Computerisation of Personnel Information System (CPIS)

for Government of Manipur

Paste recent passport (2 by 2

inches) here.

(formerly Manipur Government Employees List -MGEL)

Form No: CPIS 8

(General Employee Detail)
(Please fill up the form according to the Instructions given at the end)
1.
2.

EIN (Employee Identification

Number):

GPF
Account No.

3.PRAN No.*

*Note: For those Employees appointed on or after 1st January, 2005

4.
Department Name:

Name (in BLOCK Letters):

5.

6.
7.

8.

Sex (M/F):
Name of Service (Please tick the appropriate one):
IAS / IPS / IFS / MCS / MPS / MFS / Jr.MCS / MSS / MHS / MJS / MVS / Manipur Forest Service /
Lecturer (UGC Scale) / Others
Designation:

9.

Present Place of Posting as per MGEL(CPIS):

10.

Present Place of Posting (if it is different from 9 above)**:

11.

Name of the District where the office (9 above) is located:

12.

Date of

13.

Present Residential Address:

Retirement:

Contact No.
Landline:
Email:
14.

Mobile:
Permanent Residential Address:

Contact No.
Landline:

Mobile:

**Note: Proof to be annexed.

15.

Dependants (Tick the Appropriate

If YES, Mention as per Service Book Record:

Sl.

Box only): YES

NO

Name

Relationship

Age

1
2
3

Category:

16.
17.

Pay Band:
(Tick One)

18.

SC
1S

ST
PB1

Basic

OBC
PB2

PB3

Special Compensatory Allowance

(SCA):

24.

Non-Practicing
Allowance
/ Special Allowance:

26.

Date of Next Increment (D.N.I):

(DD/MM/YYYY)

PB4

HA
G

(Tick One)

Fixed

19. Grade Pay:

20. Dearness Allowance (DA):

22.

PWD(Person with Disability)

21. House Rent Allowance (HRA):

23. Transport Allowance(TA):

25. Total Emoluments:

Countersigned by HOD
With Seal

To,
The Special Officer
Directorate of Management Information System (M.I.S)
Room No. 307/308/309, 3rd Floor,
New Secretariat Building.
Imphal 795001.
INSTRUCTIONS:

1. Strike out wherever not applicable

2. Use A4 size JK bond paper
3. Fields are to be computer typed neatly.
4. Designation should be the substantive Post held.
5. Enclose Related Documents

Pay:

Signature by Nodal Officer

Name:
(in Block letters)
Designation:
EIN:
Date:
Seal

6.
(a)The photo must have been taken within the last six months.
(b)Size of photo should be 2 by 2 inches (roughly 50 mm square) with the head centered in the frame.
(c)The photo should be in color, and must have only a white or off-white background. Photos with dark, or
patterned backgrounds will not be accepted.
(d)Head coverings and hats are only acceptable due to religious beliefs, and even then, may not cover any portion of
the applicant's face.
(e)Paste the photo in the designated space.
7. If the dependants are more than 3 persons in number, an extra sheet may be used for excess number of dependants
giving name, relationship and age.
8. Leave One Box blank between words.