Joining Form New Employee
New Joining Form
Contents
Check List – Personal File...................................................................................................................................................1-2 Joining report & personal details............................................................................................................................................3 ID card format.........................................................................................................................................................................4 E mail ID requisition................................................................................................................................................................5 Form for for Personal Accident Policy....................................................................................................................................6 Form for Bhaskar Karamchari Aapat Nidhi.............................................................................................................................7 Form for Mediclaim Insurance ...............................................................................................................................................8 Form for ESIC Declaration................................................................................................................................................ 9-11 Form for EPF & EPS nomination & declaration (Form-2 Revised)..................................................................................12-13 Form for Employees Provident Fund Scheme & The Employees Pension Scheme (Form -11 Revised)...........................14 Form for transfer of EPF Account. (Form -13 Revised) ..................................................................................................15-17 Form -F for Nomination...................................................................................................................................................18-20 Form for furnishing details of income under section 192(2) (Form-12 B).............................................................................21 Form for particulars of value of perquisites and amount of accretion to employee’s PF account (Form -12 B)...................22 Annexure..............................................................................................................................................................................23 Undertaking for non-submission of documents....................................................................................................................24
CHECK LIST – PERSONAL FILE Name of Employee : ______________________________________
Designation
: __________________________
Department
: ______________________________________
Grade
: __________________________
Date of Joining
: ______________________________________
Report to
: __________________________
Contact No.
: ______________________________________
Employee ID
: __________________________
S.no
Description
Y/N
Last Date
Remarks
1 2
Resume
Requisition Form
3
JD for the Position
4
Interview Assessment / Feedback Form
5
KRA
6
Approval on hire/ budgetary
7
Reference checks
8
Salary docs of previous organization
8.a
Offer/ Appointment Letter
8.b
Increment Letter
8.c
Salary Slips/ Salary Break-up
9
Offer Letter
Y/N
Last Date
Remarks
Handed Over to:
Date:
Sign:
S.no
Description
1
Personal History Form
2
Photographs – Passport Size 6
3
Joining Report
4
ESIC Form/Mediclaim Form
5
PF Forms ( Form 2, 11 & 13)
6
Gratuity Nomination Form - Form F
7
Email-ID form
8
ID Card Form
9
Copy of Educational Certificate
10
12
Copy of Appointment Letter of last employer/Last pay slip. Copy of Resignation Acceptance/Relieving/ Experience/Service Certificate from all previous employers Proof of age & residence
13
National Id proof (Passport, pan card, voter card etc)
14
Tax Deduction statement (Form 12 B) from previous employer
15
Application for Joining Bhaskar Karamchari Aapat Nidhi
16
Proposal Form for insurance in Group Personal Accident Policy
17
Issuance of Appointment Letter/Salary Breakup Sheet
18
Undertaking of Non-submission of documents (if above forms are not submitted)
19
Bank A/C Status
11
Handed Over to:
Date:
Sign:
Check List – Personal File....................................................................................................................................................................................................................................... 1
S.no
Description
Y/N
Last Date
Remarks
1
Check the file with checklist
2
Data entry in PeopleSoft
3
PeopleSoft Ecode/On-boarding on PeopleSoft
4
PeopleSoft details
5
PeopleSoft Training
6
Provide New Joinee details to time office
Handed Over to:
Date:
Sign:
Check List – Personal File........................................................................................................................................................................................................................................ 2
JOINING REPORT 1. Name of employee & employee ID : _______________________________________ 2. Designation & Grade
: _______________________________________
3. Department : _______________________________________ 4. Location : _______________________________________ 5. Date of Joining
: _______________________________________
PERSONAL DETAILS: 1. Date of Birth
: _______________________________________
2. Marital Status
: _______________________________________
3. Date of Marriage (if married)
: _______________________________________
4. PAN No. : _______________________________________ 5. Address Proof : _______________________________________ (If yes, pls submit a copy to HR)
Please fill the below details in case you already have an IDBI bank A/C: 6. Bank Account No. 7. IFSC Code
: _______________________________________
8. Branch Name
: _______________________________________
9. Branch Address ( in full)
: _______________________________________
: _______________________________________
_____________________________________________________________________________
SIGNATURE : _______________________________________ DATE : _______________________________________ PLACE : _______________________________________
Please note that you will have to open a new IDBI Salary Account if you do not have one
Joining report & personal details.............................................................................................................................................................................................................................. 3
ID Card Format
Name
: ___________________________________________________
Department
: ___________________________________________________
Blood Group
: ___________________________________________________
Emergency Number : ___________________________________________________
Employee Code
: ___________________________________________________
ID card format........................................................................................................................................................................................................................................................... 4
E mail ID - Requisition Form Name
:
__________________________________________________________
Gender
:
__________________________________________________________
Birthdate : __________________________________________________________ Company : __________________________________________________________ Department : __________________________________________________________ DOJ
:
__________________________________________________________
Designation :
__________________________________________________________
Grade
:
__________________________________________________________
State
:
__________________________________________________________
City
:
__________________________________________________________
Local Address
:
__________________________________________________________
EPBX No
:
__________________________________________________________
Mobile No.
:
__________________________________________________________
Preferred Mail ID :
__________________________________________________________
E mail ID - requisition form....................................................................................................................................................................................................................................... 5
PROPOSAL FORM FOR INSURANCE IN GROUP PERSONAL ACCIDENT POLICY
NAME : ___________________________________________________________ FATHER / HUSBAND NAME
:
___________________________________________________________
DATE OF BIRTH
:
___________________________________________________________
DEPARTMENT : ___________________________________________________________ DESIGNATION : ___________________________________________________________ GRADE : ___________________________________________________________ DOJ : ___________________________________________________________ WORKING PLACE [ CHD/BUREAU ]
:
___________________________________________________________
RESIDENTIAL ADDRESS &
:
___________________________________________________________
___________________________________________________________ PHONE NO. ___________________________________________________________ NOMINEE’S NAME : ___________________________________________________________ RELATION WITH NOMINEE
:
___________________________________________________________
WHETHER NEW EMPLOYEE /
:
___________________________________________________________
TRANSFER FROM OTHER CENTER
_________________ _________________ _________________________________ DATE
PLACE
SIGNATURE OF EMPLOYEE
Personal Accident Policy.......................................................................................................................................................................................................................................... 6
APPLICATION FOR JOINING BHASKAR KARAMCHARI AAPAT NIDHI To, Managing Committee, Bhopal.
Dear Sir, I would like to become member of the fund So Kindly advice the concerned department for deduction of monthly contribution from my salary.
Employees Full Name : _______________________________________________________________________ Designation : ______________________________________Department : ______________________________ Grade : __________________
Date of Joining : ___________________ Location : ____________________
Residence Address:__________________________________________________________________________
Details of dependent family members:S. No.
Name of the family member
Relation
Age
DECLARATION I do hereby confirm that I have gone through terms and conditions of the fund and I undertake to abide with them.
________________________ Signature
________________________ ________________________ Name of Employee
Verified By Unit Head
Form for Bhaskar Karamchari Aapat Nidhi............................................................................................................................................................................................................... 7
UNITED INDIA INSURANCE CO. LTD. BRANCH OFFICE 1, 109, BANK STREET, BERASIA ROAD, BHOPAL MEDICLAIM INSURANCE PROPOSAL FORM IMPORTANT A) The Company will not be on risk until the proposal and insured persons details have been accepted by the Company and communication of acceptance has been given to the proposer in writing on payment of full premium. B) If other family members residing with proposer i.e. spouse, eligible dependent children and dependent parents required to be covered separate insured person detail form should be completed for each family member.
PROPOSER’S DETAILS 1. Name of the Proposer (Employee) :
_____________________________________ (Surname)
_____________________________________ (First Name)
2. Address and telephone number
: 1) Residence:_____________________________________________________________________
2) Office: ________________________________________________________________________
3. Grade of Employee : ________________________________ 4. Designation : _________________________________________________ 5. Total number of members to be ____________________________ ______________________________________________ covered under mediclaim insurance : (in figures) (in words) 6. Period of insurance :
: From _____________________________________ To ___________________________________ (midnight)
_________________ _________________ _________________________________ DATE
PLACE
SIGNATURE OF PROPOSER
DETAILS OF PROPOSER & FAMILY MEMBERS TO BE COVERED UNDER THE MEDICLAIM INSURANCE POLICY: S.No.
Name of insured Persons
Age
Sex
Relation
Previous year Card No.
Details of existing disease
1 2 3 4
PHOTOGRAPHS OF INSURED PERSONS:
Form for Mediclaim Insurance.................................................................................................................................................................................................................................. 8
Form for ESIC declaration (Form-1)......................................................................................................................................................................................................................... 9
Form for ESIC declaration (Form-1)...................................................................................................................................................................................................................... 10
Form for ESIC declaration (Form-1).......................................................................................................................................................................................................................11
Form for EPF & EPS nomination & declaration (Form-2 Revised)........................................................................................................................................................................ 12
Form for EPF & EPS nomination & declaration (Form-2 Revised)........................................................................................................................................................................ 13
(Unexempted Establishment Only)
FORM NO. 11(Revised) THE EMPLOYEES PROVIDENT FUND SCHEME, 1952(Paragraph 34) and THE EMPLOYEES PENSION SCHEME, 1995(Paragraph 24) Declaration by a person taking up employment in the establishment I._____________________________________S/O, W/O, Daughter of____________________________________ Do hereby solemnly declare that :-
(a) I was employed in M/s.________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ( NAME & FULL ADDRESS OF THE ESTABLISHMENT ) with PF A/c No._______________________ and left service on _________________ prior to that I was employed in _________________________________________________________________________ with PF A/c No._______________________From________________To_________________________ (b). I am a member of the pension fund from___________________To______________ and copy of the scheme certificate is enclosed. (c). I have/ have not withdrawn the amount of my Provident Fund / Pension Fund. (d). I have/ have not drawn any benefits under the employee’s Pension Scheme,1995 in respect of my past service in any establishment. (e). I have/ have never been a member of any Provident Fund and/ or Pension Fund.
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DATE:___________________
* Signature or left hand thumb impression of the employee.
Encl: Copy of the Scheme Certificate. __________________________________________________________________________________ To be filled by the employer) (1) Shri / Smt. / Miss_______________________________is appointed as_____________________ (Name of Employee) (Designation) in M/s._______________________________________with effect from_______________________ (Name of Factory / Establishment)
bearing PF A/c.No.______________________
(Date of appointment)
(2) Copy of Scheme Certificate is enclosed. (3) Declaration & Nomination in from 2 is enclosed. DATED : _______________________ Signature of the employer or manager or other authorized officer. =============================================================== * Left hand impression in the case of illiterate male member and right hand impression by illiterate female member. Form for Employees Provident Fund Scheme & The Employees Pension Scheme (Form -11 Revised) ........................................................................................................... 14
Form for transfer of EPF Account. (Form -13 Revised) ........................................................................................................................................................................................ 15
Form for transfer of EPF Account. (Form -13 Revised) ........................................................................................................................................................................................ 16
Form for transfer of EPF Account. (Form -13 Revised) ........................................................................................................................................................................................ 17
Form -F for Nomination......................................................................................................................................................................................................................................... 18
Form -F for Nomination......................................................................................................................................................................................................................................... 19
Form -F for Nomination......................................................................................................................................................................................................................................... 20
Form for furnishing details of income under section 192(2) (Form no. 12B)......................................................................................................................................................... 21
Form for particulars of value of perquisites and amount of accretion to employee’s PF account (Form no. 12B)................................................................................................ 22
Annexure............................................................................................................................................................................................................................................................... 23
Name
: ___________________________________________________________________________________
Employee ID
: ___________________________________________________________________________________
Date of Joining
: ___________________________________________________________________________________
Department
: ___________________________________________________________________________________
Location
: ___________________________________________________________________________________
Date
: ___________________________________________________________________________________
Mobile No. /Tele. No. : ___________________________________________________________________________________ Personal E mail ID
: ___________________________________________________________________________________
SUB. : UNDERTAKING FOR NON-SUBMISSION OF DOCUMENTS I, __________________________________________________________ would like to bring to your notice that I have not submitted the following documents: (01)
______________________________________________________________________________________________
(01)
______________________________________________________________________________________________
(01)
______________________________________________________________________________________________
(01)
______________________________________________________________________________________________
(01)
______________________________________________________________________________________________
(01)
______________________________________________________________________________________________
(01)
______________________________________________________________________________________________
And I ensure that I will submit the above said documents by _______________________________ (dd/mm/yyyy). Kindly, permit me the time to submit the documents.
_____________________________________ Signature of Employee
Undertaking for non-submission of documents..................................................................................................................................................................................................... 24