ESI Registration

Name of Employer (required)

Date of Birth (required) (DD/MM/YYYY)

Name of Father/Husband (required)

Name of the Institution (required)

Type of Institution (required)
proprietorshippartnership firmprivate limited companypublic limited companytrustsocietyboardcorporation

Nature of Business (required)

Phone Number (required)

Email Address

PIN code (required)

Village (required)

Select your District (required)
Please SelectAlappuzhaErnakulamIdukkiKannurKasargodKollamKottayamKozhikodeMalappuramPalakkadPathanamthittaThiruvananthapuramTrissurWayanad

Police Station (required)

Address (required)

Select one of the License (required)
Please SelectLabour licenseFactory licenseAffiliationVAT Registration

License Number (required)

10 or more employees list if available
Sl No:, Employee Name, Date of Birth (DD/MM/YYYY), Name of Father/Husband

PAN Card Number of the Employer / Institution (required)

Bank Details

Account Number, Name of Bank, Branch, IFSC, MICR Number