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CPRMSE CCL
Updation of CPRMSE members details required for implementation of ERP
[IMPORTANT] Please mail the copy of Aadhar Card and copy of PAN card of Self and Spouse, to
gmee.ccl@coalindia.in
and copy to
cprmsecell123@gmail.com
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* Indicates required question
Name of executive
*
Your answer
Designation at the time of separation
*
Your answer
Gender
*
Male
Female
CPRMSE Registration Number
*
Your answer
PIS Number
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Date of appointment
*
MM
/
DD
/
YYYY
Date of Separation
*
MM
/
DD
/
YYYY
Nature of Separation
*
Choose
RETIERMENT
ERBSS/ VRS / MEDICAL GROUND
DEATH
Basic pay on the date of separation
Your answer
Aadhar card of self
*
Your answer
PAN card number of self
*
Your answer
Aadhar card of spouse
Your answer
PAN card of spouse
Your answer
Company from where retired
*
Choose
BCCL
CCL
CIL
CMPDI
ECL
MCL
NCL
WCL
IICM
Area from where retired
Your answer
Company opted for claiming reimbursement
*
Choose
BCCL
CCL
CIL
CMPDI
ECL
MCL
NCL
WCL
IICM
Name of Spouse
Your answer
Date of birth of spouse
MM
/
DD
/
YYYY
Name of nominee
Your answer
Relationship of Nominee with ex-Employee
Your answer
Nominee Address
Your answer
Name of Bank/Branch
*
Your answer
Account Number of beneficiary
*
Your answer
IFSC Code of bank branch
*
Your answer
Permanent address of employee
*
Your answer
Present address of employee
*
Your answer
Email ID of employee
Your answer
Contact number of Employee
Your answer
Contact number of Spouse
Your answer
Contact number of Nominee
Your answer
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