OPtion 2SL NOE CodeAssociate NameGender (M / F)DOJ (DD-MMM-YY)DOB (DD-MMM-YY)Job-locationMarital Status (Married / Unmarried)Father Name DOBMother NameDOB Husband / Wife Name (If married)DOBChil 1DOBChild 2DOBChild 3DOBPresent Address with PIN Code (Do not mention Teamlease or Client Address)Permanent Address with PIN Code (Do not mention Teamlease or Client Address)Mobile No.Email IDName of the NomineeNominee's Relationship with EmployeeAddress of the NomineeRemarks

Famliy addAdd Family ParticularsSl No*E-code *ESI Number*Name*Date of Birth* ( DD/MM/YYYY )Relationship with the Employee*