PLETINEX IMPEX LIMITED

CORPORATE OFFICE: 26-27, OM SAI COMPLEX, STATION ROAD, SACHIN, SURAT, GUJARAT, INDIA.PH:0261-6455284

Date: ______________

To,

The Manager-HRD
26-27, OM SAI COMPLEX,
STATION ROAD, SACHIN, SURAT,
GUJARAT, INDIA.PH:0261-6455284.

SUB : JOINING REPORT

Dear Sir,

This is in reference to your letter of offer dated ………………………………… I have joined duty w.e.f ……………………... .in
…………………………….. Department as ……………………………………...

Yours Faithfully,
Signature of Employee

Name:………………………………………………….

Address: ………………………………………………………………
……………………………………………………………………………

……………………………………………………………….

……………………………………………………………….

……………………………………………………………….

For Office Use only

Enrolled on the roll of the company with effect from…………………………

Name & Signature of HR Head

Page No. 1 of 1 PLETINEX IMPEX LIMITED

APPLICANT INFORMATION
First Name Middle Name Last Name

Father’s Name Middle Name Last Name

Birth Date Age Marital Status Married Unmarried Anniversary Date

CORRESPONDENCE ADDRESS

House/Flat/Door/Block no. Name of premises/Building/Village

Area/Locality/Taluka/Sub-division Road/Street/Lane/Post Office

Town/City/District State PIN

Phone Mobile No. Mobile No.

PERMANENT ADDRESS
House/Flat/Door/Block no.
Name of premises/Building/Village

Area/Locality/Taluka/Sub-division Road/Street/Lane/Post office Link Road

Town/City/District State Gujarat PIN

Phone Mobile No. Mobile No.

E-mail Address Nehal.jadav@gmail.com E-mail Address

Blood Group B+ Nationality Indian

Religion Hindu Total year of experience 1 year 2 month

Driving License No. PAN Card No. Passport No.

Are you a citizen of the INDIA ? YES NO If no, are you authorized to work in the INDIA? YES NO

Have you ever worked for this company? YES NO If so, when?

If yes,
Have you ever been convicted of a felony? YES NO
explain
Why do you desire a change from your present employment?

Have you ever been interviewed by Pletinex Impex Limited. YES NO

If YES, for which position and when

Any relatives of yours is / was employed in by Pletinex Impex Limited YES NO

If YES, please give details

Languages known to speak and Write Hindi , English,Gujrati

Page No. 1 of 2 PLETINEX IMPEX LIMITED

DUCATIONAL QUALIFICATION

Examination passed Name of school/college University Passing year % Of marks Specialization

10th

12th

Graduation

Post Graduation

DETAILS OF ADDITIONAL QUALIFICATION

Examination passed Name of school/college University Passing year % Of marks Specialization

DETAILS OF TRAINING COURSE ATTENDED

Period Whether certificate was
Course title Institute/organization Faculty
From To awarded

Page No. 1 of 3 PLETINEX IMPEX LIMITED

REFERENCES
Please list two professional references.

Full Name Relationship

Company Phone/Mobile No.

Correspondence Address

Mail id

Full Name Relationship

Company Phone/Mobile No.

Correspondence Address

Mail id

REFERENCES
Please list two personal references.

Full Name Relationship

Occupation Phone/Mobile No.

Correspondence Address

Full Name Relationship

Occupation Phone/Mobile No.

Correspondence Address

PREVIOUS EMPLOYMENT

Company Phone

Address Supervisor

Job Title Starting CTC Ending CTC

Responsibilities Banking

From To Reason for Leaving

May we contact your previous employer for a reference check? YES NO

Company Phone

Address Supervisor

Job Title Starting CTC Ending CTC

Responsibilities

From To Reason for Leaving

May we contact your previous employer for a reference check? YES NO

Company Phone

Page No. 1 of 4 PLETINEX IMPEX LIMITED

Address Supervisor

Job Title Starting CTC Ending CTC

Responsibilities

From To Reason for Leaving

May we contact your previous employer for a reference check? YES NO

Company Phone

Address Supervisor

Job Title Starting CTC Ending CTC

Responsibilities

From To Reason for Leaving

May we contact your previous employer for a reference check? YES NO

Company Phone

Address Supervisor

Job Title Starting CTC Ending CTC

Responsibilities

From To Reason for Leaving

May we contact your previous employer for a reference check? YES NO

OTHER INFORMATION
Name and telephone no of the person to be contacted in case of emergency:

Hobbies and leisure activity:

Any Achievements that you consider significant during Academic / Professional field: YES NO
If yes, Please specify

Do you have any affiliation to any professional/ educational/political/ socio cultural organization? YES NO
If yes please give details:

Are you engaged in any personal business? YES NO

If yes, indicate nature of business:

Page No. 1 of 5 PLETINEX IMPEX LIMITED

Do you have contract/ bond with your present employer? YES NO
If yes, please give details:

Were you involved in criminal activities/legal dispute? YES NO

If yes, please give details:

Any history of chronic illnesses? YES NO

If yes, please give details:

Any other information you may consider relevant to your application:

DETAILS FOR INSURANCE PURPOSE

1. Dependent family

Sr. No. Family members (Name) Relationship Date of Birth

1 Father

2 Mother

3 Spouse

4 Children 1

5 Children 2

11. Sum Assured Under

For office use only
a) Mediclaim Insurance Policy

b) personal Accident Insurance Policy

DISCLAIMER AND SIGNATURE

I certify that my answers are true and complete to the best of my knowledge.
If this application leads to employment, I understand that false or misleading information in my application or interview
may result in my release.

Employee Signature Date

Name & Signature of HR Head For office use only Date

Page No. 1 of 6 PLETINEX IMPEX LIMITED

 PLETINEX IMPEX LIMITED

CORPORATE OFFICE: 26-27, OM SAI COMPLEX, STATION ROAD, SACHIN, SURAT, GUJARAT, INDIA.PH:0261-6455284

DOCUMENTS TO BE SUBMITTED AT THE

TIME OF REPORTING FOR DUTY
1. Acceptance of Appointment Order

2. Joining Report

3. Copies of Testimonials

4. I.D. Card Form

5. Two Passport Size Photo

Family Photo (Post Card Size)

6. Copy o PAN Card

7. PF From (Nomination)

8. ESI From (Nomination)

9. Form F (Gratuity Nomination)

10. Self Declaration

11. Bank Account Details

Note:
The reporting authority as mentioned in the appointment order should ensure that all the above forms / documents are collected
and submitted to H.R. Department without fail. (Item No.3) Should be attested by the ZM / AM / ADME HEAD / DEPT HEAD / as the
case may be.

Page No. 1 of 7 PLETINEX IMPEX LIMITED

 PLETINEX IMPEX LIMITED

CORPORATE OFFICE: 26-27, OM SAI COMPLEX, STATION ROAD, SACHIN, SURAT, GUJARAT, INDIA.PH:0261-6455284

TO BE SUBMITTED IMMEDIATELY ON REPORTING FOR DUTY

JOINING REPORT

NAME :
DESIGNATION
DATE & TIME OF REPORTING DUTY
PLACE OF REPORTING FOR JOINING
TO WHOM REPORTING

PLACE:

DATE SIGNATURE OF EMPLOYEE

FOR OFFICE USE ONLY

CONFIRMATION FROM THE OFFICE OF REPORTING:

THIS IS TO CONFIRM THAT Mr./Ms. _______________________________________________________

HAS REPORTED FOR DUTY ON ______________________________

PLACE : NAME
DATE : DESIGNATION
SIGNATURE

Page No. 1 of 8 PLETINEX IMPEX LIMITED

 PLETINEX IMPEX LIMITED

CORPORATE OFFICE: 26-27, OM SAI COMPLEX, STATION ROAD, SACHIN, SURAT, GUJARAT, INDIA.PH:0261-6455284

IDENTITY CARD
NAME

DOB

GRADE

DATE OF JOINING

PIL CODE

BRANCH

BLOOD GROUP

PRESENT ADDRESS

CORRESPONDENCE ADDRESS
House/Flat/Door/Block no. Name of premises/Building/Village

Area/Locality/Taluka/Sub-division Road/Street/Lane/Post Office

Town/City/District State PIN

Phone Mobile No. Mobile No.

Page No. 1 of 9 PLETINEX IMPEX LIMITED

 PLETINEX IMPEX LIMITED

CORPORATE OFFICE: 26-27, OM SAI COMPLEX, STATION ROAD, SACHIN, SURAT, GUJARAT, INDIA.PH:0261-6455284

To

The Manager - HRD,

Pletinex impex ltd
Corporate Office,
Surat

DECLARATION

With reference to my appointment in PLETINEX IMPEX LTD, I hereby declare and undertake the following.

1) As on the date of joining PLETINEX IMPEX LTD, I am not employed or taken any assignment elsewhere.

2) I further declare and undertake that during my tenure with pletinex impex ltd , I will be exclusively working for
pletinex impex ltd and that , I will not take up any other assignment in whatever capacity or hold any office of
profit or hold any position of Director etc in any company.

Yours Faithfully

(Signature)

Page No. 1 of 10 PLETINEX IMPEX LIMITED

 PLETINEX IMPEX LIMITED

CORPORATE OFFICE: 26-27, OM SAI COMPLEX, STATION ROAD, SACHIN, SURAT, GUJARAT, INDIA.PH:0261-6455284

Dear Sir,

I request you to credit my salary to the below mentioned account.

NAME (as appearing on Pass Book) :

(IN BLOCK LETTERS ONLY)

BANK NAME :
(IN BLOCK LETTERS ONLY)

BRANCH NAME AND ADDRESS

WITH PIN CODE :
(IN BLOCK LETTERS ONLY)

FULL ACCOUNT NO

IFSC CODE OF BANK BRANCH

I, hereby, declare that the particulars given above are correct and complete.

(SIGNATURE OF THE EMPLOYEE)

Page No. 1 of 11 PLETINEX IMPEX LIMITED