OICMS

All (*) mark fields are mandatory. Please fill up the form carefully.

Employee Name *

Designation *

Department *

Shop *

Address Line 1 * (Max 28 Characters)

Address Line 2 (Max 28 Characters)

Address Line 3 (Max 28 Characters)

Address Line 4 (Max 28 Characters)

PF No/NPS No *

Ticket No *

Date of Birth * (dd-mm-yyyy)

Blood Group *

Height (Ft) *

Height (Inch) *

Identification Mark *

Mobile Number *

+91

Confirm Mobile Number *

+91

Enter OTP *

Photo (Max Size 100KB & JPG Image) *

Photo should be clear with blue background. Choose file

Signature (Max Size 50KB & JPG Image) *

Signature should be clear with black ink and white background. Choose file

Forwarding/Appointment Letter No. *

Please do not type N/A. Type Forwarding/Appointment Letter No properly otherwise there might be a chance of rejection of your application.
Hardcopy of the Forwarding/Appointment Letter need to be submitted in I-Card Department.

I do hereby declare that all the statements in this form are true, correct and complete to the best of my knowledge and belief.

O I C M S

New/Fresh ID Card:

7002321056

8721047459

9678736616

oicmshelp@gmail.com