Professional Documents
Culture Documents
2HRMS
2HRMS
1. Aadhaar Number
.spoUse Name
1. PAN Number
0. Superannuaton Dato
21. sRPage Number i
PERSONALDETAILS
1. Raligion
2G01mnunny
3. Casto B
. ldentificaion Mark 1 #
5. Identification Mark 2
6. Marital Statua
7. Data of Marlage
6. oUher Tongue
9. Hclght (amt, inch)
10. Nationaily 11. Natlionaliy Cerincote Number
(Othar Ihan Indian)
12. Nalionaity Cortiicato Eigibilly
Date 13. Servlca Record Page Number
coMMUNICATIONINFO
1. Parsonal Mobila
Nurmbor 2. Offldial Mobile Number
3. Paruonal
4, Ofcial Emal
Pincode 9. Stata
10. Distnct"
11. City
12. Is Presonl Addross name as Permanent Address?
(YIN)
Formanent Addrona
13.Address Line
4. Adidress LIne 2 with PS
15. Pincode
15. Stote
.Oistrict 18 Gity
19. SR Page Numbar #
NO Age NA
categonyrck) JVisual
0. HandiCapped Fercent
12. Handicap Certificate Jonho
14. Momber Dopandent{tick)
Efect From Hearing Impaired JMentai Reancaaen
13.
Handicap Certificato Efoct To
Tes
1
Famly Member Sr No 15. SR Page Number
No
2. Member Name
3.
Member Name
.
(Reglonal)
Member Name
(Hind)
Aadhaar Numbor
. Member DO8
5.Reation
. Handicapped Fiagtick)
.
Famly Member
11. Handicop Catogory(ek) JNO
Age
VIGUal
10. Handicapped Percent
12.
Handicap Cartificate Hearing Impaired
19, Member Depondent(Tick)
Efect From 13. lental Retarcasion
Handicap Certicate Efect To
1.
Famy Member Se No
No 15 SR Poge Number
2. Mormber Narne
3. Momber Nome
4.
(Regional)
Member Name (Himdi)
5.Aadhaar Number
7. Member DOB
6.Relaton
9. Handicapped Flag(ticR) 8.
Famiy Nember Age
11. Yes NIA
Handicap catogoryrick) L Visu 10.Handieapped Percont
12.
Handlcap Certficate Visual
Efect From
Ortho
Hering ImpatredF
14. Member Dcpendon(tTick) 13. e n a l ketardaton
Handicap
Ye JNo 15. SR
Cortificato.Effoct To
1.
Famly Member Sr No
Page Number
. Member Name
.
Mombor Nano
(Kes9onai)
.Momber Name (Hindi)
5. Audhaar Number
1PAS Employeo 1D
IUnlt Dephrtment
Page 2 ofS
EMPLOYEE CuRRENT STATUS 2d0 be tlied by the SR dealing clevk only
Bl Unt
LPHQuota
odcE Land Levers Largess
LReengagement RRD RRC
Regulariastilon Casual Labourer Scouts & Guldes sports Quota
JUPSC ubstiate
Lument~one . Cuiront
Cuent Station Code Uit Dvision
8. Parent Workshop .CuTOnE Working Office"
. Workshop Number
. Len (Zonan
PH CUota
Visual Lortho Haaring Impaired
cket Numbur Montal Retartaben
13. Service Stotus
uisonly Retired
Doputatilon Outslkdo Oamksadremoved Medicaly invald
New Employue Enay
UNomal Retremant L
esgned USeving(No Salary/8top SalaryiLong ngagwnent
UTochnlcal Resignation Tormination Death on
Abaonteo) Bening(Salary)
V R on Medical Ground Transfen ovf ef
pay u t
o n w y Kedred
14. Ralway Group
J. Handicep Flag"
Y No . HandloappeC Percent
8. Handlonp Codo
Doaf and Dumb
ouble TPANih doubl T uonpton
Doublo TPA WIth nomal T exompton
0 Ded a
parStandard Deslgnaion Ust provided by HRMS Team of CRIS.
JPAS Emplayse.10
Buntias
Pago 3 of Diartiant
Gaton CTobo fled by tso SR dealingclork only)
No
Quaifcation Level
Coura
Subjects/ Specializallon
6. Bourdunlveraity
7. Schoolinstiltuto Nama
8. Year
2. Qualiflcatlon Leve
2
4. 3. Courao
Subjøcts / Spocializalan
S. Duration
6. BoarUilversity
7. SchooVins6tute Namo
. P Yoar
Quaification Level .
4. Courso
Subjects / Specialization
6. Board/Unlvorsity . Duralon
Schoovinsttauto Narmo
Year
0. Grado
1. At Joning? 10. Poraontago
JYes No 12. Seivice Record Pnge Number
S.No
4
Cuaihcalilors Level
4. Subjacts/Specialzation
.
Courso
. Duraion
6. Board/Univoraiy
7. Schoovinstute Name
8. P.Y
9. Grado L
10. Percentage
T.At JGining?
LNo 12 Sevico Rocord Pago Numbar
S.No
5
2. Quaification Level
3,
4.
Subjecs / Speciollzaton Course
5. OuratiOn
6. Bourd/Unlveraity
. Schoovingtiuto Namo
Year 9. Grada
0. Parcantago
11. At Jolning?
Yo Na 12. Sorvica Racord Pago Numbar
*
DECLARATION
EmployeeePF No.
do hereby declare thot all the
Intormallon furnlalicd
namg in Cnpital) bearing
Form" of HAMS io true. The In Pago No 1& 2 of tho "Employeo Maater
Ralway Aominoration.
undersigned will be
oololy rosponaiblo for aubmisgion of any inappropriato/ mioleadlng/falge Intormatlon to tho
Dato:
(Sgnaturo of the
amployeo in Fuiutn)
Signaturo (To be slgned boforo tho
of the Immodlate
in-chargesupervisor with stamp)
Immedinte In-chargeiupervisor)
PAS Employog 1D
Fage