00: ,

DATE:
/PLEASE ENTER ALL DETAILS IN BLOCK LETTERS

( )/

HRMS PROFORMA (No column should be left blank)

/Name of the candidate

/Fathers Name

/Address (Permanent)

/Address for Correspondence

: /

Distt: State:

: /

Distt: State:

Joined PNB as :

:( /././)
Category : ( Gen/SC/ST/OBC)
/ Phone Nos :
-/ E-Mail

/ Home Town

: ( /
Martial Status : (Single / Married)
/ Date of Birth
/ Date of Marriage
/Domicile

/ Place of Birth

/ Mother Tongue

/Identification Mark

0/ PAN No.*
/ Religion

/ Blood Type

Educational
Qualification

Stream/ Subjects

/ Date % age of Marks

of Passing

Board / University

 /Professional Qualification

( , ) /

Health Problem (if any)

/ Languages Known

/ Hindi

/ Speak

/English

/Other_____

/ Write
/ Read

( )/

Disability (if any)

/Handicap %

/Evaluation date

0/ / Card No / Date

/Card Issuing Authority

/Dependant Information :

(1) / Name
/ Relation
/ Address

(2) / Name
/ Relation
/Address

(3) /Name
/Relation
/Address

(4) / Name
/Relation
Address

/Emergency Contact :
/Name

/Address

0/ Phone Nos.

* /NOTE:

(PAN) ,

In case PAN is not obtained by the

Candidate, he/she will have to submit the same to his controlling office within one month of joining.
(

above proforma have been verified from the original.

/Signature of candidate)

The particulars in the

(
/Signature of Checking Official)
(Designation____________PF No._______________)