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EMPLOYER REGISTRATION
1.BASIC DETAILS
Aadhaar No
Name
User Id(Email Id)
Password
Should Contain Combination of Number,Special Character,Capital Letter and Small Letter
Confirm Password
Mobile No
PAN No
Category of Employer
--select--
Autonomous Body
Central Govt. Dept.
Central Govt. Under taking
Contractor
Individual Owner
Joint Venture(PPP)
Private Organization
State Govt. Dept.
State Govt. Under taking
Owner Name
Name Of The Contractor
Name of The Principle Employer
Name of The Organization/Dept.
Name of the Authorized Signatory/Officer
Designation of the Authorized Signatory/Officer
2.ADDRESS DETAILS
District
--select--
Anantapur
Chittoor
East Godavari
Guntur
Kadapa
Krishna
Kurnool
Nellore
Prakasam
Srikakulam
Visakhapatnam
Vizianagaram
West Godavari
Mandal
--Select--
Village/Town/City
--Select--
Street Name/No
Area/Place
Door No
Pin code
Date of Registration
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