श्रम सेवा पोर्टल

श्रम विभाग, मध्यप्रदेश शासन: श्रम आयुक्त संगठन

 Application for Establishment Registration close
All fields mark with * are mandatory.
:: Applicant Details ::
Name of Applicant* : Father's / Husband's Name* :
Applicant's Status* : Labour Identification Number (LIN) :
*Date of Birth(DD/MM/YYYY)* : Address of Applicant* :
Mobile No.* : Email Id :
:: Family Members / Other Partners involved in the business ::
Name of Family Member / Other Partner : Designation :
Address :   Add
:: Shop / Establishment Details ::
Name of Shop / Establishment* : Address* :
District* : Category of Shop/Establishment* :
Shop Type (Employee Wise)* : Business Type* :
Day of Weekly Off* : Owner Type* :
Business Start Date* : No. of Years for Registration : 5
:: Manager and Employees Details ::
Manager Name* : Manager Father/Husabnd Name* :
*Date of Birth(DD/MM/YYYY):     Manager Mobile no.* :
Address* :
Number of Employees* :      Male Female :
Name of Accountant / Business Executive* : Executive Address* :
:: Registration Fee Remittance Details ::
Registration Fee* : Payment Mode* :
Compounding/Late Fee* : Total Paid Amount* :
Challan Identification No.(CIN)* : Cyber Receipt No.(CRN)* :
Treasury Challan Number* : Treasury Challan Date* :
 Bank Branch Name* : Treasury name* :

07/26/2016 14:03:22
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