GOVERNMENT OF MEGHALAYA
LABOUR DEPARTMENT

Application Form For Registration Of Establishments Employing Building Workers

Name of the Employer and Postal Address where Building or Other Construction Work is to be carried on

Name *

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Postal Address *

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District *

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Police Station

Post Office

PIN Code *

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Mobile Number *

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E-Mail *

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Name and Permanent Address of the Establishment (Principal Employer)

Full name of the Establishment *

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Permanent address of the Establishment *

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State *

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District *

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Post Office

PIN Code *

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Manager or Person Responsible for the Supervision and Control of the Establishment

Name *

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Address *

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District *

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Police Station

Post Office

PIN Code *

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Details of the Building or Other Construction work to be carried on in the Establishment

Nature of Building or Other Construction Work *

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Maximum number of workers to be employed on any day *

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Estimated date of commencement of construction work *

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Estimated date of completion of the construction work *

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Declaration

I testify that the information furnished above are (is) true to the best of my knowledge and belief

I Agree *