Cuhl;rp xd;wpa Muk;g / eLepiyg; gs;sp

ehs;:……………
……………………………………

gzp tpLtpg;G mwpf;if

1. MrphpaH ngaH :
…………………………………………….
2. gjtp :
…………………………………………….
3. TPF / CPS vz; :
…………………………………………….
4. EMIS vz; :
…………………………………………….
5. IFHRMS vz; :
…………………………………………….
6. mbg;gil Cjpak; & (Pay Level & Cell) :
…………………………………………….
7. gpwe;j Njjp :
…………………………………………….
8. fy;tpj; jFjp :
…………………………………………….
9. muRg; gzpapy; NrHe;j ehs; :
…………………………………………….
10. ,g;gs;spapy; gzpNaw;w ehs; :
…………………………………………….
11. jw;nray; & tiuaWf;fg;gl;l tpLg;G epYit :
…………………………………………….
12.
gzp tpLtpg;;gpw;fhd fhuzk; : khWjy; / gjtp caHT / gzp epiwT

13. gzp tpLtpg;G njhlHghd caH mYtyH Miz tpguk;

1. ………………………….. khtl;lf;fy;tp mYtyH mtHfspd; nray;Kiwfs;

e.f.vz;………………………………. ehs;…………………….
2. ………………………………….. tl;lhuf;fy;tp mYtyH mtHfspd; nray;Kiwfs;
e.f.vz;………………………………. ehs;…………………….

14. gzp tpLtpg;G ehs; (K.g/gp.g) :

…………………………………………….
15. Bank Acc No. kw;Wk; IFSC vz; :
…………………………………………….

MrphpaH ifnahg;gk;
cld; ,izf;fg;gl;Ls;s Cjpar; rhd;W cl;gl Nkw;fz;lit ahTk; cz;iknadr; rhd;wspf;fpNwd;.

,lk; : ………………………..…..
ehs; : …………………… jiyikahrphpaH
 Cuhl;rp xd;wpa Muk;g / eLepiyg; gs;sp
ehs;:……………
……………………………………

Cjpar;
Cjpar; rhd;W..

………………………… khtl;lk;> …………………………………… xd;wpak;>

Cuhl;rp xd;wpa Muk;g / eLepiyg;

eLepiyg; gs;sp> ……………………………………-y;

jiyik / gl;ljhhp / ,ilepiy Mrphpauhfg; gzpGhpe;J tUk;

……………………….………………………… vd;ghH> gpd;tUk; tpgug;gbahd

Cjpaj;ij ………………………… khj Cjpakhfg; ngw;Ws;shH vd;W

Cjpag;gl;bay; gjpNtl;by; rhpghHf;fg;gl;L ,jd;; %yk; rhd;wspf;fg;gLfpwJ.

Cjpa tpguk; gpbj;jq;fs;

mbg;gil Cjpak; tUq;fhy itg;G epjp

……………………. …………………….
ju Cjpak; gq;Nfw;G Xa;T+jpak;
……………………. …………………….
rpwg;G Cjpak; tUkhd thp
……………………. …………………….
jdp Cjpak; FLk;g ey epjp
……………………. …………………….
mftpiyg; gb rpwg;G Nrkey epjp
……………………. …………………….
tPl;L thlifg; gb kUj;Jt epjp
……………………. …………………….
efu <l;Lg; gb MAs; fhg;gPl;L epjp
……………………. …………………….
kUj;Jtg; gb rp.eh.f gpbj;jk;
……………………. …………………….
,ju <l;Lg;gbfs; ,jug; gbj;jk;
……………………. …………………….
nkhj;jk; nkhj;jk;
……………………. …………………….

epfu Cjpak; ……………….……………………………………………………………………….

jiyikahrphpaH
mDg;GeH ngWeH

……………………………….. tl;lhuf;fy;tp mYtyH mtHfs;>

jiyikahrpupaH> tl;lhuf; fy;tp mYtyfk;>

Cuhl;rp xd;wpa Muk;g / eLepiyg;gs;sp> ………………………………..

……………………………………. …………………………….. xd;wpak;

fbj vz;…………………….. ehs;…………………………..

nghUs; : njhlf;ff; fy;tpj;Jiw - nghJ khWjy; 20….-20……. –

jpU/jpUkjp/nry;tp……………………………….…………….. vd;ghH nghJ
khWjy; fye;jha;tpd; %yk; …………………………………. gs;spf;F
khWjy; ngw;wJ – gzpNaw;G tpguk; gzpe;
gzpe;jDg;Gjy;
jy rhHG

ghHit : 1. njhlf;ff; fy;tp ,af;FeH nrd;id mtHfspd; nray;Kiwfs;

e.f.vz;…………………………..……. ehs;…………………….
2. ………………………….. khtl;lf;fy;tp mYtyH mtHfspd;
nray;Kiwfs; e.f.vz;…………………………. ehs;……….…………
3. ………………………………….. tl;lhuf;fy;tp mYtyH mtHfspd;
nray;Kiwfs; e.f.vz;…………………………. ehs;…………………
*******
tzf;fk; mk;kh / Iah>

ghHitapy; fz;l nray;Kiwfspd; gb khWjy; ngw;W ……………….. (K.g / gp.g)

md;W gzptpLtpg;G nra;ag;gl;l ………………………..………………….. Cuhl;rp xd;wpa

Muk;g / eLepiyg; gs;sp> ,ilepiy / gl;ljhhp / jiyik MrpupaH

jpU/jpUkjp/nry;tp……………………………………..……………………… vd;ghH ,g;gs;spapy;

……………….. (K.g / gp.g) ,d;W gzpNaw;Wf; nfhz;lhH vd;w tpguj;jpidg; gzpTld;

njuptpj;Jf; nfhs;fpNwd;.

ed;wp

jiyik MrpupaH xg;gk;

efy; :

1. rhHe;j MrpupaUf;F
2. gs;sp Nfhg;gpw;F