5/2/2018 EmployeeProfileForm

IndusInd Bank IndusInd Onboarding 4

eJoining Employee Reporting Manager

Employee Profile Form

 
Appointment Reference No f90ed046d7ae43ad  
Date Of Birth 19/06/1994 Login

 
Employee Profile
Appointment Reference No f90ed046d7ae43ad Experience Type Fresher
First Name* MR SUSHOBHIT Middle Name
Last Name MAHAKUL Father Name / Husband Name* Father

Mother's Maiden Name* SANJUKTA

Marital Status Single Gender Male

Date of Birth 19/06/1994 City Of Birth* ROURKEL

Ex-Serviceman Yes No Pan No BXSPM41

Blood Group O Positive Medically Fit Fit
Physical Disability Yes No Disable Category LOCOMO

Religion* HINDU Caste Classification* GENERA

If other religion,specify If other caste,specify
Caste Sub-Caste
Personal Mobile No* 9040401346 Alternate Contact No* 9348168178

Primary Email Id* [email protected] Secondary Email Id rony.mahak

Landline No Date Of Marriage

Aadhaar Card Number* 473363864370 Total Experience Years 0
Passport No : N6722840 Passport - Place of Issue : BHUBANE

Passport - Date of Issue : 18/03/2016  (DD/MM/YYYY ) Passport - Date of Expiry : 17/03/2026

Expected Date of joining 02/05/2018

Have you ever been prosecuted in the past   No      
 
Would you like to refer any of your friends in IndusInd Bank for a job, Please provide details if Yes: No

Name of the Candidate Location Preference

Zone --Select-- Current Employer
Function -Select- Current Employer Category -Select-

Category -Select- Contact No

Email ID    
 
Contact Details ( In Case Of Emergencies )

Name Of Person* BRAJENDRA KUMAR MAHAKUL Contact No* 9438089283

Relation* FATHER    
Address*
PLOT M/12, PHASE 1, CHHEND
COLONY, ROURKELA, ODISHA  
PIN CODE : 769015

       
Family Doctor's Details

Doctor's Name Clinic Tel No

Mobile No    
Address
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Address
Permanent Address*     Corresponding Address
AT POST BHUINPUR PLOT M/12, PHASE 1, CHHEND COLONY
DIST: KENDRAPARA
Address PS: AUL Address

State ORISSA
Copy
State ORISSA

City AUL City ROURKELA

Pin Code 754239 Pin Code 769015

Languages Known
Language Name Read Write Speak Delete
English
Oriya
Hindi

Add Delete

Education Details (Starting From Highest)

Course Type Exam Passed Start Month Start Year End Month End Year Institute/ University Percentage Is Highest Education ? Delete
SENIOR SECONDA 10TH JUL 2009 JUN 2010 DEEPIKA ENGLISH MEDIUM SCHOO 91 No
SENIOR SECONDA 12TH JUL 2011 JUN 2012 DEEPIKA ENGLISH MEDIUM SCHOO 73 No
GRADUATE B TECH JUL 2012 JUN 2016 GANDHI INSTITUTE FOR TECHNOLO 68 Yes

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Professional References
Note: Kindly refer the below information and share the details accordingly.
1) Professional references which can be considered (experienced candidates):-
Referee can be of Supervisory Capacity (direct or indirect line of reporting), Senior Colleague, Ex-colleague of Higher Designation from previous employment.
2) Professional references which can be considered (fresher):-
Referee should be currently employed and can be family friend, neighbor and professor.
3) Professional references which cannot be considered:-
 Relatives/Friends/Batch Mates/Peer Level Colleagues.
 Current employee of IndusInd Bank.
Details Professional Reference 1 Professional Reference 2
Full Name * SUDHIR RANJAN NAYAK SOUMYA RANJAN BOITY

Address * FL/228, BASANTI COLONY, ROURKELA, PIN

CODE- 769012
ROOM NO. 201, SAI KRUPA APARTMENT,
PATRAPARA, BHUBANESWAR

Contact Number * 9861564710 7381017682

Email Address * [email protected] [email protected]

Name of Organization * VEDVYAS MAHAVIDYALAYA AXIS BANK LTD - KHORDA BRANCH

Address of Organization * VEDVYAS, ROURKELA KHORDA

Job Title/Designation * LECTURER MANAGER - OPERATIONS HEAD

Family members details has to be updated on PULSE within 15 days of joining for coverage in mediclaim.
Family details
First Name Last Name Date of Birth Relationship Dep Cover in Mediclaim Remarks Delete
BRAJENDRA KUMAR MAHAKUL 03/04/1964 FATHER Yes
SANJUKTA MAHAKUL 11/07/1970 MOTHER Yes

Add Delete

PF & Gratuity Nominee Details

First Name Last Name Date of Birth Address Relationship Dep % PF % Gratuity Delete
BRAJENDRA KUMAR MAHAKUL 03/04/1964 PLOT M/12, PHASE 1, CHHEND COLONY FATHER 50 50

SANJUKTA MAHAKUL 11/07/1970 PLOT M/12, PHASE 1, CHHEND COLONY MOTHER 50 50

Add Delete

      Click here to open Data Authorisation

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