V1 Vigil N Securities Pvt Ltd

V1 VIGIL N SECURITIES PVT LTD ENROLMENT FORM (Fill in Capital) A. PERSONAL BIO-DATA Tele No: _______________ Blood group_____________ 1. Name: _______________________ 2. DOB: ____________ 3. AGE: _____ 4. Father Name: _____________________ 5. Occupation: __________________ 5. Local Address:___________________________________________________ _______________________________________________________________ 6. Permanent Address : _______________________________________________ _______________________________________________________________ 7. Marital status : ______________ 8. Place of birth :______________________ B. PHYSICAL DETAILS 1. Height: ____ 2. Weight: ____ 3. Chest: _____ 4. Disease if any _____________ 5. Colour of eyes: ______ 6. Waist: _______ 7. Physical Fitness: _______________ 8. Marks of Identification: ______________________________________________ Examination Passed 1. __________________ 2. __________________ 3. __________________

C. EDUCATION QUALIFICATION School/ College Class ______________________ ____________________ ______________________ ____________________ ______________________ ____________________ D. PREVIOUS EXPERIENCE

Security Other ____________________________________________________________________ ____________________________________________________________________ E. FAMILY DETAILS s.no

Name

Age

Relation

Residing with the applicant(y/n)

01 02 03 04 05 06 07

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(F) ESCI & P.FUND DETAILS SIC No. (if any) _______________________ P.F. NO.(If any)___________________ Nominee under ESCI & P.Fund ___________________________________________ Address ______________________________________________________________ _____________________________________________________________________ (G) UNDERTAKINGS I here by understand that my appointment is purely as a probationer/temporary worker for a period of six/three months, which may be extended without assigning any reasons and that during the course of my employment I am liable to discharge from my said employment without any notice. I undertake to be posted any where in INDIA, be regular in duties, attendance and behave well. I shall notify everything in information stated at serial No. A to F and shall be responsible for non compliance thereof. I shall give a minimum one month notice before leaving the service failing which 30 days wages may be deducted in my dues. After recruiting the security guard should do minimum 180 days or 6 months duty without leaves. The security person wanted to leave the job; he will inform to the concern officer by giving one month notice by writing otherwise the settlement will be done after 60 days with proper explanation. There fore the above certified that the facts stated above are true to the best of my knowledge and belief and I understand that I am able to be dismissed/ discharged from the services for wrong information.

__________________________

_________________________

(Signature of Training officer)

(Signature of the Applicant)

(G) FINGER PRINTS OF THE APPLICANT

LEFT HAND RIGHT HAND _____________________________________________________________________ (H) FOR OFFICE USE ONLY Interviewed by : _______________________ The Individual has been interviewed and taken as _____________________________ And his monthly wages will be Rs. __________________for his duty. Manager Accts

Manager- Operations

Security- Head 2

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