Commissioner of Labour

Cancellation Application for Shop & Establishment

The employer shall, within ten days on his closing the establishment, notify to the Inspector in writing. The Inspector shall, on receiving the information and being satisfied about its correctness, remove such establishment from the register of establishments and cancel the registration certificate.

Every such application shall be accompanied by relevant physical documents as listed below.

Sr. No. Title Download
1 Required filling Form PDF(28 KB)
  • Please use Prescribed Form for the Application.
  • Please fill the Application form completely and correctly.
  • The application been made within 10 days of actual closure of the establishment.
  • The Establishment Registration Number mentioned in the application form.
  • The name, address and other details of the establishment mentioned in the application form.
  • The form filled correctly?Is the reason(s) for cancellation of registration mentioned in the application form.
  • Are the reason(s) given for cancellation of registration valid.
  • Copy of Paid Legal Dues of Employee(s) attached.


  • Notification to applicant will be sent on his Email or SMS. Hence request to provide email address and mobile number.
  • Click on Help on the top right corner of this application form, a sample application form duly filled with sample data in bilingual is available for your reference.
  • Take copy of application form using Print form before submitting.
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