Shri PitambraManpower & Staffing Services

Form ref: HR-JF-
Issued:

Employee Joining Form

Upload
passport-size
photograph

To be completed in full by the candidate on the date of joining and countersigned by the reporting manager and HR. Fields marked * are mandatory. Attach photocopies of all supporting documents listed in Section 7.

1. Personal details

Full name (as per Aadhaar)

Father's / Husband's name

Date of birth

Gender

Male Female Other

Marital status

Blood group

Nationality

Mobile number

Alternate contact number

Email address

Aadhaar number

PAN number

UAN (if previously employed)

Present address

Permanent address

2. Employment details To be filled with HR

Employee code (auto-generated)

Date of joining

Employment type

Designation

Department

Client / site deployed to

Work location

Reporting manager

Shift

No location captured yet — tap the button on-site to record it.

3. Educational qualification

Qualification	Board / University	Year	% / CGPA	Specialisation

4. Previous employment Leave blank if this is a first job

Employer name	Designation	From	To	Reason for leaving

5. Bank details For salary disbursement

Bank name

Branch

Account holder name

Account number

IFSC code

6. Emergency contact & nominee

Emergency contact name

Relationship

Emergency contact number

Nominee name (for PF / ESIC / insurance)

Nominee relationship

Nominee date of birth

7. Documents submitted Attach a scan or photo of each — stored in Google Drive

Passport-size photographs (2) No file selected

Choose file

Aadhaar card copy No file selected

Choose file

PAN card copy No file selected

Choose file

Address proof No file selected

Choose file

Educational certificates No file selected

Choose file

Previous experience / relieving letter No file selected

Choose file

Bank passbook / cancelled cheque No file selected

Choose file

Pre-employment medical certificate No file selected

Choose file

Police verification / background check No file selected

Choose file

UAN / PF transfer form No file selected

Choose file

Files stay on this device until you tap upload.

8. Declaration

I declare that the information given above is true and correct to the best of my knowledge. I understand that any false statement or concealment of facts may lead to termination of my engagement at any stage, without notice. I agree to abide by the rules, code of conduct, and policies of Shri Pitambra Manpower Services and the client site to which I am deployed.

Candidate signature & date

HR / verifying officer signature & date

For office use only HR verification

Verified by

Verification date

Documents complete