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Odisha Building and Other Construction Workers' Welfare Board, Bhubaneswar. Construction Worker Identity Card Form Xxviii (See Rule 266 (1) )

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306 views1 page

Odisha Building and Other Construction Workers' Welfare Board, Bhubaneswar. Construction Worker Identity Card Form Xxviii (See Rule 266 (1) )

Uploaded by

somyapanda438
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

ODISHA BUILDING AND OTHER CONSTRUCTION WORKERS' WELFARE BOARD,

BHUBANESWAR.
CONSTRUCTION WORKER IDENTITY CARD
FORM XXVIII
[See Rule 266(1)]

Registration Number : ODBAM001186968 Date of Registration : 31-05-2025

Name : PRASANTA KUMAR DAS

Sex : Male

Date of Birth : 28-05-1975

Marital Status : Married

Father’s Name : PADMA CHARAN DAS

Spouse Name : SANGITA DAS

Permanent Address : SURANGI GANJAM PATRAPUR Bank Details : Acc no:7962991701


Surangi 761037 Bank name: INDIAN BANK Branch
name: SURANGI
IFSC: IDIB000S086

Present Address : SURANGI GANJAM PATRAPUR Religion : Hindu


Surangi 761037

Category : OBC

Physically Challenged : NO Nature of job : Helper to Mason(Mistri)

NFSA/SFSA Card No :
|||*|
Interstate migrant worker : NO Signature Not Verified
Signature of the worker : Signed by : PRAKASH
KUMAR PARIDA
Place : GANJAM Date : 20-06-2025
16:53:39
Date : 31 May 2025

Registration Valid Upto : 30-05-2028 PRAKASH KUMAR PARIDA

Annual Contribution last : Registering Officer


paid on District Labour Office Ganjam
(Berhampur)

Note:- i This is a digitally signed electronically generated certificate and therefore needs no ink-signed signature.
ii This certificate is issued as per section 4, 5 & 6 of IT Act, 2000 and its subsequent amendments in 2008.
iii For verification, visit https://nirmanshramik.odisha.gov.in.
iv Tampering of this certificate will attract penal action.
v The card holder may download new updated identity card from his/ her own login dashboard in the onlineportal on expiry of validity period
subject to regular payment of Annual Contribution for renewal.

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