PROFORMA FOR IDENTITY CARD

NEIS No. : ________________________________________

Form “B” No. : ________________________________________

Name of Employee : ________________________________________

कमचारी का नाम : ________________________________________

Designation : ________________________________________

पदनाम : ________________________________________

Department : ________________________________________

िवभाग : ________________________________________

Date of Birth : ________________________________________

Blood Group : ________________________________________

Contact No. : ________________________________________

Identification Mark : ________________________________________

Height : ________________________________________

CMPF A/c. No. : ________________________________________

Present Address : ________________________________________

Yours faithfully,

SIGNATURE OF HOD

Signature of Applicant