Town State Address Percent of Amount Share Name Date of Birth Relationship Whether residing with him/her Town State Address Percent of Amount Share Name Date of Birth Relationship Whether residing with him/her Town State Address Percent of Amount Share Name of Witness 1 Address of Witness 1 Name of Witness 2 Address of Witness 2
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