Labour Department

1. Name of the Establishment (*):

2. Postal Address of the Establishment (*):

a. District (*)

b. Tehsil (*)

c. City/Village (*)

d. Landmark

e. Postal Code (*)

3. Full name of the Occupier or the Employer (*)

Aadhar No.:

Mobile No.(*):

Name of employer's Father (*):

4. Full name of the Manager, if any:

Manager's Father Name:

5. Category of Establishment (*):

6. Nature of Business :

7. Name of the members of employer's family working in the establishment (state separately the name of Young persons, if any):

Member's Name	Relation with Employer	Designation	Age

8. Name of the other persons occupying position of management or employees engaged in confidential capacity:

Employee Name	Designation	Age

9. Total number of employees (state separately the Number of men/women and/or young person if any)(*):

Male	Female	Young Person	Total

10. Date on which the establishment commenced its work (*):

Establishment Details

Application No. :

Name of the Establishment :

Address of the Establishment :

FORM D/E DETAILS

Please Note that if your Shop has Weekly Holiday, you need to fill Form-D. Otherwise fill Form-E.

Select Form to be submitted:

Form D Form E

Application No. :

NOTE:- All Documents have to be in pdf format and size less than 500KB each and clearly legible for approval by Department

Sno	Documents	Upload

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