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 in Capitals as per records (with initials at the end) *
Designation as per records (first letter alone in capital) *
Department (First letter alone in capital) *
Date of Birth *
MM
/
DD
/
YYYY
Blood Group *
Address Line - 1 *
Address Line - 2 *
Address Line - 3 *
City *
Pincode *
Father's Name *
Mobile Number *
Aadhar Number *
E-Mail ID *
ACTPF/CPS Number/PF (If applicable)
PAN Card Number (Optional)
Driving Licence Number (Optional)
Submit
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