Workman Sl. No.

:

M1002046

EMP ID

:

135

Site Name

:

Personal Detail
Emp Name	:	DILIP PRADHAN	Father/Husband Name	:
DOB	:		Gender	:
Nominee Name	:		Relation With Nominee	:
Marital Status	:		Contact No.	:	,

Family Detail

Present Address	Permanent Address

Documents
AADHAR no	:		PAN No	:
Qualification	:		License Validity	:

Gatepass Detail

Nature of Job : Safety Pass No. : Safety Pass Validity : Gatepass No. : GP Validity : PV Validity :

Bank Detail
Bank Acc. No.	:		IFSC	:
Bank Name	:		Branch	:

PF, ESIC, UAN Detail
ESIC No.	:		UAN No.	:
PF No.	:		Nature of Job	:
DOJ	:		DOE	:

Skill
Skill	:		Certificate No.	:
Grade	:

Signature