INSCRIPTION AU CSE UGECAMIF

FICHE AGENT C.S.E.
 

 

INFORMATIONS PERSONNELLES

N° AGENT UGECAMIF FIGURANT SUR VOTRE BULLETIN DE SALAIRE (indispensable pour créer votre compte)* 
Civilité * 

Nom * 

Prénom * 

Date de naissance (format jj/mm/aaaa) *  {"name":"datenaissance","value":"","required":true,"disabled":false,"showTime":false,"rows":1,"cols":1,"title":false,"showDate":true,"preloadCalendar":false,"id":null,"placeholder_date":false,"placeholder_time":false,"size":"","start_id":"","class":"","class-time":"","calendar":{"cols":1,"rows":1,"dateCursor":"pointer"},"valueViewDate":"","valueViewTime":"","formatDate":"d\/m\/Y","formatTime":"H:i","checkDateOnLoad":false,"autocomplete":null}

Situation Familiale * 

Adresse Postale * 

Code Postal *      Ville * 

Téléphone * 

Email Personnel * 

STATUT AGENT UGECAMIF
 

Date d’entrée à l’UGECAMIF *  {"name":"dateentree","value":"","required":true,"disabled":false,"showTime":false,"rows":1,"cols":1,"title":false,"showDate":true,"preloadCalendar":false,"id":null,"placeholder_date":false,"placeholder_time":false,"size":"","start_id":"","class":"","class-time":"","calendar":{"cols":1,"rows":1,"dateCursor":"pointer"},"valueViewDate":"","valueViewTime":"","formatDate":"d\/m\/Y","formatTime":"H:i","checkDateOnLoad":false,"autocomplete":null}

Contrat (CDD ou CDI) * 

Date fin de contrat si CDD  {"name":"datesortie","value":"","required":false,"disabled":false,"showTime":false,"rows":1,"cols":1,"title":false,"showDate":true,"preloadCalendar":false,"id":null,"placeholder_date":false,"placeholder_time":false,"size":"","start_id":"","class":"","class-time":"","calendar":{"cols":1,"rows":1,"dateCursor":"pointer"},"valueViewDate":"","valueViewTime":"","formatDate":"d\/m\/Y","formatTime":"H:i","checkDateOnLoad":false,"autocomplete":null}

Joindre copie du haut du dernier bulletin de salaire avec votre nom, matricule, mois et année ou attestation svce RH avec date entrée  * 

Lieu de travail * 

Service    Téléphone Service