Shramik Card | Shramik Card Registration | Shramik Card Form Application

Apply Online

Shipping Address

Make Payment

Documentation by post


Details
Are you a member of?
Employees' Provident Fund Organization (EPFO)
Employees' State Insurance Corporation (ESIC)
Aadhaar Number :
Name of Entrepreneur /Applicant as printed on Aadhaar Card :
Date of Birth :
Gender :
Address
Locality
Country
Select State
District
City/Tehsil
Pincode / Zipcode
Mobile Number
Email
Marital Status
Father Name / Husband Name
Social Category :
Differently Abled

Nominee Details
Nominee Name
Nominee Date of Birth :
Nominee Gender :
Relationship with you

Residentials Details
Home / Native state
Home / Native District
Staying at current location (Years)

Is permanent address same as current address? :
Education Qualification
Monthly Income Slab
Primary Occupation
Working experience in Primary Occupation (In years)

Delivery Address

Flat / Room No.
Road / Street Name
Select State
City Name
Pincode / Zipcode
Contact Number
Email


CONFIRM SHIPPING ADDRESS DETAILS

Agent will send you the completed documents on this address. (Speed Post fees incl.)


Speed Post SERVICE

You will receive the following documentation to your designated address.

  • Fully accompanying documentation checklist.
  • Local offices address and contact details.
  • Full customer support line and Agent mobile no.

Application Confirmation

Application No:
Application Date: 01-01-1970
Application type:
Aadhaar Number:

(Use this number to track your order. This is not an official file number.)

  • Your application is submitted for processing and quote this Application Number: (Use this number to track your order. This is not an official file number.) for all future reference .
  • An SMS will be sent to your mobile *******
  • Note 1: Applicant should take print out of the Application Form (pre filled) and duly signed with all required Documents to be concerned Government office.
  • Note 2: The Online facility of application submission, upload documents, payment fees, slot booking, etc., does not complete the process of issue of Shramik Registration documentation or any other service requested. The applicant has to compulsorily visit the concerned Government office to finish the process of issue of Shramik Registration documentation and/or any other associated service.
  • Note 3: Applicant are requested to note that after completion of all stages mentioned under 'Applicant stages', the applicant has to visit the concerned Government Office, along with the necesary document to complete the remaining process.
  • You Will Receive Full Documentation Within 7 - 10 Working Days.
  • Proceed To Pay Now

    Application Fee Including Speed Post Charges: 107 INR


Payment Failed

Fill another form