Application of Identity Card

Office of the Development Commissioner
MIHAN SEZ, Nagpur

Government of India
Ministry of Commerce and Industry

FORM FOR APPLICATION OF IDENTITY CARD

(For Unit Holders/Developer/Co-Developers)
(To be filled in capital letters)

Upload Passport Photo:

Upload Passport Photo

Name of the Employer*:
(Unit/Developer/Co-Developer)

Location:

Sector:

Plot No:

Full Name of the applicant/Employee*:

Employee Code of the applicant/Employee*:

Date Of Birth:

Designation/Position held in the Company:

Department/Section/Division etc.:

Date of Joining the Employer:

Regular or Temporary/Contractual:

Contract Duration, if applicable:

Father's/Husband's Name:

Identification Mark:

Height:

Colour Of Eye:

Present Address:

PS:

District:

State:

PIN:

Permanent Address:

PS:

District:

State:

PIN:

Contact No.*:

Emergency No.*:

Blood Group*:

E-Mail Address:

Previously held I/Card issued by MIHAN SEZ,If any:

AADHAR Card No.*:

Arrange ascending order *:

Drag to order

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