Document required at the time of Joining

Sr.
Description Remarks
No.
1 Five passport-size photographs

2 One copy of the Aadhaar Card

3 One copy of the PAN Card

4 Salary Slip from a previous employer (last 3 months)

5 Copy of Resignation acceptance mail (compulsory)

6 Experience and Relieving letter from the last employer

7 All educational certificates. (From SSC on words)

8 Your Bank Account No. with details

Visiting and ID Cards Attached

9
Candidate Application Form Attached
10
Employee Joining Form Attached
11
Joining Report Attached
12

Important Note: This is the list of all the documents that you have to bring at the time of Joining or
latest submit on the same day.
 UBI Services Limited
EMPLOYEE JOINING FORM
FOR. NO. UBISL/FOR/HR/08 REV. NO 01
EFFECTIVE DATE 01/06/2021 LOCATION Mumbai
REVIEW DATE 01/04/2022 PAGE NO 1

Paste your
Photograph
(To be filled by the Employee) here

Name:
(As per Aadhar Card)

Date of Documentation: _ Date of Joining:

(DD / MM / YYYY) (DD / MM / YYYY)

Address Details

Temporary: Permanent: (As per Aadhar Card)

City: City:

State: Pin code: State: Pin code:

Mobile No. Gender: Male / Female /Other

Birth date: / / Cast Category:

(DD / MM / YYYY)
Nationality: Blood Group:

Email Address:

Aadhar Card: PAN No.

Marital Status: MARRIED UNMARRIED WIDOW DIVORCEE

No. of Dependants: No. of Brothers No. of Sisters No. of children

 UBI Services Limited
EMPLOYEE JOINING FORM
FOR. NO. UBISL/FOR/HR/08 REV. NO 01
EFFECTIVE DATE 01/06/2021 LOCATION Mumbai
REVIEW DATE 01/04/2022 PAGE NO 2

Family Details:
Sr. Name Relation Date of Birth Occupation
No.
Father

Mother

Spouse

Child

Child

Emergency Contact:

Name: Contact No.

Relationship: Address:

Any Relative/Friend in UBISL: Yes No

If yes, then mention the Name, Department:

Educational Details:

Year of % & Class/

Course Stream School/College Place Specialization
passing Grade

S.S.C

H.S.C

Graduation

P. G.

Professional

Diploma

Any Other
 UBI Services Limited
EMPLOYEE JOINING FORM
FOR. NO. UBISL/FOR/HR/08 REV. NO 01
EFFECTIVE DATE 01/06/2021 LOCATION Mumbai
REVIEW DATE 01/04/2022 PAGE NO 3

Languages known: (Apply tick-marks)

Read Write Speak

FL G AVG FL G AVG FL G AVG
Mother Tongue
Hindi
English
Others

Employment History:
Total Experience (No. of years): Previous Experience:

Previous Employer:

Name of Org. Designation Department Duration Salary Reason for leaving

Reference:
(Please give the name of two persons who know you professionally but are not related to you, preferably superiors from your
previous organizations)

1. Name:
Designation: Contact No.
Email Id. _
Organization name:

2. Name: _
Designation: Contact no:
Email Id.: _
Organization name:
 UBI Services Limited
EMPLOYEE JOINING FORM
FOR. NO. UBISL/FOR/HR/08 REV. NO 01
EFFECTIVE DATE 01/06/2021 LOCATION Mumbai
REVIEW DATE 01/04/2022 PAGE NO 4

DECLARATION
I hereby declare that the above statements made in my application form are true, complete and correct to the best of my knowledge
and belief. In the event of any information being found false or incorrect at any stage, my service is liable to be terminated without
notice.

Date: Signature of Employee:

----------------------------------------------------------------------------------------------

(To be filled by HR Department)

Name of Employee:

Designation:

Department:

Location:

Bank Account No.:

Payroll No.:

UAN No.:

ESIC No.:

Documents Verified By:

Name : Date:
JOINING REPORT Paste your
Photograph here

Name : ___________________________________________
(As per Aadhar Card)

Father’s Name : ___________________________________________

Designation : ___________________________________________

Date of Joining : ___________________________________________

Aadhar Card : ___________________________________________

PAN Card :

ESIC No. :

UAN : ___________________________________________

PF No. : ___________________________________________

Salary Account Details

Bank Name : ___________________________________________

Bank A/c No. : ___________________________________________

IFSC Code : ___________________________________________

Branch Location : ___________________________________________

Date of Exit : ___________________________________________

(Previous Employer)

Signature of Employee : ___________________________________________

Visiting and ID Card Details
Paste your Photograph
here

Visiting Card Detail

Name : ___________________________________________

Designation : ___________________________________________

Contact No. : ___________________________________________

Official Mail ID : ___________________________________________

(Official Mail ID, to be filled by HR Department)

ID Card Details

Name : ____________________________________________

Designation : ____________________________________________

Employee ID No. : ____________________________________________

Date of Birth : ____________________________________________

Blood Group : ____________________________________________

Emergency Contact No. : ____________________________________________

(Employee Emergency contact no)

Location : ____________________________________________

Office Address : ____________________________________________

(To be filled by HR Department)
____________________________________________

____________________________________________

Note: 1) All information should be filled clear and correctly.

Medical self-declaration form
1. Do you suffer, or have you ever suffered from any of the following?

Symptom Yes No Symptom Yes No

Asthma or shortness of breath Epilepsy or blackouts (Please list
(Please provide details below) any details overleaf)
High / low blood pressure Stomach disorders
Any hearing disability Liver disorders
Diabetes (insulin dependent) Anemia
Hernia Phobia (please specify)
Heart related problems Drug / alcohol addiction
Nervous disorders Allergies (please specify)
Back or disc related problem Mobility problems
Do you have any visual problems? (please Vibration white finger or any
provide details below) HAVs related condition
Tenosynovitis (joint problems) Specify if any

2. Are you currently taking any medication (prescribed or over the counter)? Please give the name, mgs and
how often you take it: YES/NO
3. Are you registered disabled? YES/NO
4. Please give any details of any illness, hospitalization, etc. that may affect your ability to work in or around the
railway. YES/NO
5. Are you currently under any medical surveillance? (e.g. lead, asbestos, back problems, etc.) If so,
please give full details. YES/NO

By signing below, you are declaring your fitness to return to work

I declare that all the information provided in this questionnaire is correct. If any of my circumstances change in
regard to any of the questions asked on this form, I will immediately inform my contracts
manager/supervisor/recruitment consultant and the Human Resources department at UBISL.

Full name: ……………………………………………………………………………………………………………………………

Date: ....................................... Signature:

For office use only

Form reviewed by: Date:

Comments:
 Self-Declaration
(Legal / Criminal Case)

I, , S/o Aged , residing at

, do hereby declare that no
legal and / or criminal case is pending against me before any court / investigating
agencies.

I, further inform that I have never been found guilty /convicted of any legal
offense and / or crime by any court of law in the past.

I, declare that I the information I have given is true and complete to the best of
my knowledge and belief.
,

I, understand that in case of any information emerging disproving any of the

content of this undertaking or if found to be a deliberate omission in the
information given by me, the management of the company will be at their liberty
to take an appropriate action against me including but not limited to the
dismissal / termination of my employment with an immediate effect without
any further correspondence and procedure.

Date:

Place:

Signature of the Candidate / Employee

Name:
Mob. No.