JOINING REPORT

NAME

DESIGNATION

DATE AND TIME OF REPORTING FOR DUTY

PLACE OF REPORTING FOR JOINING

TO WHOM REPORTED

DATE

SIGNATURE OF EMPLOYEE

PHOTOCOPY OF FOLLOWING MUST BE ENCLOSED

To be verified with originals and attested by Reporting Authority.

1. Pan Card Photocopy.

2. Aadhar Card Photocopy.

3. Residential Proof.

4. Proof for Age.

5. Copies of Degree Certificates I Provisional Certificate and Other Certificates/testimonials

for Academic/Tech. Qualification.

6. Service I Discharge Certificate from the previous employer.

7. Last pay drawn Certificate.

8. Recent Passp01i Size Photograph and Stamp Size photograph along with Blood Group.

CHECKED & VERIFIED BY:

Designation: _____________________________
Employee Code : _____________________________
To,
HRDEPARTMENT
Shri.ram Finance Limited Mumbai

Sir

I ...................................................................... ................ (Employee Name) having an employee

code ............................hereby confirm that I have read and understood all the contents of Disciplinary

Rules and Proceedings and undertake to abide by all the rules and regulations of the Company.

Thanking you

Yours Sincerely,

Signature of the employee

Note: - "Disciplinary Rules and Proceedings" manual is available a t respective BRANCHES.

Kindly go through it.
 EMPLOYMENT FORM
AFFIX RECENT
SHRIRAM FINANCE LIMITED PASSPORT SIZE
6th Flr (level 2), Building No.Q2, Aurum Q Parc |Gen 4/1, Ghansoli, Navi Mumbai, 400710 PHOTOGRAPH
Tel :(022) 40957575
Website :www.slfc. in

POSITION APPLIED FOR : LOCATION :

PERSONAL DATA
FULL NAME IN BLOCK LETTERS
MR./MRS./MISS
(FIRST NAME) (MIDDLE NAME) (SURNAME)

PRESENT OWN I RENTED HOUSE PERMANENT OWN/RENTED HOUSE

ADDRESS ADDRESS

TEL. NO. TEL. NO.

DATE OF BIRTH PLACE & STATE OF BIRTH BLOOD GROUP PAN NO.: AADHAR NO.

HEIGHT (ems) WEIG HT (kg) MARITIAL STATUS PHYSICAL DISABILITY, IFANY NATIONALITY RELIGION

'

LANGUAGES : READ WRITE SPEAK

MOTHER TONGUE :

OTHER LANGUAGES 1

HOBBIES & INTERESTS

FAMILY BACKGROUND

NAME AGE OCCUPATION

FATHER

MOTHER

HUSBAND

WIFE

CHILDREN ·

BROTHER/S ISTER :

ACAD EMIC RECORD (BEGIN WITH SSC)

GRADE/
EXAMINATION YEAR OF PASSING NAME & ADDRESS MAIN UNIVERSITY
CLASS OR
PASSED MEDIUM OF INSTRUCTION OF INSTITUTION SUBJECT OR BOARD
DIVISION

COMPUTER SKILLS
-· NAME OF THE PERCENTAGE
LANGUAGES KNOWN
INSTITUTION & YEAR OF PASSING OBTAINED

ANY OTHER ADDIT IONAL INFORMATION RELATING TO COMPUTERS :

 EXPERIENCE • PREVIOUS EMPLOYMENT
NAME & ADDRESS OF EMPLOYER N O . OF EMP. EMPLOYEE CODE U.A. N DATE OF JOINING

DESIGNATION REPORTING TO : NO. OF SUBORD INATES :

SALARY ORGANISATION CHART
D.A. (Draw a brief diagram indicating your position in relation to
your departme nt and totalorganisation setup)
H.R.A.

LUNCH

CONVEYANCE

INCENTIVE
ANY OTHER
SPECIFY
BONUS

LT.A.

MEDICAL

P.A.
ANY OTHER
SPECIFY
GRAND TOTAL

JOB DESCRIPTION I RESPONSIB ILITIES (GIVE DETAILS OF AREA OF EXPERTISE)

PERIOD OF EMPLOYMENT: FROM : TO:

(Month/Year)

NAME OF SUPERIOR ' CONTACT NO OF SUPER IOR '

HAVE YOU BEEN PROPERLY RELIEVED FROM YOUR JOB

BY THE PREVIOUS EMPLOYER?

PREVIOUS EMPLOYMENT (OTHER THAN ABOVE)

PERIOD OF TOTAL LAST REASON
EMPLOY EMPLOYERS NAME & ADDRESS DESIGNATION
FROM TO EMOLUMENTS FOR LEAVING

NAME OF SUPERIOR * : CONTACT NO OF SUPERIOR * :

REASON SEEKING CHANGE IN JOINING PERIOD

PRESENT EMPLOYMENT
GROSS SALARY EXPECTED
MINIMUM PREFERENCE FOR PLACE OF WORK
FIELD MARKED AS ' * ' A RE MANDATORY
GENERAL INFORMATION

DO YOU HAVE ANY FRIEND I RELATIVES EMPLOYED IN OUR COMPANY OR GROUP OF COMPANIES ?
IF ANY, GIVE DETAILS

NAME RELATIONSHIP

PLEASE MENTION FRANKLY AND BRIEFLY YOUR STRONG AND WEAK POINTS IN RELATION TO
YOUR JOB

STRENGTH:

WEAKNESS :

CAN WE MAKE A REFERENCE TO YOUR PREVIOUS EMPLOYERS, IF SELECTED BY US AND AFTER YOU JOIN US

YES / NO

IF NO PLEASE ELABORATE THE REASONS

NEAREST PERSON TO BE CONTACTED IN CASE OF ANY EMERGENCY

NAME & RELATIONSHIP ADDRESS & TEL. NO. IF ANY

REFERENCES OF TWO RESPONSIBLE PERSONS NOT RELATED TO YOU :

NAME OCCUPAT ION ADDR ESS

A UTHORIIZATION & DECLARAT ION

IHEREBY AUTHOR IZE SHRIRAM FINANCE LIMITED (OR A THIRD AGE NT APPOINTED BY THE COMPANY) TO
CONTACT ANY FORMER EMPLOYERS AS INDICATED ABOVE AND CARRY OUT ALL BACKGROUND CHECKS
NOT RESTR ICTED TO EDUCATION AND EMPLOYMENT DEEMED APPROPRIATED THROUGH THIS SELECTION
PROCEDURE. I AUTHORIZE FORMER EMPLOYERS, AGENC IES, EDUCATIONAL INSTITUTES ETC. TO RELEASE
ANY INFORMATION PERTAINING TO MY EMPLOYMENT/EDUCATIO N AND I RELEASE THEM FROMA NY LIABILITY
INDOING SO.

IALSO CERTIFY THAT THE STATEMENT'S MADE BY ME ARE TRUE, COMPLETE AND CORRECT, IAGREE THAT IN
CASE THE COMPANY FINDS AT ANY TIME INFORMATIONS GIVEN BY ME IN THISAPPLICATIONARE NOT TRUE OR
COMPLETE, THE COMPANY WILL HAVE THE RIGHT TO TERMINATE MY EMPLOYMENT WITHOUT NOTICE. IF
SELECTED, IALSO UNDERTAKE TO ABIDE BYALLTHE RULESAND REGULATIONS OF THE COMPANY.

------------------------------ -------- -------- ----------------------

NAME DATE
 SHRIRAM FINANCE L I M I T E D
EMPLOYEE

FORMAT FOR EMPLOYEE ID CARD

NAME :-

EMP. CODE :-

ADDRESS (OFFICE) :-

RES.ADDRESS: -

BLOOD GROUP :-

CONTACT NO :-

EMERGENCY CONTACT NO:

DATE OF JOINING :-

DATE :-
PLACE :-
Signature
 FORM F
[See sub-rule (1) of rule 6]
Nomination
To,
Shriram Finance Ltd.
1. Shri. Shrimati/Kumari(Name in full here)__________________________________________________________________________________
whose particulars are given in the statement below, hereby nominate the person(s) mentioned below to receive the gratuity payable after my
death as also gratuity standing to my credit in the event of my death before that amount has become payable, or having become payable has not
been paid and direct that the said amount of gratuity shall be paid in proportion indicated against the name(s) of the nominee(s).
2. I hereby certify that the person(s) mentioned is/are member(s) of my family within the meaning of Cl. (h) of Sec. 2 of the Payment of Gratuity
Act, 1972.
3. I hereby declare that I have no family within the meaning of Cl. (h) of Sec.2 of the said Act.
4. (a) My father/mother/parents is/are not dependent on me.
(b) My husband’s father/mother/parents is/are not dependent on my husband.
5. I have excluded my husband from my family by a notice dated the……………to the controlling authority in terms of the proviso
to Cl. (h) of Sec.2 of the said Act.
6. Nomination made herein invalidates my previous nomination.
Proportion by
Sr.No Relationship with Age of
Name in full with full address of nominee(s) which the gratuity
. the employee nominee
will be shared
1
2
3

STATEMENT

1. Name of employee in full :

2. Sex :
3. Religion :
4. Whether unmarried/married/widow/widower :
5. Department/Branch/Section where employed :
6. Post held with Ticket or Serial. No., if any :
7. Date of appointment :
8. Permanent address :

Village Thana Sub-Division

Post office District State

Place……………… Signature/Thumb-impression
Date………………. of the employee.

DECLARATION BY WITNESSES
Nomination signed/thumb-impressed before me.
Sr.No. Name in full and full address of: Signature of witnesses:
1
2

Place………………..
Date………………..

CERTIFICATE BY THE EMPLOYER

Certificate that the particulars of the above nomination have been verified and recorded in this establishment.
Employer’s Reference No., if any.
Signature of the employer/ officer authorized Name and address of the establishment Or rubber stamp thereof
Date……………..

ACKNOWLEDGMENT BY THE EMPLOYEE

Received the duplicate copy of nomination in Form f filed by me and duly certified by the employer.
Date………………. Signature of the employer.
 Paste recent
photograph
of the
member

SHRIRAM LIFE INSURANCE CO., HYDERABAD.

Declaration of Good Health (DGH) Form

Scheme ...............................................................................................................
Name of the Life to be Assured, who
is the Employee of the Organization

Name of the Nominee

Nominee Relationship with the life assured Nominees Age last birthday
Date of Birth

Date of Joining the Organization

Please Tick () For Either Yes or No - Otherwise The Application Will Be Invalid
1. Have you ever been diagnosed with or received treatment for any disability or Yes No
medical condition such as but not limited to high cholesterol high blood
pressure, chest pain, heart attack or any other heart condition stroke, transient
ischemIc attack or any other cerebrovascular disease; diabetes or any other
endocrinel disease; kidney disease; HIV / AIDS or AIDS related complex; any
cancer or tumor; asthma or any other respiratory disease; any mental or
nervous disease; hepatitis or any other liver disease; blood disorders; digestive
and bowel disorders; paraplegia or any other disorder of the bones, spine or
muscle?
2. Have you within the last 5 years taken any form of medication for more
than 7 consecutive days to treat an illness or disease? Yes No
3. Have you within the last 5 years consulted any medical practitioner for any
Yes No
condition other than minor impairment such as common cough or cold?

It is important to be as accurate as possible when answering the declaration of good health,

as inaccurate information may negatively impact payments at the claims stage.

In case the answer is "Yes" to any of the above questions full details may be provided in the
section below. Shriram Life Insurance Company Limited will consider these details when the
decision about extending cover is taken.
I hereby declare that, the above information is true to the best of my knowledge and belief
and if any information is found to be incorrect, the Cover under the said policy can be
cancelled by the Insurer.

Place: Name of the Employee:

Date: Signature of Employee:

Declaration for signing in vernacular or for illiterate cases:

I have explained the contents of this form to the Member and done my best to ensure that the
contents have been fully understood by the Member and have accurately recorded the Member
responses to the information sought by this DGH form and I have read the responses back to the
Member and he/she has confirmed that they are correct.

Place : Name :

Name : Signature :