Registration

भारत सरकार
GOVT. OF INDIA
श्रम एवं रोजगार मंत्रालय
MINISTRY OF LABOUR AND EMPLOYMENT
खान सुरक्षा महानिदेशालय
DIRECTORATE GENERAL OF MINES SAFETY

Mine User Registration Form

Apply for new mine user registration

Apply for change mine user registration

Mine Code

Company Name

Type of Company

Employee name

Mine *

Labour Identification No

Type Of Mine

Mine Address 1

Mine Address 2

Pincode No

Country

State

City

Zone

Region

Sub Region

Incoming Mine User Registration Details

First Name *

Middle Name

Last Name

MobileNo *

User Email *

Designation *

Adddress1 *

Adddress2

Pincode No *

User Country *

User State *

User City *

User City *

User Pan No

User Photo

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User Signature *

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Aadhar Number

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Company Seal

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Company Logo(Letter Head)

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Attach lease/ Permit / Licence / Authorization Document *

(Supported Formats : .doc|.docx|.txt|.jpg|.jpeg|.gif|.png|.bmp|.pdf Only)

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