Vous êtes sur la page 1sur 9

Alcatel-Lucent | New Employee Data Updation (NEDU) Form

Welcome to Alcatel-Lucent! This


form will help us create your joining
record. Kindly follow the instructions
provided and send the filled up form
to hr.support@alcatel-lucent.com
within 2 days along with a soft copy
of your passport size photo with
white background.

NEDU
Form
New Employees Data
Updation Form

HR Support | HR Service Center

Alcatel-Lucent

Alcatel-Lucent | New Employee Data Updation (NEDU) Form

Instructions (to be read thoroughly before start fill this form)


This document is a prerequisite to you joining Alcatel-Lucent. All this information
will go into your personnel records in our HR Management System/Personal File
and also Education qualification and Previous Employment information will be used
for initiating the Background verification. Therefore ensure that the information
provided is complete and accurate in all ways.
1. All fields with * sign are mandatory
2. You can directly enter information in the form, send the same to us. Physical
Signature to be provided on the Day of Joining in Front of HR SPOC.
3. Provide a soft copy of professional passport size (US Visa Format White
Background) color photograph for your ID card. Please scan the photo with
higher resolution (min. 600 dpi) to get good quality ID card.
4. Please provide the Cancelled Cheque along with this form for the validation
purpose to ensure correct bank account keyed-in in the payroll application.
5. Please
ensure
that
you
email
the
following
documents

to

hr.support@alcatel-lucent.com within 2 days of receiving this form, if you


are

not uploaded the same in iBGV application.


Soft Copy of filled NEDU form
Soft copy of your color passport size photograph with white background
Signed copy of the Authorization document / BGV consent letter for
verification
Education and Experience Documents required for BGV
Scan copy of Cancelled Cheque for salary process
6. Please fill your FULL NAME and DATE OF BIRTH as per your PAN Card
/certificate and also verify them in your LOI/ Appointment Letter. Name
should match according to PAN Card.
7. Please fill all date format in DD-MMM-YYYY (for example 01-JAN-1990)
8. If you are covered under ESIC scheme, please provide your existing ESI BioMetric Card Number to continue to use the same number in Alcatel Lucent
as well.
9. Please provide Universal Account Number allotted by EPFO (Employee PF
Organization to your previous organization).
10. Please provide your DESIGNATION as per document (experience / Relieving
Letter) provided for your past experiences. DONT mention the role when
designation is asked.
11. You must fill the company name which we you have received salary
and not the company which you were deputed.

Alcatel-Lucent | New Employee Data Updation (NEDU) Form

12. Please provide functional contact number/ mail id of your Supervision


and HR.
13. You must submit your PAN CARD and AADHAAR CARD copy. Incase you do
not hold it, should apply immediately and mandatory to submit it on or before
Date of Join.

Personal Information*
Title *

Mr

(Mr./ Ms.)

First Name*

Middle Name
Last Name*
Full Name*
Gender*

Shyam

(Legal first name)


(If Applicable)

(Family name or surname)

Shyam C

(As in ID proof - PAN Card)

Male

(Male / Female)

Blood Group*

O+

PAN Card No.* (Submit a photo copy)

BDMPC0910M

Aadhaar Card No.*

492506058021

(Submit a photo copy)

Date of Birth* (dd-mmm-yyyy ) (e.g. 01-Jan1990)

29-06-1993

Place & Country of Birth*

Ottapalam, Kerala, India

Marital Status*

Single

(Single/ Married/ Divorced/)

Date of Marriage (If married)

NA

Nationality*

Indian

(Your main nationality)

Religion*

Hindu

Languages Known*

English,Hindi,Tamil,Malayalam

Identity Information*

(Minimum two identity information required)

Passport Number* (Submit a photo


copy)

MA1068339358515

Place of Issue

Chennai

Issuing Date

26-03-2015

Expiry Date

(dd-mmm-yyyy)

(dd-mmm-yyyy)

25-03-2025

Voters ID Card Number* (Submit a photo


copy)

NA

Issuing Date

NA

(dd-mmm-yyyy)

Driving License Number* (Submit a


photo copy)

TN22Z20110009933

Place of Issue

Chennai

Issuing Date

07-10-2011

(dd-mmm-yyyy)

Alcatel-Lucent | New Employee Data Updation (NEDU) Form


Expiry Date

06-10-2031

(dd-mmm-yyyy)

Are you covered under


ESIC
Scheme? *

Yes / No

UAN (Universal Account No. provided by


EPFO
to your previous organization)*

Dependent Information
No. of Children

(If you have children)

If yes, mention Bio-metric


ESI Card No allotted by ESIC NO
Dept:
NA

(If Applicable)
NA

Spouse (Husband/ Wife) Details


Full Name

(Spouses full legal name)

Nationality

(Nationality of Spouse)

ID/ Passport Number of Spouse

NA
NA

Spouse Date of
Birth

NA

NA

Spouse
Employed?

(YES / NO)

NA

First Childs DOB

NA

NA

Second Childs
DOB

NA

Childrens Details
First Childs Name
Second Childs Name

Parents Details
Fathers Full Name

Manoharan P

Fathers DOB

17-04-1963

( dd-mmm-yyyy)

Mothers Full Name

Sunitha C

Mothers DOB

24-11-1971

( dd-mmm-yyyy)

Parents Address

149-b,Sri Balaji flats,Balaji nagar,6 th cross,selaiyur,chennai600126

Bank Information for Salary*


Want to use your current bank account for your salary? You can choose to use your current bank
account if it is listed below table. Mention Yes on the existing bank account which you wish to
continue as salary account and provide bank account details.

Alcatel-Lucent | New Employee Data Updation (NEDU) Form

Please furnish your existing bank account details for salary process:
Payee Name* (Full name as per bank account)

Shyam C

Branch Name & IFSC Code* (Mandatory)

PNB bank, selaiyur branch. PUNB0395800

Bank Account Number *


3958000100086381
#
Bank Name
No prefix
#
Bank Name
(mention
complete
account number Yes/
including
zeros)
0
(Attach cancelled
cheque
for validation purpose to ensure no errors10
in
ABN Amro
Bank
Punjab National Bank
1 account)
salary
0
2

Axis Bank

11

State Bank Of India

0
3

Citi Bank

12

Deutsche Bank

0
4

HDFC Bank

13

HSBC Bank

0
5

ICICI Bank

14

RBS Bank

0
6

IDBI Bank

15

State Bank of Indore

0
7

Standard Chartered
Bank

16

DBS Bank

0
8

Canara Bank

17

YES Bank

0
9

ING Vysya Bank

Highest Qualification:
:

Anna University

Regular

B.E ECE

26-08-2011

7.94

(dd/mmm/yyyy)

Marks in % /
CGPA*

Yes

Want to open new bank


a/c?

Educational Qualification*
Board/
University /Name
& Address
Regular/ Part
time*
Name of Degree
& Branch*
Course Start
Date*

Yes/ No

Kindly include
(Start from Recent):
only
completed
courses

School/ College/
Name &
Address*
Course
Completed*
Registration /
Enrollment No. *
Course
Completion Date
* (dd/mmm/yyyy)
Graduation Date*

Sri Venkateswara College


: of Engineering.
:

Yes/
No:

Yes

: 212711106095
: 31-05-2015
: 30-1-2016

Second Highest Qualification:


Board/
University /Name
& Address
Regular/ Part
time*

State Board

Regular

School/ College/
Name &
Address*
Course
Completed*

Zion Matriculation Higher


: Secondary School
:

Yes/
No:

Yes

Alcatel-Lucent | New Employee Data Updation (NEDU) Form


Name of Degree
& Branch*
Course Start
Date*

PCMCS

1-04-2010

98.5%

Registration /
Enrollment No. *
Course
Completion Date
* (dd/mmm/yyyy)

(dd/mmm/yyyy)

Marks in % /
CGPA*

: 716372
: 31-03-2011

Graduation Date*

: 09-05-2011
Designation must be

as per document
Employment Summary: * (Start from the latest Employment)

(Service Letter)
dont mention the role

S
N

Organization/ Company &


Location
(Start with latest experience)

NA

Working Duration

Designation/
Title

From

To

(DD-MMM- YYYY)

(DD-MMM- YYYY)

(as per document)

(Yrs/ Months)
(e.g. 5 years 4
months)

NA

NA

NA

NA

Total Experience as of today (in Years/


Months)

Previous Employment Information:


(Fill up immediate previous employment information, as applicable)

Employment History Recent/ Latest Experience


Name of the
Employer*
Employer Address*

NA

Employee Code/ No.*


Designation* (as per

NA
Employment Period*

Supervisor
Functional
contact
number
required

Managers HR
Contact
Functional
No.*
contact
Managers number
Email*
required
HRs Name*
HRs Email ID*
Colleagues Name*

document)

From

Duration

To

Department*
Managers Name*
Can reference taken
now? *
HRs Contact No. *
Can a reference taken
now? *
Colleagues Contact No.
*

Correct
Employee
code is
required

NA
NA
NA

Yes

No

Answer:
Yes
Answer:

No

Alcatel-Lucent | New Employee Data Updation (NEDU) Form


Can a reference taken
now?

Colleagues Email ID
Duties &
Responsibilities*
First Salary Drawn*
Was this position*
Permanent
Provide the
Temporary
agency /
Contractual
contract

Yes
Answer:

No

Reason for Leaving*


Last Salary Drawn*
Please provide agency
details in case you are
a temporary/
contractual staf*

company
name

Correct
Employee
code is
required

Employment History Previous 1


Name of the
Employer*
Employer Address*

NA

Employee Code/ No.*


Designation* (as per

NA
Employment Period*

Superviso
r
Functiona
l contact
number
required

document)

From

To

Managers HR
Contact
Functional
No.*
contact
Managers number
Email*
required
HRs Name*

Department*
Managers Name*
Can reference taken
now? *
HRs Contact No. *
Can a reference taken
now? *
Colleagues Contact No.
*
Can a reference taken
now?

HRs Email ID*


Colleagues Name*
Colleagues Email ID
Duties &
Responsibilities*
First Salary Drawn*
Was this position*
Permanent
Provide the
Temporary
agency /
Contractual
contract

NA
NA
NA

Yes
Answer:
Yes
Answer:

No

Yes
Answer:

No

Reason for Leaving*


Last Salary Drawn*
Please provide agency
details in case you are
a temporary/
contractual staf*

company
name

Correct
Employee
code is
required

Employment History Previous 2


Name of the
Employer*
Employer Address*

NA

Employee Code/ No.*


Designation* (as per

NA
Employment Period*

Superviso
r
Functiona
l contact
number
required

Managers HR
Contact
Functional
No.*
contact
Managers number
Email*
required
HRs Name*
HRs Email ID*
Colleagues Name*

document)

From

No

To

Department*
Managers Name*
Can reference taken
now? *
HRs Contact No. *
Can a reference taken
now? *
Colleagues Contact No.
*

NA
NA
NA

Yes

No

Answer:
Yes
Answer:

No

Alcatel-Lucent | New Employee Data Updation (NEDU) Form


Can a reference taken
now?

Colleagues Email ID
Duties &
Responsibilities*
First Salary Drawn*
Was this position*
Permanent
Provide the
Temporary
agency /
Contractual
contract

Yes
Answer:

Reason for Leaving*


Last Salary Drawn*
Please provide agency
details in case you are
a temporary/
contractual staf*

company
name

Correct
Employee
code is
required

Employment History Previous 3


Name of the
Employer*
Employer Address*

NA

Employee Code/ No.*


Designation* (as per

NA
Employment Period*

Superviso
r
Functiona
l contact
number
required

document)

From

No

To

Managers HR
Contact
Functional
No.*
contact
Managers number
Email*
required
HRs Name*

Department*
Managers Name*
Can reference taken
now? *
HRs Contact No. *
Can a reference taken
now? *
Colleagues Contact No.
*
Can a reference taken
now?

HRs Email ID*


Colleagues Name*
Colleagues Email ID
Duties &
Responsibilities*
First Salary Drawn*
Was this position*
Permanent
Provide the
Temporary
agency /
Contractual
contract

NA
NA
NA

Yes

No

Answer:
Yes
Answer:

No

Yes
Answer:

No

Reason for Leaving*


Last Salary Drawn*
Please provide agency
details in case you are
a temporary/
contractual staf*

company
name

Employee Contact Information*


Permanent Address
Address*

(Complete home address including district, city)

State/ Province*
Postal Code*

(List the name of state)

(Postal code of emergency contact address)

Phone Number*

(Main home phone no.)

Cell Phone Number*

(Your cell phone no. or no. to reach

you)

Email Address*

(Your email address or home email address)

149-b,Sri Balaji flats, Balaji nagar,6 th cross


street,selaiyur,chennai
Tamilnadu
600126
044-22294087
9176084435
shyamchonathe@gmail.com

Alcatel-Lucent | New Employee Data Updation (NEDU) Form

Present/ Current Address


Present Address*

149-b,Sri Balaji flats, Balaji nagar,6 th cross


street,selaiyur,chennai

(Complete current address including

district, city)

State/ Province*
Postal Code*

Tamilnadu

(List the name of state)

600126

(Postal code of current address)

Phone Number*

044-22294087

(Current address phone no.)

Current Cell Phone Number*

(Your cell phone no. or no. to

reach you)

9176084435

Emergency Address & Contact Information


Care Of (C/o)
Relationship
Address

Manoharan P

(Full name of your emergency contact)

(Relationship between you & emergency contact)

149-b,Sri Balaji flats, Balaji nagar,6 th cross


street,selaiyur,chennai

(Complete address including district, city)

Phone No.

(Emergency contact persons home phone no.)

Cell Phone No.


Postal Code

(Emergency contact persons cell phone no.)

044-22294087
9382863479
600126

(Postal code of emergency contact address)

Email Address

Father

(Email address of emergency contact person)

Manoharanp63@yahoo.in

Have you at any time been convicted by a Court in India for any criminal ofence and sentenced to
imprisonment? If yes, give details including a copy of judgment.
NO
Are any criminal proceedings pending against you before a Court in India? If yes, give details such
as name of court, case number and relevant section of Law.
NO

I certify that all the above provided details are true and complete. I understand and agree that in
case anything contained in this application is, at any time found incorrect, the Company will have
all the rights to initiate suitable disciplinary action including termination of my employment with the
Company.
_______________________
To be signed
on DOJ in front
Signature
of HR

__________________
Date

Vous aimerez peut-être aussi