Performa for Identity Card

Signature

1. Name :_____________________________

2. Father’s/
Husband’s Name:_____________________________

3. Designation :_____________________________

4. Date of Birth :_____________________________

5. Address :_____________________________

______________________________

______________________________

6. Telephone No.
(Off):______________________________

(Mob.):_______________________________

7. Blood Group :_______________________________

Signature

Place of Posting : ________________

________________________________

Employee Code : _________________