Download ESIC FORM 01 For EMPLOYERS’ REGISTRATION FORM                                      

As per ESIC Regulation 10-B. Registration of factories or establishments

(a) The employer in respect of a factory or an establishment to which the Act applies for the first time and to
which an employer’s code number is not yet allotted and the employer in respect of a factory or an establishment to which the Act previously applied but has ceased to apply for the time being, shall furnish to the appropriate regional office not later than 15 days after the Act becomes applicable, as the case may be, to the factory or establishment, a declaration or registration in writing in [Form No. 01 & Form No. 01 A] (hereinafter referred to as Employer’s Registration Form).

(b) The employer shall be responsible for the correctness of all the particulars and information required for and furnished on the employer’s registration form.

(c) The appropriate regional office may direct the employer who fails to comply with the requirements of paragraph (a) of this regulation within the time stated therein, to furnish to that office employer’s registration form duly completed within such further time as may be specified and such employer shall, thereupon, comply with the instructions, issued by that office in this behalf.

[(cc) The employer in respect of a factory or establishment to which a code number has been issued by the
Corporation based on information collected or decision taken regarding applicability of the Act to such factory or establishment, shall, within fifteen days of receipt of information of allotment of code number, furnish a declaration in

(d) Upon receipt of the completed employer’s registration form, the appropriate Regional Office shall, if satisfied
that the factory or the establishment is one to which the Act applies, allot to it an employer’s code number (unless the factory or the establishment has already been allotted an Employer’s Code Number) and shall inform the employer of that number.

(e) The employer shall enter the employer’s code number on all documents prepared or completed by him in connection with the Act, the rules and these regulations and in all correspondence with the appropriate office.

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