Employee ID Card Form

Instructions
 Please paste your passport sized photograph in the space provided.
 Only colored photos in formal clothing is to be pasted

Date
Paste your
Name
Passport sized
Department photograph here

Location
Employee Code

I hereby declare that the information provided by me is true and authentic to the best of my knowledge Signature

Employee Emergency Contact Details

Contact Details 1 Contact Details 2
Name of Person Name of Person
Relationship Relationship
Contact number/s Contact number/s

Address Address

Most Recent Serious Illness

Nature of Illness
Other Major Illness /
Major Operation you had Details Year Month
so far, if yes, give details