WORK CARD DEPARTM AADHAR CARD QUALIFICA STATE

S.NO. WORKER NAME CONTRACTOR NAME PERMANENT ADDRESS VILLAGE TALUKA DISTRICT
SKILL TYPE ENT NO TION DOMICILE

1 LEKH SINGH PROMPT ELECTRICALS Skilled Job Work EMD 342374952787 12 TH Chhattisgarh Ward No -01, H. No.-08, BORIGARKA UTAI DURG

SECTOR - 6,
2 SHIV KUMAR PRASAD PROMPT ELECTRICALS Skilled Job Work EMD 413436936838 DIPLOMA Chhattisgarh St-86, Qr.No-10/P, BHILAI NAGAR DURG
BHILAI

3 JAI NARAYAN DEWANGAN PROMPT ELECTRICALS Skilled Job Work EMD 521693275707 B.COM Chhattisgarh St. No.-3, Hind Nagar Rishali Bhilai, RISHALI BHILAI NEWAI DURG

VILLAGE - MARODA, POST & THANA-

4 MADAN MAHTO PROMPT ELECTRICALS Skilled Job Work EMD 972484089863 8 TH Chhattisgarh MARODA BHILAI NEWAI DURG
NEWAI,

5 RAM RATAN VERMA PROMPT ELECTRICALS SSW Job Work EMD 786381892221 8 TH Chhattisgarh MAUHARI MARODA MARODA BHILAI NEWAI DURG

PT.-16, SANATAN NAGAR, KABIR

6 SHRAWAN KUMAR PROMPT ELECTRICALS Skilled Job Work EMD 327392844689 ITI / 12 TH Chhattisgarh KOHAKA BHILAI SUPELA DURG
VATIKA,WARD-8,
STATION MARODA H.NO.- 172, WARD
7 GANGADHAR GAUTAM PROMPT ELECTRICALS SSW Job Work EMD 284688418222 10 TH Chhattisgarh NO. - 62, SHANKAR PARA, MARODA BHILAI NEWAI DURG
SANSKRITIK MANCH
BAJARANG CHOWK, WARD NO -41
8 RAJ KUMAR KOSRE PROMPT ELECTRICALS SSW Job Work EMD 849146318735 12 TH Chhattisgarh DUNDERA UTAI (491107) DURG
NAGAR NIGAM BHILAI

9 KISHAN LAL PROMPT ELECTRICALS USW Job Work EMD 688924612833 9 TH Chhattisgarh WARD NO - 01 BORIGARKA UTAI DURG

BHATHA PARA, POST - PATORA

10 ROHIT KUMAR PROMPT ELECTRICALS USW Job Work EMD 788879060067 8 TH Chhattisgarh PATORA UTAI DURG
(491107)
WARD NO - 40, SHITALA MANDIR, BHATTI THANA
11 PITAMBER NAYAK PROMPT ELECTRICALS SSW Job Work EMD 691992860021 - Chhattisgarh JORATARAI DURG
POST -DUNDERA (491107) BHILAI

12 TIKENDRA KUMAR DEWANGAN PROMPT ELECTRICALS Skilled Job Work EMD 409690138822 BE Chhattisgarh GODPENDRI, POST-SELUD GODPENDRI PATAN DURG

SCHOOL CHAUK, JAI DURGA CHAUK,

13 SHAMBHOO NAG PROMPT ELECTRICALS USW Job Work EMD 346440028215 10 TH Chhattisgarh CHARODA BHILAI CHARODA DURG
WARD NO. - 35 (490025)

14 S.KANTA RAO PROMPT ELECTRICALS Skilled Job Work EMD 506402192284 DIPLOMA Chhattisgarh 41/3 DAK BANGALA PURANA (490021) PURANA PATAN DURG

H. NO. 213 GONDPENDRI

15 RAVIKANT VERMA PROMPT ELECTRICALS SSW Job Work EMD 517038248209 ITI / 12 TH Chhattisgarh VADHYAPRAS, SELU , PATAN DURG GONDPENDRI PATAN DURG
-491107
POOVATHUMMOOTTIL HOUSE,
MANAGIN
DIPLOMA MAMMOOD, P.O. CHANGANACHE
16 LOUIS JOSEPH PROMPT ELECTRICAL WORKS G Job Work EMD 933534109181 KERALA MADAPAPPALLY KOTTAYAM
(Elec.) CHANGANACHERRY RRY
PARTNER
KOTTAYAM,
 SAFETY
DATE OF BACKGRO
LOCAL EMERGENCY GENDE ESI BLOOD MEDICAL MEDICAL DATE TRAINING SECURITY SECURITY DATE
S.NO. WORKER NAME STATE PHONE NO BIRTH UND
ADDRESS CONTACT NO R (M/F) DETAILS GROUP CHECKUP (DD/MM/YYYY) DATE TRAINING (DD/MM/YYYY)
(DD/MM/YYYY) CHECK
(DD/MM/YYYY)

1 LEKH SINGH C.G. 9479006282 9617709253 M 5900018610 10/4/1970 O+ 2018 10/07/2018 NA 14/02/2019 NA

2 SHIV KUMAR PRASAD C.G. 9098789408 M 5900018607 7/13/1979 B+ 2018 10/07/2017 NA 14/02/2019 NA

3 JAI NARAYAN DEWANGAN C.G. 7587041553 9575358482 M 5900018618 5/22/1973 O+ 2018 10/07/2017 NA 14/02/2019 NA

4 MADAN MAHTO C.G. 9098143117 M 5900020780 1/2/1967 O- 2018 10/07/2017 NA 14/02/2019 NA

5 RAM RATAN VERMA C.G. 7587394109 M 5900018614 6/3/1978 O+ 2018 10/07/2017 NA 14/02/2019 NA

6 SHRAWAN KUMAR C.G. 9406444618 M 5900018688 12/30/1985 B+ 2018 10/07/2017 NA 14/02/2019 NA

7 GANGADHAR GAUTAM C.G. 7587410326 7566062869 M 5900018615 12/10/1979 - 2018 10/07/2017 NA 14/02/2019 NA

8 RAJ KUMAR KOSRE C.G. 9425576484 M 5900018611 9/1/1982 B+ 2018 10/07/2017 NA 14/02/2019 NA

9 KISHAN LAL C.G. 7587796862 8120492316 M 5900018612 7/4/1988 B+ 2018 10/07/2017 NA 14/02/2019 NA

10 ROHIT KUMAR C.G. 7587725708 7898402431 M 5915181259 11/23/1973 - 2018 10/07/2017 NA 14/02/2019 NA

11 PITAMBER NAYAK C.G. 9977778758 M 5900018609 5/2/1982 - 2018 10/07/2017 NA 14/02/2019 NA

12 TIKENDRA KUMAR DEWANGAN C.G. 7647824053 M 5915976657 9/23/1989 B+ 2018 10/07/2017 NA 14/02/2019 NA

13 SHAMBHOO NAG C.G. 9406293121 7987594075 M 5916153520 10/9/1981 O+ 2018 10/07/2017 NA 14/02/2019 NA

14 S.KANTA RAO C.G. 7047908057 M 5916590156 6/7/1984 O+ 2018 10/07/2017 NA 14/02/2019 NA

15 RAVIKANT VERMA C.G. 8889559208 M 5915563275 01/07/1990 O+ 2019 10/07/2018 NA 14/02/2019 NA

16 LOUIS JOSEPH KERALA 9985433027 9505303000 Male 30/05/1964 A+

 POLICE DATE OF ATTENDA
BANK BANK SON/DAUGHTER/WIFE NATURE OF
S.NO. WORKER NAME VERIFICAT SERVICE MICR NO IFSC CODE EPS SECTION SHIFT NCE UAN NO
NAME DETAILS OF WORK
ION (DD/MM/YYYY) MODE

1 LEKH SINGH 2016 16/02/2019 SBI 31449510943 490002009 SBIN0006995 LATE. MUKTAWAN DAS Maintenance EMD Shift+Gen. 100556149470

2 SHIV KUMAR PRASAD 2019 16/02/2019 SBI 32560571762 490002008 SBIN0006059 R.N. PRASAD Maintenance EMD Shift+Gen. 100556220417

3 JAI NARAYAN DEWANGAN 2016 16/02/2019 SBI 10074010032 490002020 SBIN0012328 LATE. A.R. DEWANGAN Maintenance EMD Shift+Gen. 100580913072

4 MADAN MAHTO 2016 16/02/2019 SBI 31740088959 490002020 SBIN0006995 RASHU MAHTO Maintenance EMD Shift+Gen. 100556276844

5 RAM RATAN VERMA 2016 16/02/2019 SBI 32572102209 490002020 SBIN0006995 PHIRAT RAM Maintenance EMD Shift+Gen. 100555971403

6 SHRAWAN KUMAR 2016 16/02/2019 SBI 33038755148 NA SBIN0012128 JAGESHWAR LODHI Maintenance EMD Shift+Gen. 100556021533

7 GANGADHAR GAUTAM 2016 16/02/2019 SBI 31331825551 490002009 SBIN0006995 LALA RAM Maintenance EMD Shift+Gen. 100556078995

8 RAJ KUMAR KOSRE 2016 16/02/2019 SBI 31428579047 490002009 SBIN0006995 PURANIK LAL Maintenance EMD Shift+Gen. 100556218644

9 KISHAN LAL 2016 16/02/2019 SBI 30444559302 490002009 SBIN0006995 RAJ KUMAR BANDHE Maintenance EMD Shift+Gen. 100556228889

10 ROHIT KUMAR 2016 16/02/2019 SBI 31449626302 490002009 SBIN0006995 LATE JHADU RAM SAHU Maintenance EMD Shift+Gen. 100556031690

11 PITAMBER NAYAK 2016 16/02/2019 SBI 31462254245 490002009 SBIN0006995 DAMRU NAYAK Maintenance EMD Shift+Gen. 100555940937

SHYAM LAL
12 TIKENDRA KUMAR DEWANGAN 2016 16/02/2019 SBI 31216735894 NA SBIN0010836 Maintenance EMD Shift+Gen. 100556350701
DEWANGAN

13 SHAMBHOO NAG 2016 16/02/2019 SBI 34217876898 NA SBIN0012129 JALGIRI NAG Maintenance EMD Shift+Gen. 100887233293

14 S.KANTA RAO 2016 16/02/2019 SBI 30726158404 NA SBIN0005600 S.RAMULU Maintenance EMD Shift+Gen. 101071905921

BIRENDRA KUMAR
15 RAVIKANT VERMA 2016 16/02/2019 SBI 33303367440 Maintenance EMD Shift+Gen. 101178791353
VERMA

16 LOUIS JOSEPH
 BOOLEA BOOLEAN
MOTHER WC POLICY
S.NO. WORKER NAME MASTER MASTER2 FIELD1 FIELD2 FIELD3 N FIELD1 FIELD2 RELIGION CAST REF1 REF2 REF ADDR1 REF ADDR2 ID MARK
TONGUE NO
(Y/N) (Y/N)

1 LEKH SINGH HINDI HINDU SC CUT MARK OF RIGHT EYE

2 SHIV KUMAR PRASAD HINDI HINDU ST RIGHT EYE SIDE CUT MARK

3 JAI NARAYAN DEWANGAN HINDI HINDU OBC MOLE OF LEFT LEG THUMB

4 MADAN MAHTO HINDI HINDU OBC CUT MARK ON RIGHT HAND

5 RAM RATAN VERMA HINDI HINDU OBC CUT MARK ON LEFT HAND

6 SHRAWAN KUMAR HINDI HINDU OBC CUT MARK ON RIGHT HAND

7 GANGADHAR GAUTAM HINDI HINDU SC LEFT EYE SIDE CUT MARK

8 RAJ KUMAR KOSRE HINDI HINDU SC CUTE MARK OF HEAD

9 KISHAN LAL HINDI HINDU SC BURN MARK ON RIGHT LEG

10 ROHIT KUMAR HINDI HINDU OBC MOLE OF LEFT CHEAK

11 PITAMBER NAYAK HINDI HINDU ST MOLE MARK ON RIGHT FACE

12 TIKENDRA KUMAR DEWANGAN HINDI HINDU OBC MOLE ON LEFT HAND

13 SHAMBHOO NAG HINDI HINDU ST CUTE MARK ON LEFT LEG

14 S.KANTA RAO HINDI HINDU OBC CUTE MARK ON LEFT LEG

15 RAVIKANT VERMA HINDI HINDU OBC A MOLE ON LEFT SHOULDER

MALAYAL MOLE ON THE LEFT HAND

16 LOUIS JOSEPH CHRISTIAN OBC ARM
AM
 WC POLICY DATE_FIELD
S.NO. WORKER NAME DATE_FIELD2 PHOTO NO REMARK
EXPIRY DATE 1

1 LEKH SINGH

2 SHIV KUMAR PRASAD

3 JAI NARAYAN DEWANGAN

4 MADAN MAHTO

5 RAM RATAN VERMA

6 SHRAWAN KUMAR

7 GANGADHAR GAUTAM

8 RAJ KUMAR KOSRE

9 KISHAN LAL

10 ROHIT KUMAR

11 PITAMBER NAYAK

12 TIKENDRA KUMAR DEWANGAN

13 SHAMBHOO NAG

14 S.KANTA RAO

15 RAVIKANT VERMA

16 LOUIS JOSEPH
Vendor Code Contractor Name Company Address Company Phone

1200005255 PROMPT Door No.LIG -365, 9985433027, 9391475757

ELECTRICAL Vinayak Nagar
WORKS Vuda Colony
PedaGantyada
Visakhapatnam-530044
 Serving Since
Fax Area Of Work Type Of Company Owner Name
(DD/MM/YYYY)

16.02.2019 PP2 Partnership Firm Louis Joseph

 Date Of Birth
Owner Phone Owner Address Contractor Type Nature Of Work
(DD/MM/YYYY)

9985433027 Door No.LIG -365, 5/30/1964 Electrical Maintenance

Vinayak Nagar
Vuda Colony
PedaGantyada
Visakhapatnam-
530044
 License Max
License No License Expiry Date (DD/MM/YYYY) PF Details PF Region
Workmen

AP/VP/28782 VISAKHAP
ATANAM
 Pan Card No ESIC No MLW No Vat No Service Tax No Professional tax No

AAFFP4101Q 62-33765-101 37AAFFP4101Q

4ZX
Shop Act Licence No CST No Bank name MICR No Account Details

STATE BANK OF 530002032 30424912515

INDIA
Security Deposit Date Security Deposit Details Amount Site Incharge Name Site Incharge Phone
(DD/MM/YYYY)

Louis Joseph
 Site Incharge WC Policy WC Max
Site Incharge Email WC Expiry Date
Address No Workmen

prompt87@yahoo.com Door No.LIG

-365,
Vinayak Nagar
Vuda
Colony

PedaGantyada

Visakhapatna
m-530044