DIGITAL WORKER MEMBERSHIP PORTAL

Worker Registration Form

Fast and comprehensive registration portal for Bihar Pravasi workers to obtain lifetime digital QR identity cards, emergency SOS protection, skill matching, and government scheme facilitation.

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Pravasi Worker Digital Enrollment

Fields marked with an asterisk (*) are mandatory for verification and government scheme alignment.

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1. Personal Information

Step 1 of 12

Full Name *

Father's / Guardian's Name

Date of Birth *

Gender *

Profile Photo * (आधार के अनुसार, फोटो)

JPG/PNG, max 2MB. पासपोर्ट साइज फोटो।

2. Contact Information

Step 2 of 12

Mobile Number *

Email Address

Alternate Mobile No. * वैकल्पिक मोबाइल नं. (आधार से लिंक / परिवार का)

Company / Employer Contact No. नियोक्ता / कंपनी का संपर्क नं.

3. Address & Geographical Location (Bihar)

Step 3 of 12

मूल पता (Native / Permanent Address — Bihar)

Native State *

Native District *

Block / Sub-District *

Panchayat / Municipality

Village / Town

Native PIN Code *

वर्तमान पता (Current / Temporary Address — Outside Bihar)

Street / Mohalla / Area *

Current City / Town *

Current State *

Current PIN Code

4. Worker Information & Occupation

Step 4 of 12

Worker Category *

Primary Occupation *

Specific Skill / Trade *

Skill Level

Years of Experience *

Employment Status *

Current Monthly Income (₹)

Current Employer / Company Name

5. Education & Skill Training

Step 5 of 12

Highest Qualification *

Passing Year

Skill Training Completed?

Training / Certification Details (If Applicable)

6. Employment Preference

Step 6 of 12

Preferred Job / Occupation

Preferred Work Location *

Willing to Relocate?

Expected Monthly Salary / Wage (₹)

7. Migration Information

Step 7 of 12

Are you a Migrant Worker?

Current Work State *

Current Work District / City

8. Government & Worker IDs

Step 8 of 12

12-Digit Aadhaar Number (आधार नं.) * आधार कार्ड पर अंकित 12 अंकों का नंबर दर्ज करें।

e-Shram / UAN Number (If Available)

Labour Card / BOCW (श्रम कार्ड)

Yes (हाँ)

No (नहीं)

Other Worker ID / Voter ID

Aadhaar Card Upload (आधार अपलोड) * आधार कार्ड की फोटो या PDF अपलोड करें। (Front & Back) — max 3MB

PAN Card Upload (पैन कार्ड अपलोड) (Optional) PAN कार्ड की फोटो या PDF अपलोड करें — max 3MB

9. Bank Details (For Direct DBT & Relief Payouts)

Step 9 of 12

Conditional Field: Bank account details are used exclusively for direct benefit transfer (DBT), pension, and emergency accidental relief payouts.

Account Holder Name

Bank Name

Account Number

IFSC Code

10. Additional Document Attachments

Step 10 of 12

Address Proof (Domicile / Ration Card) निवास प्रमाण / राशन कार्ड — max 3MB

Skill / Experience Certificate (Optional) कौशल प्रमाण पत्र — max 3MB

11. Family Full Detail (परिवार का पूर्ण विवरण)

Step 11 of 12

पत्नी / पति का विवरण (Spouse Detail)

Spouse Full Name (पत्नी/पति का नाम)

Spouse Date of Birth

Spouse Aadhaar No. (आधार नं.)

बच्चों का विवरण (Children Detail)

Number of Children (बच्चों की संख्या)

Child 1 — Name

Child 1 — Date of Birth

Child 1 — Gender

Child 2 — Name

Child 2 — Date of Birth

Child 2 — Gender

आपातकालीन संपर्क (Emergency Contact)

Emergency Contact Name *

Relationship (संबंध) *

Emergency Contact Mobile *

12. Declaration & Legal Consent

Final Step

I accept the Terms & Conditions of Navbharat Bihar Pravasi Sahayata Kendra. *

I agree to the Privacy Policy and data processing policy for government welfare scheme linkages. *

I hereby declare that all information provided above is true and correct to the best of my knowledge. *