S. i. Name o Central Scale of Pay Contract i. Provident Period of Service Total Reasons No. the Organisation / / State / / Basic / Trainee Fund No., Period of for From To Firm. PSU / Post held / Tenure ii.Universal (dd/mm/yyyy) (dd/mm/yyyy) Service leaving ii. Address PSB/ Gross Salary / Account No. (Years – per month iii. STD code & Private iii. EPF Office Months) (8) (9) (in case of Private Telephone No. address (10) (11) sector employees) (1) iv. e-mail. (3) (4) (6) (7) (5) (2) 1. i. i. i. ii. ii. ii. iii. iii. iii. iv. iv. 2. i. i. i. ii. ii. ii. iii. iii. iii. iv. iv. i. i. i. 3. ii. ii. ii. iii. iii. iii. iv. iv. (Rows may be added if necessary) Signature:_____________ Page 03 of 06 (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) 4. i. i. i. ii. ii. ii. iii. iii. iii. iv. iv. 5. i. i. i. ii. ii. ii. iii. iii. iii. iv. iv. 6. i. i. i. ii. ii. ii. iii. iii. iii. iv. iv.
S. No. (1) i. Name o the Organisation / Firm. ii. Address iii. STD code & Telephone No. iv. e-mail. (2) Central / State / PSU / PSB/ Private (3) / Post held (4) Scale of Pay Basic Gross Salary per month (in case of Private sector employees) (5) Contract / Trainee / Tenure / (6) i. Provident Fund No., ii.Universal Account No. iii. EPF Office address (7) Period of Service Total Period of Service (Years – Months) (10) Reasons for leaving (11) From (dd/mm/yyyy) (8) To (dd/mm/yyyy) (9) 1. i. i. i. ii. ii. ii. iii. iii. iii. iv. iv. 2. i. i. i. ii. ii. ii. iii. iii. iii. iv. iv. 3. i. i. i. ii. ii. ii. iii. iii. iii. iv. iv. (Rows may be added if necessary) Signature:_____________ Page 03 of 06 (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) 4. i. i. i. ii. ii. ii. iii. iii. iii. iv. iv. 5. i. i. i. ii. ii. ii. iii. iii. iii. iv. iv. 6. i. i. i. ii. ii. ii. iii. iii. iii. iv. iv.
Biodata%20Annexure%202017-2.docx