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 Vendors/Contractors)
(To be filled in capital letters)

Upload Passport Photo:

Upload Passport Photo

Name of the Unit /Developer/Co-Developer
Engaging the Vendor/Contractor*:

Name of the Employer*:
(Vendor/Contractor)

Location where engaged:

Sector:

Plot No:

Contract Period:

From:

To:

Nature of work to be carried out:

Full Name Of the Applicant/Employee*:

Date Of Birth:

Father's/Husband's Name:

Identification Mark:

Height:

Colour Of Eye:

Blood Group*:

Address of the Contractor/Vendor:

PS:

District:

State:

PIN:

Present Address of the Applicant:

PS:

District:

State:

PIN:

Contact No. of the Employer:

Contact No. of the Employee*:

Emergency Contact No.*:

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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