1

E Code:
(For Office Use only)
PERSONNEL FILE CHECKLIST FOR DOCUMENTS
Name DOJ

Designation DOB

1 Resume Yes No

2 Candidate Evaluation Sheet Yes No

3 Copy of Offer Letter Yes No

4 Application for Employment

a) Joining Form Yes No

b) Form-11, PF Composite Declaration Form Yes No
c) Form-2, PF Declaration Form Yes No
d) Form-F Gratuity Declaration Form Yes No
e) Form-25, Employment Nomination Form Yes No
f) Employee Verification Form Yes No
g) Previous Employment declaration Yes No

6 Passport Size Photo of Employee Yes No

7 Family Photograph (for ESI Coverage) Yes No

8 Aadhar (UID) Copy/Number (Mandatory) Yes No

9 Address Proof (Name of Doc) ________________________

Aadhar Card/Ration Card/Driving License/Passport/Voter ID

10 Date of Birth Proof (Name of Doc) ________________________

Aadhar Card/PAN/10th Certificate/DOB Certificate

11 Copy of Bank Passbook/Cancel Cheque Yes No

12 Photocopy of Educational Document

a) Primary/Illiterate Yes No
b) Secondary/High School Yes No
c) Sr Secondary/Inter Yes No
d) Graduation Yes No
e) ITI/Diploma (Must for Tech Position) Yes No

13 Photocopy of Previous Employment

a) Offer Letter Yes No
b) Relieving Letter Yes No

Signature _________________________________

Name _________________________________
 EFS Facilities Services (India) Pvt Ltd
Checklist of documents for Pre-Joining Formalities

Sr No Particulars Details

1 Name of Candidate
2 Father's Name
3 Mother's Name
4 Designation
5 DOJ
6 Location
7 Aadhar No (UID)
8 Name In Bank Account
9 Bank Account No
10 Bank Name
11 IFSC Code.
12 Old UAN No Please Fill
13 Old ESI No Please Fill
14 Employment Application Form Y/N
15 Resume Y/N
16 SSLC/10th Y/N
17 PUC/12th Y/N
18 Diploma, B. Tech Y/N
19 Graduation
20 Post Graduation Y/N
21 Professional/ Technical Certificates Y/N
22 Experience Certificate Y/N
23 Photos (6) Y/N
24 Evaluation Sheet Y/N
25 Police Verification Certificate Y/N
26 Medical Certificate Y/N
27 ID Proof/Address Proof Y/N
28 Passport No
29 PAN Card No

__________________________________
Name & Signature of HR
Date:
Place:
1

EFS Facility Services (India) Pvt Ltd Emp Code:

EMPLOYEE APPLICATION FORM

Name of Emp :

Fathers Name : Paste Passport Size

Date of Birth : Place of Birth : Photograph

Age : Marital Status :

Gender : Blood Group :

Height (CM) : Weight :
Emergency Contact Name__________________ Emergency Contact No____________
ADDRESS
Permanent Address Current Address
House No : House No :
Street/Floor No : Street/Floor No :
Village/Town : Village/Town :
City : City :
State-PIN : State-PIN :
Telephone No. : Telephone No. :
Email ID : Email ID :

FAMILY DETAILS
Spouse Name Age :
Name of
Particular Children Age Sex Class Employment Details

Child1 :

Child2 :
Child3 :

BROTHER & SISTERS DETAILS

Relation Name Age Sex Class Employment Details

EFS Facilities Services (India) Pvt Ltd, corporate cum Registered Office, Unit-2A, Uppals Plaza, M6, Jasola

New Delhi, India-110025, Tel- 011-40573929 E-Mail [email protected]

Page: 1 of 2
QUALIFICATION (Start from Highest)
Year of
Degree/Certificates Name of Institute/University/Board Period Passing Percentage

PROFESSIONAL EXPERIENCE [Please list your most recent employer first (attach additional pages if required)]
Reason of
Name of Company Designation CTC From To Leaving

REFERENCES [Name two individuals who can provide professional reference ]

Reference No 1 Reference No 2
Name : Name :
Address : Address :
Phone No : Phone No :

I hereby declare that the particulars given above are correct and true to the best of my
knowledge.

Place :
Date : Employee Signature
For office use only
Comments:

Signature of HR Person

Page: 2 of 2
 www.epfaindia.gov.in
Composite Declaration Form-11
(To be retained by the employer for further reference)
EMPLOYEES' PROVIDENT FUNDS ORGANISATION
Employees' Provident Fund Scheme, 1952 (Paragraph 34 & 57) &
Employees' Pension Scheme, 1995 (Paragraph 24)

1 Name of the Member : (IN CAPITAL LETTERS)

2
Father's Name □
Spouse Name □
3 Date of Birth: (DD/MM/YYYY)

4 Gender: (Male/Female/Transgender)

5 Marital Status: (Married/Unmarried/Widow/Widower/Divorcee)

(a) Email ID:

6
(b) Mobile Number:

Present Employment Details

7
Date of Joining in current establishment (DD/MM/YYYY)

KYC Details: (Attach self attested copies of following KYCs)

(a) Bank Account:

8 (b) IFSC Code:

(c) AADHAR Number:
(d) Permanent Account Number (PAN), If available

9 Whether earlier member of Employees' Provident Fund Scheme, 1952 (Yes/No)

10 Whether earlier member of Employees' Pension Scheme, 1995 (Yes/No)

Previous employment details: [if Yes to 9 AND/OR 10 above] - Un-exempted

Establishment Universal Account PF Account Date of Joining Date of Exit Scheme PPO Number Non Contribution
(DD/MM/YYY (DD/MM/YYY Certificate No (if Issued) Period (NCP Days)
Name & Address Number Number
Y) Y) If any)

11

Previous employment details: [if Yes to 9 AND/OR 10 above] - For Exempted-Trusts

Establishment Universal Account PF Account Date of Joining Date of Exit Scheme PPO Number Non Contribution
(DD/MM/YYY (DD/MM/YYY Certificate No (if Issued) Period (NCP Days)
Name & Address Number Number
Y) Y) If any)

12

(a) International Worker: (Yes/No)

(b) If yes, State country of origin (India/Name of other country)
13
(c) Passport Number:
(d) Validity of Passport (DD/MM/YYYY) to (DD/MM/YYYY)
 UNDERTAKING

- 1) Certified that the particular are true to the best of my knowledge.

2) I authorize EPFO to use Aadhar for verification/authentication/e-KYC purpose of services delivery.
3) Kindly transfer the funds and service details, if applicable, from previous PF account as declared above to the present PF.
Account as I am an Aadhar verified employee in my previous PF Account.*
- 4) In case any changes in above details, the same will be intimated to employer at the earliest.

Date:
________________________
Place: Signature of Member

DECLARATION BY PRESENT EMPLOYER

A. The member Mr/Ms has joined on and has been

allotted PF No. ____________________________________
and UAN No __________________________________

B In case the person was earlier not a member of EPF Scheme, 1952 and EPS Scheme, 1995:

. Please tick the Appropriate option:

The KYC details of the above member in the UAN database
Have not been uploaded
Have Been uploaded but not approved

C In case the person was earlier a member of EPF Scheme, 1952 and EPS Scheme, 1995:

. Please tick the Appropriate option:

The KYC details of the above member in the UAN database have been approved with E-Sign/Digital Signature.
Certified and transfer request has been generated on portal.
The previous Account of member is not Aadhar verified and hence physical transfer form shall be initiated.

Date: Signature of Employer with seal of

Establishment

* Auto transfer of previous PF account would be possible in respect of Aadhar verified employees only. Other employees are requested to
file physical claim (Form-13) for transfer of account from the previous establishment.
1

FORM-2 (Revised)
(For Unexampled/Exempted Establishments)
NOMINATION AND DECLARATION FORM
(Declaration and Nomination Form under the Employee's Provident Funds & Employee's Pension Scheme)
(Paragraphs 33 & 61 of the Employee's Provident Fund Scheme, 1952 and paragraph 18 of the Employee's Pension Scheme, 1995)

1. Name (In Block Letters) :

2. Father's/Husband's Name :
3. Date Of Birth :
4. Sex :
5. Marital Status :
6. PF Account No :
7. Date of Joining :
8. Residential Address : Permanent : ,,,,

:
:
Temporary : ,,,,

:
:
PART A (EPF)
I hereby nominate the person(s)/cancel the nomination made by me previously and nominate, the
person(s) mentioned below to receive the amount standing to my credit in the Employee's Provident
Sr No Name and address of the nominee(s) Nominee's Date of Total amount if the nominee is a
relationship Birth of of share of minor, name and
with the Nominee accumulations relationship and
member in Provident address of the
Fund to be guardian who may
Paid to each receive the amount
Nominee(%) during the minority of
nominee

1
2
3
4
5
6

1 Certified that I have no family as defined in para 2(g) of the Employees' Provident Funds Scheme, 1952 and
should I acquire a family hereafter, the above nomination should be deemed as cancelled.
2 Certified that my father/mother is/are dependent upon me.
3 Strike out whichever is not applicable.

-------------------------------------------------------
Signature or thumb impression of the subscriber

Note: A Fresh nomination shall be made by the member on his marriage and any nomination made before such marriage shall be
deemed to be invalid
EFS Facilities Services (India) Pvt Ltd Page No: 1 PF Nomination Form-2
 Part B (EPS) (Para 18)

I hereby furnish below particulars of the members of my family who would be eligible to receive
widow/children pension in the event of my death.

Sr Name and address of the family members Date of Birth Relationship with the
No Member
(1) (2) (3) (4)

**Certified that I have no family as defined in para 2(g) of the Employees' Pension Scheme, 1955 and should I acquire a
family hereafter I shall furnish particulars thereon in the above form.

I hereby nominate the following persons for receiving the monthly widow pension (admissible under
para 16 2(a) (i) and (ii) of Employees' Pension Scheme, 1995 in the event of my death without leaving
any eligible family member for receiving pension.

Sr Name and address of the family members Date of Birth Relationship with the
No Member
(1) (2) (3) (4)

Place:________________
-------------------------------------------------------
Signature or thumb impression of the subscriber
*Strike out whichever is not applicable

CERTIFICATE BY EMPLOYER

Certified that the above declaration and nomination has been signed/thumb impressed before me by
Srhi/Smt./Kumari_______________________________________employed in my establishment after
he/she has read the entries/the entries have been read over to him/her by me and got confirmed by
him/her.

Place:________________
Dated:________________ ----------------------------------------------
Signature of the Employer or other
authorized Officer of the establishment

Designation:__________________
Name and Address of the Factory
/Establishment or rubber stamp thereof

EFS Facilities Services (India) Pvt Ltd Page No: 2 PF Nomination Form-2
Goodwill,1,50,000/06/09 Emp ID
Employee State Insurance Corporation
Declaration Form
(ISO 9001-2000 Certified)
To be filled by employee after reading instruction overleaf. Two Passport Size photographs to be attached with the
form. This form is free of cost.
(A) INSURED PERSON'S PARTICULARS (B) EMPLOYER'S PARTICULARS

1. Insurance No 9. Employer's Code NO

10. Date of Appointment Day Month Year
2. Name (in block letters)

11. Name & Address of the Employer:

3. Father/Husband's Name
EFS Facility Services (India) Pvt Ltd
5. M/U/W
4. Date of Birth Day Month Year
Marital Status

6. Sex
7. Present Address 8. Permanent Address 12. In Case of any pervious employment please fill up the
details as under:
a) Previous Ins. No.
b) Employer's Code No.
c) Name & Address of the Previous Employer (if any)

Pin Code Pin Code

Ph No Ph No
Branch Office Dispensary

(C) Details of Nominee u/s 71 of ESI Act 1948 /Rule 56(2) of ESI (Central) Rules 1950 for payment of cash benefit in the event of death.
Name of Nominee Relationship with member Address of Nominee

I hereby declare that the particulars given by me are correct to the best of my knowledge and believe. I undertake to intimate the Corporation
any Changes in the membership of my family with in 15 days of such change.

______________________________ _____________________________
Counter signature by the employer Signature/T. I of IP
Signature with seal
(D) FAMILY PARTICULARS OF INSURED PERSON (DEPENDENT ONLY)
Date of Birth/Age as
on date if filling Relationship with Whether residing
Sl. No. Name form the Employee with him/her, say If 'No" State place of Residence
* * * * Yes No Town State
1

------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
ESI Corporation Temporary Identity Card (Valid for 3 month from the date of appointment)

Name
Insurance No Date of Appt.
(Space for photograph)
Branch Office Dispensary
Employers Code No
Employers Name & Address

Signature of Employee
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Date of Birth/Age as
on date if filling Relationship with Whether residing
Sl. No. Name form the Employee with him/her, say If 'No" State place of Residence
* * * * Yes No Town State
1
 FORM 'F'
[See sub-rule (1) of rule 6]
Nomination
To,
EFS Facility Services (India) Pvt Ltd
______________________________________
______________________________________

I, Sh/Smt./Kr……... ………... whose particulars are given in the statement below,

hereby nominate the person(s) mentioned below to receive the gratuity payable after my death as also the gratuity
standing to my credit in the event of my death before that amount has become payable, or having become payable
has not been paid and direct t
1. I hereby certify that the person(s) mentioned is a/are member(s) of my family within the meaning of
clause (h) of section (2) of the Payment of Gratuity Act, 1972.
2. I hereby declare that I have no family within the meaning of clause (h) of section (2) of the said Act.
3. (a) My father/mother/parents is/are not dependent on me.
(b) My husband's father/mother/parents is/are not dependent on my husband.
4. I have excluded my husband from my family by a notice dated the to the Controlling Authority in
terms of the proviso to clause (h) of section 2 of the said Act.
5. Nomination made herein invalidates my previous nomination.
Nominee(s)

Sr No Name in full with full address of Relationship with Age of Proportion by which the
nominee(s) the employee nominee/DOB gratuity will be shared

1
2
3
So On
Statement
1. Name of employee in full
2. Sex.
3. Religion.
4. Whether unmarried/married/widow/widower.
5. Department/Branch/Section where employed.
6. Post held with Ticket or Serial No., if any.
7. Date of appointment.
8. Permanent address.
,,,

Place : Delhi Signature/Thumb impression

Date : 30-09-2019 of the employee
Declaration by witnesses
Nomination signed/thumb impressed before me.
Name in full and full Signature of witnesses.
address of witnesses.
1 1
2 2
Certificate by the employer
Certified that the particulars of the above nomination have been verified and recorded in this
establishment.
Employer's Reference No., if any.
Signature of the employer/
Officer Authorized with Office Stamp
Designation
Date
Acknowledgement by the employee
Received the duplicate copy of nomination in Form 'F' filed by me and duly certified by the employer.

Date Signature of the employee

 Declaration of previous Employment from candidate.

To,
Manager –HR,
EFS Facilities Services (India) Pvt Ltd,
Region: North

SUB: Relieving Letter from my previous company and declaration.

Dear Sir,

I………………………………………………………………, resigned from my previous company and I got

relieved from the company. I am declaring that I am not doing the dual job.

I declare that the above information is true and correct. Kindly allow me to join your
organization. In case of any false information company has the rights to terminate my
services without any Notice.

Thanking you,

Yours truly,

Name:___________________________

Mobile No:_______________________

Date: ___________________________
 Form No-25
[(See Rule 127]

Nomination for payment of wages due for period of leave with

wages in the event of death of worker

I hereby nominate, Shri/Smt………………………………………………………………………………………………….

Who is my……………………………………………………………………………………...(Relation with Employee)

resides at……………………………………………………………………………………………………………………………..

to receive the amount of the balance of my pay in lieu of the quantum of leave availed of

in the event of my death before resuming work.

Date this ………………………. day of……….20……. at………… ……………………………….(Place)

Witness

(1) Name ……………………………………………………………………………………………..

Address ……………………………………………………………………………………………..

Signature ……………………………………………………………………………………………..

(1) Name

Address

Signature

Signature or thumb impression of the employee

 Dos & Don’t's at Site

Dear Employee,

As our professionalism continues to grow, staff members need to exhibit the look that confirms our professionalism for
our coustomers, our partners,and our coworkers. EFSIndai considers the following to be appropriate work attire:

Do's and don'ts at work premises:

҉ Employees should be in uniform at all times in work premises.

҉ The T-shirt/ Shirt should be properly tucked into the trouser for the professional look.
҉ wear leather belts to work preferably in black and brown shades. Do not wear belts with flashy and broad buckles.

҉ Socks must be well coordinated with the outfit.

҉ Don't wear shoes that make noise while walking .prefer soft leather shoes in safety black colour. Make sure your
shoes are polished and laces properly tied.never wear sport shoes or sneakers to work
҉ Shave Daily. Use good after shave lotion and make sure your skin does not look dry and flaky.
҉ Body odour is abig turn off. One must always smell good in public. Use a mild perfume or deodorant.

҉ Employees should carry his EFS Identity card at all time in work premises.
҉ Never adopt a casual attitude at work. And respect your subordinate and line managers.
҉ Don’t peep into others cubides and workstations. Knock before entering anyone's cabin. Respect each others privacy
҉ Don’t open anyone else's notepads registersor files without his permission.
҉ keep your work station clean and tidy. Throw unwanted papers in dustbin and keep files in their respective drawers.
Put a label on top of each file to avoid unnecessary searching.
҉ Never attend briefing session, meetings or seminars without a notepad and pen. It is little tough to remember each
and everything discussed in a meeting . Note down the important points for future refference . Wait for your turn to speak .
҉ Pass on information to all related recipients in the desired form. Communicate through written mode of communication
preferably through emails. Keep your reporting boss in the loop. Make sure your email signatures are correct.
҉ Reach office on time. One must adhere to the guidelines and policies of the organization. Discipline must be
maintained at the work place
҉ Respect your fellow workers and help them whenever required
҉ Make sure you turn off the monitor while you go out for lunch or tae breaks.
҉ Smoking and consuming alcohol is not permitted at all times in work premises. It will be treated as very serious
offence, may lead to the termination of employment
҉ Every employee should fellow the policy and procedures of the organization strickly and no way it's acceptable
if deviated in any aspects.

To make this policy effective, we need your commitment and support, please sign below as acceptance in adherence
to this practice at all time.

For EFS Facilities Services (India) Pvt. Ltd

Name:______________________________

Team Human Resources ____________________________________

Signature of the Candidate
Date:
 EFS Facilities Services India Pvt. Ltd
Company Induction
Date………………….

This is to certify that,

Mr./Ms/Mrs.…………………………………………………………………………………………………………………………

Has successfully completed the HR Induction conducted by with us on the following.

Ø Site Instructions: Grooming

Ø Work Ethics:
Ø Code of conduct: Client Commitment / Transparency / Ethics / Zero Discrimination/Discipline
Ø Harassment Policy:
Ø Policies & Procedures: Anti Bribery & Anti Corruption
Ø Employee Benefits: PF / ESI / Bonus / R&R / Leave Policy
Ø Termination Procedure for Absconding Employees

EMPLOYEE DECLARATION

I hereby declare that the above provided induction points covered by HR & I have
understood and follow to the best of my career.

__________________________
Emp. Sign

For EFS Facilities Services (India) Pvt Ltd.

Team Human Resources