आधुनिक बचत तथा ऋण सहकारी संस्था लि.
Adhunik Saving and Credit Cooperative Society Ltd.
कर्मचारी तथा सञ्चालक सदस्य व्यक्तिगत विवरण फारम
Employee & Board Member Personal Data Form
Role
Personal
Contact
Official
ID
Emergency
Education
Family
Declare
Section 1: Role Identification / पदको पहिचान
Please select your role
*
Employee / कर्मचारी
Board Member / सञ्चालक सदस्य
Section 2: Personal Details / व्यक्तिगत विवरण
Full Name / पूरा नाम
*
Gender / लिङ्ग
*
Male / पुरुष
Female / महिला
Other / अन्य
Date of Birth (A.D.)
*
Blood Group / रक्त समूह
Marital Status
-- Select Status --
Single
Married
Never Married
Divorced
Passport Size Photo
*
Click to Upload Photo
Section 3: Contact Information / सम्पर्क विवरण
Permanent Address
*
Temporary Address
Contact Number (Mobile)
*
Email Address
Section 4: Official Information / आधिकारिक जानकारी
Employee ID / Membership No.
Designation / Position
Department (For Employees)
Date of Joining / Tenure Start Date
Section 5: Identification Details / पहिचान सम्बन्धी विवरण
PAN Number
Citizenship / National ID No.
Issuing Authority / District
Citizenship/ID Document Front Side
Upload Front of ID
Citizenship/ID Document Back Side
Upload Back of ID
Section 6: Emergency Contact / आकस्मिक सम्पर्क
Full Name
*
Relationship
*
Contact Number
*
Section 7: Education Details / शैक्षिक विवरण
Highest Education Level
-- Select Level --
SLC / SEE
+2 / Intermediate
Bachelors
Masters
PhD
Other
Board / University
Institute / College Name
Transcript / Marksheet
Upload Transcript
Character Certificate
Upload Certificate
Section 8: Family Details / पारिवारिक विवरण
Grandfather's Name
Father's Name
Mother's Name
Spouse's Name
Section 9: Declaration / घोषणा
Signature Upload
*
Upload Signature (PNG or JPG)
Date / मिति
*
I hereby declare that the information provided above is true...
*
Submit Data