MDSMC DATA
STAFF INFORMATION
EMPLOYEE CODE
GENDER
MALE
FEMALE
CLASS TYPE
I
II-NG
III
IV
MARITAL STATUS
MARRIED
UNMARRIED
DIVORCED
WIDOWED
Other
FULL NAME
DR.
SHRI
SMT.
MS.
CA
Prefix
First Name
Middle Name
Last Name
MAIDEN NAME
First Name
Middle Name
Last Name
RESIDENCE ADDRESS
Street Address
Street Address Line 2
City
State
Zip Code
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
NATIVE ADDRESS
Street Address
Street Address Line 2
City
State
Zip Code
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Resi. Phone Number
-
Country Code
-
Area Code
Phone Number
MOBILE #
Institutional E-mail
Personal E-mail
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Date of Birth
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Day
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Month
Year
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Date of Appointment
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Day
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Month
Year
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Date of Retirement
/
Day
/
Month
Year
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Age
Age of Superannuation
Religion
Please Select
Hinduism
Islam
Christianity
Sikhism
Buddhism
Jainism
Judaism
Other
Caste
Sub-Caste
Category
Please Select
OPEN
SC
ST
OBC
SBC
VJ
NT(B)
NT(C)
NT(D)
KM
NRI
Nationality
Please Select
Indian
Psychically Handicapped
No
Yes
% of Disability
Nature of Disability
Please Select
Autism
Chronic Illness
Hearing Loss and Deafness
Intellectual Disability
Learning Disability
Memory Loss
Mental Health
Physical Disability
Speech and Language Disorders
Vision Loss and Blindness
Blood Group
Please Select
A RhD positive (A+)
A RhD negative (A-)
B RhD positive (B+)
B RhD negative (B-)
O RhD positive (O+)
O RhD negative (O-)
AB RhD positive (AB+)
AB RhD negative (AB-)
Identification Mark
Number of Children
Children Details
Daughter
Son
Twins (If any)
Special / Disabled (If any)
None
Age of First Child
Age of Second Child
Age of Third Child
Number of Dependents
Details of Spouse
Working
House Wife
Family Pensioner
Retired
Working Status of Spouse
Please Select
Central Government
State Government
Semi-Government
Govt. Aided Institution
Private Institution
Private Company
Business
Retired
Age of Wife / Husband
Age of Father
Age of Mother
Age of Father In-Law
Age of Mother In-Law
Type of Accommodation
Owned by self/spouse
Owned by self - Mortgaged
Owned by parent/sibling
Rented - With Family
Rented - With Friends
Rented - Staying alone
Paying guest
Hostel
Company provided
Other
HRA Claim in Income Tax
YES
No
Vehicle Owned
Four Wheeler
Two Wheeler
Four Wheeler Reg. Number
Two Wheeler Reg. Number
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Educational Qualification
Educational Details
Orientation & Refresher
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Name of the Department
Please Select
ADMINISTRATIVE-OFFICE
ADMINISTRATIVE-LIBRARY
ENGLISH
GUJARATI
HINDI
MARATHI
ECONOMICS
HISTORY
SOCIOLOGY
PSYCHOLOGY
MUSIC
CHILDCARE
COMMERCE
ACCOUNTANCY
BUSINESS LAW
SPORTS
MASS MEDIA
MANAGEMENT
COMPUTERS
COP
Section
Teaching - Aided
Teaching - Unaided
Non Teaching - Aided
Non Teaching - Unaided
Technical
Self-Finance
Nature of Appointment
Permanent
Temporary
Adhoc
CHB / Visiting
Faculty
Arts
Commerce
Management
Technology
Type of Appointment
Full Time
Part Time
Appointment under Scheme
GPF / Pre - NOV - 2005
NPS / Post - NOV - 2005
Current Designation
Please Select
Principal
Professor
Associate Professor
Assitant Professor
Librarian
Registrar
Sr. Steno - APY 24 YRS
Office Superintendent
Assistant Librarian - APY 24 YRS
Head Clerk
Senior Clerk - APY 24 YRS
Senior Clerk - APY 12 YRS
Senior Clerk
Junior Clerk - APY 24 YRS
Junior Clerk - APY 12 YRS
Junior Clerk
Library Attendant - APY 24 YRS
Library Attendant - APY 12 YRS
Library Attendant
Peon - APY 24 YRS
Peon - APY 12 YRS
Peon
If, HOD
HOD
Applicable Leaves
Earned Leave - EL
Casual Leave - CL
Half Pay Leave - SL
Leave Without Pay - LWP
Leave Travel Concession - LTC
Faculty of..
UG
PG
Experience In UG
Experience In PG
Availing LTC
Yes
No
Mode of Travel
Flight
Train
Bus
Boat
Position Held / Members in Committees
Senate
Board of Studies
Local Managing Committee
College Committee
School Committee
IQAC
RTI
PTA
NSS
C.A.S.H.
Book Bank
Research Cell
Students' Council
Library Committee
Magazine Committee
Admission Committee
Time Table Committee
Examination Committee
Grievance Redressal
Disaster Management
Feedback Cell
Health Committee
ICC
Other
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Promotion / TBP / APY / CAS / SR. Scale / Sel. Grade
Approval Letter
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Approval Letters Received from University / Govt.
Approval Letter
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Proof of Identity
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Nomination for Death-Cum- Retirement Gratuity
PF - Nomination
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Research
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Seminar / Workshop / Conference
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Achievements
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Employee Photo
Employee Signature
Employee Finger Print
Birth Certificate (If available) OR School -College Leaving Certificate
Marriage Certificate
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