ODISHA BUILDING AND OTHER CONSTRUCTION WORKERS' WELFARE BOARD,
BHUBANESWAR.
CONSTRUCTION WORKER IDENTITY CARD
FORM XXVIII
[See Rule 266(1)]
Registration Number : ODSBP001066119 Date of Registration : 13-01-2025
Name : Mohammad Afjal
Sex : Male
Date of Birth : 22-02-2002
Marital Status : Married
Father’s Name : Ahmad Ali
Spouse Name : Najmin Begum
Permanent Address : Charpali,Chipilima,Burla,Sambalpur Bank Details : Acc no:84018991315
SAMBALPUR DHANKAUDA Bank name: UTKAL GRAMEEN
Kardola 768026 BANK Branch name: CHIPILIMA
IFSC: SBIN0RRUKGB
Present Address : Charpali,Chipilima,Burla,Sambalpur Religion : Muslim
SAMBALPUR DHANKAUDA
Kardola 768026
Category : General
Physically Challenged : NO Nature of job : Unskilled Construction Worker
NFSA/SFSA Card No : 28021111448
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Interstate migrant worker : NO Signature Not Verified
Document Digitally Signed
Signature of the worker : Date: 2025.01.31 11:07:54 IST
Reason: Registration
Place : SAMBALPUR Location: SAMBALPUR
Date : 13 Jan 2025
Registration Valid Upto : 12-01-2028 PUSPA MINZ
Annual Contribution last : Registering Officer
paid on District Labour Office Sambalpur
Note:- i This is a digitally signed electronically generated certificate and therefore needs no ink-signed signature.
ii This certificate is issued as per section 4, 5 & 6 of IT Act, 2000 and its subsequent amendments in 2008.
iii For verification, visit [Link]
iv Tampering of this certificate will attract penal action.
v The card holder may download new updated identity card from his/ her own login dashboard in the onlineportal on expiry of validity period
subject to regular payment of Annual Contribution for renewal.