First Name:- MAHENDRA Last Name:- SINGH

Start Date:- 23/05/2019

Position Title:- SERVICE STAFF

Gender:- MALE Date of Birth:- 05/05/1972

Address:- C-547, VILL NATHUPURA BHURARI, DELHI - 110084

Suburb: _____________________________ State: ____________ Postcode: ____________

Home Phone: _________________________ Mobile: ________________________________

Email Address: _________________________________________________________________

Adhar Card Number :- 352553408652

Bank Details

Bank: Name: __________________________ Branch: ________________________________

Account Name: ________________________________________________________________

- Account Number

1
Are you an Indian citizen? Y/N

If no,
- Are you a permanent resident? Y/N

Relationship: __________________________________________________________________

Address: ______________________________________________________________________

Suburb: _____________________________ State: ___________ Postcode: _____________

Home Phone: _________________ Mobile: ___________________ Work:______________

Employee Signature: ________________________ Date: _____ /_____ /______

Manager’s Signature: _________________________________ Date: _____ /_____ /______

Office Use Only

Employee:

Status: Pay rate:

Full time Annual ___________
Part time Monthly ___________
Casual Hourly rate ___________

Date of first pay review: _______/_______/_______