Online Licence Details For The Inter-State Migrant Workmen
District Name
Registration Office
* Mandatory fields
  Place *   Starting date of Licence *  
  Name of contractor *   Address of contractor *  
  Date of birth   Age  
  Guardian Name   Type of business/Trade/Industry  
  Name of Establishment *   Address of Establishment *  
  Number of certificate of registration of the establishment under the Act *
[eg.IR03011ADR0003]		   Date of certificate of registration of the establishment under the Act *  
  Name of Principal Employer   Address of Principal Employer  
  Nature of work in which migrant workmen are employed or are to be employed in the establishment   Duration of the proposed contract work (give particulars of proposed date of commencing and ending)  
  Duration of Contract From date   Duration of Contract To date  
  Name of the agent or manager of the contractor at the work site.   Address of the agent or manager of the contractor at the work site.  
  Maximum number of migrant workmen proposed to be employed in the establishment on any date. *
       
  Name of Director/Partners   Address of Director/Partners  
  Name (s) of person (s) incharge of and responsible to the company/firm for the conduct of the business of the company/firm, as the case may be.   Address (s) of person (s) incharge of and responsible to the company/firm for the conduct of the business of the company/firm, as the case may be.  
  Whether a Certificate by the Principal Employer in Form VI is enclosed?        
  Whether the Contaractor convicted of any offence within 5 years   If Yes, Details  
  Whether there is any order against the Contractor   If Yes, Details  
  Whether the contractor worked in any other Establishment   If Yes, Details  
  Email   Phone  
  Upload Form VI (Only pdf)*   Upload Agreement Copy (Only pdf)  
  Upload Employees Details (Excel file only)        
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