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MISC 70 Spark Form1

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15 views

MISC 70 Spark Form1

Uploaded by

sigem13212
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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1

SPARK FORM NO.1


(JOINING REPORT-Fresh Appointment)
Instruction: This form required to be duly filled up and submitted by the prospective employees while reporting for duty on fresh
appointment. The officer before whom the prospective employee reports for duty and the appointing authority required to counter
sign the duly filled up form submitted by the prospective employee. After getting the form counter signed by the appointing authority
the Subject Assistant will feed the data into SPARK and obtain Permanent Employee Number from the system and write down it in the
box provided below for the purpose

Specimen Signature Specimen Signature


Signature shall not touch the lines Affix a
recently
taken
passport
PART-A (For Office use) size photo
Employee Code

Department Office

PART-B: PERSONAL DETAILS


(To be filled up by the prospective employee)
Name
(In capital letters and initials after the
name)
Date of birth Sex

Name of father

Name of Mother

Nationality State

Caste Religion

Category Whether physically


General/ SC/ST/OBC/OEC handicapped (yes or no)
Whether ex-servicemen? (yes or PAN Number
no)
Voter ID Card Number Ration Card Number

Identifications marks of the 1


prospective employee

2
Height Marital status
(unmarried/married/divorced)
Spouse’s Name

Souse’s religion Spouse’s caste

Whether inter religion/cast Whether spouse is


marriage (yes/no) employed
Spouse employed in (specify
organization)
2
PART-C: CONTACT DETAILS

Present Address Permanent Address

House No. and House No. and


Name Name
Street Name Street Name

Place Place

Pin Pin

State State

District District

Taluk Taluk

Village Village

Phone No. Phone No.

Home Town Home Town

Mobile No. Email address

PART-D: RECRUITMENT DETAILS

Source Type
(PSC or other agency) (General or Special
recruitment)
Method (Direct/ By Scale of Pay
transfer)
Advice Memo No. Advice Memo date

Is District recruitment If District recruitment


(Y/N) specify the District
Serial No. in the advice Entry category (state service/
memo state subordinate service)
Appointment Order No. Appointment Order date

PART-E: IF ALREADY WORKING IN GOVERNMENT, GIVE DETAILS

Department Designation

Relieving Order No. Relieving Order Date

Office last worked Earlier Recruiting agency

Earlier Advice Memo No Earlier Advice Memo Date

Earlier Appointment Earlier Appointment Order


Order No. Date
3
PART-F: EDUCATIONAL QUALIFICATIONS

Course Subject University/Board Institution studied Class/ Reg No. & Year
Title Percentage

PART-G: DECLARATION
Declaration by the prospective employee

The information furnished by me in this joining report is correct to the best of my knowledge and are based on
valid documents. I also hereby produce the original documents in respect of all the information given below before the
reporting officer for verification. I am also aware of the fact that penal action would be taken against me if any of the
information provided by me is found fraudulent.

Station: Name

Date Signature

PART-H: VERIFICATION (For office use)

Verified the original documents and found eligible for admission to duty.

Name & dated signature of the


Reporting Officer

Admitted to duty. Employee details may be furnished into SPARK and PEN obtained.

Name and dated signature of the


Appointing Authority

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