HPBOCWWB

Worker Registration

Fields marked with asterisk (*) are mandatory

General Details

Applicant's Name *

Father's

Husband's

Name

Permanent Address *

State *

District *

Block/Town *

Pincode *

Personal Details

DOB *

Gender *

Category *

Marital Status *

Worker Type *

Already Registered With BOCW

LIC No

ESIC No

Employment Details

Working Days (In 12 Months) *

Current Employer *

Beneficiary Type *

Bank Details

IFSC Code *

Bank Account No. *

Mobile No. *

Associated with Bank Account

Other State Registration Details

If already Registred in another State/UT

No

Yes

Jurisdiction

Labour Office *

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