The Occupational Safety, Health and Working Conditions (Central) Rules, 2026
Form XIII
Official text
Open in the official PDF (pp. 281–282)
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(See rule 72(1)(i))
EMPLOYEE REGISTER
(The register may also be maintained in electronically capturing, inter-alia the following details)
Name of Establishment:
Name of the Employer/owner:
PAN/TAN of the Employer
Registration Number of the establishment
(Labour Identification Number (LIN) shall be
the Registration Number of the Establishment
To be maintained for all employees of the establishments
1. Employee Code
2. Name
Middle Name
3. Surname
4. Gender
5. Father’s/Mother’s/ Spouse’s Name
6. Date of Birth
7. Place of Birth
8. Nationality
9. Education level
10. Date of Joining
11. Designation
12. Category (unskilled, semi-skilled, skilled or
highly skilled)
13. Type of employment (P/T/FT/T/B)**
14. Mobile Number
15. Universal Account Number (UAN)
16. PAN
17. Nominee (To be filled on the basis of
Nomination form)
18. EPS/NPS
19. Details of Family
20. Details of Posting
21. Pay
22. Promotion
23. ESIC IP Insurance No.
24. Aadhaar number
25. Bank A/c No.
26. Bank
27. Branch(IFSC)
28. Present address
29. Permanent address
30. Service Book No.
31. Date of Exit
32. Reason for Exit
33. Mark of Identification
34. Photo
35. Specimen Signature/Thumb Impression
36. Remarks
Signature of Employee
** (Permanent/Temporary/Fixed Term/Trainee/Badli)
Signature of Employer