Personnel Resource Information & Salary Management System

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Form B1

Personnel Resource Information & Salary Management System

Form B1

Date : ------

Administrative Dept. : ------

Head of Dept. : ------

Office : ------______

Instruction : 1) This form is applicable for employee whose bills are drawn in

Salary Bill Form.

2) Please fill the form using block letters.

3) Write N.A. wherever an item is not applicable.

4) Write all dates in the format DD/MM/YYYY (e.g.08/06/2004)

5) Wherever applicable, write months as 01 for JAN..... 12 for DEC.

Note : Employees Data should be supplied by Parent Department only.

Form B1 is to be filled by employees who are posted in offices of the patent department only.

______

Personal Details I

Name : ______

Title First Name Middle Name Last Name

Sex : Male / Female Date of Birth : / /

Marital Status : ______

(Unmarried, Married, Widowed, Legally Separated, Divorced, Remarried)

Religion : ______

(Buddha, Christian, Hindu, Jain, Jews, Muslim, Nav-Buddha, Parsi, Secular, Sikh)

Category : ______

(General, SC, ST, VJA, NTB, NTC, NTD, OBC, SBC)

Caste / Tribe : ______

(Mention the Caste, Compulsory for reserved category employee)

Type of Physical Handicap (if any) : ______

(N.A., Orthopedic, Deaf and Dumb, Visually Handicapped (Blind), Spastic)

% of Disability : ______%

Ex-Serviceman : Yes / No

______

Name of the Cadre Controlling Office : ______

______

Current Posting Details

Office Name : ______

Date of Joining Current Office : / /

Current Posting Mode : ______

(Open Selection, Compassionate Ground, Merger, Re-appointment, Promotion/Review, Reversion, General transfer)

Designation : ______

Date of Joining Designation : / /

Cadre : ______

Date of Joining Cadre : / /

Nature of Post : ______

(Substantive/Permanent, Officiating / Temporary, Work Charge, Contract, Seasonal, Tenure, Adhoc, Surplus)

Type of Post : Permanent / Temporary

Appointment Status : ______

(Substantive/Permanent, Officiating / Temporary, Work Charge, Contract, Seasonal, Tenure, Adhoc, Surplus)

Desk / Section : ______

Table No. / Nature of Work : ______

Remark (if any) : ______

______

Employee Pay Details

Attached to DDO : ______

(DDO Code and Name)

Scheme : ______

Pay Scale : ______

PAN No. (if any) : ______City Class of the work place : ______

(Where the employee is working)

(A1, A, B1, B2, C, Unclassified)

G.P.F. Details

Agency/GPF Account maintained by : ______

(AG Mumbai, AG Nagpur, Department, NA)

PF Series given by AG : ______PF Series given by Department : ______

PF A/c No. : ______

Basic Pay details

Basic Pay : ______Pay w.e.f. Date : ______

Date of Next Increment : / /

Life Insurance Details

Postal Life Insurance No. : ______

Maharashtra State Life Insurance No. : ______

GIS

GIS applicable ? : ______

(N.A., State Govt. (GIS), I.A.S. (GIS), I.P.S. (GIS), I.F.S. (GIS),

Z.P. (GIS), Central Govt. (CGEGIS) )

GIS Enrolment Date : / /

GIS Membership Group : ______

GIS Membership Date (group wise as applicable) :

In Group A : / / In Group B : / /

In Group B (Non-Gaz) : / /

In Group C : / / In Group D : / /

Bank Details

MICR (9 digit Code) : ______

Bank Name : ______

Branch Name : ______

Account No. : ______

______

Govt. Accommodation Details

Allotted to : Self / Spouse / Relative / Other

Accommodation Type : Govt. / Semi Govt. / Requisitioned

Note : Fill the following details only if the quarter is allotted to self and the accommodation type is Govt. or Requisitioned.

Custodian Name : ______

Custodian Code : ______

Quarter Name : ______

Quarter Type : ______

I - (Upto 220 Sq. Ft.) / I I - (221-320 Sq. Ft.) / I I I - (321-420 Sq. Ft.) / I V - (421-550 Sq. Ft.) /

V- (551 - 750 Sq. Ft.) / V I - (751-110 Sq. Ft.) / V I I (spl. type) - (1110 Sq. Ft. & Above)

Building No. : ______

Bunglow Name : ______

Locality : ______

Address : ______

City : ______

PIN Code : ______

Area : ______

Rent Amount (Rs.) : ______

Additional Rent - 1 : ______

Additional Rent - 2 : ______

Additional Rent - 3 : ______

Service Charge : ______

Date of occupancy of quarter : ______

______

Loans / Advances Details (Use separate sheet as required)

Loan/Advance Description : ______

Loan Disbursed by Treasury (Code) Name : ( ) ______

Loan Disbursed by DDO (Code) Name : ( ) ______

Amount Taken (Rs.) : ______

Vide Voucher Name : ______Voucher Date : ______

Principal / Interest
No. of Installments including Odd Installment
Installment Amount
Recovery start Date
Last Installment recovered No.
Information of Odd Installment
Installment No.
Amount of Odd Installment
Remarks

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Loan/Advance Description : ______

Loan Disbursed by Treasury (Code) Name : ( ) ______

Loan Disbursed by DDO (Code) Name : ( ) ______

Amount Taken (Rs.) : ______

Vide Voucher Name : ______Voucher Date : ______

______

Form B1