FORM-F
Proforma for Fresh/Renewal of Registration
(Under the Punjab Shops & Commercial Establishments Act, 1958)
GUIDELINES FOR ONLINE REGISTRATION
Fields marked with   *    are compulsory.
General Information Regarding the Shop/Commercial Establishment
 
1. Full Name of Establishment * : (Enter Full name of establishment which you want to register)
     
Shops Establishment
2. Address * : (Enter the first line of address eg . Plot Number 12)
3. State : Haryana
4. District * : (Select your district eg. Ambala)
5. Tehsil * : (Select your tehsil eg. Dadri)
6. Village/Town * : (Select your Village/Town eg. Behal)
7. Phone Nos.(With STD Code) * : (Fill your complete phone number with STD Code eg. 01243333444)
8. Email Address * : (Fill your valid email-id eg. xyz@abc.com)
9. Confirm Email Address* : (Confirm you email-id eg. xyz@abc.com)
10. Create Password * : (Enter a password preferrably 6 characters long which you can easily remember and do not share with others)
11. Confirm Password* : (Confirm your password)
Employer(MD/Director/Partner/Proprietor/CEO)
12. Full Name * : (Enter the full name of the Employer /Owner /MD / CEO / Partner / Director / Proprietor of the Shop/ Commercial Establishment eg. Ram Kumar Sharma)
13. Father's Name : (Fill the father's name eg. Dashrat Kumar Sharma)
14. Address * : (Fill the first line of the address)
15. State * : (Select your state eg. Haryana)
16. District * : (Select your district eg. Ambala)
17. Tehsil * : (Select your tehsil eg. Dadri)
18. Village/Town * : (Select your village eg. Behal)
19. Phone Nos.(With STD Code) : (Enter your phone number eg. 01243333444)
20. Mobile No : (Enter your mobile number eg. 09876543210)
Manager of the Establishment
21. Name of the manager : (Enter the name of the Manager of the Shop / Commercial Establishment. If the column is left blank, system will automatically save employer as Manager)
22. Designation : (Enter the Designation of the Manager of the Shop / Commercial Establishment. If the column is left blank, system will automatically save employer as Manager)
Other Information
23. Applying For : Fresh Renew
24. Date of Commencement of Establishment/Business * : (Select the date of establishment)
Please enter points 25 and 26 only if previous registration certificate surrendered.
25. Date of last Registration : (This is to be filled if employer has already a valid Registration under the Act)
  Valid Upto : 31-March-
26. Registration No. : (This is to be filled if employer has already a valid Registration under the Act)
27. Nature of Business * :
     
28. Type of Ownership * : (Select type of Ownership)
29. Registration Fee Applicable
:
  Block-wise Fees Structure :  
30. No. of Employees *   (Enter the no. of Employees for each coloumn if Not Applicable then enter 0)
Workers Regular Contract Casual
Male Female Male Female Male Female
Adult( > 18)
Young( 14 - 18)
31. Proof of Shops/Commercial Establishment* :


Upload scanned copy of one of the following as proof of ownership/tenancy (size must be < 2 mb)
  • Lease deed/Rent deed
  • Registration deed
  • Any other proof of possession Shop/Commercial Establishment like
    electricity bill/telephone bill/bank account and affidavit
32. Photo of Front including surroundings of Shops/Commercial Establishment* :


*Upload only .jpeg, .gif or .png files.
33. Photo of Exteriors of Shops/Commercial Establishment :


*Upload only .jpeg, .gif or .png files.
34. Photo 1 of Interior of Shops/Commercial Establishment :


*Upload only .jpeg, .gif or .png files.
35. Photo 2 of Interior of Shops/Commercial Establishment :


*Upload only .jpeg, .gif or .png files.
Area of Circle Click here to Check Jurisdiction
Area of Circle* : (Select your area of circle eg. Behal)
36. Status Of the Shop* : Working   Closed
37. Whether on Rent* : Yes   No
38. Type of Establishment* : Employed   Non Employed
Declaration*:
I do hereby declare that the particulars given above is true and correct to the best of my knowledge.
In case any information is found to be incorrect, my registration number may be cancelled and I shall be liable for prosecution as per law.
 
Labour Department, Haryana, 30 Bays Building, Sector 17,Chandigarh - 160 017
Email : labourcommissioner@hry.nic.in