Application of Temporary Identity Card

Office of the Development Commissioner
MIHAN SEZ, Nagpur

Government of India
Ministry of Commerce and Industry

FORM FOR APPLICATION OF TEMPORARY IDENTITY CARD

(For Temporary Domestic/Foreign Associates)
(To be filled in capital letters)

Upload Passport Photo:

Upload Passport Photo

Name of the Unit /Developer/Co-Developer
In which engaged/working*:

Name of the Employer of the Associate*:

Location where engaged:

Sector:

Plot No:

Tenure of engagement:

From:

To:

Nature of work to be carried out:

Full Name of the Associate*:

Age:

Date Of Birth:

Father's/Husband's Name:

Identification Mark:

Height:

Colour Of Eye:

Blood Group*:

Present Address:

PS:

District:

State:

PIN:

Permanent Address:

PS:

District:

State:

PIN:

Contact No.*:

Emergency Contact No.*:

E-Mail Address:

AADHAR Card No. in case of Indian:

Passport No. In case of Foreigners:

Arrange ascending order *:

Drag to order

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