CMLW Schemes

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COMMISSIONERATE OF MINES LABOUR WELFARE

KHYBER PAKHTUNKHWA
‫مائنز لیبر رجسٹریشن فارم‬
Sr# 20828

Registration Purpose Date of Accident Date of Death


Active Mine Labour ( ‫) فعال کان کن‬ Nil Nil

Personal Information
Name Father Name CNIC
Sher khan Sher khan 21403-2213890-1

Married Gender Date of Birth Domicile Mobile Number 1 Mobile Number 2


No Male 03-02-1968 Mohmand 0335-9426526 0345-9426526

EOBI EOBI No
No Nil

Work Detail
Work Start From Work Type
05-07-2011 DRIVER

Permanent Address
Permanent Address
Ismail sher kali tehsil pandyli distt mohmand, Mohmand, Khyber Pakhtunkhwa

Lease Holder
Lease Owner Name Lease No Mineral
Jansher MDW/MDA/ML-MARBLE(186)2011 Marble

Lease Address
Dawezai,tehsel pindiali distt Mohmand kpk mohmand ,khyber pakhtunkhwa,Mohmand, Khyber Pakhtunkhwa

Labour

Sign Thumb Impression

Verified By Mine Owner/Lease Holder

Sign Stamp
Verified By
Assistant Commissioner Mines
Labour Welfare
Near Judicial Complex Khyber Road
Peshawar Sign Stamp
091-9211723

For Office Use Only ‫ فارم کے ساتھ شناختی کارڈ کی کاپی منسلک کرنا الزمی ہے‬: ‫نوٹ‬
Entry Made On Sunday 30th of October 2022 12:34:38 PM
Received in Office On ____ / ____ / ______
A d| R j d

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