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Labour / Employee Labour / Employee Family Others

SN	Name	Date of Birth	Aadhaar	Gender	Labour / Employee Family	Relation	Membership Expiry Date	Select

Membership Details

SN	Name	Date of Birth	Aadhaar	Gender	Labour / Employee Family	Relation	Membership Expiry Date	Select

Labour / Employee Details

District*

Division/KKB Project *

Circle *

Center *

Full Name*

Parent's Name *

Date of Birth *

Resi. Address *

Address District*

Taluka*

PIN Code*

Gender*

Marital Status

Qualification*

Occupation

Income Slab

Is applicant a handicap person ? *

Mobile No*

Email Address

Aadhaar Number*

Document Details (Important / महत्वाचे )

Original copies of documents should be uploaded in a legible format and no xerox copies should be uploaded. / कागदपत्रांच्या मूळ प्रती सुस्पष्ट स्वरुपात अपलोड कराव्यात झेरॉक्स प्रती अपलोड करू नयेत.

Document Name	Document Number	Upload Document	Preview / Delete
Aadhaar*		No File Chosen 0 0 0
Current Payslip (Jun/Dec)		No File Chosen 0 0 0

Labour / Employee Family Details

District*

Division/KKB Project *

Circle *

Center *

Full Name*

Parent's/Labour's Name *

Date of Birth *

Resi. Address *

Address District*

Taluka*

PIN Code*

Gender*

Marital Status

Qualification*

Occupation

Income Slab

Is applicant a handicap person ? *

Mobile No*

Email Address

Aadhaar Number*

Document Details (Important / महत्वाचे )

Original copies of documents should be uploaded in a legible format and no xerox copies should be uploaded. / कागदपत्रांच्या मूळ प्रती सुस्पष्ट स्वरुपात अपलोड कराव्यात झेरॉक्स प्रती अपलोड करू नयेत.

Document Name	Document Number	Upload Document	Preview / Delete
Aadhaar*		No File Chosen 00 0
Current Payslip (Jun/Dec)		No File Chosen 0 00
Ration Card / ESIC Card / Labour/Employee Aadhaar Card*		No File Chosen 0 00

Labour / Employee Details

District*

Division/KKB Project *

Circle *

Center *

Full Name*

Parent's/Labour's Name *

Date of Birth *

Resi. Address *

Address District*

Taluka*

PIN Code*

Gender*

Marital Status

Qualification

Occupation

Income Slab

Is applicant a handicap person ? *

Mobile No*

Email Address

Aadhaar Number *

Document Details (Important / महत्वाचे )

Original copies of documents should be uploaded in a legible format and no xerox copies should be uploaded. / कागदपत्रांच्या मूळ प्रती सुस्पष्ट स्वरुपात अपलोड कराव्यात झेरॉक्स प्रती अपलोड करू नयेत.

Document Name	Document Number	Upload Document	Preview / Delete
Aadhaar *		No File Chosen 0 00

Renew Labour / Employee Details

Labour / Employee Details

District*

Division/KKB Project *

Circle *

Center *

Full Name*

Parent's Name *

Date of Birth *

Resi. Address *

Address District*

Taluka*

PIN Code*

Gender*

Marital Status

Qualification*

Occupation

Income Slab

Is applicant a handicap person ? *

Mobile No*

Email Address

Aadhaar Number*

Document Details (Important / महत्वाचे )

Original copies of documents should be uploaded in a legible format and no xerox copies should be uploaded. / कागदपत्रांच्या मूळ प्रती सुस्पष्ट स्वरुपात अपलोड कराव्यात झेरॉक्स प्रती अपलोड करू नयेत.

Document Name	Document Number	Upload Document	Preview / Delete
Current Payslip (Jun/Dec)		No File Chosen 0 0 0

Renew Labour / Employee Family Details

Labour / Employee Details

District*

Division/KKB Project *

Circle *

Center *

Full Name*

Parent's Name *

Date of Birth *

Resi. Address *

Address District*

Taluka*

PIN Code*

Gender*

Marital Status

Qualification*

Occupation

Income Slab

Is applicant a handicap person ? *

Mobile No*

Email Address

Aadhaar Number*

Document Details (Important / महत्वाचे )

Original copies of documents should be uploaded in a legible format and no xerox copies should be uploaded. / कागदपत्रांच्या मूळ प्रती सुस्पष्ट स्वरुपात अपलोड कराव्यात झेरॉक्स प्रती अपलोड करू नयेत.

Document Name	Document Number	Upload Document	Preview / Delete
Current Payslip (Jun/Dec)		No File Chosen 0 0 0

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Maharashtra Labour Welfare Boardमहाराष्ट्र कामगार कल्याण मंडळ

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Labour / Employee Details

Document Details (Important / महत्वाचे )

Labour / Employee Family Details

Document Details (Important / महत्वाचे )

Labour / Employee Details

Document Details (Important / महत्वाचे )

Labour / Employee Details

Document Details (Important / महत्वाचे )

Labour / Employee Details

Document Details (Important / महत्वाचे )

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