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Cardex Form

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484 views

Cardex Form

Uploaded by

mmyheart819
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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THE FOOD CORPORATION OF INDIA

CARDEX FORM

(To be submitted by all employees at the time of joining service)

01. Name of the Employee :

02. Father’s Name :

03. Designation of the post to


which appointed :

04. Martial Status


(Married/Unmarried) :

05. Whether member of


Scheduled :

a) Caste :

b) Tribe :

(Specify the particular


Caste / Tribe) :

06. Identification Marks : 1.

2.

07. a) Permanent Address :

b) Present Address :

contd…2
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08. Home Town ( for the


purpose of LTC) :

09. a) Date of Birth :

b) Particulars of Birth :
i. Place :

ii. District :

iii. State :

10. Languages the employee can :


a) Read :

b) Speak :

c) Write :

11. Mother Tongue :

12. Educational Qualifications :

13. Technical Qualifications :

14. Particulars of previous


experience(Service) :
a) From :

b) To :

c) Post(s) held a brief description :


work / responsibilities
in each assignment

d) Officiating / substantive
capacity :

e) Name of Employer :

f) Scale of pay of the post(s) :

contd…3
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15. Whether a Food Transferee/


Direct recruite/Absorbed
Deputationist. :

16. If Transferee(i) date of


joining in Food Department
and Designation held there :

ii) Gazette Notification No.


& Date under which services
finally transferred to FCI :

17. Particulars of wholly


dependent members of family :
(for the purpose of claiming
LTC and reimbursement of
Medical expenses etc.)
Sl.No. Name of Family Member Relationship Age

Contd…4
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DECLARATION

I hereby declare that the above particulars furnished by me are true to


the best of my knowledge. I also undertake that any change in the above
particulars shall be intimated by me at the appropriate time. I also understand
that any incorrect information submitted by me in this respect shall make me
liable for severe disciplinary action which may include a major penalty.

Signature :

Name :
Date :
Station: Designation
and office :

CERTIFICATE

(To be recorded in the case of Existing Employees only)

This is to certify that I have verified the above particulars submitted by


the employee with the available documents and personal file of the employee
and found them in order and accepted the same.

Signature :

Name :

Designation :

Office :

NOTE : Certificate to be signed by the officers authorized to verify


accept & preserve the Cardex Form.

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