Commissioner of Labour

Duplicate Certifications Shop & Establishment

Any Employer can apply for Duplicate Certificate in the prescribed form.

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

Sr. No. Title Download
1 Required filling Form PDF(35 KB)
  • Please use Prescribed Form for the Application.
  • Please fill the Application form completely and correctly.
  • The Establishment Registration Number mentioned in the application form.
  • The name, address and other details of the establishment mentioned in the application form.
  • The reason for requesting Duplicate Certificate mentioned in the application form.
  • Challan/fee receipt attached.
  • The amount paid as fees correct.


  • 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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