Employee Information Form Page 1

  Affix
  Photograph
 

Employee Code:  12357 Date of Joining: 19 Feb 2019  

 
  Sterling & Wilson
Employee Name: Pvt Ltd  

Title :
(Mr./Mrs./Miss) (First Name) (Last Name)  
  Father's Name: Mr.  Shrikant Yadav  
   
  Grade:  E2 Designation:  Assistant manager  
 
 
Department:  Quality Location: Mumbai  
 
 
Basic Salary (P.M.) (Rs.)  53000 Gross Salary (P.M.) (Rs.)  55250  
 
  Date of Birth:
(dd/mm/yyyy)  30/04/1985 Blood Group: O ve  
 
 
Nationality: Indian Home State:  Maharashtra  
 
 
Religion: Hindu SC/ST/OBC :  Open  
   
Weight (Kgs): 72 kg Height (cms): 172 cm  
  If Married, Date of
Marital Status:  Married Marriage:  20 Nov  
 
 
Handicap: Yes / No Identification Mark:  No  
           
I Present address:  KL/4, Sector4E,      
Room no.4, Building
 
no. 23      
  Kalamboli.      
  City: Navi Mumbai Pin Code: 410218  
  Telephone No.   Mobile No.  9527599843  
II. Permanent address:  Same as above.      
         
         
  City:   Pin Code:    
  Telephone No.   Mobile No.    
Employee Information Form Page 2
III Family Members 
Date of Birth
Sn. Name of family members Relationship Sex (M/F) Occupation
(dd/mm/yy)
 1 Shrikant yadav Father M Retired 01/01/56
 2 Rupali Yadav Mother F House wife 12/05/60
 3 Geeta Yadav wife F Housewife 13/07/87
           
IV Qualification details [ X TH Std. onwards]      
Institute / Month, Year of Passing & % of Marks / Rank /
Sn. Qualification Specialisation
University Duration Class
Maharash
1  10th Science tra State 2005 61.73
board
 2 Diploma Mechanical MSBTE 2008 61.82
Nagpur
 3 Bachelor of Engineering Mechanical 2011 63.80
University
 4
Previous work experience [start with last employment]
V
Last
Period of Work Designati
Sn. Organisation Gross CTC last drawn Reason for Leaving
(From - To) on /
Grade
Assistant
 1 Sterling & Wilson Pvt Ltd 2019 to till date Manager- 55650
Quality
Sr.
2  FABS 2015 to 2018 Engineer- 43760 Career growth
Quality
3  Fabtech Projects Pvt Ltd 2011 to 2014 engineer 35000 Career growth
Languages Known
VI
 
Mother tongue
Sn. Language Speak Read Write
(Y/N)
1  English Y Y Y
2  Hindi Y Y Y Y
 3 Marathi Y Y Y

VII Professional membership  

Type and status of
Association
Sn. membership Signature of Employee: Date:
     
     

Other Skill Details

VIII
(Interests / Hobbies)
    Checked by:
  
: (Human Resources)

Employee Information Form Page 3

NOTE:

1. Please substantiate the above information by enclosing Photostat copies of mark

sheets, school-leaving certificate, experience certificate/s and release order from
previous employer.
2. Please attach two coloured Passport size photographs.
3. In the case of any change in above information, please inform HR Department

IX. Please provide details of any civil/criminal case/s against you if any, in any court of law in India or abroad.

Declaration

I am not convicted by any court in India or abroad for any offence and that there is no criminal case pending against
me in any court of law.

I understand that my misrepresentations of facts, failure to disclose information required on this application or
material change in my information which is not reported to HR shall be cause for dismissal regardless of when
discovered by Randen Engineering.

Name : _ _Amit Yadav___________

Signature : _____Amit____________________

  [FOR OFFICE USE]      

 
  Date of Confirmation  
  Grade of Confirmation   Human Resources :  
  Salary Scale    
  Increments on Joining    
  Source of Recruitment      
Qualification wise (Name, Title &
 
  Category Signature)  
  No. of Years of Experience    
To be taken in Annual
Report