Madhya Pradesh Labour Portal

Madhya Pradesh Labour Commission

 Application for Establishment Registration close
All fields mark with * are mandatory.
:: Applicant Details ::
Name of Applicant* : Father's / Husband's Name* :
Applicant's Status* :    
*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 :
:: 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):     Address* :
Manager Mobile no.* :    
Number of Employees* :      Male Female :
Name of Accountant / Business Executive* : Executive Address* :
:: Registration Fee Remittance Details ::
Registration Fee* : Compounding/Late Fee* :
Payment Mode* : Treasury name* :
Treasury Challan Number* : Treasury Challan Date* :
 Bank Branch Name* : Total Paid Amount* :

09/03/2014 00:20:45
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