CONTRACT WORKMAN INFORMATION

CL NAME

CL CODE
PHOTO
SC NAME

ENGAGED DATE

ENGAGED UNIT

DATE OF BIRTH

PRESENT :

ADDRESS

PERMANET :

HEIGHT : WEIGHT:

MARITAL STATUS EDUCATION QUALIFICATION :

PF. NO. ESIC NO.

DEPENDENT NAME DATE OF BIRTH RESIDING WITH HIM/HER OR NOT

MOTHER

FATHER

SPOUSE /WIFE

CHILD-1

CHILD-2

CHILD-3

CHILD-4

CONTRACTOR INCHARGE SIGNATURE : CONTRACT WORKMAN SIGNATURE.

SIGNATURE

CONTRACT LABOUR COMPLIANCE PART (ACSPL) SIG. UNIT.IN-CHARGE.