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: ______________________________________________

C. EDUCATION QUALIFICATION
Examination Passed School/ College Class
1. __________________ ______________________ ____________________
2. __________________ ______________________ ____________________
3. __________________ ______________________ ____________________

D. PREVIOUS EXPERIENCE
Security Other
____________________________________________________________________
____________________________________________________________________

E. FAMILY DETAILS
Residing with
s.no Name Age Relation the
applicant(y/n)
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02
03
04
05
06
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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

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