Weavings Manpower Solutions Pvt. Ltd.

(a Planet Group Venture)

Hari Om Chambers, 2nd Floor, B-16,Veera Industrial Estate,
Off Link Road, Andheri (W), Mumbai-400053
T: 022-4905 4500 Email: [email protected] Web: www.weavings.in
EMPLOYEES JOINING CHECKLIST

ASSOCIATE CODE - CLIENTNAME -

ASSOCIATENAME- JOB LOCATION -

SR. NO. CHECKLIST DOCUMENTS Location HO OTHER REMARKS

1 CANDIDATE INFORMATION FORM

2 PASSPORTSIZEPHOTO (4 NOS.)

3 IDPROOF(PAN CARD)

4 ADDRESS PROOF (AADHAAR CARD WITH FULL DOB)

5 OFFER LETTER ACKNOWLEDGEMENT COPY

6 APPOINTMENTLETTER ACKNOWLEDGEMENT COPY

7 GRATUITY NOMINATION FORM (FORM F)

8 FORM-11

9 PF NOMINATION FORM (FORM-2)

10 ESIC NOMINATION FORM (DECLARATION)

11 EDUCATIONAL CERTIFICATE

12 WORK EXPERIENCE CERTIFICATE

13 CANCELLED CHEQUE/PASSBOOK FRONT PAGE SCAN

14 RESUME

NOTE :-

UI /AI Signature HOSignature

 Candidate Information Form
External Fixed Term Contract Associates

Employee Details:

1. Full Name (IN CAPS) : DEEPAK KRISHNA B

2. Designation: HR RECRUITER Photograph of

3. Department: HR Location: CHENNAI Employee

4. Date of Birth: 19-04-2001 Date of Joining:_ 28-08-2022

5. Present Address: No.8/8 sundaram street sowcarpet chennai 600001

6. Permanent Address: No. 8/8 sundaram street sowcarpet chennai 600001

7. Marital Status:_ Single Gender: Male Educational Qualification:_ MBA

8. Bank Name:_Karnataka Prt limited A/c No._4942500101273101

9. PAN Card No. KQOPK0863D

Aadhaar Card No._263677218678 Mobile No._+918825456527

10. Residence Phone No._+918825456527 Email Id: [email protected]

Family Details:
S. No. Name Relationship Gender Age
1. P Bala krishnan Father Male 56
2. B Shanthi Mother Female 54
3. Wife/Husband
4. Children

Emergency Contact Details:

Name B shanthi Relationship:_

Address: No.8 sundaram street sowcarpet chennai:600079

Telephone No.:_ +918825456527 Mobile No.: +918825456527

Experience Details:
S. No. Company Name Duration Period Designation Reporting Manager,
Contact Details
1 Quess crop private limited 3 year HR recruiter Akash

Reference’s Name:_Asrar Relationship Friend Contact No._

8248485171
I NOMINATE THE FOLLOWING PERSON TO WHOM IN THE EVENT OF MY DEMISE THE ACCUMULATED DUES SHOULD BE RETURNED
 1. Nominee Name: B shanthi Relationship: Mother Contact No._+918825456527

2. Residential Address: No. 8 sundaram street sowcarpet chennai 60001Age:_ 54 DOB: 29-03-1972

I DECLARE THAT THE ABOVE INFORMATION PROVIDED HERE BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE

SIGNATURE Date :_ 28-08-2022 Place: Chennai

Documents Submitted:
S. No. Document Name Status
1. ID PROOF Yes
2. ADDRESS PROOF Yes
3. EDUCATION PROOF Yes
4. WORK EXPERIENCE PROOF Yes
5. PHOTOGRAPHS Yes

Unit Incharge Declaration:

I do hereby attest that above information provided are true, accurate and complete and obtained
from verification of documentation. Any falsification omission is subject the disciplinary action as per norms of
the company.

Name & Signature : DATE: PLACE:_

 Deepak Krishna B

B shanthi
Mother
No.8 sundaram street sowcarpet chennai 54

P Bala krishna 56
Father
No.8 sundaram street sowcarpet
 Deepak krishna B
Male

Hindi

Unmarried

Hr

28-08-2024

No.8 sundaram street sowcarpet chennai 600001

Chennai Chennai

600001 Tamilnadu Tamilnadu

28-08-2024

28-08-2024
 New Form No.-11 – Declaration Form
(To be retained by the employer for future reference)
EMPLOYEES’ PROVIDENT FUND ORGANISATION
Employees’ Provident Funds Scheme, 1952 (Paragraph 34 & 57) &
Employees’ Pension Scheme, 1995 (Paragraph 24)
(Declaration by a person taking up employment in any establishment on which EPF Scheme, 1952 and /or EPS, 1995 is applicable)
1. Name of the member Deepak krishna B
Father’s Name ( Yes) Spouse’s Name ( )
2. P Bala krishnan
(Please tick whichever is applicable)
3. Date of Birth ( DD / MM / YYYY) 19-04-2001
4. Gender: (Male/Female/Transgender) Male
5. Martial Status: (Married/Unmarried/Widow/Widower/Divorcee) U married
(a) Email ID:
6. [email protected]
(b) Mobile No.: 8825456527
7. Whether earlier a member of Employees’ Provident Fund Scheme, 1952 Yes / No
8. Whether earlier a member of Employees’ Pension Scheme, 1995 Yes / No
Previous employment details: [if Yes to 7 AND/OR 8 above]
a) Universal Account Number: 101701343176
b) Previous PF Account Number: PYBOM00463700001273384
9
c) Date of exit from previous employment: (DD/MM/YYYY) 27-03-2023
d) Scheme Certificate No. (If Issued)
e) Pension Payment Order (PPO) No. (If Issued)
a) International Worker: Yes / No
b) If yes, state country of origin (India/Name of other country)
10
c) Passport No.
d) Validity of passport [(DD/MM/YYYY) to (DD/MM/YYYY)]
KYC Details: (attach self attested copies of following KYCs)
a) Bank Account No. & IFS Code 4942500101273101&KARB0000494
11
b) AADHAR Number 2636 7721 8678
c) Permanent Account Number (PAN), if available B Deepak Krishna
UNDERTAKING
1) Certified that the particulars are true to the best of my knowledge.
2) I authorize EPFO to us my Aadhar for verification/authentication/eKYC purpose for service delivery.
3) Kindly transfer the funds and service details, if applicable, from the previous PF account as declared above to the present
P. F. account. (The transfer would be possible only if the identified KYC detail approved by previous employer has been
verified by present employer using his Digital Signature Certificate)
4) In case of 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./Mrs. ………………………….. has joined on …………………… and has been allotted PF Number
TH/THA/204167/………….
B. In case the person was earlier not a member of EPF Scheme, 1952 and EPS, 1995:
 (Post allotment of UAN) The UAN allotted for the member is ……………………………………..
 Please Tick the appropriate option:
The KYC details of the above member in the UAN database
o Have not been uploaded
o Have been uploaded but not approved
o Have been uploaded and approved with DSC
C. In case the person was earlier a member of EPF Scheme, 1952 and EPS, 1995:
 The above PF Account number/UAN of the member as mentioned in (A) above has been tagged with his/her UAN/Previous
Member ID as declared by member.
 Please Tick the Appropriate Option:-
o The KYC Details of the above member in the UAN database have been approved with Digital Signature certificate and transfer
request has been generated in portal.
o As the DSC of establishment are not registered with EPFO, the member has been informed to file physical claim (Form-13) for
transfer of funds from his previous establishment.

Date: Signature of Employer with Seal of Establishment

 (FORM 2 REVISED)

NOMINATION AND DECLARATION FORM FOR UNEXEMPTED/EXEMPTED ESTABLISHMENTS

D eclaration and N om ination Form undertheEm ployeesProvidentFundsand Em ployeesPension Schem es
(Paragraph 33 and 61 (1)oftheEm ployeesProvidentFund Schem e1952 and Paragraph 18 oftheEm ployees
Pension Schem e 1995)

1.N am e(IN BLO CK LETTERS):

N am e Father’s/H usband’sN am e Surnam e

2.D ateofBirth : 3.A ccountN o.

4.*Sex :M ALE/FEM ALE: 5.M aritalStatus

6.A ddressPerm anent/Tem porary :

PART – A (EPF)
Ihereby nom inate theperson(s)/cancelthe nom ination m adeby m epreviously and nom inate theperson(s)m entioned below
to receivetheam ountstanding to m y creditin theEm ployeesProvidentFund,in theeventofm y death.
Ifthe nom inee ism inor
N am eofthe Address N om inee’s D ate of Totalam ountorshare of nam e and addressofthe
N om inee (s) relationship w ith Birth accum ulationsin guardian who m ay receive
the m em ber ProvidentFundsto be theam ountduring the
paid to each nom inee m inority ofthenom inee

1 2 3 4 5 6

1 *Certified thatI have no fam ily as defined in para 2 (g) of the Em ployees ProvidentFund Schem e 1952 and should I
acquire a fam ily hereafterthe above nom ination should bedeem ed ascance ed.

2. * Certified thatm y father/m otheris/aredependentupon m e.

Strikeoutw hicheverisnotapplicable Signature/orthum b im pression

ofthesubscriber

PA RT – (EPS)
Para 18
Ihereby furnish below particulars of the m em bers ofm y fam ily who w ould be eligible to receive W idow /Children Pension in the
eventofm y prem ature death in service.

Sr.N o N am e& AddressoftheFam ily M em ber Age Relationship w ith them em ber

(1) (2) (3) (4)

Certified thatIhave no fam ily as defined in para 2 (v )ofthe Em ployees’s Fam ily Pension Schem e 1995 and should Iacquire a
fam ily hereafterIsha furnish Particularsthere on in the above form .

Ihereby nom inate the fo ow ing person forreceiving the m onthly w idow pension (adm issible underpara 16 2 (a) (i)& ( )in the
eventofm y death w ithoutleaving any eligiblefam ily m em berforreceiving pension.

N am e and Addressof D ate ofBirth Relationship w ith m em ber

the nom inee

D ate

Signatureorthum b im pression
ofthe subscriber

CERTIFICATE BY EMPLOYER

Certified that the above declaration and nom ination has been signed / thum b im pressed before m e by Shri / Sm t./
M iss em ployed in m y establishm entafterhe/shehas
read the entries/the entrieshave been read overto him /herby m e and gotconfirm ed by him /her.

D ate: Signature ofthe em ployerorotherauthorised o icerofthe

establishm ent

Place:
N am e& addressoftheFactory /Establishm ent
D ate :