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    Employee Information Form - 2013

    Uploaded by

    Keith Augustine
    This document contains an employee information form for updating personal details on the government payroll system. It requests identifying information, employment details, emergency contacts, dependents, education history, skills, and experience from the employee. The goal is to allow the HRMIS unit to facilitate current employee information when needed by ministries and departments.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Employee Information Form - 2013

    Uploaded by

    Keith Augustine
    24 views5 pages
    This document contains an employee information form for updating personal details on the government payroll system. It requests identifying information, employment details, emergency contacts, dependents, education history, skills, and experience from the employee. The goal is to allow the HRMIS unit to facilitate current employee information when needed by ministries and departments.

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    © © All Rights Reserved

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    This document contains an employee information form for updating personal details on the government payroll system. It requests identifying information, employment details, emergency contacts, dependents, education history, skills, and experience from the employee. The goal is to allow the HRMIS unit to facilitate current employee information when needed by ministries and departments.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    24 views5 pages

    Employee Information Form - 2013

    Uploaded by

    Keith Augustine
    This document contains an employee information form for updating personal details on the government payroll system. It requests identifying information, employment details, emergency contacts, dependents, education history, skills, and experience from the employee. The goal is to allow the HRMIS unit to facilitate current employee information when needed by ministries and departments.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    You are on page 1of 5

    Ministry of the Public Service and Elections & Boundaries

    Human Resource Management Information System (HRMIS) Unit

    Employee Information Form


    Please fill in all relevant fields on this form as it will assist in updating your personal and related information on the
    Government Payroll System (Smart Stream).

    The goal is to allow HRMIS to immediately facilitate current and updated information when required by
    Government Ministries and Departments.

    Kindly fill in this form and forward it through your Ministry’s/Department upon employment
    andeverytimeemployee information status changes.

    Note: Fields with * (asterisk) are required every time you fill in this form.

    PART I (to be filled out by Employer)


    Information: Full Updating Partial Updating

    Ministry:____________________________________________________________________

    Department: _________________________________________________

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

    Employment Particulars:

    Location/Station: ________________________________

    Cost Centre:___________

    Date of First Employment in the Public Service: DD/MM/YYYY


    | |
    Date of First Appointment: DD/MM/YYYY
    | |
    Date of Present Appointment: DD/MM/YYYY
    | |
    End Date of Contract: DD/MM/YYYY
    | |
    Position/Post:____________________________________

    Incremental Date: DD/MM/YYYY


    | |
    Pay Scale:____________ Payment: MonthlySemi-Monthly

    Point on Pay Scale: _____________ Annual Salary:$_________________

    Employment Type: Established Un-Established Temporary Contract

    Payment Method: Cash Check Bank Account

    Name of Banking Institution:______________________________________

    Account Number: _________________

    Bank Branch Location: ________________________

    Allowances/Deductions:

    1
    All’ce/Deduction Bank Bank A/c Start date Stop Date Frequency Amount Comments
    Description # (1st p/period
    2nd p/period
    Every
    p/period)

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

    Part II (to be filled out by Employee)


    Officer’s Personal Particulars

    Mr. Ms. Mrs. Other:____________________

    First Name Middle Name(s) Last Name Maiden Name

    Date of Birth:

    Social Security Number: ________________

    DD/MM/YYYY
    Tax ID Number(TIN #): ________________
    | |
    Gender:Female Male

    Marital Status:Single Married Divorced Common Law Legal Separation

    Nationality: __________________ Place of Birth

    Personal Address and Contact:

    Street:_____________________________________

    Zone/Area: _________________________________

    Village/City/Town/Caye/Other: _____________________

    District: ________________

    Personal Telephone Number: __________________

    Home Telephone Number: ____________________

    Personal E-mail Address: _____________________

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

    Emergency Contact Person

    Mr. Ms. Mrs. Other:____________________


    2
    First Name Middle Name(s) Last Name Maiden Name

    DD/MM/YYYY
    Date of Birth: | |

    Social Security ID Number: ______________ ________________

    Gender: Female Male

    Marital Status:Single Married Divorced Common Law Legal Separation

    Address and Contact:

    Street: _____________________________________

    Zone/Area: _________________________________

    Village/City/Town/Caye/Other: _____________________

    District: ________________

    Personal Telephone Number: __________________

    Home Telephone Number: ____________________

    Personal E-mail Address: _____________________

    Relationship to you:_________________________

    Employment

    Employment status: Employed Un-Employed Unknown

    Employer: _________________________________________________

    Street: _____________________________________

    Zone/Area: _________________________________

    Village/City/Town/Caye/Other: _____________________

    District: ________________

    Is the contact person a dependant to you: Yes No

    Dependants:

    3
    Date Gender National Identifier Student Relationship
    of (Social Security/ Status to
    Birth Pensioner’s) (part time/ employee
    full time/
    none)
    Full Name
    D/M/Y M F Type #

    Educational Background/Academic Achievements


    Academic qualifications (list academic qualifications)

    Name of Course School Period of Complete/ Award


    Attended Training Incomplete Received

    Short training courses attended: (seminars/workshops/special skills training)

    Name of Course School/Organization Period of Award Received


    Attended Training

    Employee Skills (knowledge, abilities, and qualifications gained through experience and
    training – (list any particular skills possessed and the proficiency level)

    Skill Level of Declared by How acquired (training How used (in


    Proficiency (Self/ course/self study/ formal previous job/On
    Manager/ education/completed request/Academic
    Trainer) certification/ on the job/ /Other )
    Name of other)
    Institution

    4
    Experience:

    Field/Area of Experience Date


    From To

    Signature of Employee: Signature of Finance Officer:


    Date: Date:
    HRMIS Use Only:

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