On-Boarding Annexure 2A
Employee Personal Details
PRAN No. * ______________________________
Govt. Quarter Occupied (Yes/No) Yes No Group _____________________________________
Annual Increment Opted Date* ______________________________
Address – Current Address
Same As Permanent Address* Yes / No
Address Line 1 * ___________________________________ Address Line 2 * ______________________________________
State * _________________________ District * __________________________ PIN Code * ___________________________
Family Member Details – Add Member Detail
Relationship * ________________________________ Name * ___________________________________________________
Gender * __________________ Date of Birth * ________________________ Marital Status * __________________________
Physically Disabled * Yes No
Percentage of Disability *(If Selected Yes in Physically Disabled) ______________________________
Dependent * Yes No Income (If Selected Yes in Dependent)
Employed Yes No
Nominee Yes No
Gratuity (In Percentage) * (If Selected Yes in Nominee) ________________________
PF (In Percentage) * (If Selected Yes in Nominee) ________________________
Bank Details – Add Bank Detail
Bank Name * ______________________________ Branch Name * ______________________________
IFSC Code * ________________________________ Bank Account No * ______________________________
Pay Entitlement - For Office Use Only*
Pay Commission * __________________________ Pay Scale /Pay Band/ Pay Level * __________________________
Basic Pay * ______________________________ Govt. Quarter Occupied* Yes No
HRA Tier* (If Selected Yes in Govt. Quarter Occupied) ____________________________
CTA Allowance Applicable Yes No GPF/PRAN Type GPF PRAN
CTA Entitlement* (If Selected Yes in CTA Allowance Applicable) ______________________________
NPS Opted Yes No Medical Stop Yes No
DA Stop Yes No
Certification*: I, the undersigned, certify that to the best of my knowledge and belief, this form is filled correctly.
Sign. ______________________________
Instructions:
Form to be filled in English only.
Fields marked by asterisk (*) are mandatory.
Those already allotted an eight-digit numeric Employee ID shall not apply again as having or using more than one Employee
ID is not allowed.
Employees are to fill below mentioned fields from provided masters:
Marital Status Type of Disability GPF/PRAN Type
Married Visually Impaired GPF
Unmarried Deaf & Dumb PRAN
Divorced Locomotive -
Widow / Widower Mental Disorder -
Separated - -