e-office -Email Data Collection - in eOffice Implemented Offices
*Fill all the mandatory fields
Sign in to Google to save your progress. Learn more
Employee Full Name *
Designation *
Name of Office
 *
Department *
State *
Country code
 *
Mobile Number *
Date of Retirement 
*
Format : (dd/mm/yyyy)
 Preferrred login id
 *
*Enter the login id in the format------->  <name>.<PEN> - ker
* eg: adam.98588-ker
* Do not prefix "G" in PEN number
* Max. 20 Characters
 Preferrred e/mail address  *
*Enter the email address in the format ----- > <name>.<PEN>@kerala.gov.in)
* eg: adam.98588@kerala.gov.in
* Do not prefix "G" in PEN number
* Max. 30 Characters
Date of Birth  *
Format: (dd/mm/yyyy)
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms