Additional Information Required in COSA

As per 13th Finance Commission Template Employees Data Base Format

ANNEXURE-12.15

Department
Establishment/Bill
PF Account
Number
Salutation First Name Middle Name Last Name
Employees Name

Present Designation
Salutation First Name Middle Name Last Name
Father’s Name

Salutation First Name Middle Name Last Name

Mother’s Name

Spouse’s Name Salutation First Name Middle Name Last Name

Date of Birth
Category GEN/SC/ST/OBC/PH/Ex-Service Man/Others(Pls. Specify)
Date of
Appointment
Designation at
First Appointment
PAN

Address :
Residential Address
Police Station :
PIN Code :
Mobile No. : Office No. :
Contact Number
PBX No.
Entitlement
1. Defined Benefit, 2. NPS, 3. None Of the two
to Pension