An employee career preference form asks employees where they want their career to go: target roles, functions, locations and development support. HR uses the answers in talent reviews, succession planning and internal job matching.
Privacy notice: [Company Name] collects the details on this page only for career planning, talent reviews and internal opportunities. Access is limited to authorised HR staff, and the record will be kept for until you submit an updated form or leave the company, after which it will be securely deleted or destroyed. You may ask HR to see or correct your data, consistent with the Digital Personal Data Protection Act, 2023.
Please list only those family members who should be covered under a benefit. Leave the form blank if you do not wish to enrol anyone.
Sl.
Name of Family Member
Relationship
Date of Birth
Gender
Residing with Employee (Y/N)
Dependent (Y/N)
Purpose
1
[Name]
[Spouse]
[DD/MM/YYYY]
[Gender]
[Y/N]
[Y/N]
[Insurance / ESIC / Nomination]
2
[Name]
[Son / Daughter]
[DD/MM/YYYY]
[Gender]
[Y/N]
[Y/N]
[Purpose]
3
[Name]
[Relationship]
[DD/MM/YYYY]
[Gender]
[Y/N]
[Y/N]
[Purpose]
4
[Name]
[Relationship]
[DD/MM/YYYY]
[Gender]
[Y/N]
[Y/N]
[Purpose]
Benefits Selected
Group health insurance
ESIC family coverage (if wages within the ESI limit)
Use as reference for nominations
Privacy notice: [Company Name] collects the details on this page only for enrolling your family members in the benefits selected and supporting nominations. Access is limited to authorised HR staff, and the record will be kept for the period the benefit is active and the retention period thereafter, after which it will be securely deleted or destroyed. You may ask HR to see or correct your data, consistent with the Digital Personal Data Protection Act, 2023.
I authorise [Company Name] to recover ₹[Amount] per [month / year] from my salary towards the premium for the dependants added above, as per the company insurance policy.