3 Employee Info Form

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Ha-Meem Group

Corporate Office: TML, 387, South Tejgaon, I/A, Dhaka-1208, Bangladesh

Image
Employee Information Form
(*) signed information is mandatory to fill

Name* Department*

☐ Permanent
Designation* Employee Category*
☐ Contractual

1.Personal Information
Father's Name* Father's Profession

Mother's Name* Mother's Profession

Spouse Name (If Applicable) Spouse Profession

Date of Birth* Blood Group*

Gender* Marital Status*

Number of Children (If


Religion*
Any)

Contact Mobile Number * Nationality*

Alternative Contact Number* Telephone (If Any)

Passport Number (If Any) E-mail*

Driving License (If Any) National ID Number*

TIN Certificate Number (If Birth Certificate Number


Any) (If Any)

Village/House
P.S.:
No:

Present
Flat/Floor: P.O. & Code:
Address*

Road & Sector: District:

Village/House
P.S.:
No:

Permanent
Flat/Floor: P.O. & Code:
Address*

Road & Sector: District:

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2. Educational Qualification* (Start from the most recent)
Passing Out
SL Degree Major/ Area Institution Reg. No Roll No Result
Year of

1.

2.

3.

4.

5.

6.

3. Professional Qualification (Start from the most recent)


SL Degree Major/ Area Institution Passing Year Result

1.

2.

3.

4.

5.

6.

4. Training Achievement (Start from the most recent)

SL Training Title Major/ Area Institution From To Duration

1.

2.

3.

4.

5.

6.

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5. Experience* (Start from the most recent)

SL Company Address Designation Department From To

1.

2.

3.

4.

5.

6.

6. Information of Referee(s)*:
Description Referee -01 (From Relatives) Referee -02 (From Previous Organization)

Name

Designation

Company/Institute

Mobile Number

E-Mail

7. Emergency Contact Information* (Blood or Close Relatives or Spouse)


Description Emergency Contact-01 Emergency Contact-02

Name

Relationship with you

Mobile Number

E-mail

Occupation

Address (Permanent)

I, …………………………………………..…………………………..., hereby declare that the details furnished above are


true and correct to the best of my knowledge and belief and I undertake to inform you of any changes therein,
immediately. In case any of the above information is found to be false or untrue or misleading or misrepresenting,
I am aware that I may be held liable for it.

Signature :

Date :

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