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) *
Your answer
Designation as per records (first letter alone in capital) *
Your answer
Department (First letter alone in capital) *
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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