NOMINEE FORM
NOMINEE FORM
For Provident Fund Nomination
Nominee Information
NOMINEE NAME
KRISHNABATI SARDAR
RELATION
WIFE
DATE OF BIRTH OF NOMINEE
13-04-1993
% OF SHARE OF P. F. BALANCE
MARITAL STATUS
MARRIED
MARRIAGE DATE
18-11-2014
IDENTIFICATION MARK
A MOLE ON THE THUMB FINGER OF THE RIGHT HAND
Employee Information
NAME
BISHNU PADA MAHATO
DATE OF BIRTH
10-03-1985
MOBILE NUMBER
9088084504
EMAIL ID
bishnupadamahato@gmail.com
ADDRESS
VILL- SUBUDHI PUR.POST- MAHADEV PUR.P.S.- HARINGHATA.DIST- NADIA.PIN- 741257
Bank Account Details
NOMINEE'S BANK A/C NO
00000000000
IFSC CODE
SBIN0001234
BRANCH NAME
HABRA BRANCH
BANK NAME
State Bank of India
SIGNAUTRE OF EMPLOYEE
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