Staff Form

Campus Information

Campus Name:

Personal Information

Name: Phone: Email: Upload Photo:

Basic Information

Designation/Position:

Highest Qualification:

Type of Employment: -- Select Employment Type -- Full-time Part-time Contractual Temporary Intern

Department:

Caste: -- Select your caste -- General OBC-A OBC-B SC ST Other

Blood Group: -- Select your blood group -- A+ A- B+ B- AB+ AB- O+ O-

Additional Information

Date of Birth:

Relationship Status: Select Single Married Divorced Widowed Engaged In a Relationship Separated Partnered Living Together Not Specified Domestic Partnership Annulled Civil Union It's Complicated Divorce in Progress Open Relationship Common-Law Marriage Separated but not Divorced Polygamous Relationship Prefer Not to Say

Religion: Select Islam Hinduism Christianity Sikhism Buddhism Jainism Zoroastrianism Judaism Bahá'í Faith Rastafari Animism Shinto Atheism Agnosticism Other

Gender: Select Male Female Non-binary Transgender Genderqueer Genderfluid Agender Bigender Two-Spirit Androgynous Intersex Questioning Demiboy Demigirl Cisgender Male Cisgender Female Trans Male Trans Female Prefer not to say Other

Father's Name:

Mother's Name:

House Number:

Contact Number 2:

Address

Village/City:

Post Office:

Police Station:

District:

State: Select Andhra Pradesh Arunachal Pradesh Assam Bihar Chhattisgarh Goa Gujarat Haryana Himachal Pradesh Jharkhand Karnataka Kerala Madhya Pradesh Maharashtra Manipur Meghalaya Mizoram Nagaland Odisha Punjab Rajasthan Sikkim Tamil Nadu Telangana Tripura Uttar Pradesh Uttarakhand West Bengal Andaman and Nicobar Islands Chandigarh Dadra and Nagar Haveli Daman and Diu Lakshadweep Delhi Puducherry

Pin Code:

Employment Details

Date of Joining:

Salary:

Mode of Payment (Cash/Bank): Select your payment method Cash Bank

Job Title:

Bank Details

Bank Name:

IFSC Code:

Branch:

A/C Number:

Identification Details

PAN Number:

Aadhar Number:

Voter ID Number:

Important Document Submission Information

Please ensure to provide the following documents to your Administrator/HR. These documents are required for verification purposes:

• PAN Card (If available)
• Aadhar Card (If available)
• Bank Passbook
• Highest Qualification Certificate
• Voter Card (If available)
• If a passport-sized photo is not uploaded, please attach a physical passport-sized photo.

Instructions

Kindly ensure the documents are clear and legible. The documents are to be submitted in person to the HR/Administrator.

Please provide **printed copies** of the documents, and ensure that each document is **self-attested**.

If you are unable to provide any of the documents, please mark them as "Not Available" in the respective section.