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Father/
Husband's Lastname/ Date of Birth Married/
Sr.No Name Name surname Gender (dd.mm.yyyy) Unmarried Designation Branch 1 Date Of Joining Personal/Company Personal/Compa (dd.mm.yyyy) UAN ESIC Number Address PIN Code mobile number ny email ID PF PF Nominee If monthly PF Nominee relation Rate/ Gross whether on Nominee date of with Monthly Salary CTC: Y/N Name birth member Sr.No. Name UAN PAN AADHAR Bank Account Number Bank IFSC Code Marital Status MOBILE NUMBER Date Of Birth Date Of Birth Date Of Birth Father (dd.mm.yyyy) or Mother (dd.mm.yyyy) or Spouse's (dd.mm.yyyy) or Sr.No Name Name AGE Name AGE Name AGE Date Of Birth Date Of Birth (dd.mm.yyyy) or (dd.mm.yyyy) or Child 1 Name AGE Relation Child 2 Name AGE Date Of Birth (dd.mm.yyyy) or Relation Child 3 Name AGE Relation Child 4 Name Date Of Birth (dd.mm.yyyy) or AGE Relation If monthly salary than its salary breakup Sr.No. Name Gross Monthly Salary or Daily Rate y breakup Date Of Date Of Joining Leaving Sr.No. Name (dd.mm.yyyy) (dd.mm.yyyy) Reason