Place*

 

*Mandatory fields 

 

 


Full Name of the Employer owning
or having ultimate control over the affairs of the establishment*

Name of Establishment *


 

Residential Address*

 

Postal address of the establishment*

 


 

 

 

 

Date of Commencement of the Business *

 


 

Manager Name

 

No of Male Workers *

 


 

Manager Address

 

No of Female Workers *

 


 

Father/Guardian Name

 

Address of Father/Guardian

 


 

Additional No of Managing Partners/ Directors (if any)

 

 


 

Name of Employment*


 

Date of Birth of Owner/Employer

 


 

Types of Business *

 

Email

 


 

TIN Number

 

Mobile Number *

 





 

Account Number

 

IFSC code



Bank Name


Upload Employees Details *


 

Upload supporting documents (pdf only) *

 

 

 


Download Employees Details Format




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