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  • Member Registration Form

    Uploaded by

    Shahil Kashyap
    2 views2 pages

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    member registration form

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    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    2 views2 pages

    Member Registration Form

    Uploaded by

    Shahil Kashyap

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 2

    EPF & ESIC DETAILS FORM

    M/S HOTEL BODHI INN GAYA

    1. Full Name:(In BLOCK Letters) _


    2. Father Name:______________________________________________________________

    3. Husband Name: _

    4. Date of Birth:(DD/MM/YYYY) / / _

    5. Address:
    __________________________________________________________________
    Pin code : _ OLD PF - _____
    OLD ESICNO - _____
    5. Mobile No:_ Email id@:________________________________________
    6. Date of Joining: / /
    7. Nominee Name: _
    8. Nominees Relation:

    9. Nominee Date of Birth:

    10. Nominee Aadhar No:


    11. Sex: M F
    12. Marital Status: Married Unmarried Widow
    13. Nationality: 14.Religion:
    14. Adhar No: 15.PANNo:_
    15. Bank A/cNumber__________________________
    16. IFC Code:_________________________________
    17. Bank Address:_____________________________
    18. Educational Qualification-____________________
    19. Family details-
    SN. Name DD/MM/YYYY Relation
    1
    2
    3
    4
    5

    Signature of Employee Signature Employer

    Note: Attach Id Proof/AdharCard/Passbook Copy/PanCard


    EPF & ESIC DETAILS FORM

    Note: Attach Id Proof/AdharCard/Passbook Copy/PanCard

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