DIGITAL SHRAMIK MEMBERSHIP PORTAL

Shramik Registration Form

Fast and comprehensive registration portal for Bihar Pravasi shramiks to obtain lifetime digital QR identity cards, emergency SOS protection, skill matching, and government scheme facilitation.

₹120

Registration Fee

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Pravasi Shramik Digital Enrollment

Fields marked with an asterisk (*) are mandatory: Name, Address, and Aadhaar Number.

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1. Personal Information

Step 1 of 11

Full Name *

Father's / Guardian's Name

Date of Birth

Gender

Blood Group (रक्त समूह)

Coordinator Code / Referral (Optional / वैकल्पिक)

If assisted by a local Panchayat or Block coordinator, enter their code or phone.

2. Contact Information

Step 2 of 11

Mobile Number *

Email Address (ईमेल पता) (भुगतान लिंक प्राप्ति हेतु) श्रमिक को ईमेल पर पेमेंट लिंक भेजने हेतु आवश्यक

Alternate Mobile No. वैकल्पिक मोबाइल नं. (आधार से लिंक / परिवार का)

Company Contact Person कंपनी संपर्क व्यक्ति / सुपरवाइजर का नाम

Company Contact Number नियोक्ता / कंपनी का संपर्क नं.

3. Permanent Address & Location (Bihar)

Step 3 of 11

मूल पता (Permanent Address — Bihar) *

Native State *

District (जिला) *

Block / प्रखंड *

Panchayat / नगर निकाय

Ward Number (वार्ड संख्या)

Village / Town (ग्राम / शहर)

Mukhiya Name (पंचायत मुखिया का नाम) स्थायी पते के पंचायत मुखिया का नाम

Mukhiya Mobile No. (मुखिया का मोबाइल नं.) पंचायत मुखिया का संपर्क नंबर

PIN Code *

पुलिस थाना एवं एसपी विवरण (Police Thana & SP Details)

Thana Name (थाना का नाम)

Thana Number (थाना का नंबर)

SP Name (एसपी का नाम)

SP Number (एसपी का नंबर)

वर्तमान पता (Current / Temporary Address — Outside Bihar)

Street / Mohalla / Area

Current City / Town

Current State

Current PIN Code

वर्तमान पते का पुलिस थाना एवं एसपी विवरण (Current Address — Police Thana & SP Details)

Thana Name (थाना का नाम)

Thana Number (थाना का नंबर)

SP Name (एसपी का नाम)

SP Number (एसपी का नंबर)

4. Shramik Information & Occupation

Step 4 of 11

Shramik Category

Primary Occupation

Specific Skill / Trade

Skill Level

Years of Experience

Employment Status

Current Monthly Income (₹)

Current Employer / Company Name

5. Education & Skill Training

Step 5 of 11

Highest Qualification

Passing Year

Skill Training Completed?

Training / Certification Details (If Applicable)

6. Employment Preference

Step 6 of 11

Preferred Job / Occupation

Preferred Work Location

Willing to Relocate?

Expected Monthly Salary / Wage (₹)

7. Government & Shramik IDs

Step 7 of 11

12-Digit Aadhaar Number (आधार नं.) * आधार कार्ड पर अंकित 12 अंकों का नंबर दर्ज करें।

e-Shram / UAN Number (If Available)

Labour Card / BOCW (श्रम कार्ड)

Yes (हाँ)

No (नहीं)

Other Shramik ID / Voter ID

Aadhaar Card Upload (आधार अपलोड) (Optional) आधार कार्ड की फोटो या PDF अपलोड करें — max 3MB

PAN Card Upload (पैन कार्ड अपलोड) (Optional) PAN कार्ड की फोटो या PDF अपलोड करें — max 3MB

8. Bank Details (For Direct DBT & Relief Payouts)

Step 8 of 11

Conditional Field: Bank account details are used exclusively for direct benefit transfer (DBT), pension, and emergency accidental relief payouts.

Account Holder Name

Bank Name

Account Number

IFSC Code

9. Additional Document Attachments

Step 9 of 11

Certificates (tick if available)

Address Proof (Domicile / Ration Card)

Skill / Experience Certificate

10. Family Full Detail (परिवार का पूर्ण विवरण)

Step 10 of 11

पत्नी / पति का विवरण (Spouse Detail)

Spouse Full Name (पत्नी/पति का नाम)

Spouse Date of Birth

Spouse Aadhaar No. (आधार नं.)

बच्चों का विवरण (Children Detail)

Number of Sons (बेटों की संख्या) पुत्र संख्या

Number of Daughters (बेटियों की संख्या) पुत्री संख्या

Total: 0 children
कुल बच्चे

Children's Names & Details (बच्चों के नाम एवं विवरण) प्रत्येक बच्चे का नाम, आयु एवं कक्षा (यदि हो) लिखें — e.g. Ravi Kumar (Son, Age 8, Class 3), Priya Devi (Daughter, Age 5)

आपातकालीन संपर्क (Emergency Contact)

Emergency Contact Name

Relationship (संबंध)

Emergency Contact Mobile

11. Declaration & Legal Consent

Final Step

I accept the Terms & Conditions of Navbharat Bihar Pravasi Sahayata Kendra. *

I agree to the Privacy Policy and data processing policy for government welfare scheme linkages. *

I hereby declare that all information provided above is true and correct to the best of my knowledge. *

I agree to pay the registration fee of ₹120 via Razorpay to complete this registration. *

Employment Opportunities: Would you like to receive employment opportunities based on your skills, qualifications, and professional experience?

If checked, Navbharat Foundation may share relevant job openings and skill development programmes with you via SMS or phone call.

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