SERVICE BOOK 23/02/2023 06:58 PM

Employee ID / Unique Code : 8FAXXR

Employee Name : RAKESH KUMAR Status - In-Service
Parent Department : Health Employee Type : State Govt. Service
Date of Birth : 20/08/1996 Date of Retirement : 31/08/2054
Department Id :

Details of Employee at the time of First Appointment on regular basis

Department : Health Treasury : Hissar SubTreasury : Adampur
Office : CHC SISWAL
Group of Post: A Designation : Medical Officer Functional Pay Scale : 15600-
39100+5400GP
Date of Joining in Govt. Service: 22/06/2020 AN Recruitment Mode : Direct Mode of Appointment : HSSC

As per e-post, working against the post

Group : A Designation : Medical Officer

Gazetted/ Non- Gazetted : Gazetted Governed By Rule : Haryana Civil Medical (Group-A) Service Rules,
2014
Date of Joining at current place of Posting : 22/06/2020 Date of Joining at current designation : 22/06/2020
Capacity in which working : Temporary (Regular) Mode of Appointment at Current Designation : Direct
Whether ACP Given : No

Personal Information
Gender : Male Ex-Serviceman : No
Marital Status : Unmarried Category : BC-A
Father : RAMNIWAS
Mother Name : GAYATRI DEVI Nationality : Indian
Religion : Hindu Handicapped : No Disability

Address Details
Permanent Address : MOBHATPUR Correspondence Address : MOBHATPUR
Town/City : ADAMPUR Town/City : ADAMPUR
State : HARYANA State : HARYANA
District : Hissar District : Hissar
Pin Code : Pin Code :
Home District : Hissar Home State : HARYANA

Contact Details
E-mail Address : rakeshnehra73@gmail.com Mobile No : 9812371711
Telephone (Residence) : Telephone (Office) :

Other Details
Pension Scheme Type : New Pension Scheme
GPF Series : N/A GPF/PRAN No : 110105050114
PAN No : *******70F GIS / UAN No :
Aadhar/UID No. :
Remarks :

Signature and Thumb Print

Employee Signature Thumb Impression

Physical Detail
NIL

Language Report
No record found

Qualification Of Employee

Sr No. Qualificatio Name of Institute Subject Subject Passing Percentag Order No Order Attained
n Name University Specializa Year e Date At
tion
1 MBBS NA

2 MBBS NA

Family Details
SR.No. Relationship / Dependent Name / Is differently abled Has chronic disease
D.O.B / Qualification /
Occupation / Marital Status / Is
Dependent / Aadhar No. / Address
1. Relation : Father No No
Name : Ram niwas
DOB : 30/04/1972
Qualification : 10th
Occupation : Unemployed
Marital Status : Married
Is Dependent : Yes
Aadhar No : *********248
Address : vpo mobhatpur
2. Relation : Self No No
Name : RAKESH KUMAR
DOB : 20/08/1996
Qualification : MBBS
Occupation : Haryana Govt
Marital Status : Unmarried
Is Dependent : No
Aadhar No :
Address : MOBHATPUR
ADAMPUR HARYANA

Certificate, Declarations and Nominations

Sr Subject Certificate
.
N
o.
1 2 3
1 Certificate of Not Filled
Police
Verification
2 Certificate of The employee was medically examined by civil surgeon hisar on 22/06/2022 and found fit. The
Medical certificate of medical examination has been kept in safe custody, vide Sr. No. 1 of Volume-II of
Examination Service Book.
3 Character & His/her character and antecedent have been verified and the verification report kept in safe
Antecedent custody, vide Sr. No. 2 of Volume-II of Service Book.
4 Allegiance to He/she has been taken oath of allegiance/affirmation to the Constitution, vide Sr. No. 3 of
the Volume-II of Service Book.
Constitution
5 Oath of Secrecy He/she has read the Official Secret Act, Right to Information Act, 2005 and Haryana Civil Services
(Government Employees Conduct) Rules, 2016 and has also taken the oath of Secrecy, vide Sr.
No. 4 of Volume-II of Service Book.
6 Marital Status Not Available
7 Declaration of He/she has furnished the declaration of home town which has been accepted and filled at Sr. No.
Home Town 6 of Volume-II of Service Book.
8 Verification of The correctness of the entries against Sr No. 5 to 8 (Nationality, whether a member of schedule
entries in Form caste/tribe, Date of birth, Educational qualification) of Part 1 - Bio-data has been verified from the
Part 1 original certificates considered as valid documentary evidence for the respective purposes.
Attested copied of these certificates have been filled at Sr. No. 7 of Volume-II of Service Book.
9 Dowry in He/she has furnished declaration regarding his/her not demanding/giving/taking any drowy in the
Marriage marriage, vide Sr. No. 8 of Volume-II of Service Book.
10 Detail of family He/she has made available the detail of his/her family members in the prescribed form.
members
11 (a) GPF A/C GPF Account / PRAN No. N/A110105050114
No. or PRAN
No.

(b) Nomination He/she has filled nomination for final payment of General Provident Fund/Defined Contributory
for GPF Or Pension Scheme and the following related notices have been forwarded to the Principal
Defined Accountant General on dates shown against them, which have been filled in Volume -II of service
Contributory book
Pension Scheme
 Current
SR.No. Ason Family Family Family Family Percen Serial
Member Member Member Member tage No of
Name Relation Address Aadhar No Volume
II
Service
Book
1. 06/10/202 Ram niwas Father VPO- *********24 100 10
2 Mohbatpur, 8
Hisar

12 Nomination for He/she has filled nomination for Leave encashment and other dues, if any, which have been filled
Leave in Volumn - II of service book.
encashment
and any other
dues, if any
Current
S As on Family Family Family Family Percentag Serial No of
R. Member Member Member Member e Volume II
N Name Relation Address Aadhar No Service Book
o.
1. 06/10/202 Ram niwas Father VPO- *********2 100 11
2 Mohbatpur, 48
Hisar

13 (a) G.I.S A/C G.I.S No. is Not Filled

No.

(b) Nomination He/she has filled nomination for G.I.S and the following related notices, have been filled in Volume
for G.I.S - II of service book.
Current
S As on Family Family Family Family Percentage Serial No of
R. Member Member Member Member Volume II
N Name Relation Address Aadhar Service Book
o. No
1. 06/10/20 Ram niwas Father VPO- ********* 100 12
22 Mohbatpur, 248
Hisar

14 Nomination for He/she has filled nomination for death-cum-retirement gratuity and the following realated notices
death-cum- which have been filled in Volume - II of service book.
retirement
gratuity
Current
SR. As On Family Family Family Family Percen Serial
No. Member Member Member Member tage No of
Name Relation Address Aadhar No Volume
II
Service
Book
1. 06/10/2022 Ram niwas Father VPO- *********248 100 13
Mohabatpur,
Hisar

Previous Qualifying Service Report

NIL
 Service Verification Details (Qualifying Service)
No record found

Service Break Details (Non-Qualifying Service)

NIL

Absent from Duty Details (Non-Qualifying Service)

NIL

Leaves other than Half Pay Leave, Earned Leave

NIL

Earned Leave
NIL

Total Earned Leave :

Half Pay Leave

S No From Date To Date Leave Earned Leave Availed Leave Remarks
Balance
1 22/06/2020 21/06/2021 20 0 20
2 22/06/2021 21/06/2022 20 0 40
3 22/06/2022 21/06/2023 20 0 60

Suspension Detail
NIL

Punishment Detail
NIL

Vigilance Enquiry Detail Report

NIL
 Promotion Of Employee
NIL

LTC Record Of Employee

NIL

Financial Upgradation
SNo Pay Scale Basic Pay Date Of grant Financial Upgradation Type Order No Pay Remarks
Order Date Fixation
Order
Date
1 FUN-L-10 57800 01/01/2021 Annual Increment Annual 01/01/2021 Annual Increment
Increment of of 01-2021
01-2021
01/01/2021
2 FUN-L-10 59500 01/01/2022 Annual Increment Annual 01/01/2022 Annual Increment
Increment of of 01-2022
01-2022
01/01/2022
3 FUN-L-10 61300 01/01/2023 Annual Increment Annual 01/01/2023 Annual Increment
Increment of of 01-2023
01-2023
01/01/2023

Awards/Medals
NIL

CC Entry
No record found

GPF
NIL

House Building Advance

NIL

House Building Advance for Extension or Repair

NIL
 Motor Car Loan (First)
NIL

Motor Cycle or Scooter Loan

NIL

Computer/Laptop Advance
NIL

Marriage Loan
NIL

Training Details
NIL

Departmental Exam Passed

NIL

Skill Details
NIL