SWC Portal
Online Portal
Labour
Department
A & N Administration
Today´s Date : 27/09/2023
SUBMITTED SUCCESSFULLY
Form I
Application for Registration of Establishments Employing Migrant Workman
Fields marked with
*
are mandatory.
Establishment Details
1. Type of Establishment
*
:
-- Select Type --
2. Name of the Establishment
*
:
3. Postal address of the Establishment
*
:
a. District
*
Select District
b. Tehsil
*
Select Tehsil
c. City/Village
*
Select Village
d. Survey No.
*
e. Postal Code
*
Employer Details
1. Full name of the Principal Employer
*
2. Aadhar No. :
3. Address of Principal Employer
*
:
4. Mobile No.
*
:
5. Email id:
6. Name of employer's Father/ Husband :
(In case of Individuals)
S/o
D/o
W/o
Other Details
1. Full name of the Directors/ Particular Partners :
(In case of companies and Firms)
2. Address of Directors/ Particular Partners :
3. Full name of the Manager/ Person responsible for supervision/control of Establishment
*
:
4. Address of Manager / Supervisor
*
:
4. Nature of work carried on in establishment
*
:
Particulars of Contractors and Migrant Workers
1. Name of Contractors
*
:
2. Address of Contractors
*
:
3. Nature of work for which, migrant workman are to be recruited or are employed
*
:
4. Maximum number of migrant workman to be employed on any day through each contractor
*
:
5. Estimated date of commencement of work under each contractor
*
:
6. Estimated date of termination of employment of migrant workman under each contractor
*
:
DECLARATION
This is to certify that the information furnished is true and correct to the best of my knowledge and belief. I also affirm that in case, I have provided wrong information, I am liable for action by Competent Authority.
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