Rule Form I Form I
- Chapter
- Annexures · Forms and Appendices
- Text as on
- As notified 08 May 2026
FORMDefined in rule 2(k): form means the forms appended to these rules I (See clause (i) of sub-rule (1) of rule 51)
EMPLOYEE REGISTER
Name of the Establishment Name of the Employer Name of the Owner PAN/TAN of the Employer Registration Number of the establishment (Labour Identification Number (LIN) shall be the Registration Number of the Establishment)
1. Employee CodeDefined in rule 2(g): Code means the Code on Wages, 2019 (29 of 2019)
2. Name
3. Surname
4. Gender
5. Father's/Mother's/Spouse Name
6. Date of Birth
7. Place of Birth
8. Nationality
9. Education Level
10. Date of Joining
11. Designation
12. Category (HS/S/SS/US)*
13. Type of Employment (P/T/FT/T/B)**
14. Details of Posting
15. Pay
16. Promotion
17. Mobile Number
18. Universal Account Number (UAN)
19. PAN
20. Nominee
(To be filled on the basis of Nomination formDefined in rule 2(k): form means the forms appended to these rules)
21. Details of Family
22. EPS/NPS
23. ESIC IP No.
24. AADHAAR NO.
25. Bank A/c Number
26. Bank
27. Branch (IFSC)
28. Present Address
29. Permanent Address
30. Service Book No.
31. Date of Exit
32. Reason for Exit
33. Mark of Identification
34. Photo
35. Specimen Signature/Thumb Impression
36. Remarks
* (Highly Skilled/Skilled/Semi skilled/Unskilled) ** (Permanent/Temporary/Fixed Term/Trainee/Badli)