Joining Annexture Form
Personal Details
| In case of Emergency (Family Member) the person to be Contacted | ||||||
|---|---|---|---|---|---|---|
| Name | Relations | Mobile No. | Occupation | |||
| Professional references excluding relatives, self-employed individuals, and DITECHPS. | ||||||
|---|---|---|---|---|---|---|
| Name | Organisation | Designation | Mobile | |||
Following Joining formalities are complete:
| PAST AND PRESENT MEDICAL INFORMATION |
|---|
| Self Declaration |
|---|
I hereby declare that I am not under any service obligation / agreement other than the notice period stated in para 7 above to serve any other employer. If appointed, I would join duty only after getting properly relieved by my current employer. I also declare that, I have no criminal / Legal Proceedings pending against me.
I Certify that the information furnished above is true to the best of my knowledge and any miss-representation made by me in this form will render me liable to be terminated from services, if appointed.
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