Contactor Labour's Details (CLIMS) WorkerID Date:......................

1 Contractor Name
2 PO/LOA Number
3 Name
4 Father's /Husband Name
5 Sex(M/F) & Blood Group
6 Date Of Birth
7 Designation & Skill Level
8 PF UAN Number
9 ESI IP Number
10 Aadhar Number
11 Mobile Number
12 Present/ Local Address
13 Identification Mark

Contactor Labour's Details (CLIMS) WorkerID Date:......................

1 Contractor Name
2 PO/LOA Number
3 Name
4 Father's /Husband Name
5 Sex(M/F) & Blood Group
6 Date Of Birth
7 Designation & Skill Level
8 PF UAN Number
9 ESI IP Number
10 Aadhar Number
11 Mobile Number
12 Present/ Local Address
13 Identification Mark

Contactor Labour's Details (CLIMS) WorkerID Date:......................

1 Contractor Name
2 PO/LOA Number
3 Name
4 Father's /Husband Name
5 Sex(M/F) & Blood Group
6 Date Of Birth
7 Designation & Skill Level
8 PF UAN Number
9 ESI IP Number
10 Aadhar Number
11 Mobile Number
12 Present/ Local Address
13 Identification Mark