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 ou intégralité du contrat de travail * {"name":"salaire","label":"Parcourir...","required":true,"typeMimes":{"image\/jpeg":["jpg","jpeg"],"image\/gif":["gif"],"image\/png":["png"],"application\/pdf":["pdf"],"application\/x-download":["pdf"],"application\/download":["pdf"],"application\/octet-stream":["pdf"],"application\/octetstream":["pdf"]},"size_max":"5M","multiple":false,"increment":false,"valueIsHtml":true,"label_files":"Parcourir ([total] fichier[s])","id":"6a04af0e8cbe3","transmit":true,"label_max":"","title":"Le poids d'un fichier \u00e0 transmettre ne peut exc\u00e9der 5M. Les formats de fichier accept\u00e9s sont jpg, jpeg, gif, png, pdf.","class":"","value":false,"html":"","initializeJS":true,"minImageSize":false,"square":false,"size_max_byte":5242880,"button":{"value":"Parcourir...","title":"Le poids d'un fichier \u00e0 transmettre ne peut exc\u00e9der 5M. Les formats de fichier accept\u00e9s sont jpg, jpeg, gif, png, pdf.","class":"","id":"6a04af0e8cbe3"}}

Lieu de travail *

Téléphone Service