EMPLOYEE INFORMATION FORM

Name

Date of Birth

Place of Birth

Gender Male Female

Nationality

Marital Status
Personal Details

Family Details

Father’s Name

Father’s Contact Number

Mother’s Name

Mother’s Contact Number

Sp0use’s Name

Spouse’s Contact Number

Passport & Visa Details

Passport Number

Place of Issue

Date of Issue

Date of Expiry

Visa Status

Validity of Current Visa

Contact Details

Permanent Address (Line 1)

Permanent Address (Line 2)

Permanent Address (Line 3)

Permanent Contact Number

Residence Address (Line 1)

Residence Address (Line 2)

Residence Address (Line 3)

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EMPLOYEE INFORMATION FORM

Residence Contact Number

Email Address

Emergency Contact Name

Emergency Contact Number

Relationship with the person

Driving License Details

License Number Type of License Place of Issue Date of Issue Expiry Date

Education Details

Level of Marks Passing

University / School Description of Degree
Education (% / Grade) Year
Masters
Diploma
Bachelors
School
Masters
Diploma
Bachelors
School
Masters
Diploma
Bachelors
School
Masters
Diploma
Bachelors
School

Employment History

Organization Country of Type of Position Title Period Reason for

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EMPLOYEE INFORMATION FORM

Employment Employment (MM/YY –

Leaving
MM/YY)
Permanent
Part
Time/Contr
act
Intern
Permanent
Part
Time/Contr
act
Intern
Permanent
Part
Time/Contr
act
Intern
Permanent
Part
Time/Contr
act
Intern
Permanent
Part
Time/Contr
act
Intern

Reference Details

Reference Check 1 Reference Check 2

Company Name

Full Name

Job Title

Relationship with the Employee

Enclosures

Resume Enclosed Yes No

Education Certificated Enclosed Yes No

Declaration
I understand that any employment by Telectron or its affiliated companies is conditioned upon positive responses

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EMPLOYEE INFORMATION FORM

from my references, bonding eligibility, continued adherence to Telectron policies and procedures, applicable rules
and regulations and job performance satisfactory at all times toTelectron.

I consent to take any pre or post-employment examinations as may be required by Telectron or its representative,
and release Telectron from any liability that may arise from such examination.

I authorize an inquiry to be made on the information contained on this application. Former employers and officials of
education institutes, named on this application are authorized to give information about me and I release them from
all liability for issuing such information.

I hereby attest and warrant that all my answers on this application as well as on all forms completed in conjunction
with my employment are true and accurate. I understand that my misrepresentation of facts, failure to disclose
information required on this application or material change in my information provided which is not reported to
Human Resources shall be cause for dismissal regardless of when discovered by Telectron.

Documents Required - Mandatory

For Education Verification:

 Photocopy of the degree certificate and final year mark sheet would be required.

For Employment Verification:

 Photocopy of relieving/experience certificate

For Identity Verification:

 Photocopy of Passport

Employee Signature & Date

For Human Resource
Employee’s Status:
Unlimited Contract

Limited Contract

Intern
Employee’s Information:

Job Title

Job Grade

Salary

Line Manager

Department

Location

Operating Company

Director – HR’s Signature & Date

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