Employee Information Sheet
Employee General Information(1/7)
Block Name
Govt. Order No/Dt For Emp Type --- Appoinment Order
Optional No. & dt.
Employment Joining Date
Details WEF (date) --- Optional In case no cadre
Cadre * service please
Applicable only for
more than 3 years) enter "others"
tem(prob.)
Employee Type
Name*
Present Address: -- Optional
WEF (date)
House No./St/Lane
City/Town/Village
District
State
Post Office
Police St
PIN
Employee
Details Permanant Address - Optional
Same as present address Yes(all values are same as above)
WEF (date)
House No./St/Lane
Post Office
Police St
District
State
PIN
Blood Group- Optional
Height- Optional
Mark of identification- Optional
Pay Information(2/7)
Applicable only for
suspended
% of Basic * (For Suspended employee) employees
WBHS/Cashless * Yes/No
Mandatory if
enrolled under
Card No WBHS/Cashless
If Employee Status is “Re Employed” Yes/ No
Employee
Details ROPA *
WEF
Applicable only in
Treasury from where pension is paid* case of
PPO ID * reemployed
employee
Basic at the time of retirement*
DA at the time of retirement*
retirement*
(Residence Type is
HRA * at the time of retirement* Govt Quarter/Own or
relatives /PWD
Residence Type * Mess/Circuit House/
Govt Quarter/
Govt. Quarter govt/Pwd Mess)
Accommodat Quarter Rent/circuit house charges *
ion Details (If Residence Type is
Govt Quarter/
govt/Pwd
Mess/Circuit House
WEF(date) Non mandatory and rent is paid )
Office Information(3/7)
Department - Optional
Employee's Post - Optional
Office Details
At The Time
of Joining
Designation Optional
Place of Posting *
Employee's WEF(date) Non mandatory Forenoon/
Present Time (Non mandatory) Afternoon
Office Details
Department where presently posted*
Pay Head *
WEF (date) --- Optional
Family Information(4/7)
Name
Date of Birth
Relationship
WBHS Yes/No
Details-
Father- Card No (activate when WBHS is Y)
Optional Monthly Income
Name
Relationship
Details-
Mother--
Optional
Relationship Date of Birth
Details- WBHS Yes/ No
Mother--
Card No (Mandatory when WBHS is Y)
Optional
Employee's
Monthly Income
Spouse
Details- Not Name
Mandatory in Employed in State Govt./Central Govt./
case of PSU /Aided or sponsored organisation * Yes/ No
AIS/Central Yes/No
HRA Drawn *
Govt.
employees HRA Amount * (If HRA Drawn is Yes)
and in case spouse for living in a distant place. Yes/No
of those pemission granted is Yes)
State Govt. distant place. Yes/No
employees pemission granted is Yes)
who doesnot
draw HRA
Qualification Details(5/7)
Qualification
Academic Group
Name of Qualification
Qualification Type
Year of Passing
Loan Details(6/7)-
Applicable for Employees
having Govt. Loan
Block Name Field Name
Loan Search Loan Type *
Sanction Date (date) Optional
Loan Details Sanction Order No: Optional
Principal Amount Optional
Loan Disbursement Date (date) Optional
Principal Total No of Instalment *
Details (Not
required if
interest No of Instalment Paid *
recovery is Required only if
principal recovery
going on) Recovery Amount* is going on
Interest
Total No of Instalment / Total Amount: *
Details (Not
required if
Principal Mandatory only
recovery is if interest
going on) recovery is
going on
Interest
Details (Not
required if No of Instalment Paid *
Principal Mandatory only
recovery is if interest
going on) recovery is
Recovery Amount * going on
Salary Component(7/7)
Signature of the employee
Pleased Enclose the Last Month's Pay Slip
1)All the other informations required in Employee Detail in Pay Roll Processing Sub-module of
HRMS would be extracted from the COSA file of the D.D.O. for the last month.
2)The fields marked * are mandatory
