JOINING REPORT

NAME

DESIGNATION

DATE AND TIME OF REPORTING FOR DUTY

PLACE OF REPORTING FOR JOINING

TO WHOM REPORTED

DATE

SIGNATURE OF EMPLOYEE

PHOTOCOPY OF FOLLOWING MUST BE ENCLOSED

To be verified with originals and attested by Reporting Authority.

1. Signed Copy of Offer Acceptance

2. 2 Passport size photographs
3. Cancel cheque
4. Resignation acceptance
5. If any change of address happens from the previous address provided during pre-offer stage
please share revised rental agreement/NOC as document
6. Relieving letter from current employer-45 to 60 days post your joining in SFL

CHECKED & VERIFIED BY:

Designation: _______ ______ ____________

Employee Code : ____ ________ _____________
To,
HR DEPARTMENT
[Link] Finance Limited Mumbai

Sir

I ...................................................................... ................ (Employee Name) having an employee

code............................hereby confirm that I have read and understood all the contents of Disciplinary

Rules and Proceedings and undertake to abide by all the rules and regulations of the Company.

Thanking you

Yours Sincerely,

Signature of the employee

Note: - "Disciplinary Rules and Proceedings" manual is available at respective BRANCHES.

Kindly go through it.
 EMPLOYMENT FORM
AFFIX RECENT
SHRIRAM FINANCE LIMITED PASSPORT SIZE
6th Flr (level 2), Building No.Q2, Aurum Q Parc |Gen 4/1, Ghansoli, Navi Mumbai, 400710 PHOTOGRAPH
Tel :(022) 40957575
Website :[Link]. in

POSITION APPLIED FOR : LOCATION :

PERSONAL DATA

FULLNAME IN BLOCK LETTERS

MR./MRS./MISS
(FIRST NAME) (MIDDLE NAME) (SURNAME)

PRESENT OWN I RENTED HOUSE PERMANENT OWN/RENTED HOUSE

ADDRESS ADDRESS

TEL. NO. TEL. NO.

DATE OF BIRTH PLACE & STATE OF BIRTH BLOOD GROUP PAN NO.: AADHAR NO.

HEIGHT (ems) WEIGHT (kg) MARITIAL STATUS PHYSICAL DISABILITY, IFANY NATIONALITY RELIGION

'

LANGUAGES : READ WRITE SPEAK

MOTHER TONGUE :

OTHER LANGUAGES 1

HOBBIES & INTERESTS

FAMILY BACKGROUND

NAME AGE OCCUPATION

FATHER

MOTHER

HUSBAND

WIFE

CHILDREN ·

BROTHER/SISTER :

ACAD EMIC RECORD (BEGIN WITH SSC)

EXAMINATION GRADE/
YEAR OF PASSING NAME & ADDRESS MAIN UNIVERSITY OR
CLASS OR
PASSED MEDIUM OF INSTRUCTION OF INSTITUTION SUBJECT BOARD
DIVISION

COMPUTER SKILLS
-· NAME OF THE PERCENTAGE OBTAINED
LANGUAGES KNOWN INSTITUTION & YEAR OF PASSING

ANY OTHER ADDIT IONAL INFORMATION RELATING TO COMPUTERS :

 EXPERIENCE • PREVIOUS EMPLOYMENT
NAME & ADDRESS OF EMPLOYER N O . OF EMP. EMPLOYEE CODE U.A. N DATE OFJOINING

DESIGNATION REPORTING TO : NO. OF SUBORD INATES :

SALARY ORGANISATION CHART
D.A. (Draw a brief diagram indicating your position in relation toyour
departme nt and totalorganisation setup)
H.R.A.

LUNCH

CONVEYANCE

INCENTIVE
ANY OTHERSPECIFY

BONUS

LT.A.

MEDICAL

P.A.
ANY OTHERSPECIFY

GRANDTOTAL

JOB DESCRIPTION I RESPONSIB ILITIES (GIVE DETAILS OF AREA OF EXPERTISE)

PERIOD OF EMPLOYMENT: FROM : TO:

(Month/Year)

NAME OF SUPERIOR ' CONTACT NOOFSUPERIOR '

HAVE YOU BEEN PROPERLY RELIEVED FROM YOUR JOB

BYTHEPREVIOUS EMPLOYER?

PREVIOUS EMPLOYMENT (OTHER THAN ABOVE)

PERIOD OF TOTAL LAST REASON
EMPLOY EMPLOYERS NAME & ADDRESS DESIGNATION
FROM TO EMOLUMENTS FOR LEAVING

NAME OF SUPERIOR * : CONTACT NO OF SUPERIOR * :

REASONSEEKINGCHANGE INPRESENT JOINING PERIOD

EMPLOYMENT
GROSS SALARY EXPECTED
MINIMUM PREFERENCE FOR PLACE OF WORK
FIELD MARKEDAS ' * 'AREMANDATORY
GENERAL INFORMATION

DO YOU HAVE ANY FRIEND I RELATIVES EMPLOYED IN OUR COMPANY OR GROUP OF COMPANIES ? IF
ANY, GIVE DETA ILS

NAME RELATIONSHIP

PLEASE MENTION FRANKLY AND BRIEFLY YOUR STRONG AND WEAK POINTS IN RELATION TO
YOUR JOB

STRENGTH:

WEAKNESS :

CAN WE MAKE A REFERENCE TO YOUR PREVIOUS EMPLOYERS, IF SELECTED BY US AND AFTER YOU JOIN USYES /

NO

IF NO PLEASE ELABORATE THE REASONS

NEAREST PERSON TO BE CONTACTED IN CASE OF ANY EMERGENCY

NAME & RELATIONSHIP ADDRESS & TEL. NO. IF ANY

REFERENCES OF TWO RESPONSIBLE PERSONS NOT RELATED TO YOU :

NAME ADDR ESS

OCCUPAT ION

AUTHORIIZATION & DECLARATION

IHEREBY AUTHOR IZE SHRIRAM FINANCE LIMITED (OR A THIRD AGENT APPOINTED BY THE COMPANY) TO CONTACT
ANY FORMER EMPLOYERS AS INDICATED ABOVE AND CARRY OUT ALL BACKGROUND CHECKS NOT RESTR ICTED
TO EDUCATION AND EMPLOYMENT DEEMED APPROPRIATED THROUGH THIS SELECTION PROCEDURE. I AUTHORIZE
FORMER EMPLOYERS, AGENC IES, EDUCATIONAL INSTITUTES ETC. TO RELEASE ANY INFORMATION PERTAINING TO
MY EMPLOYMENT/EDUCATIO N AND I RELEASE THEM FROMANYLIABILITY INDOING SO.

IALSO CERTIFY THAT THE STATEMENT'S MADE BY ME ARE TRUE, COMPLETE AND CORRECT, IAGREE THAT IN CASE
THE COMPANY FINDS AT ANY TIME INFORMATIONS GIVEN BY ME IN THISAPPLICATIONARE NOT TRUE OR COMPLETE,
THE COMPANY WILL HAVE THE RIGHT TO TERMINATE MY EMPLOYMENT WITHOUT NOTICE. IF SELECTED, IALSO
UNDERTAKETOABIDEBYALLTHE RULESAND REGULATIONS OFTHE COMPANY.

--------
NAME DATE
 SHRIRAM FINANCE LI MI TE D

FORMAT FOR EMPLOYEE ID CARD

NAME :-

EMP. CODE :-

ADDRESS (OFFICE) :-

[Link]: -

BLOOD GROUP :-

CONTACT NO :-

EMERGENCY CONTACT NO:

DATE OFJOINING :-

DATE :-

PLACE :-

Signature
 FORM F
[See sub-rule (1) of rule 6]
Nomination
To,
Shriram Finance Ltd.
1. Shri. Shrimati/Kumari(Name in full here)
whose particulars are given in the statement below, hereby nominate the person(s) mentioned below to receive the gratuity payable after my death
as also gratuity standing to my credit in the event of my death before that amount has become payable, or having become payable has not been
paid and direct that the said amount of gratuity shall be paid in proportion indicated against the name(s) of the nominee(s).
2. I hereby certify that the person(s) mentioned is/are member(s) of my family within the meaning of Cl. (h) of Sec. 2 of the Payment of Gratuity
Act, 1972.
3. I hereby declare that I have no family within the meaning of Cl. (h) of Sec.2 of the said Act.
4. (a) My father/mother/parents is/are not dependent on me.
(b) My husband’s father/mother/parents is/are not dependent on my husband.
5. I have excluded my husband from my family by a notice dated the……………to the controlling authority in terms of the proviso to
Cl. (h) of Sec.2 of the said Act.
6. Nomination made herein invalidates my previous nomination.
Proportion by
[Link] Relationship with Age of
Name in full with full address of nominee(s) which the gratuity
. the employee nominee
will be shared
1
2
3

STATEMENT

1. Name of employee in full :

2. Sex :
3. Religion :
4. Whether unmarried/married/widow/widower :
5. Department/Branch/Section where employed :
6. Post held with Ticket or Serial. No., if any :
7. Date of appointment :
8. Permanent address :

Village Thana Sub-Division

Post office District State

Place……………… Signature/Thumb-impression
Date………………. of the employee.

DECLARATION BY WITNESSES
Nomination signed/thumb-impressed before me.
[Link]. Name in full and full address of: Signature of witnesses:
1
2

Place………………..
Date………………..

CERTIFICATE BY THE EMPLOYER

Certificate that the particulars of the above nomination have been verified and recorded in this establishment.
Employer’s Reference No., if any.
Signature of the employer/ officer authorized Name and address of the establishment Or rubber stamp thereof
Date……………..

ACKNOWLEDGMENT BY THE EMPLOYEE

Received the duplicate copy of nomination in Form f filed by me and duly certified by the employer.
Date………………. Signature of the employer.
 Paste recent
photograph
of the
member

SHRIRAM LIFE INSURANCE CO., HYDERABAD.

Declaration of Good Health (DGH) Form

Scheme ...............................................................................................................
Name of the Life to be Assured, whois
the Employee of the Organization

Name of the Nominee

Nominee Relationship with the life assured Nominees Age last birthday
Date of Birth

Date of Joining the Organization

Please Tick () For Either Yes or No - Otherwise The Application Will Be Invalid
1. Have you ever been diagnosed with or received treatment for any disability ormedical Yes No
condition such as but not limited to high cholesterol high blood pressure, chest
pain, heart attack or any other heart condition stroke, transientischemIc attack or any
other cerebrovascular disease; diabetes or any otherendocrinel disease; kidney disease;
HIV / AIDS or AIDS related complex; anycancer or tumor; asthma or any other
respiratory disease; any mental ornervous disease; hepatitis or any other liver disease;
blood disorders; digestiveand bowel disorders; paraplegia or any other disorder of the
bones, spine or
muscle?
2. Have you within the last 5 years taken any form of medication for morethan 7
Yes No
consecutive days to treat an illness or disease?
3. Have you within the last 5 years consulted any medical practitioner for anycondition Yes No
other than minor impairment such as common cough or cold?

It is important to be as accurate as possible when answering the declaration of good health, as inaccurate
information may negatively impact payments at the claims stage.

In case the answer is "Yes" to any of the above questions full details may be provided in the section
below. Shriram Life Insurance Company Limited will consider these details when the decision about
extending cover is taken.
I hereby declare that, the above information is true to the best of my knowledge and belief and if any
information is found to be incorrect, the Cover under the said policy can be cancelled by the Insurer.

Place: Name of the Employee:

Date: Signature of Employee:

Declaration for signing in vernacular or for illiterate cases:

I have explained the contents of this form to the Member and done my best to ensure that thecontents
have been fully understood by the Member and have accurately recorded the Member responses to the
information sought by this DGH form and I have read the responses back to theMember and he/she has
confirmed that they are correct.

Place : Name :

Name : Signature :