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Index Number (Format)

This document contains information for creating a specimen signature index number for an employee. It includes the employee's name, date of birth, designation, place of posting, and other identifying details. It certifies that the employee's signature has not been registered before and that no disciplinary actions are pending against them. The employee and two verifying officers must sign with their names and index numbers to attest to the specimen signature.

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ÄbhíñävJäíñ
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162 views

Index Number (Format)

This document contains information for creating a specimen signature index number for an employee. It includes the employee's name, date of birth, designation, place of posting, and other identifying details. It certifies that the employee's signature has not been registered before and that no disciplinary actions are pending against them. The employee and two verifying officers must sign with their names and index numbers to attest to the specimen signature.

Uploaded by

ÄbhíñävJäíñ
Copyright
© © All Rights Reserved
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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REV-ANNEXURE-I

FOR SPECIMEN SIGNATURE INDEX NUMBER


Date:_____________

NAME: SHRI/SMT/MS : _______________________________________________________________


(ALL IN CAPITAL LETTERS) SURNAME NAME FATHER’S/HUSBAND’S NAME

IN WHICH ALPHABET YOU DESIRE TO HAVE YOUR INDEX NUMBER:_______

EMPLOYEE NO.__________________ DATE OF JOINING_______________________________

DATE OF BIRTH__________________ DATE OF RETIREMENT___________________________

DESIGNATION____________________ SCALE________________________

PLACE OF POSTING (NAME OF THE BRANCH/OFFICE)___________________________________

BRANCH BSR CODE REGION CODE ZONE CODE

WHETHER POWER OF ATTORNEY HOLDER: YES/NO

IF YES, CATEGORY:_________________

DATE OF PROMOTION/PLACEMENT TO PRESENT SCALE/POST______________

THIS IS CERTIFY THAT THE ABOVE MEMBER’S SIGNATURE IS NOT REGISTERED IN THE SPECIMEN
SIGNATURE ALBUM AND THAT HE/SHE HAS NOT BEEN ALLOTTED ANY INDEX NUMBER HITHERTO AND IT IS
FURTHER CERTIFIED THAT THE ABOVE MEMBER DOES NOT FIGURE IN ANY GROSS IRREGULARITY
INVOLVING MALADES AND NO DISCIPLINARY PROCEEDINGS ARE CONTEMPLATED/PENDING OR
CONCLUDED AGAINST HIM/HER, ON ACCOUNT OF ANY IRREGULARITIES.

______________________________ ________________________________
ATTESTED BY (SIGNATURE, NAME AND INDEX NUMBER OF ATTESTING
DESIGNATION –SCALE & EMPLOYEE NO. OFFICER

(MEMBER TO SIGN WITH BLACK PEN AND WITHIN THE CAGE ONLY)

NAME :_______________________________ NAME:______________________________

If signature is to be revised quote your Index Number : ___________________

__________________________ _____________________________
REGIONAL MANAGER CM/AGM/Zonal Office
Name & Index No. Name & Index No,

N.B. : The branches and controlling offices should affix their respective rubber stamps on the applications.

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