Shri Pitambra
Manpower Services Pvt. Ltd.
Form ref:
HR-JF-
Issued:
Employee Joining Form
×
Upload
passport-size
photograph
Take photo + GPS
To be completed in full by the candidate on the date of joining and countersigned by the reporting manager and HR. Fields marked
*
are mandatory. Attach photocopies of all supporting documents listed in Section 7.
Photo stamped with GPS coordinates and time — see thumbnail.
1. Personal details
Full name (as per Aadhaar)
Father's / Husband's name
Date of birth
Gender
Male
Female
Other
Marital status
Select
Single
Married
Other
Blood group
Select
A+
A-
B+
B-
AB+
AB-
O+
O-
Nationality
Mobile number
Alternate contact number
Email address
Aadhaar number
PAN number
UAN (if previously employed)
ESIC number (if previously employed)
Present address
Permanent address
2. Employment details
To be filled with HR
Employee code
(auto-generated)
Edit
Date of joining
Employment type
Select
On-roll
Contract / Manpower deployment
Temporary
Trainee
Designation
Department
Client / site deployed to
Work location
Reporting manager
Shift
Select
General
Morning
Evening
Night
Rotational
Capture joining location
No location captured yet — tap the button on-site to record it.
3. Educational qualification
Qualification
Board / University
Year
% / CGPA
Specialisation
4. Previous employment
Leave blank if this is a first job
Employer name
Designation
From
To
Reason for leaving
5. Bank details
For salary disbursement
Bank name
Branch
Account holder name
Account number
IFSC code
6. Emergency contact & nominee
Emergency contact name
Relationship
Emergency contact number
Nominee name (for PF / ESIC / insurance)
Nominee relationship
Nominee date of birth
7. Documents submitted
Attach a scan or photo of each — stored in Google Drive
Passport-size photographs (2)
No file selected
Choose file
Aadhaar card copy
No file selected
Choose file
PAN card copy
No file selected
Choose file
Address proof
No file selected
Choose file
Educational certificates
No file selected
Choose file
Previous experience / relieving letter
No file selected
Choose file
Bank passbook / cancelled cheque
No file selected
Choose file
Pre-employment medical certificate
No file selected
Choose file
Police verification / background check
No file selected
Choose file
UAN / PF transfer form
No file selected
Choose file
Upload documents
Files stay on this device until you tap upload.
8. Declaration
I declare that the information given above is true and correct to the best of my knowledge. I understand that any false statement or concealment of facts may lead to termination of my engagement at any stage, without notice. I agree to abide by the rules, code of conduct, and policies of Shri Pitambra Manpower Services Pvt. Ltd. and the client site to which I am deployed.
Candidate signature & date
HR / verifying officer signature & date
HR Admin Verification Portal
For office use only
Verified by
Verification date
Documents complete
Select
Yes
Pending
Print form
Submit joining form
×