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Online Registration Details For Head Load Workers
District Name
Registration Office
PAN CARD
 
  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   Name of Unit  
  Name of Local body   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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