PUNJAB BUILDING AND OTHER CONSTRUCTION WORKERS WELFARE BOARD

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Worker Registration Form

(For Providing false information the membership will be deactivated and Registration/Contribution fees will be forfeited)

Registration
 
General Information Details of Place of Working
District :*
Name of circle of the officer(if you are not sure about the circle of the officer then don't fill it):
Name of the circle of the Inspector(if you are not sure about the circle then don't fill it) :
Area (if you are not sure about the area then don't fill it):
Type of Work :*
Name of Worker :*
Upload Photo :*
Scan your photo and upload here
Name of Husband/father :*
Name of Mother :*
Date of Birth :(Between 18- 60 Yrs)*
Qualification :
Gender :
Marital status :
Aadhaar Card No: *
Scan your Aadhaar proof and upload here
Category :*
Current Address
City/V.P.O/Mohalla/Street/H.No*:
District :*
Sub Div. :*
Pincode :
Email Address :
Mobile number:*
Phone number :
Upload Working (Form No. 27) (Self decelaration attested by sarpanch/mc) :*
Employer Name :
Employer Address :
Are you Migrant? If yes,fill the details below Whether applicant is already a member of any other Board? If yes, fill the details below:- Bank account details of the worker for transferring benefits
Name of the Bank :*
Branch :*
Bank Account Number :*
Scan your passbook/bank statement/Cancelled cheque (viewing name and a/c) and upload here
IFS Code :*
ESI Number :
UAN Number :
Give detail of Family member as per definition of family given as under:- "family" means the husband or wife, minor sons (including major sons who are insane or physically handicapped and unable to earn), unmarried daughters and the parents of the building worker, who are solely dependant on him.
Serial Number Name of the member Relationship with the worker Gender Age Qualification Do you want to acquire skill upgradation/ Vocational Education Upload Photo Upload Nominee (Form-29) Document Add More +
Scan your family photo & upload here
Scan your Nominee Document & upload here
Other Information
Work experience :
I declare that the contents given above are true and correct to the best of my knowledge and belief.
Signature :
Scan your signatures and upload here
Thumb impression:
Scan your thumb impression and upload here
General Information
Details of Place of Working
District    
Name of circle of the officer(if you are not sure about the circle of the officer then don't fill it): Name of the circle of the Inspector(if you are not sure about the circle then don't fill it) :
Area (if you are not sure about the area then don't fill it): Type of Work :
Name of Worker : Upload Photo :
Name of Husband/father: Category :
Date of Birth :(Between 18- 60 Yrs) Qualification :
Gender : Marital status :
Aadhaar Card No:  
Current Address
City/V.P.O/Mohalla/Street/H.No.:    
District : Sub Div. :
Pincode : Email Address :
Mobile number: Phone number :
Upload Working (Form No. 27) (Self decelaration attested by sarpanch/mc) : Employer Name :
Employer Address :    
Bank account details of the worker for transferring benefits
Name of the Bank : Branch :
Bank Account Number : IFS Code:
ESI Number : UAN Number :
Give detail of Family member as per definition of family given as under:- "family" means the husband or wife, minor sons (including major sons who are insane or physically handicapped and unable to earn), unmarried daughters and the parents of the building worker, who are solely dependant on him.
Name of family member Relation Gender Age Qualification Do you want to acquire skill upgradation/ Vocational Education
Other Information
Work experience :  
Signature : Thumb impression:
Print Preview Upload:*
Scan your Print With Signature and upload here
  • offline
  • online
  • Sewa Kendra
Worker Reg Number :
Demand Draft Number/Receipt No:
Date of Transaction:
Year:
Amount :
Proof Of Challan:
Name Of Bank :
Branch:
Station:
Worker Reg No :
Start Date :
Year:
End Date :
Amount :
Worker Reg No :
Start Date :
Year:
End Date :
Amount :
Facilitation Charges :
Congratulations..!!
Your Registration Details have been Saved. Kindly check your SMS on Mobile No. & E-mail for Temporary Registration Number and Pay Registration Fees Now.
Congratulations..!!
Payment Successfully Done.