Date: .....,./......./,,,....

To,
The General Manager (HR),
Assam Power Generation Corporation Ltd.
3d Floor, B[ulee Bhawan, Paltanbazar,
Guwahati-781001

Sub:

Sir,
In
pursuance of Board's Memo No. ASEBlcN4}Ug1/pt/A Dated: 5th December
1992, I am to request you kindly to lssue me a Identity Card in respect of which I furnish
below the necessary particulars.

PARTICULARS OFTHE EMPLOYEE: (ALL IN BLOCK LETTERS)

1. Full Name :-

Name
2. Father'YHusband's :-
, 3. Official Designatlon :-
. .4. Eitablishment in which working :-
at present with locaflon
ta'
Birth
5. Date of :-

6. Sex (Male/Female) :-
7. Permanent address wlth name :-
of pollce station

8. Present address of residence :-

Mark
9. Identification :-

10, Blood Group :-

11, Contact No. :-

12. 2(two) copies of stamp size
Photograph to be enclosed

Yours Faithfully
Controlling Officer of the
Employee

NB: Model From of Identity Card

Ofiice Addrsss
Affi$I, PWVER.GHTERATM$I.CORPORATIoIr LTE.
I Pemanent
Re$ Ofico: Blql€€ Rta$al{, Pgltsruear, Guffitrt-tE (El
Address
ID NO. OF ISSUEI Present Address

Ellltfairr*-Fn Contec,t No.

Name
Fath6/8 Nam6
Dssignation lltJrm7jtr]
Blood Group
DatB of Birth . Thia c.rd i! not tr.naforau..nd ia b b. prcducad on d.mand.
Eonlmca on Ma* Thb ced tr prop.dy.fA!.Em Poru.r Cian.retbn CoD. Ltd. & i3 io br rrtuhod to thc
Eluing Aolhodty on t€nninatton or lltitlm.nt ltom !.Mc..
Th. .bovr nam6d p..!on (Photo .ton$td.) a an emptoyaa ot Th. lor! or tinding d thit cad shouH bc Bpodad to th. t!3uin! otfic€r end b thc
thc As.afi PoDlr G.nartion Corpollltior Llmlbd. n..l!d Polhr Stetion.
Crrd holdcr lhould k .p . r6co.d ot th. 3.dd numbGr of lhir c5rd.
Cad Hold.r'a lmpoltonalion oliha duthodlcd holdcr oten lda ity Cad or it! altcration/
I:ltll daalructon or it! tanslbr to olhcl pelson aI! p€nd ofiancas.