Form XIII — Employee Register

Rule: Rule 72(1)(i) · Signed by: Manager · Under: OSH & Working Conditions (Central) Rules 2026

What the form records

• Name of Establishment
• Name of the Employer/owner
• PAN/TAN of the Employer
• Registration Number of the establishment (LIN)
• Employee Code
• Name
• Middle Name
• Surname
• Gender
• Father's/Mother's/Spouse's Name
• Date of Birth
• Place of Birth
• Nationality
• Education level
• Date of Joining
• Designation
• Category (unskilled, semi-skilled, skilled or highly skilled)
• Type of employment (P/T/FT/T/B)
• Mobile Number
• Universal Account Number (UAN)
• PAN
• Nominee (To be filled on the basis of Nomination form)
• EPS/NPS
• Details of Family
• Details of Posting
• Pay
• Promotion
• ESIC IP Insurance No.
• Aadhaar number
• Bank A/c No.
• Bank
• Branch(IFSC)
• Present address
• Permanent address
• Service Book No.
• Date of Exit
• Reason for Exit
• Mark of Identification
• Photo
• Specimen Signature/Thumb Impression
• Remarks

This page opens the blank statutory form in MedFactory, ready to fill, save and print. See the Form XIII reference page for the rule and signatory detail.

MedFactory — Occupational Health Centre software for Indian factories