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
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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