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Employees
Permanent Employee Registration Form
Permanent Employee Registration Form at Corechamp Technologies Private Limited
Please enable JavaScript in your browser to complete this form.
User Registration
-
Step
1
of 14
Email
*
Create Username
*
Create your company "username" e.g "corechamp"
Create Password
*
Password
Confirm Password
Create your "password" for login to core champ website
Next
Applicant Information
“Applicant” means an individual person to sign agreement and receive the Services.
Name
*
First
Last
Full Name of Applicant
Job Type/Tittle
*
Vice President
HR Executive
Business Development Mananger
Business Development Executive
Head Operations
STEM Education Program Manager
STEAM Product Designer
STEM Educator
Innovation Engineer
Creative Content Writer
Digital Marketing Executive
Wep/App Developer
Electronics Hardware Design Engineer
Mechanical Hardware Design Engineer
Technical Manager
PCB Designer
Project Engineer
Accounts Manager
Accountant
Inventory Executive
Office Assistant
You need to select the post as per Job Tittle/Position Mentioned in your Job Offer Letter
Employee ID
*
CC/HRO/ (-suffix) (Ask your HR for Suffix Number of your Employee ID)
Date of Birth
*
Date of Birth of Applicant
Gender
*
Male
Female
Transgender
Blood Group
*
A +ve
A -ve
B +ve
B -ve
AB +ve
AB -ve
O +ve
O -ve
Marital Status
*
Single
Married
Divorced
Separated
Widowed
Marriage Anniversary
*
Enter date of your marriage anniversary
Aadhaar Number
*
Aadhaar number of Applicant
Mobile number linked with AADHAAR
*
Mobile number of Primary Member/Authorized Person
Upload Front Side of Aadhar Card
*
Click or drag a file to this area to upload.
Upload Front Side of Aadhar Card to Verify your name add Date of Birth
Upload Back Side of Aadhar Card
*
Click or drag a file to this area to upload.
Upload BackSide Photo of Aadhar Card to verify your address
PAN Number
*
Please enter PAN number as mentioned in PAN Card of Applicant
Upload PAN Card
*
Click or drag a file to this area to upload.
Upload PAN Card of Applicant
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Permanent Residence Address
*
Address Line 1
Address Line 2
City
State / Province / Region
Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia (Plurinational State of)
Bonaire, Saint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo (Democratic Republic of the)
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Kingdom of)
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland (Republic of)
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea (Democratic People's Republic of)
Korea (Republic of)
Kosovo
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia (Federated States of)
Moldova (Republic of)
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia (Republic of)
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine (State of)
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Republic of China
Tajikistan
Tanzania (United Republic of)
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom of Great Britain and Northern Ireland
United States Minor Outlying Islands
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela (Bolivarian Republic of)
Vietnam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Kindly enter address on which your Aadhar/Voter card is actual registered. it must be matched with your Govt Identity Proof
House Type
*
Owned by Self Spouse
Owned by Parent/Sibling
Rented- With Family
Rented- With Friends
Rented- Staying Alone
Paying Guest
Hostel
Other
Staying Since
*
Living in Current City Since
*
Current address is same as Permanent Residence Address?
*
Yes
No It's Different
Current Present Address
*
Address Line 1
Address Line 2
City
State / Province / Region
Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia (Plurinational State of)
Bonaire, Saint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo (Democratic Republic of the)
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Kingdom of)
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland (Republic of)
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea (Democratic People's Republic of)
Korea (Republic of)
Kosovo
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia (Federated States of)
Moldova (Republic of)
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia (Republic of)
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine (State of)
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Republic of China
Tajikistan
Tanzania (United Republic of)
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom of Great Britain and Northern Ireland
United States Minor Outlying Islands
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela (Bolivarian Republic of)
Vietnam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Kindly enter current address if current present address is different from Permanent Residence address
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LinkedIn Profile Link
*
linkedin.com/in/username
Facebook Profile Link
*
facebook.com/username
Twitter Profile Link
twitter.com/username
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Select Your Higher Qualification Type
*
Graduation
Post Graduation
Doctorate
Diploma
Course Name
*
Course Type
*
Full Time
Part Time
Correspondence
Certificate
Stream
*
For E.g ECE/Mechanical/CSE/IT
Course Start Date
*
Course End Date
*
College Name
*
University Name
*
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Your Bank Detail
Enter your saving bank account detail
Account Beneficiary Name
*
Kinldy enter name on which your account is opened in bank for example: Jithin Singh
Bank Account Number
*
Kindly enter bank account number
IFSC Code
*
Kindly enter IFSC Code
Bank Name
*
Kindly enter Bank Name. E.g ICICI Bank
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Family Members Details
Enter your Family Members Details
No. of Total Family Members Including you
*
1. (I am Single in Family)
2
3
4
5
6
7
Member 1
Full Name of Member 1
*
First
Last
Relationship with Member 1
*
Father
Mother
Brother
Sister
Husband
Wife
Son
Daughter
Guardian
Friend
Date of Birth of Member 1
*
Please mention D.O,B of your family member
Is Member 1 is Dependent on You?
*
Yes
No
Is Family Member is dependent on you he/she will be covered in your group health insurance But dependent could b only (Wife, Son, Daughter)
Do you want to make member 1 your Emergency Contact Person?
*
Yes
No
Emergency Contact Number of Member 1
*
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Next
Member 2
Full Name of Member 2
*
First
Last
Relationship with Member 2
*
Father
Mother
Brother
Sister
Husband
Wife
Son
Daughter
Guardian
Friend
Date of Birth of Member 2
*
Please mention D.O,B of your family member
is Member 2 Dependent on You?
*
Yes
No
Is Family Member is dependent on you he/she will be covered in your group health insurance But dependent could b only (Wife, Son, Daughter)
You want to make member 2 your Emergency Contact Person?
*
Yes
No
Emergency Contact Number of Member 2
*
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Next
Member 3
Full Name of Member 3
*
First
Last
Relationship with Member 3
*
Father
Mother
Brother
Sister
Husband
Wife
Son
Daughter
Guardian
Friend
Date of Birth of Member 3
*
Please mention D.O,B of your family member
Is Member 3 Dependent on You?
*
Yes
No
Is Family Member is dependent on you he/she will be covered in your group health insurance But dependent could b only (Wife, Son, Daughter)
You want to make member 3 your Emergency Contact Person?
*
Yes
No
Emergency Contact Number of Member 3
*
Previous
Next
Member 4
Full Name of Member 4
*
First
Last
Relationship with Member 4
*
Father
Mother
Brother
Sister
Husband
Wife
Son
Daughter
Guardian
Friend
Date of Birth of Member 4
*
Please mention D.O,B of your family member
Is Member 4 Dependent on You?
*
Yes
No
Is Family Member is dependent on you he/she will be covered in your group health insurance But dependent could b only (Wife, Son, Daughter)
You want to make member 4 your Emergency Contact Person?
*
Yes
No
Emergency Contact Number of Member 4
*
Previous
Next
Member 5
Full Name of Member 5
*
First
Last
Relationship with Member 5
*
Father
Mother
Brother
Sister
Husband
Wife
Son
Daughter
Guardian
Friend
Date of Birth of Member 5
*
Please mention D.O,B of your family member
is Member 5 Dependent on You?
*
Yes
No
Is Family Member is dependent on you he/she will be covered in your group health insurance But dependent could b only (Wife, Son, Daughter)
You want to make member 5 your Emergency Contact Person?
*
Yes
No
Emergency Contact Number of Member 5
*
Previous
Next
Member 6
Full Name of Member 6
*
First
Last
Relationship with Member 6
*
Father
Mother
Brother
Sister
Husband
Wife
Son
Daughter
Guardian
Friend
Date of Birth of Member 6
*
Please mention D.O,B of your family member
is Member 6 Dependent on You?
*
Yes
No
Is Family Member is dependent on you he/she will be covered in your group health insurance But dependent could b only (Wife, Son, Daughter)
You want to make member 6 your Emergency Contact Person?
*
Yes
No
Emergency Contact Number of Member 6
*
Next
Terms & Conditions
Employment General Terms & Condition
*
I/We agree to the Applicant Details, Bank Account or Payment, Authorization and any applicable Terms & Conditions of Services Package Addendum in this Agreement.
• Incorrect Applicant details can lead to penalization or legal action
• Filing this form does not constitute and employment agreement, and this form submission is not to be
Constructed as a guarantee of employment by CORECHAMP Technologies for any period of time
• If your application accepted by us/company after
review, then only company will issue you offer letter/agreement
Custom Captcha
*
=
Digital Signature by Applicant
*
Clear Signature
This is to assure that Applicant have filled this form
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