This mandatory declaration collects information regarding spouse employment and dependent children for administrative and compliance purposes at Dr. B.C. Roy Group of Institutions.

Please fill out all applicable fields accurately.

Section 1: Employee Basic Details

Full Name of Employee

Employee ID

PAN Card Number

Aadhar Card Number

College Name

Department

Designation

Date of Birth

Section 2: Spouse Employment Declaration

Is your spouse currently employed?

Yes No

Is your spouse currently employed within our organization (BCREC Group)?

Yes No

Please provide your spouse employment details at BCREC group.

Full Name of Employee

Employee ID

PAN Card Number

Aadhar Card Number

College Name

Department

Designation

Spouse DOB

Section 3: Dependent Children Details

Do you have any children below 21 years of age?

Yes No

Section 4: Final Declaration & Acknowledgment

Declaration:

I hereby declare that all the information furnished above is true, complete, and correct to the best of my knowledge and belief. I understand that if any information provided is found to be false, misleading, or deliberately concealed, it may lead to severe administrative action, including termination of employment. Furthermore, the institution reserves the right to submit such information to the State Judicial System for appropriate legal proceedings.

I have read, understood, and agree to the declaration above.

Date of Submission

Name

Highlights

Employee Family & Health Declaration Form

This mandatory declaration collects information regarding spouse employment and dependent children for administrative and compliance purposes at Dr. B.C. Roy Group of Institutions.

Section 1: Employee Basic Details

Section 2: Spouse Employment Declaration

Section 3: Dependent Children Details

Section 4: Final Declaration & Acknowledgment

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