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OutSourced Employee Form

This document contains a form for collecting details of outsourced employees working for the Finance Department of the Government of Andhra Pradesh. The form requests key employment details such as name, date of birth, designation, community, and contact information. It also collects agency details like contract dates, agency name, registration number, and bank account information. At the end, there is a declaration for the employee's signature verifying the accuracy of the information provided and acknowledging that wrong details could result in disciplinary action.

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anilkc9
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1K views2 pages

OutSourced Employee Form

This document contains a form for collecting details of outsourced employees working for the Finance Department of the Government of Andhra Pradesh. The form requests key employment details such as name, date of birth, designation, community, and contact information. It also collects agency details like contract dates, agency name, registration number, and bank account information. At the end, there is a declaration for the employee's signature verifying the accuracy of the information provided and acknowledging that wrong details could result in disciplinary action.

Uploaded by

anilkc9
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Finance Department, Government of Andhra Pradesh

Outsourced Employee Details


Note : Please read the Guidelines sent by Department before filling the form, in CAPITAL LETTERS in blue/ black ball point pen only. (Please avoid Short Forms and Abbreviations ) 1.Key Employment Details 1.1 Surname( ) 1.2 Name

1.3 Gender 1.4 Father / Husband Father/Husband Name 1.5 Date of Birth 1.6 Designation / Post 1.7 Marital Status 1.8 Office in Which Employee is Working: 1.9 Aadhar No 1.10 EPF No 1.11 Remuneration per Month 1.12 Commission Payable to the Agency for the Post: 1.13 Head of Account 1.14 Personal Mobile No. 1.15 Personal E-mail 1.16 Community:

Male Father

Female Husband

(DD/MM/YYYY)

Single

Married

Divorced

Widow

Widower

Amount

Percentage (%)

SC Minority

ST

BC A Others

BC-B

BC-C

BC-D

BC-E

2. Agency Details 2.1 Contract Start Date: 2.2 Contract End Date 2.3 Contract Ref No 2.4 Sanction Order Number & Date 2.5 Agency Name 2.6 PAN 2.7 Registration Number Registered with Labour Department: 2.8 Service Tax No 2.9 Landmark 2.10 Street/ Road / Lane 2.11 Area/ Locality / Sector 2.12 District 2.13 Mandal 2.14 Village / Town / City 2.15 Pin Code 2.16 Telephone 2.17 Mobile (STD Code-Telephone No : 040-292010) / / / / (DD/MM/YYYY) (DD/MM/YYYY)

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Finance Department, Government of Andhra Pradesh


2.18 E-mail 2.19 Bank Name 2.20 District of the Bank Branch 2.21 Bank Branch Name 2.22 Bank A/C No 2.23 IFS Code

DECLARATION* The above information is true to the best of my knowledge. I agree to share details of self and family with Government of Andhra Pradesh. I am aware that declaration of wrong details will entail disciplinary action against me.

________________________ Employees Signature

Date:

________________________ DDOs Signature

Date:

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