Ticket No(Unique) Employee Code (Unique) Title Employee Name Father Name Spouse Name

Do Not Enter Do Not Enter

Gender Marital Status Date of Birth Date of Joining Grade Branch Department Designation Division
Unit Category Group PF Flag ESIC Flag ESIC No. New Version PT Flag Pan Number Aadhar Number
UAN No Bank Account Number Bank Name Payment Mode Permanent Tel. No.
Residence Tel. No. Mobile No. Local Address1 Local Address2 City Name
District Name Pin Code State Name Permanent Address1 Permanent Address2 Permanent City

Flat No.02, Bhavani Pearls kalanagar Lane No.01,

Maharashtra Nashik
Society kalanagar , Dindori road
Permanent District Permanent Pin Code Permanent State E-mail

Nashik 422004 Maharashtra akshayshelke9890@gmail.com

Employee Code Degree University Institute Name

2730 M.Tech Sandip university Sandip

Year Specification grade Location Duration Type Course Type

Mechnical
Design
2019-2021 Engineering 8CGPA Nashik 2 Years Pvt Part Time
Employee Code Company Name Address1 Address2

Sinner,
Nashik
SW0957 Legrand India Private Limited Plot A-2, MIDC Area,Malegaon Village District
Address3 Date of Join Date of Left Annual Salary Designation

Maharashtr 2/1/2022 5/26/2023 510,000 Executive

Employee Code Approval Level Name Approver Employee Code
2730 APPROVER
Escalation
Request Approver2