PHC Employee Information
Employee ID *
Your answer
Employees Name *
Your answer
Employees Designation *
Your answer
Place of posting (In case retired then last school) *
Your answer
Employees Date of Birth *
MM
/
DD
/
YYYY
Name of Post at the time of joining *
Your answer
Date of joining *
MM
/
DD
/
YYYY
Date of retirement *
MM
/
DD
/
YYYY
Category of disability *
Percentage of Disability *
Your answer
Physically Handicapped w.e.f. *
MM
/
DD
/
YYYY
Category *
Remarks (if any)
Your answer
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