Bank of baroda senior citizen identity card form/format(by chetan kumar goel ludhiana)

1. Bank of Baroda
Date
The Asstt. Gen Manager (HRM)
Bank of Baroda
Zonal Office
D D M M Y Y Y Y
EC No.
Dear Sir,
Re : Issue of "Service-cum-ldenttty Card on Retirement"
for retirees prior to
I have to inform you that I retired from Bank's service on
on superannuation / voluntary retirement.
(Must strike out which is inapplicable),
I request you to Kindly issue me Service-cum -Identity Card.
I give below the required details
1
D D M M Y Y Y Y
Full Name (IN CAPITAL LETTERS) Mr/Mrs/Ms
2. EC No.
3. Designation
4. Date of Birth
5. Date of Joining
6. Date of Retirement
7. Residential Address in Full
(Post Retirement)
(IN CAPITAL LETTERS)
8. Telephone / Mobile No.
9. Blood Group
10. Email I.D.
11. Emergency Contact No.
(other than self number)
Surname Firstname Middle Name
.Pin Code No.
RECENT COLOUR
PHOTOGRAPH
(PASSPORT SIZE'
(EMPLOYEE'S SIGNATURE IN BLACK INK)
Seal of the Branch / Office Verified by the Branch / Office
Signature of Branch / Office Authority
m