Check List of Staff Documents

Employer Name:-

Employer Address:-

Employee Name:

Joining Date:

Department:

Sr. No. Form Details Status

1 Employee Form filled by employee.
2 One Photo pasted on employee form signed across the photo.
3 One extra photo clipped to employee form.
4 Valid Address Proof (Voter ID, Aadhar, Driving Licence, Electric Bill, Passport, Ration Card).
5 Valid PHOTO- ID Proof (PAN Card, Voter ID, Adhaar, Driving Licence, Passport).
6 Joining Letter.
7 Pre signed resignation letter.
8 Bank account information (Bank Name, Bank A/c No, Branch Address, IFSC Code).
9 High School Marksheet (For Date of Birth Proof).
10 Academic Marksheet.
11 KRA
12 Company SIM Allotment letter if applicable.
13 Company Email Allotment letter if applicable.
14 Blank Cheque in case of sales and collection agent.
15 For Female candidates - Approval Letter from parents.
16 Health and Medical Declaration
 Employment Form
Employer Information

Recent
Passport Size
Photograph
Paste here

Employee Information
PERSONAL INFORMATION

Full Name Middle Name Last Name

Local Address

Street Address

City State PIN Code

Permanent Address

Street Address

City State PIN Code

Mobile Phone 1:- Mobile Phone 2:-

Home Phone 1:- Home Phone 2:-

Email ID (Personal):-

PAN Card Number:- Disability:-

Identification Mark:- Nationality:-

Religion:- Date of Birth-

Marital Status:- Spouse Employer:-

Spouse Name:- Spouse Mobile:-

 EDUCATION INFORMATION

Qualification:

University & City:

Completion Date:

PREVIOUS EMPLOYMENT INFORMATION

Designation:- Department:-

Supervisor:- Tenure:-

Company:- City & State:-

Start Date:- End Date:-

Reason For Termination:-

Initial Salary:- Ending Salary:-

References:-

Remark & Note:-

JOB INFORMATION
Designation:- Department:-

Contract Sign Date:- Joining Date:-

Initial Salary:- Hours Per Day:-

References:-

Remark & Note:-

FAMILY INFORMATION
Father Name:- Middle Name:- Last Name:-

Occupation:- Mobile:-

Mother Name:- Middle Name:- Last Name:-

Occupation:- Mobile:-
 EMERGENCY INFORMATION

Full Name:-

Street Address

City State PIN Code

Mobile Phone:- Email:-

Relationship:-

ITEM FOR SUBMISSION

Photograph (Passport Size):- Photograph (Stamp Size):-

Passport Details:-

Identification Proof:- Voter Card/PAN Card/Driving License/Aadhar Card

Identification Proof Identification Number YES NO

Voter ID Photocopy
PAN Card Photocopy
Driving License Photocopy
Aadhar Card Photocopy
Permanent Address Proof
Resume
Marksheet
Diploma
Previous Experience Latter
Previous Salary Slip
 SALARY REVIEW

Date of Review Salary Increase From Salary Increase To Remark/Note

WARNING
Date of Warning Type of Warning Reason Remark/Note
(Circle One)
Written/Verbal
Written/Verbal
Written/Verbal
Written/Verbal
Written/Verbal
Written/Verbal
Written/Verbal
Written/Verbal
Written/Verbal
Written/Verbal
Written/Verbal
Written/Verbal
Written/Verbal
Written/Verbal
Written/Verbal
Written/Verbal
Parent/Guardian Consent Form
To be presented to the employer who offers the teenager candidate a job, with a copy of the Certificate of
Completion of 18 years of age.

Candidate/Worker Information
Name________________________________________________________________________

Address_______________________________________________________________________
________________________________________ _____________________________________
City:-___________________________ Province _________________Pin Code_____________
Telephone ______________________ Cell Phone_________________ DOB _______________

Parent/Guardian’s Name________________________________ Telephone Number __________________

Parent/Guardian’s Mailing Address (if different than above):

_______________________________________________________________________________________

Employer Information
Business Name_________________________________________________________________

Address_______________________________________________________________________
________________________________________ _____________________________________
City ____________________________ Province _________________Pin Code_____________
Telephone ______________________

Consent
I,______________________________ , confirm that I am the parent/guardian of ____________________.
This is my written consent
for ____________________________ to be employed by _______________________________________ .
I certify that the herein stated is true and correct to the best of my knowledge and belief. This consent can
be withdrawn at any time without notice.

Declaration
I hereby declare that my daughter/son _______________________________has been completed 18 years
on dated ______________________ And as per govt. of India rules is eligible to do job in any
organizations. The proof of the Age has been submitted in form of _________________________________

Date (dd/mm/yyyy): ______________________________Signature:______________________________

Printed Name:___________________________________________________________________________

Employers must keep this written consent as part of the employment records.
Parents/guardians should also keep a copy within their records.
 References (Local Only)

A
Name
Address
Contact No
Mail Id
Relation with
candidate/Employee

B
Name
Address
Contact No
Mail Id
Relation with
candidate/Employee
Pre –Employment Health Declaration.
Job applied for:
Employer:-
Department:
Workplace Location:
Appointing Manager:
Job applied for:
1. Do you suffer, or have you ever suffered from any of the following?
Symptom Yes No Symptom Yes No
Asthma or shortness of breath (Please Epilepsy or blackouts
provide details below) (Please list any details overleaf)
High / low blood pressure Stomach disorders
Any hearing disability Liver disorders
Diabetes (insulin dependent) Anaemia
Hernia Phobia (please specify)
Heart related problems Drug / alcohol addiction
Nervous disorders Allergies (please specify)
Back or disc related problem Mobility problems
Do you have any visual problems? Vibration white finger or any HAVs
(please provide details below) related condition
Tenisynovitis (joint problems)
Have you had or do you suffer from any of the following Yes No
Any physical or mental condition that might affect your ability to do or
be made worse by doing the job you have applied for?
Any physical or mental health condition that might affect your safety or the safety of others at work?
Any disabilities (as defined by the Equality Act 2010)?
Do you need any adjustments made to your workplace, workplace equipment or working practices?
Have you been retired or had your work contract terminated due to ill health?
Have you ever applied for or been awarded compensation for a workplace injury or illness?
Any other condition or health problem that the Occupational Health Unit should be made aware of or
you want advice about?
1. Do you wear any spectacles or contact lenses? If yes for what reason? (eg short sight, reading)
2. Are you currently taking any medication (prescribed)? Please give the name, mgs and how often you take
it:______________________________________________________________________________________
3. Are you registered disabled? YES/NO
4. Please give any details of any illness, hospitalisation, etc that may affect your ability to work in the Company.
5. You will be subject to screening for presence of alcohol and / or drugs either for pre-employment or
6. on a random basis. Do you object to this? YES/NO
7. Are you currently under any medical surveillance? (eg lead, asbestos, back problems, etc) If so, please
8. Give full details. YES/NO
Returning to work
Is this form for a return to work, following an absence certificated by a doctor? YES / NO
Have you obtained a certificate from your doctor stating you are fit to return to work? YES / NO
Are there any restrictions to the work you are able to undertake? (please provide details ) YES / NO
By signing below, you are declaring your fitness to return to work
I declare that all the information provided in this questionnaire is correct. If any of my circumstances
change in regard to any of the questions asked on this form, I will immediately inform my contracts
manager/supervisor/recruitment consultant and the Human Resources department in the Company.
Full Name________________________________________________________________
Date_________________Signature____________________________________________
Employer Information

Company Guidelines for company provided SIM Card

Mr/Ms/Mrs _________________________.

Dear Staff Member!

We are pleased to issue you this SIM Card with Mobile No: _____________________.
However please note that you will be required to follow the below mentioned guidelines:

1. You shall be allowed to make official calls up to the limit of Rs _____________.

Beyond the limit you will be liable to pay the phone bill.

2. This SIM Card Mobile number has been allotted to you for the purpose of official
communication only restricted to the level of your designation.

3. Any illegal / unauthorized communication (through Voice or SMS etc) or any illegal /
unauthorized activity, made through this SIM shall be solely your responsibility and
you shall be solely liable for all or any legal action initiated against this
mobile no. ____________________________.

4. In case of resignation / dismissal from the company you shall be responsible to return
back the SIM to the company, failing which the balance amount due on the SIM card
Mobile No: and a penalty of Rs 200.00 shall be deductible from your final payout.

I ___________________ hereby declare that I completely agree to follow the guidelines as

stated above and will bear and pay off all liabilities as or if applicable in case of any default.

Declaration by

Mr/Ms/Mrs_________________________________

Date_______________________
Employer Information

Company Guidelines for company provided E-mail ID

Mr / Ms/ Mrs _________________________.

Dear Staff Member!

We are pleased to issue you your company E-mail ID as _________________. However

please note that you will be required to follow the below mentioned guidelines:

This E-mail ID has been allotted to you for the purpose of official communication only
restricted to the level of your designation.

Please note that you will not be allowed to transmit any emails that may contain any fake
data, any forged email, any virus or any kind of software or any unauthorized E-mail.

Further please note any illegal / unauthorized communication or any illegal / unauthorized
activity, made through this E-mail ID shall be solely your responsibility and you shall be
solely liable for all or any legal action initiated against this
E-mail ID. ________________________________________________________________.

I ___________________ hereby declare that I have understood the rules / guidelines stated
above and I herby completely agree to follow the guidelines as stated above and will bear
and pay off all liabilities as or if applicable in case of any default.

Declaration by

Mr/Ms/Mrs_________________________________

Date_______________________
Employer Information

A. Petrol Policy.
As per latest decision of Management in Company every employee who is using their two
wheeler is eligible for getting petrol allowance as per following:-
 Petrol will be given on kilometer basis.
 Employee two wheeler fuel consumption average should be 45 kilometer/liter.
 Petrol Rates may be vary time to time.
 Petrol expenses/allowances will be calculated on actual current petrol price.
 Petrol expenses/allowance will be only applicable during office hours or for office
work only.
 No Petrol allowance will be provided for home to office or for Office to home.
 Employee should maintain the two wheeler meter reading on daily basis
(Starting/ending) as per the norms of the Company.
 Petrol may also be fixed for some departments.

Example: - Approx petrol is Rs. 108/liter and average as per company for petrol is 45.
Then 108/45 = 2.4 rupees/ kilometer.
If current reading is 150 km, then 150*2.4 = Rs.360/-

B. Maintenance Policy
कॊऩनी भें प्रफॊधन के नवीनतभ ननर्णम अनस
ु ाय जो कभणचायी, अऩने दोऩहिमा वािन का उऩमोग कयता
िै ,उसे 0.50 ऩैसे प्रनत रीटय की दय से उसके वािन का यखयखाव हदमा जाएगा:-
जैसे –
150 km Reading
150*0.50 = 75/-
Total = Rs. 75/-

1. मि यख-यखाव नतभािी मा भाससक बी हदमा जा सकता िै ।

2. घय से ऑफपस मा ऑफपस से घय के सरए कोई यखयखाव बत्ता निीॊ हदमा जाएगा।


All the above mention policy can be change/modify/amend/removed without giving
any prior notice or information to the employees by the Management.
सेवा भें
श्रीभान (कॊऩनी प्रफॊधक)

श्रीभान जी ,
भैं (___________________) ववगत (____) सार/ (____) भिीनों से (____________) के ऩद ऩय
कामण कय यिा / यिी िॉ । खेद के साथ आऩको सचचत कयना ऩड़ यिा की अऩने व्मक्ततगत कायर्
(___________________________________________________________________________
_________________________________________________________________) की वजि से
भैं मि नौकयी छोड़ना चािता / चािती िॉ । भैं कॊऩनी ननमभ अनुसाय अगरे भिीने की (______) तायीख से
कामणस्थर निीॊ आऊॊगा / आऊॊगी । कृऩमा इसे भेया त्माग ऩत्र जान कय कॊऩनी ननमभ अनुसाय कटौती के
फाद भेया फकामा अदा ननमत सभम ऩय कयने की कृऩा कयें । कृऩमा आश्वस्त यिें की बववष्म भें फकसी बी
प्रकाय की जरूयत ऩड़ने ऩय सिामता कयने भें भझ
ु े अतीव प्रसन्नता िोगी ।

सधन्मवाद
------------------------------------------------------------------------------------------------------------------------------
To,
Manager
______________________________________________
__________________________
__________________________

Dear Sir
I (___________________________) have been working within your organization since the
last (______) years (______) months on the post of (_____________________________).
With regret I have to inform you that for my personal reasons
(_________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________)
I have to quit this job. Please note that I will not be available from (___________________)
of the next month hereby serving this 1 month notice. This letter be treated as my final
resignation and request you to release my balance salary after the deductions on the fixed
time as per the company norms. Please be assured that it will be my pleasure to be of any
assistance in case you require so in the future.

Thanks and Regards

 Key Responsibility Areas
Sr.No. KRA
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29

Employee Name____________________________ Date___________________

Signature______________ Admin/Manager________________
 Company Credentials Allotment Declaration

# Credentials Allotment Department & Allotment Remark

Person Detail
1 Company Mobile No. Accounts Department To make official voice communication with
staff & client.
2 Email ID WEB DIVISION To make officially mail communication with
staff & client.
3 We Care User Id & WEB DIVISION This is complaint CRM To lock Allot & check
password. the status of the complaint
4 SMS portal User Id & WEB DIVISION To send essential required Information to
Password client and Staff
5 Synnefo User Id & NOC To check the details of Airway Broadband &
Password FiberOne Broadband connections.
6 Tally User Id & Accounts Department To use accounting system of the Company.
Password
7 Sales & CRM User Id & WEB DIVISION To lock, Follow & close all types of Sales
Password Inquiry.
8 TIR Software User Id & WEB DIVISION Will Use for Support Team in Airway
Password Broadband & FiberOne
Broadband to retrieve the Customer
Information.
9 How to use Email id WEB DIVISION This is the use of as decide by the admin.
Outlook/ Webmail.
10 Assets management WEB DIVISION Will use to manage the Company’s Assets.
System
11 Network IP NOC To manage the Network Infra Ip of Airway
management System Broadband &
FiberOne Broadband.
12 Reminder System WEB DIVISION To Set the reminder of any Task via Mail or
SMS.
13 Feedback Calling WEB DIVISION To know the feedback of old as well as New
System. Customers.
14 Employees WEB DIVISION To check the details of the Employee.
Management System.
 Employee ESIC Enrolment & Information Form
(Employee's State Insurance Corporation)
Employer Details With ESI registration No.

Employee Name :-
Gender (Male/Female)
Name of Father/ Husband
Employee Mobile no
(Registered With your Aadhar Number)
Other Contact Number
E-Mail ID
Date Of Birth
Marital Status
Present Address
Permanent Address
Employee Nearby ESIC Dispensary & Hospital (Please Tick One) 1. Birla Nagar, Gwalior
2. DD Nagar, Gwalior
3. Phalika Bazar, Lashkar
4. Jawahar Colony kampoo, Lashkar
5. Murar, Gwalior
6. Gole ka mandir
Details of Nominee
Dependent Family Member Name 1.
(With date of Birth and relation) 2.
3.
4.
5.
Employee Bank Account Details:- Bank A/c No:-
Bank Name:-
Branch name and Address:-
IFSC Code:-

In case of any previous employment please fill up the details below:

Previous Employer's Code No.:
Previous Insurance (Employee ESIC No)
Previous Employer Name
Previous Employer Address State:__________ District:_________ Pin code:________
Previous Employer Details (Phone/Mobile/Mail)
Please Note Following:-
1. Submit your bank account passbook copy with this form.
2. Correctly mentioned mobile number it should be registered/link with our Aadhar number.

DECLARATION
I agreed to deduct _____% from my basic salary as an employee contribution and _____% will be contributed by employer for ESIC. (It can be
changed in future as per Government norms)

Name & Sign. Name & Sign

HR. Executive Employee

 आवश्यक सच
ू ना

हदनाॊक:_________

PC Care Airway Infratel PVT. LTD. , PC Care Technologies PVT. Ltd. एवॊ PC Care Infotech
Solution के सभस्त कभणचारयमों को मि जाता िै आज हदनाॊक _____________ से
(कॊऩनी नाभ)__________________________________________________________भें कभणचायी
नाभ_____________________ ने कामणबाय सॊबारा िै नका कामण डिऩाटण भेंट_________________ भें
यिे गा एवॊ इनको दी गमी िै आऩ सबी रोगो को िो |

क्जम्भेदारयमाॊ :-
1. ____________________
2. ____________________
3. ____________________
4. ____________________

नोट :-
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________

Account Dept. Admin

(Seal & Sign) (Seal & Sign)