Bank of Baroda issue of service cum-identity card forms

Bank of Baroda Date :

D D M M Y Y Y Y

The Asstt. Gen Manager (HRM) Bank of Baroda

Zonal Office

EC No.

Surname

Dear Sir, Re : Issue of "Service-cum-ldentity Card on Retirement"

for retirees prior to 01 -08-2013.

I have to inform you that I retired from Bank's service on

on superannuation / voluntary retirement. (Must strike out which is inapplicable).

I request you to Kindly issue me Service-cum -Identity Card. I give below the required details

1. Full Name (IN CAPITAL L E T T E R S ) Mr/Mrs/Ms

2. E C No. _

Designation

Date of Birth

Date of Joining

Date of Retirement

Residential Address in Full

(Post Retirement)

(IN CAPITAL L E T T E R S )

8. Telephone / Mobtfe-No.

9. Blood Group

10. Email I.D. -

11. Emergency Contact No.

(other than self number)

D D M M Y Y Y Y

Firstname Middle Name

RECENT COLOUR

PHOTOGRAPH

(PASSPORT SIZE)

Pin Code No.

(EMPLOYEE'S SIGNATURE IN BLACK INK)

Seal of the Branch / Office Verified by the Branch / Office

Signature of Branch / Office Authority

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