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    MISC 70 Spark Form1

    Uploaded by

    sigem13212

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    MISC 70 Spark Form1

    Uploaded by

    sigem13212
    5 views3 pages

    Copyright

    © © All Rights Reserved

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    PDF, TXT or read online from Scribd

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    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    5 views3 pages

    MISC 70 Spark Form1

    Uploaded by

    sigem13212

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    1

    SPARK FORM NO.1


    (JOINING REPORT-Fresh Appointment)
    Instruction: This form required to be duly filled up and submitted by the prospective employees while reporting for duty on fresh
    appointment. The officer before whom the prospective employee reports for duty and the appointing authority required to counter
    sign the duly filled up form submitted by the prospective employee. After getting the form counter signed by the appointing authority
    the Subject Assistant will feed the data into SPARK and obtain Permanent Employee Number from the system and write down it in the
    box provided below for the purpose

    Specimen Signature Specimen Signature


    Signature shall not touch the lines Affix a
    recently
    taken
    passport
    PART-A (For Office use) size photo
    Employee Code

    Department Office

    PART-B: PERSONAL DETAILS


    (To be filled up by the prospective employee)
    Name
    (In capital letters and initials after the
    name)
    Date of birth Sex

    Name of father

    Name of Mother

    Nationality State

    Caste Religion

    Category Whether physically


    General/ SC/ST/OBC/OEC handicapped (yes or no)
    Whether ex-servicemen? (yes or PAN Number
    no)
    Voter ID Card Number Ration Card Number

    Identifications marks of the 1


    prospective employee

    2
    Height Marital status
    (unmarried/married/divorced)
    Spouse’s Name

    Souse’s religion Spouse’s caste

    Whether inter religion/cast Whether spouse is


    marriage (yes/no) employed
    Spouse employed in (specify
    organization)
    2
    PART-C: CONTACT DETAILS

    Present Address Permanent Address

    House No. and House No. and


    Name Name
    Street Name Street Name

    Place Place

    Pin Pin

    State State

    District District

    Taluk Taluk

    Village Village

    Phone No. Phone No.

    Home Town Home Town

    Mobile No. Email address

    PART-D: RECRUITMENT DETAILS

    Source Type
    (PSC or other agency) (General or Special
    recruitment)
    Method (Direct/ By Scale of Pay
    transfer)
    Advice Memo No. Advice Memo date

    Is District recruitment If District recruitment


    (Y/N) specify the District
    Serial No. in the advice Entry category (state service/
    memo state subordinate service)
    Appointment Order No. Appointment Order date

    PART-E: IF ALREADY WORKING IN GOVERNMENT, GIVE DETAILS

    Department Designation

    Relieving Order No. Relieving Order Date

    Office last worked Earlier Recruiting agency

    Earlier Advice Memo No Earlier Advice Memo Date

    Earlier Appointment Earlier Appointment Order


    Order No. Date
    3
    PART-F: EDUCATIONAL QUALIFICATIONS

    Course Subject University/Board Institution studied Class/ Reg No. & Year
    Title Percentage

    PART-G: DECLARATION
    Declaration by the prospective employee

    The information furnished by me in this joining report is correct to the best of my knowledge and are based on
    valid documents. I also hereby produce the original documents in respect of all the information given below before the
    reporting officer for verification. I am also aware of the fact that penal action would be taken against me if any of the
    information provided by me is found fraudulent.

    Station: Name

    Date Signature

    PART-H: VERIFICATION (For office use)

    Verified the original documents and found eligible for admission to duty.

    Name & dated signature of the


    Reporting Officer

    Admitted to duty. Employee details may be furnished into SPARK and PEN obtained.

    Name and dated signature of the


    Appointing Authority

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