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श्रम, रोज़गार एवं प्रशिक्षण विभाग
Department of Labour , Employment & Training
अंडमान तथा निकोबार प्रशासन Andaman & Nicobar Administration
Home
Register Complaint
Track Status
ONLINE COMPLAINT PORTAL
Complaint Form
Read the following instructions before filling up the form:
Fill in all the fields that are marked as required (*)
File types allowed for upload is PDF.
The maximum file size allowed for upload is 500KB.
Once the form is submitted, an unique complaint number will be generated which can be used for future references.
Complainant's Details
Name of the Complainant (*):
Complete Address (*):
a. District (*)
Select District
b. Tehsil (*)
Select Tehsil
c. City/Village (*)
Select Village
d. Postal Code (*)
Mobile No. (*)
Email Id.
Complainant's relation to Employee
Select Relation
Self
Nominee
Legal Heir
Upload Evidence in support of being Nominee/Legal Heir (*):
Complaint
Dispute/ Claim/ complaint(*)
Select Category
Basis of claim(*)
Select Basis for claim
Date of application to Employer (*):
Date of Notice from Employer (*):
Upload Notice (*):
Date due From (*):
Date due To (*):
Wage (in rupees) (*)
per
Select period
Day
Month
Advance Amount Received (in rupees) (*)
Amount Due/Claimed (in rupees) (*)
Detailed Complaint(*):
Employee Details
Name of the Employee (*):
Designation (*):
Date of Appointment (*):
Date of Retirement/ Termination/ Dismissal/ Resignation/ Disablement (*):
Upload Monthwise Wage details (
)(*):
Upload Evidence in support of death of the employee (*):
Employer Details
Full name of the Employer (*)
Mobile No. (*)
Email Id.
Establishment Name (*)
Address of the Establishment (*):
a. District (*)
Select District
b. Tehsil (*)
Select Tehsil
c. City/Village (*)
Select Village
d. Postal Code (*)
Any other relevant document: