SERVANT REGISTRATION FORM (DOMESTIC /COMMERCIAL/INDUSTRIAL) (TO BE FILLED BY THE EMPLOYER IN CAPITAL LETTERS FOR EACH SERVANT) 1. Address of Employer Name__________________________________S/o,W/o__________________________ H No. ______________________ Sector/Village _____________________ Phone No. _____________________ Occupation ____________________________________________________________________ Servant Employed Domestic Commercial Industrial Address where servant is working H.N./ShopNo./FactoryNo___________________________________________________ Sector__________________________________________________________________ Designation_____________________________________ Date of Joining________________ 2. Particular of Servant I Name of Servant ____________________________ (Alias, if any) II Father's Name ______________________________ III Religion______________ Caste__________ Sex____ IV Age__________________ Height________________ V Identification Mark___________________________ VI Married/Unmarried __________________________Fulltime/Part time______________ VII Qualification __________________________Languages Speaking_________________ VIII Permanent Address _______________________________________________________ ____________________________District_____________________________________ Police Station ________________________State_______________________________ IX Staying in Chandigarh since______________________ Staying at place of work Yes/No_______________ X Local Address (if not staying at Place of work) H.No./Jhugi No. _______________________Village/Sector_______________________ Ration Card No. (If any)_________________Vehicle No. if any ___________________ Voter Identity Card No. , (if any) Number of family Members residing locally: S.No. Name Age Sex Relation Occupation. 1 2 3 4 5 6 3. Previous place of Employment at Chandigarh Address_________________________________________________________________ Sector/Village________________________________________Phone_______________ 4. Address and phone number of two relatives known persons of Servant (If provided by any security or other employment Agency or person Name and Addres of the Agency/Person with Phone Number) a) ___________________________________________________________________ b)____________________________________________________________________ Signature of Servant (if Literate) _______________________________ Right Thumb impression of Servant Employer Signatures FOR OFFICE USE ONLY Data entry has been made vide number _____________________________
