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Online Registration Details For Head Load Workers
District Name
Thiruvananthapuram
Kollam
Pathanamthitta
Alappuzha
Kottayam
Idukki
Eranakulam
Thrissur
Palakkad
Malappuram
Kozhikkode
Wayanad
Kannur
Kasaragod
Head Quarters (Kerala)
Registration Office
Place
*
Name (s) of the employ
under whom the headload worker is working
*
Name of the headload worker
*
Address (es) of the employ
under whom the headload worker is working
*
Address of the headload worker
*
Date of commencement of work under the
employer
*
Local body type
Please Select
Corporation
Municipality
Panchayath
Name of Unit
Name of Local body
Please Select
Places /Area in which the headload worker is working
*
Father's /Husband's Name
*
Email
Date Of Birth of the headload worker
*
Mobile Number
*
Nature Of Work
*
Please Upload Photo
Please upload photo image(jpg,jpeg) only, with minimum 350px width & 450px height.
*Mandatory fields
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