New Employer Registration

Employer/Organization Information

Employer/Organization Name

Sector Type

Organization Type (Form of Legal Entity)

Organization Description

Employer/Organization Address Details
House No./Street/Area	*	City/Town/Village	*
State	*	District	*
Tehsil	*	Pincode	*
Phone No.	*	Fax No.

Is Permanent address same as Correspondence address?

YesNo

Permanent House No./Street/Area	*	Permanent City/Town/Village	*
State	*	District
Tehsil		Pincode
Phone No.	*	Fax No.

Employer/Organization Upload Document
Upload Logo	Note: File Type Allowed: jpeg,jpg,gif,tif,png,txt,doc,docx. Maximum File Size Allowed: 3072KB *
Upload proof (CA Certificate/ Audited Profit & Loss Account)	*
Upload Pan Card	*
Upload Registration Doc	*
Website:
Email	*
Annual Turnover (Figures on the basis of last audited Financial Year)	*

Contact Persons
Admin Officer Name
Admin Officer Designation
Admin Officer MobileNo
Admin Officer Email
HRD Name
HRD Designation
HRD MobileNo
HRD EmailID
I confirm that I have the appropriate authority on organization’s behalf to fill this form and to seek the services/information available on this portal for valid and legal usage. I certify that the above information is true and correct. I also agree to abide by the terms and conditions of this portal and the data available under this portal will not be pirated and not shared otherwise than intended.