Omega IceHill Pvt.Ltd.

Joining Report
------------------------------------------------------------This has reference to letter of intent no.dated.issued to
me for the position of ..at
I would like to inform you that I am joining my duties today i.e.
in the forenoon/afternoon.

Signature..
Name
Designation..
Department..
Location..

Omega IceHill Pvt.Ltd

Personal File Checklist
Name

Date of Joining

Employee Code

Date of Confirmation

Department

Designation on Joining

Unit/Location

Present Designation

S.No
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21

PERSONAL PARTICULARS
Employee Bio data
Company Bio data Form
Two numbers of passport size photograph
Copy of Academic Certificates
Copy of Birth Certificate
PAST DOCUMENTS
Service Certificate from last Employer
Copy of Salary Slip/Salary Certificate
Copy of Reference check report
Copy of Relieving letter
EPLOYMENT WITH OIPL
Joining Report
Copy of Letter of Intent Issued
Copy of Appointment Letter Issued
Copy of P.F. Nomination Form
Copy of Form D of Gratuity
Copy of Confirmation Letter, if got confirmed
Copy of increment/Reward/Loan, if any
Copy of letter of Promotion/Upradation,if any
Copy of Appreciation letter, if any
Copy of Disciplinary letter, if any
Copy of letter of Transfer, if any
Copy of letter of Deputation, if any
Tick mark Applicable Column

Available Not Available

Remarks

Performa for Coverage

To be submitted by an employer along with one or more of the
documents mentioned below for obtaining Code Number
1-Name of the establishment/factory and
Address.
2-Details of Head office and Branches
With Address.

Omega IceHill Private Limited

Sec-IV, Plot No.37 I.I.E., Pantnagar,Rudrapur
Distt-U.S.Nagar, Uttrakhand-263153
39-Frist Floor Raghu shree Market
Ajmeri Gate Delhi-110006

3-Details of Code No. if any allotted to the

Head Office.

Not allotted

4-Date of Incorporation/Set up (Please

Furnish any one of the documents
Mentioned overleaf in support of the
Proof of date of set up of the est./factory)

11th November, 2009

Enclosed Certificate of Incorporation

5-Employment Strength
(1) At Present
10 Employees
(2) Month wise employment strength
Details Enclosed
From date of set up may be furnished in
Separate statement:
6-Nature of business activity/
Manufacturing activity.

Manufacturing of
Laser welded pillow plates

7-Details of legal set up of the establishment Private Limited Company

(Please mention whether it is an
Incorporated Private or Public Limited
Company, Society, Partnership or Proprietary
Concern.
8-Details of the employers/ownership
Particulars etc. (Names, Designation and
Addresses of Managing Director,
Directors, Partners, Secretary Etc.to
Be furnished)

Mr.Dheerendra Kumar Singh

9-Wages disbursed for the month

September,2010

10-Details of Bankers (Including Bank

Branches & Account Numbers.)

IDBI Bank Ltd. A/C

No.231102000002967
Gaba Complex, Kashipur Road
Rudrapur-263153

11-Income Tax Permanent A/c No.

AABCO2167J

V.P.Works
Amrapali Royal,Flat No.Menka 1/403,2B
Vaibhav Khand,Indirapuram
Ghaziabad U.P.Pin Code 201014

12-Details of employee are furnished below:S.No

Name of the Employee

Fathers Name

D.O.J.

1
2
3
4
5
6
7
8
9
10

Mr.Saurabh Jindal
Mr.Anil Sharma
Mr.Rakesh Kumar
Mr.Hari Narayan
Mr.Kartar Singh
Mr.Yogesh Chandra
Mr.Girish Chandra
Mr.Rupendra Datta
Mr.Krishan Kumar Sarkar
Mr.Harjeet Singh

Mr.Madan Jindal
Mr.Ravi Sharma
Late Mr.RamaShri Pandey
Mr.Gagan Dev Prasad
Mr.Raje Singh
Mr.Tikaram Joshi
Mr. Bahadur Singh
Mr.Som Dutta
Mr.Kalipadh Sarkar
Mr.Amar Singh

01.12.09
01.02.10
15.01.10
18.02.10
23.03.10
23.03.10
23.03.10
25.03.10
10.05.10
21.06.10

Wages
(Basic+D.A)
11250.00
4500.00
6000.00
6550.00
8000.00
3500.00
5250.00
5000.00
3507.00
4750.00

(In case you have more than 21 employees the above information in respect of the other employees
may be added in a separate sheet of paper in the same format continuing the serial number.)
13-Details of bank draft amounting to the contribution and administrative charges paid in respect
of the above employees (Rate of Contribution at present is 12% by employer and employees
+0.5% towards E.D.L.I. Contribution and 1.15% towards administrative Charges)
Name of the Bank

IDBI Bank Ltd.

Branch Address

Gaba Complex, Kashipur Road, Rudrapur (U.S.Nagar)

Draft No. & Date

000432 dt 02.12.2010

Amounts Rs.14933.00

VERIFICATION
The details furnished above are correct to the best of our knowledge and belief. It is clearly
understood that we are liable for coverage from a date antecedent to the date of set up furnished
above in the event of furnishing of false information.

(Signature of Employer)

Omega IceHill Pvt.Ltd

EMPLOYEE MOVEMENT SLIP
Date

:---------------------------------

Name

:-------------------------------------------------------------------------------

Department

:-------------------------------------------------------------------------------

Employee Code

:-------------------------------------------------------------------------------

Period

:From -------------------------------To-------------------------------------

Place of Visit

:-------------------------------------------------------------------------------

Purpose of Visit

:------------------------------------------------------------------------------:------------------------------------------------------------------------------:-------------------------------------------------------------------------------

Signature of Applicant

HOD

Pers & Hrd

Omega IceHill Pvt Ltd.

Leave Application Form
Date

:---------------------

Name

:----------------------------------------------------------------------------------------

Department

:----------------------------------------------------------------------------------------

No.of Days

:------------------Period :From :------------------To :---------------------------

Reason for Leave

:---------------------------------------------------------------------------------------

Address During Leave Period

:----------------------------------------------------------------------------------------

:-------------------------------------------------------------------------------------------------------------------------------------Recommendation by Supervisor/In charge

:-------------------------------------------------------------------

Leave Sanction Period

From :------------------------------------------ To

Emp_Signature

:-----------------------------------------------

HOD Appr.

Pers.& Hrd

Sanctioned By

Ref.No. OIPL/HR/10
Date:----------------------------------------------------------------------------------------------------------------

Letter of Intent
Dear, ----------------Dear Sir/Madam,
With Reference to your interview with us we are pleased to offer you an appointment in our
organization as a------------------------.Your place of posting will be at----------------------------------.
You may join your duty on or before --------------------.The Detailed Appointment Letter/Service
Agreement would be issued to you at the time of joining.
Please submit the following documents at the time of joining.
Immediately on Joining
1-Three passport size photographs.
2-Experience certificate from previous organizations.
3-Self Attested Copies of Educational certificates.
4-Date of Birth Certificates/Proof
5-Copy of Valid Photo ID and Address proof.
With in 15 days of Joining
6-No Dues and Relieving Certificate of previous employer.
7-Two reference letters from the references given in employment form.
If you fail to join on or before-------------------this offer validity would require confirmation from
the Company.
Please sign & return the duplicate copy as token of your acceptance
Thanking You,
For Omega IceHill Pvt.Ltd.

(Authorised Signatory)

Ref.No. OIPL/HR/10
Date:---------------------Mr.------------------------------------------------------------------------------------------Appointment Letter
Dear, ----------------We have pleasure in appointing you as--------------------------------- in our organization, effective
--------------------- on the following terms and conditions:
1. Placement & Remuneration
You will be placed in the appropriate band / responsibility level of the Company, and will be
entitled to remuneration (Rs.--------------- CTC P/A) as detailed in Annexure A.
Remuneration will be governed by the rules of the Company on the subject, as applicable
and/or amended hereafter.
2. Posting & Transfer
Your initial posting will be at -------------------- However, your services are liable to be
transferred, at the sole discretion of Managing Director, in such other capacity as the company
may determine, to any department / section, location, associate, sister concern or subsidiary, at
any place in India or abroad, whether existing today or which may come up in future. In such
a case, you will be governed by the terms and conditions of the service applicable at the new
placement location.
3. Probation:
That you will be on probation for a period of six months. The period of probation can be
extended at the sole discretion of the Managing Director and you will continue to be on
probation till an order of confirmation has been issued in writing.
4. Full time employment
Your position is a whole time employment with the Company and you shall devote yourself
exclusively to the business and interests of the company. You will not take up any other work
for remuneration (part time or otherwise) or work in an advisory capacity, or be interested
directly or indirectly (except as shareholder / debenture holder), in any other trade or business
during your employment with the company, without permission in writing of the Managing
Director of the Company. You will also not seek membership of any local or public bodies
without first obtaining specific permission from the Managing Director.

Contd -2
(2)
5. Confidentiality
You will not, at any time, during the employment or after, without the consent of the
Managing Directors disclose or divulge or make public, except on legal obligations, any
information regarding the Companys affairs or administration or research carried out, whether
the same is confided to you or becomes known to you in the course of your service or
otherwise.
6. Intellectual Property
If you conceive any new or advanced method of improving designs/ processes/ formulae/
systems, etc. in relation to the business/ operations of the Company, such developments will
be fully communicated to the company and will be, and remain, the sole right/ property of the
Company.
7. Responsibilities & Duties
Your work in the organization will be subject to the rules and regulations of the organization
as laid down in relation to conduct, discipline and other matters. You will always be alive to
responsibilities and duties attached to your office and conduct yourself accordingly. You must
effectively perform to ensure results.
8. Past Records
If any declaration given, or information furnished by you, to the company proves
to be false, or if you are found to have willfully suppressed any material information, in such
cases, you will be liable for removal from services without any, notice.
9. Retirement
The retirement age is 60 years. You will retire from the employment of the Company at the
end of the month in which you attain 60 years of age.
10. Termination of employment.
During the probationary period and any extension thereof, your services may be terminated on
either side by giving one months notice or one months basic salary in lieu thereof. However,
on confirmation the services can be terminated from either side by giving three months
notice or three months basic salary in lieu thereof.
The notice period will commence from the acceptance of resignation tendered in hard copy
only.
Upon cessation of employment, you will immediately hand over Companys all
correspondence, specifications, formulae, books, documents, market data, cost data, drawings,
affects or records belonging to the Company or relating to its business and shall not retain or
make copies of these items.
Upon cessation of employment, you will also return all company property (company property
includes physical items as well as intellectual property, drawings, documents, e-mails , details
of pending issues related with the profile and knowledge transfer) which may be in your
possession and obtain handing/ taking over receipt as well as relieving certificate.

Contd-3
(3)
Failing in compliance with this section, as well as knowledge transfer, you agreed and given
your consent to make good the loss of company that can amount to forfeit your payment of
Leave encashment, LTA and other discretionary payments.
11. Responsibility to Protect OIPLs Business
You agreed that within two years from separation / termination of services you will not
promote the sale of any product or service which competes with the product or services
offered by OIPL.
You also agreed that you will not encourage any person to breach any contract between that
person and OIPL.
You also agreed that you will not provide work to any person who was employed by, or
worked as contractor for, OIPL within a period of two years of separation.
12. Abiding Rules & Regulation
You agreed to abide by the company rules & policies relating to the health, safety, entitlement
of leaves, disciplinary and grievance handling procedure in force and amendments hereafter.
13. Medical Fitness
This appointment is subject to your being, and remaining, medically fit.
14. Jurisdiction
All disputes shall be subject to the jurisdiction of Delhi Courts only.
Please confirm your acceptance of the appointment on the above terms and conditions by signing
and returning this letter for our records.
Yours faithfully,
For Omega IceHill Pvt. Ltd.
Authorized Signatory
I have read the terms and conditions of this letter of appointment and confirm my acceptance of
the same. I agree to abide by all the terms & conditions written herein.

(Signature and Date)

Ref.No. OIPL/HR/10
Dated : -------------To :
Mr-------------------------------------------------Sub: TRANSFER LETTER
Dear -------------------The Company has decided to shift you from ------------------ to ------------------------with effect from------------------.
In your new responsibilities you will report to--------------------------(-------------).
The Company values contribution made by you so for and expects that new
challenge will stimulate you even further.
Wish you all the best.
Thanking you,
Yours faithfully,
For Omega IceHill Pvt.Ltd.

(Authorized Signatory)

Ref.No. OIPL/HR/10
Dated: -------------------Name:
---------------------Department: --------------------------Designation: ---------------------------

Subject: Confirmation Letter

Dear --------------The Company is pleased to confirm you in the position of -------------------- w.e.f.-------Hope you will continue to bring out your best potential towards organizational excellence.
With best wishes,

For Omega IceHill Pvt.Ltd

(Authorized Signatory)

Ref: OIPL/HR/10
Dated: ------------------------To:
Name
--------------------------------Designation -----------------------------Department -----------------------------Subject; - Letter of Extention of Probation Period
Dear Sir :
This has reference to your appointment in our organization as ------------at-------w.e.f----------------.You were placed on probation for a period of six months as per
letter of appointment issued to you.
The Company has reviewed your performance and expects you to learn the job
fully. You will therefore be on Probation for a further period of-----------------------We have no option extend your period up to ---------------Thanking You,
For Omega IceHill Pvt.Ltd.
(Authorised Signatory)

Ref: OIPL/HR/10
Dated : ------------------------To:
Name
--------------------------------Designation -----------------------------Department -----------------------------Subject ;- Relieving Letter
Dear Sir,
We refer to your letter dated ----------------------- tendering resignation from the
services of the Company. You shall be relieved from the services at the close of
working hours of ---------------------------.
We are advising Accounts Department to clear your dues, if any. Please note that
you have failed to give Three Months Notice against your resignation as per the
Clause 10 of Appointment Letter, necessary adjustment shall be done in settling
you dues.
The Company places on record your valuable services and wishes you a bright
and successful career in future.
Thanking you,
Yours faithfully
For Omega IceHill Pvt.Ltd.

Authorized Signatory

Ref: OIPL/HR/10
Dated : ------------------------To:
Name Mr.--------------------------------Designation -----------------------------Department -----------------------------Subject ;- Relieving Letter
Dear -------------We refer to your letter dated ----------------------- tendering resignation from the
services of the Company. You shall be relieved from the services at the close of
working hours of ---------------------------.
We are also advising Accounts Department to clear your dues, if any.
The Company places on record your valuable services and wishes you a bright
and successful career in future.
Thanking you,
Yours faithfully
For Omega IceHill Pvt.Ltd.

Authorized Signatory

Omega IceHill Pvt.Ltd.

Travel Requisition Form
Please Note this form is to be used for all employee for all official travel
booking.
Request Date & Time
Employee Name
Age.
Employee Code
Sex.
Department
Designation
Place of Posting
Date of Travel
Preferred Departure Time.
Travel Class,
From
To
Mode, By Air or By Train, Date
From
To
Mode, By Air or By Train, Date
From
To
Mode, By Air or By Train, Date
From
To
Mode, By Air or By Train, Date
From
To
Mode, By Air or By Train, Date
From
To
Mode, By Air or By Train, Date
Specific Reason for Travel
-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Valid Passport Number
Mobile Number
Email id
If required as Travel Advance Please give details;-Accommodation Charges Approx Rs.
---------------------------------------------------------------------Local Conveyance Charges Approx Rs.
--------------------------------------------------------------------Fooding Charges Approx Rs
--------------------------------------------------------------------Misc Expenses during Visit Rs
-------------------------------------------------------------------Total Rs.

Employee Signature

HOD Signature

Omega IceHill Pvt Ltd.

Sanctioned By

APPLICATION FOR EMPLOYMENT

Date of
Application

:----------------------------------

Referred By if Applicable
:----------------------------------------

Applied for Post

Paste your recent photo here

:---------------------------------

Contact Numbers

:---------------------------------

PERSONAL PARTICULARS
Mr/Ms/Mrs---------------------------------------------------------------------------------------------(Last)
(First)
(Middle)
Fathers/ Husbands Name Shri---------------------------------------------------------------------Date of Birth

---------------------------------Contact Numbers-----------------------------

Marital Status

Single

Married

Other

Present Address
---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Permanent Address
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Please list your areas of highest proficiency, special skills or other items that may contribute to
your abilities in performing the above mentioned position.

EDUCATION
Degree/Dip.

Year

Board/Uni/Instt

Location

Specialisation

Grade/
%Marks

Remarks

12th
Graduation
Post
Graduation

PREVIOUS EXPERIENCE
Please list beginning from most recent:If promoted in the Company give details of each responsibility.
Period
Company Name
Designation
Location

*Note: - Use extra sheet if necessary

REFERENCES
Please give two references that know you better but are not relative.
Name
Position
Organization
Location
Mobile
Office
Nature of Association

Reason for
leaving

Since when Know

Compensation Package Per Month (*Please Attached Support.)
Present Salary Breakup

Expected Salary

Basic
HRA
Conveyance
Child Education Allowance
Uniform Allowance
Special Allowance
Medical Reimbursement
Telephone Reimbursement
Driver Salary Reimbursement
Business Development
Entertainment Allowance
LTA
Bonus/ Exgratia
Gratuity
Superannuation
PF
ESIC/Health Insurance
Total CTC P/M

Salary Expectation in CTC P/M :-----------------------------------------------------------------Present Designation

:-----------------------------------------------------------------------

Designation Expectation

:-----------------------------------------------------------------------

Notice Period Required

:-----------------------------------------------------------------

Place-------------------Date--------------------Time-------------------Candidates Signature

(For Office Use Only)

Characteristics

REMARKS

1. Personality
2. Education
3. Relevant Experience
4. Enterprising
5. General Knowledge
6. Character & Temperament
7. Overall Rating
Recommended for Final Interview

Date & Time

Signature & Name

Remarks
Characteristics

C
1.
2.
3.
4.

D
B

Appointed As.
Annual Package/CTC.
To Join on or Before.
Placement/Location.

5. Department.

DATE

SIGNATURE
DATE

SIGNATURE

For HR/ Personnel Department Use Only

Joined On _____________________Placed in ________________Location
at____________________

RECRUITMENT INITIATING FORM

Dt. of Initiation ---------------------Initiating Off --------------------------------Approval /Sign. of
HoD
Target dt. of Joining --------------------Position Name --------------------------Functional
Spl.------------Deptt. ------------------------Location ---------------------Desired Age--------Desired Prof. Qual.
---------Responsibility in terms of Vol.: Previous Co.------------------------------------------Desired--------------Desired years of Exp. ----------Budgeted CTC -------------Approved Org. Str. of Deptt encl.
Yes/No
If not enclosed, reason for
same--------------------------------------------------------------------------------------Cause of Vacancy: Attrition/New Requirement
----------------------------------------------------------------Immdt. Sprs. Name & Dsgn..-------------------------------------Subordinate team
size-----------------------Preferred Source of Recruitment (Tick mark the applicable one):
Job Portal
Head Hunting
Newspaper Add
Reference
Any specific Industry/Companys/Source to be looked at? Name them:
-------------------------------------------------------------------------------------------------------------------------------Critical areas of Job Profile of Position:
1---------------------------------------2--------------------------------------------------------3---------------------------4.
-------------------------------------5--------------------------------------------------------6---------------------------Key Competency Areas:
1-------------------------------------2--------------------------------------------------------3---------------------------4.
-------------------------------------5--------------------------------------------------------6----------------------------Key Personality Attributes:
1--------------------------------------2--------------------------------------------------------3----------------------------4.
----------------------------------5--------------------------------------------------------6-----------------------------(To be filled by HR Department)
Requisition
checked
by
-----------------------------------------------------------------------------------------

Date

Interview Team
Preliminary
------------------------------------------------------------------------------------------------------Final
--------------------------------------------------------------------------------------------------------Signature of HoD(HR)----------------------------------------------Management Remarks
Manpower Requision : Approved/Not Approved Position to be Offered ---------------- CTC
Finalised -------------------Date:-------------------------Approval of MD

Signature

Applications Status
Scrutinised Shortlisted Interviewed Database
Date
Target Date Achieved/Exceeded
--------------------------------------------------------

---------------

of

Approving

Authority

Process Outcome
Vacancy Filled/Not Filled
Joining
------------

--------------------------------

REFERENCE CHECK REPORT

Name of Candidate:
-----------------------------------------------------------------Position offered/short listed:
-----------------------------------------------------------------Department:
-----------------------------------------------------------------Location:
-----------------------------------------------------------------1. How you know the candidate?
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------2. What are your comments about the candidate?

As Professional
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------As Person
-----------------------------------------------------------------------------------

----------------------------------------------------------------------------------------------- -Integrity
-------------------------------------------------------------------------------------

Key Competencies/Strength Areas

----------------------------------------------------------------------------------------------------------------------------------------------------

Improvement Areas
------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Major Contributions
----------------------------------------------------------------------------------------------------------------------------------------------------------------------

Name of Referred Person:

-------------------------------------------------Present Position & Organization:
-------------------------------------------------Contact no. :
--------------------------------------------------Name of Internal Person:
--------------------------------------------------(Who talked with Referred Person?)
Designation:
------------------------------------------------Signature:
------------------------------------------------Date of Communication:
-------------------------------------------------

Interview Assessment Sheet

Candidates Name :---------------------------------------------------------------------------------Post

: ----------------------------------------------------------------------------------

Human Resource : Date :------------------Interviewers Name----------------------------Poor

Average
Good
Excellent
Proficiency
1
2
3
4
5
6
7
8
9
10
Personality
Attitude
Communication
Relevant Education
Job Stability
Remarks :Unsuitable

Hold

Recommended

Signature

Department Head Name -----------------------------------------------------Date------------------Poor

Average
Good
Excellent
Proficiency
1
2
3
4
5
6
7
8
9
10
Personality
Attitude
Communication
Relevant Education
Job Knowledge
Remarks :Unsuitable

Hold

Managing Director/Director
Poor
Proficiency
1
2
3
Personality
Attitude
Communication
Relevant Education
Job Knowledge
Remarks :Unsuitable

Hold

Recommended

Average
5
6

Signature

Date
Good
Excellent
7
8
9
10

Recommended

Signature

Telefax : +91 23232619,23239513

OMEGA IceHill Pvt.Ltd.

st

Regd.off : 39,1 Floor,Raghushree Market,Ajmeri Gate,Delhi-110006

WORK ORDER
To,

Billing address
Shipping addressDelivery address-

Order No.

Date

Customer PO ref

S.No Description Drawing No Capacity

Sizes

Payment Terms
Tax Details
Customer TIN/CST Number
Insurance charges included/excludes.
Freight Terms
Packing & Forwarding Charges
Transport preference
Road permit if required then its details

Terms if any

Date of
Delivery

Quantity

Special Instruction

Rate

Amount