New Employee Joining Form1

8/13/2019 New Employee Joining Form1

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OFFER CHECK LISTNAME: CLIENT

DOJ OFFER ID LOCATION

PLEASE CARRY THE FOLLOWING DOCUMENTS WHILE VISITING MAGNA TO COLLECT THE OF

Copies Of Educ!io" Ce#!ific!es

SL N N!u#e Of De$#ee Su%&issio" of !'e docs If "o! su%&i!!i"$( #eso" fo

1 10th/SSLC/SSC

2 12th/PUC/Intermediate

De!ree" a## $emi$ter mar%$heet$

& Ma$ter$" a## $emi$ter mar%$heet$

' Di(#)ma" a## $emi$ter mar%$heet$

* Other$ (#ea$e $(e+i,-

Copies of Docu&e"!s #e)!ed !o p#e+ious , Cu##e"! e&p)o*&e"!-

1 C.rrent +)m(an- ),,er #etter

2 C.rrent +)m(an- $a#ar- $#i($

&

'

COPIES OF OTHER DOCUMENTS

1 Pa$$()rt C)(- I, an-

2 PAN Card

Pr)), ), L)+a#/Permanent addre$$

& * (a$$()rt $ie (h)t)!ra(h$

FOR MAGNA HR USE ONLY

SL N DOCUMENTS DESCRIPTION

1 Che+% ,)rm d.#- $i!ned - the +andidate

2 PD T))#/NDA/De(.tati)n #etter/LOU/LAR

SI A++).nt F)rma#itie$" C)m(#eted/3a$ an a++).nt

& Medi+#aim" O(ted/3a$ a ()#i+-/C)4ered .nder ESI

Name O, Re+r.iter

Si!nat.re O, 3R

Name ), 3R

Date555555555555555555555555555555555555555555555555555555555555555555555555555555555555555555555

MAGNA ID CARD RE.UEST FORM

NAME

OFFER ID/EMP ID

0LOOD GROUP

CLIENT NAME

LOCATION

#etterPre4i).$ +)m(an- ),,er#etter/Pa-$#i(/Re#ie4in! #etter

Ear#ier +)m(an- ),,er#etter/Pa-$#i(/Re#ie4in! #etter

S(a+e ,)rPh)t)!ra((h

8ES

8ES NO

NO8ES

8ES

NO

NONONONO

NO8ES

8ES

NONONONO

NO

8ES

NO

NO

8ES NO

NO

8ES

8ES8ES8ES

8ES NO

NO

8ES8ES8ES

8ES NO

8ES NO

8ES8ES NO8ES

8ES8ES NO8ES8ES8ES

8ES8ES

8ES8ES8ES

8ES8ES NO8ES8ES8ES


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EMPLOYEE 1OINING FORM22 INDICATES MANDATORY FIELDS

22 PERSONAL DETAILS

Name 9a$ it a((ear$ )n ID (r)), Na4een ;atti

ender Ma#e #))d r).( )th J.#-? 1@>' Marita# Stat.$

Pa$$()rt N) I, An- Dri4in! Li+en$e N)

M)i#e N) Land#ine N)

Emai# ID 1

Emai# ID 2

Father$ Name S.dar$hanara) ;atii Father?$ O++.(ati)n

I, Married" name ), $().$e

O++.(ati)n ), $().$e

Emer!en+- C)nta+t Per$)n Name

Emer!en+- +)nta+t (er$)n$ +)nta+t detai#$

Pre$ent Addre$$

Pre$ent +)nt B #and#ine 6 M)i#e

Permanent Addre$$

B10=2=2>@" PLOT NO: @" S3ANTI NAAR 38DERAAD = '00 02> Te#: 0&0 0*> 1&0 / 0*> 1>0

ma!nain

Ma!na In,)te+h P4t LtdPaste your recolour photo(Size 3.5 x 3


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Permanent Addre$$ +)nt B #and#ine 6 m)i#e


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22 EDUCATION RECORDS

I"s!i!u!io" Ye

GRADUATION

POST GRADUATION

U"i+e#si!*3I"dic!e if educ!io" is

!'#ou$' co##espo"de"se4

N&e of !'esc'oo) o#

co))ec$e ,p)ce of s!ud*

NATUREOF

DEGREE

Speci)i5!io"

SSLC/SSC/MATRICULATION

PUC/6789/INTERMEDIATE

PROFFESSIONALCOURSE 3s4

PROFFESSIONALCOURSE 3s4


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22WORK E:PERIENCE

EMPLO8ER 9COMPAN8 NAME

COMPAN8 ESITE

EMPLO8EE ID

EMPLO8MENT PERIOD FROM TO

DESINATION 3ELD

EPLAIN T3E REASON9S FOR LEAGIN T3E JO

EMPLO8ER 9COMPAN8 NAME

COMPAN8 ESITE

EMPLO8EE ID

EMPLO8MENT PERIOD FROM TO

DESINATION 3ELD

EPLAIN T3E REASON9S FOR LEAGIN T3E JO

P#ea$e (r)4ide detai#$ i, -). ha4e een int) +)ntra+t.a# em(#)-ment ear#ier

In +a$e there ha$ een an- !a( in -).r em(#)-ment" (#ea$e $(e+i,- the (eri)d

P#ea$e #i$t -).r em(#)-ment hi$t)r- $tartin! ith m)$t re+ent ()$iti)n In+#.de an- (eri)d$ in hn)t em(#)-ed and e7(#ain hat -). ere d)in! d.rin! that time P#ea$e +)m(#ete a## a((r)(riate

-). ha4e (r)4ided .$ ith a re$.me A## in,)rmati)n (r)4ided i$ #ia#e ,)r 4eri,i+ati)n

REPORTIN/3R MANAER NAME 6 CONTACT DETAILS

REPORTIN/3R MANAER NAME 6 CONTACT DETAILS


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22REFERRENCES

6- NAME TELEPHONE NO E MAIL ID

ADDRESS OCCUPATION RELATIONSHIP W

9- NAME TELEPHONE NO E MAIL ID


;- NAME TELEPHONE NO E MAIL ID


N&e !'#ee pe#so"s( "o! #e)!ed !o *ou(


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De+#arati)n and N)minati)n ,)rm .nder the Em(#)-ee$ Pr)4ident ,.nd$ 6 Em(#)-ee$ (en$i)n $+hem

6- N&e 3i" %)oc= )e!!e#Na4een ;atti

9- N&e of !'e P#e"!/Spouse? S.dar$hanara) ;atii

;- D!e Of 0i# >th J.#-? 1@>'

0

@- SeBBBBBBBBBMa#e

0- M#i!) S!!Sin!#e

- PF Accou"! AP/55555555555555555555555

PART A 3EPF4

Address

6 9 ; @

Stri%e ).t hi+he4er i$ n)t a((#i+a#e

Re4i$ed

r).( N) 555555555

NOMINATION , DECLARATION FORMFOR UNE:EMPTED/E:EMPTED ESTA0LISHMENTS

Para!ra(h 6 *191 ), the Em(#)-ee$ Pr)4ident F.nd S+heme" 1@'2 6 Para!ra(h 1> ), the Em(#)-S+heme" 1@@'

- Add#ess?Pe#&"e"!

A- Add#essTe&po##*

D!e of 1oi"i"$T'e Fu"d

I here- n)minate the (er$)n9$ +an+e# the n)minati)n made - me (re4i).$#- 6 n)minate the (er$)ne#) t) re+ei4e the am).nt $tandin! t) m- +redit in the em(#)-ee$ (r)4ident ,.nd" in the e4ent ), m

Name of theNominee/Nominees

Nominee's relationship with the

member

Date Of

Birth

Total amount of share ofaccumulations in

provident fund to be paidto each nominee

Ifm

urec

duri

2 Certi,ied that m- ,ather / m)ther i$ / are de(endent .()n me

Si$"!u#e o# T'u&% i&!'e su%sc#i%


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PART0 3EPS4 3P# 64

#- NN&e , Add#ess of !'e F&i)* Me&%e#

N&e Add#ess

1 2 &

N&e , Add#ess of !'e No&i"ee D!e Of 0i#!'

D!e? Si$"!u#e o# T'u&% i&p#essio" of !'

Stri%e ).t hi+he4er i$ n)t a((#i+a#e

CERTIFICATE 0Y EMPLOYER

I here- ,.rni$h e#) (arti+.#ar$ ), the memer$ ), m- ,ami#- h) ).#d e e#i!i#e t) re+ei4e id)Pen$i)n in the e4ent ), m- death

D!e Of0i#!'

R9/2ule "?(@) of EI (#entral) 2ulesA 5!"0 for payment of cash benefit in the eve

Name #elationship Address

#ounter ignature by the employer

ignature/%IA I

ignature with eal

(*) F+I$4 P2%I#1$2 3F I12E* PE23

$ o ame 4es o %own

5

@

B

>

Calid for B months from the date of ap

ame

pace for Photograph

Ins o *ate of appointment

&ranch 3ffice *ispensary

Employer6s #ode o < ddress

CalidityD

%o be filled in by the employee after reading instructions overleaf. %wo Postcard i-e photographs are to be attached with this free of cost.

@ ame (in blocletters)

50. *ate ofappointment

55. ame < ddress of the Employer(vt )td, *+/-., # infotech 0om

Thavare3ere $ain #oad, D# 0oBanalore - +45%55

5@. In case of any previous employmenplease fill up the details as underD8

I hereby declare that the particulars given by me are correct to the best of my nowledge and belief. I undertae to intimateany changes in the membership of my family within 5" days of such change.

*ate 3f &irth/ge as on dateof filling

form

2elationship with the

employee

,hether residing withhim/her

If

%emporary Identity #ard


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*atedD ignature/%I of IP ignature of &+ with eal


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$ o ame 4es o %own

5

@

B

>

5. ubmission of Form85 is governed by regulations 55 < 5@ of EI (General) 2egulationsA 5!"0. @. HFamily mof the following relatives of an Insured Person namelyD8

(i) spouse (ii) a minor legitimate or adopted child dependant upon the I.PJ(iii) a child who is wholly dependant on the earnand who is (a)receiving educationA till he or she attains the age of @5 years (b)an un married daughterJ (iv) a child who is inany physical or mental abnormity or inKury and is wholly dependant on the earnings of the I.P. so long as the infirmity contindependant parents (Please see ection @ clause 55 of the EI ct 5!>9 for details).B. Identity #ard is on8transferable.

>. $oss of Identity #ard be reported to Employer/&ranch +anager immediately.

". ubmission of false information attracts penal action under ection 9> of EI ctA 5!>9.

?. %his form duly filled in must reach the concerned &ranch office within 50 days of appointment of an Employee. *elay attraunder ection 9" of the ctA against employer.

=. s an Insured person you and your dependent family members are entitled to full medical care. %he other benefits in cashsicness &enefit (@) %emporary *isablement benefit (B) Permanent disablement &enefit (>) *ependents benefit and (") +ate(incase of women employees subKect to fulfillment of contributory conditions.

9. For more details Please Cisit website of EI# at ,,,.esic.nic.in or www.esicar.gov.in contact

2egional office or &ranch 3ffice.

F32 &2# 3FFI#E 1E 3$4

5. *ate of llotment of Ins. o.

@. *ate of issue of %I# D

B. ame/ o. of *isp D

>. ,hether reciprocal +edical arrangements involved If yesA please indicate D

ignature of &ranch +anager

*ate 3f &irth/ge as on dateof fillingform

2elationship with theemployee

,hether residing withhim/her

If


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LETTER

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pssi"$


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). ere$" e4en i,


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YOU

YOU

YOU

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e+t Iined in#i)n

C)m(an-


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ORM K 2

A/C

Pen$i)n

enti)nedath

ominee is, Name &

ss of then who ma!he amountminorit! of

inee

ssio" of


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sion of the


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death.

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m. %his form

a Infotech2 (al!a,

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orporation

ate place ofidence


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tate

all or any

f the I.P.y reason of(v)

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de (5)&enefit

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Documents

New Employee Joining Form1