Rambag, Dasarathpur, Jajpur, Odisha
+(91) 87632 24436
support@medstopspharmaceuticals.com
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Personnel Management Information System Form
Name of the Employee:
Date of Joining in the Govt. Service:
Date of Joining in DOP:
Email id:
Aadhar Number:
Marital Status:
Married
UnMarried
Spouse Name:
Childrent Name 1:
Childrent Name 2:
Childrent Name 3:
Date of Birth:
Father's Name:
Mother's Name:
Phone Number:
Recent Passport Size Photogrpah(jpg, png file under 400KB)
Front Photo of Aadhar Card (jpg, png file under 400KB)
Back Photo of Your Aadhar Card (jpg, png file under 400KB)
Front Photo of Your Pan Card (jpg, png file under 400KB)
Bank Passbook Front Photogrpah(jpg, png file under 400KB)
Family Detail (Father, Mother, Spouse, Children and Other family Member):
Family Member Name
Relation
Date of Birth
Dependent (Y/N)
If Employeed, Name the Department
Y
N
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Category
Religion
Identification mark
Blood Group
Height(in Centemeter)
Home State
Home District
LTC Home Town
Present Address
Permanent Address
GPF/CPS No
E-Salary Code
Education Detail:
Edu. Qualification
Board/University
Year of Passing
Marks %
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