GJEPC- Relief Aid Applications Form

*Benefits only applicable to Daily Wage Worker whose monthly income is Rs. 15,000 or below

Industry Reference and Association Details

Industry Reference with whom you have worked in last 6 months (2 references, At least one is mandatory) and Association Details

Bank Details of Beneficiary (Worker/Karigar)

Identity Details of Karigar

* After Click on Submit button Please Verify OTP