This document appears to be collecting personal information for an employee record, requesting: 1) Name 2) Sex and permanent address 3) Present address and date of birth, religion, office, department, and designation. It also asks whether the employee is a DDO, their head quarters, salary drawing head, PAN number, GE number, whether they are AIS, controlling DDO, tour area, caste, and signature.

1. 2. Sex (Male/Female)
3. Addr-.Permanent) :
(Tnciuding District)
4. ' Address(Present)
(Including District)
5. Date o PBirth ,
6. Religion
8. Ofice
9. Department
10. Designation
11. IsDDO(Y/N!
12. Head Quarters
13. SalaryDrawing Head :
14. PAN No.
16. GE.No.
18, 1s AJS(l'fi?
20. Controlling DDO.
21. Tour Area
7. Caste
1Ma.jor SMJ Min Smin Sub Ssub PlanINp V/C
15. Specimen Card No. :
17. Pay revised (.Y.h) :
22. TSBNa (if available) :
Signature