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UOK - Employee Medical Record
Personal Information
Employee Name
(Required)
W/o - S/o - D/o - M/0
(Required)
CNIC Number
(Required)
Phone Number
(Required)
Employee ID
Designation
Department
Gender
(Required)
Male
Female
Age
(Required)
Date of Birth
(Required)
DD slash MM slash YYYY
Upload Photo
(Required)
Max. file size: 1 GB.
CNIC Front
(Required)
Max. file size: 1 GB.
CNIC Back
(Required)
Max. file size: 1 GB.
History Of Chronic Medical illness (If Any)
(Required)
None
Diabetes
Cardiac Issue
Hypertension
Neurological Disorder
Kidney Failure
Skin Disease
Maritial Information
Married
(Required)
Yes
No
No. of Wife(s)
(Required)
0
1
2
3
4
Parent Alive
(Required)
Both
Father Only
Mother Only
None of them
No. of Dependent
(Required)
No. of Children
(Required)
Male Children
(Required)
Female Children
(Required)
Parent's Information - Alive Parents
Father's Name
Father CNIC Number
Upload Photo
Max. file size: 1 GB.
Mother's Name
Mother CNIC Number
Upload Photo
Max. file size: 1 GB.
Dependent's Information
Wife's Name
CNIC Number
Wife Photo
Max. file size: 1 GB.
2nd Wife's Name
2nd Wife CNIC Number
2nd Wife Photo
Max. file size: 1 GB.
3rd Wife's Name
3rd Wife CNIC Number
3rd Wife Photo
Max. file size: 1 GB.
Children Information
Name of Children
Gender
Male
Female
Age
Upload Photo
Max. file size: 1 GB.