Immediate Relative’s Details Submission Form 2025 Please enable JavaScript in your browser to complete this form.Employee ID *Employee Name *Details of Immediate Relative #1 Full Name of Immediate Relative #1Relationship of Immediate Relative #1 with employeeFatherMotherSpouseChild 1Child 2Child 3Dependent Siblings (if any)DOB of Immediate Relative #1Contact No. of Immediate Relative #1 PAN No. of Immediate Relative #1 Email ID of Immediate Relative #1 Details of Immediate Relative #2Full Name of Immediate Relative #2Relationship of Immediate Relative #2 with employeeFatherMotherSpouseChild 1Child 2Child 3Dependent Siblings (if any)DOB of Immediate Relative #2Contact No. of Immediate Relative #2PAN No. of Immediate Relative #2Email ID of Immediate Relative #2Details of Immediate Relative #3Full Name of Immediate Relative #3Relationship of Immediate Relative #3 with employeeFatherMotherSpouseChild 1Child 2Child 3Dependent Siblings (if any)DOB of Immediate Relative #3Contact No. of Immediate Relative #3PAN No. of Immediate Relative #3Email ID of Immediate Relative #3Details of Immediate Relative #4Full Name of Immediate Relative #4Relationship of Immediate Relative #4 with employeeFatherMotherSpouseChild 1Child 2Child 3Dependent Siblings (if any)DOB of Immediate Relative #4Contact No. of Immediate Relative #4PAN No. of Immediate Relative #4Email ID of Immediate Relative #4Details of Immediate Relative #5Full Name of Immediate Relative #5Relationship of Immediate Relative #5 with employeeFatherMotherSpouseChild 1Child 2Child 3Dependent Siblings (if any)DOB of Immediate Relative #5Contact No. of Immediate Relative #5PAN No. of Immediate Relative #5Email ID of Immediate Relative #5Details of Immediate Relative #6Full Name of Immediate Relative #6Relationship of Immediate Relative #6 with employee FatherMotherSpouseChild 1Child 2Child 3Dependent Siblings (if any)DOB of Immediate Relative #6Contact No. of Immediate Relative #6PAN No. of Immediate Relative #6Email ID of Immediate Relative #6Details of Immediate Relative #7Full Name of Immediate Relative #7Relationship of Immediate Relative #7 with employeeFatherMotherSpouseChild 1Child 2Child 3Dependent Siblings (if any)DOB of Immediate Relative #7Contact No. of Immediate Relative #7PAN No. of Immediate Relative #7Email ID of Immediate Relative #7Self DeclarationI declare that the above particulars relating to my dependents are true, accurate, and complete, and I acknowledge that the Company may rely on this information for compliance under applicable SEBI Regulations. *YesSubmit
