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8-Bio Data - Employee Personal Detail Form

This document contains a bio data form for an employee of CIFAR Healthcare Pvt. Ltd. It requests personal details such as name, date of birth, contact information, family details, education history, professional qualifications, past employment details, references, and a declaration signed by the employee.

Uploaded by

Prakash
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© © All Rights Reserved
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Download as DOC, PDF, TXT or read online on Scribd
136 views

8-Bio Data - Employee Personal Detail Form

This document contains a bio data form for an employee of CIFAR Healthcare Pvt. Ltd. It requests personal details such as name, date of birth, contact information, family details, education history, professional qualifications, past employment details, references, and a declaration signed by the employee.

Uploaded by

Prakash
Copyright
© © All Rights Reserved
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
You are on page 1/ 3

CIFAR HEALTHCARE PVT. LTD.

BIO DATA FORM


Employee Personal and Professional Details

Employee Name: DOJ:


Paste a recent
Designation: Department:
passport-size
photograph here
Father/Hb’s Name: Occupation:

DOB: Marital Status:

Aadhar No: Gender:

PAN No. Blood Group:

No of dependents Religion:

Passport No. Valid Till:

Bank A/c No. IFSC Code:

Bank Name: Branch:

Email ID: Mobile No:

Permanent Address: Correspondence Address:

Contact No.:_________________________________________ Contact No.:_________________________________________

Emergency Name: Relation: Phone:


contact :

Details of Family Members (Pl. indicate Father, Mother, Wife, Son, Daughter and dependent Brothers/ Sisters)
Name Relation DOB & Age Occupation

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Academic Qualifications (starting with most recent)
Degree/ Diploma/ Certificate School/ From To Division/ Awards/ Remarks
University/Institute Grade

Professional Qualification/Training/ Skills


Course Conducted By Duration

Details of Past Employment (most recent first, including present employer)


Period
From To Monthly
Designation Organization Name, address, website Reason for Leaving
(Month, (Month, CTC
Year) Year)

Other Information:
1. Are you related to any employee of this company? __________________. If so, please give the following details:

Name: Department:
Relationship:

2. Are you prepared for posting anywhere in India? ____________________________________

3. Are you under any legal obligation to your current employer? __________________________, If yes, please give details.

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References
(Please provide details of 3 professional references (excluding relatives) from your previous employment who have knowledge
of your past employment and professional competence.)

Name Occupation Official Email id, Address & Nature of Association


Phone No.

Declaration
I hereby declare that:

1. The particulars furnished above are true to the best of my knowledge and belief, and I have not knowingly
withheld any information that may affect my candidature unfavorably. I hereby state that I have filled the above application
form in my own handwriting. I understand that any misrepresentation or suppression of material information will render
me liable for termination of services by the Company.
2. I shall be deemed to have been guilty of gross default/ misconduct, if at any future date it is found that my
declarations above are false in any respect, and in that case my services with the organization will be liable to termination
without notice or payment in lieu of it.

Employee Signature: _________________________

Name: _____________________________________

Date: ______________________________________

Place: _____________________________________

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