Staff Data Acquisition Form
Please provide accurate data for printing on the Staff Identity Card. Any error committed here would get reflected on the Identity Card. Kindly check the data before submission.
Select appropriately (Select only one of the below)
Required
Name as per records (with initials at the end)
Your answer
Designation as per records or College Handbook
Your answer
Department
Your answer
Date of Birth
MM
/
DD
/
YYYY
Blood Group
Your answer
Address Line - 1
Your answer
Address Line - 2
Your answer
Address Line - 3
Your answer
City
Your answer
Pincode
Your answer
Father's Name
Your answer
Mobile Number
Your answer
Aadhar Number
Your answer
E-Mail ID
Your answer
ACTPF/CPS Number/PF (If applicable)
Your answer
PAN Card Number (Optional)
Your answer
Driving Licence Number (Optional)
Your answer
Submit
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