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First Name *
Last Name
*
Designation
*
Department
*
State
*

Country code (91)
*
Mobile no.
*
Date of Retirement / Completion of Contract(Contractual employees / Consultants)(FormatDD-MM-YYYY)
*
Login ID (Without gov)
*
Complete Email address (with gov)
*
Date of Birth (Format DD-MM-YYYY)
*
Employee Code (Optional)
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