Ministry of Labour & Employment

1. Registration List *

2. State *

3. District *

4. Sector *

Urban Rural

5. City/ Town/Village *

6. Name of Professional Selected *

7. Registration No *

8. Contact No *

Input Contact No Max Length : 10, Min Length : 10.

9. Email Id *

Input Email Id Max Length : 96.

10. Address *

13. Whether engaged in the profession providing profession related services (with or without support of other professionals or supporting staff) directly or through a Practice/establishment/firm*

13.1 Pre-covid i.e., during the month if February 2020*

Yes No

13.2 During last 30 days preceding the date of survey*

Yes No

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Professional Identification Particulars

Professional Identification Particulars