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Region
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Hatton
Nuwara Eliya
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Estate
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Annfield Estate
Battalgalla Estate
Fordyce Estate
Ingestre Estate
Invery Estate
Robgill Estate
Tillyrie Estate
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Nuwara Eliya Estate
Oliphant Estate
Glassaugh Estate
Uda Radella Estate
Edinburgh Estate
Dewalakanda Estate
Panawatte Estate
Ganepalla Estate
Lavant Estate
Kalupahana Estate
Kiriporuwa Estate
Kelani Estate
Halgolle Estate
We oya Estate
Urumiwella estate
Kitulgala Estate
Ederapola Estate
Division
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Full Name
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Person Type
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Worker
Staff
Non Worker
Date of Birth
*
Gender
*
Male
Female
Other
Civil Status
*
Single
Married
Widowed
Divorced
Ethnicity
*
Religion
*
NIC No
*
Birth Certificate Copy
*
Attachment as a pdf of jpg
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NIC Copy
*
Attachment as a pdf of jpg
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Provident Fund
*
EPF
ESPS
CPPS
EPF Registration Number
Zone Code
*
Employer's No
*
Member’s No
*
ABH Card Copy
*
Attachment as a pdf of jpg
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EMPLOYEEMENT DETAILS
Date Joined to Work
*
Last Date of Work
*
Retired
*
Yes
No
EWHCS Member
*
Yes
No
FAMILY DETAILS
FAMILY MEMBERS DETAILS
Relationship
*
Age
*
Designation
*
NIC No
*
SIBLINGS DETAILS
Name
*
Relationship
*
Select The Relationship
Brother
Sister
Date of Birth
*
NIC No
CHILDREN DETAILS
Name
*
Age
*
Date of Birth
*
NIC No
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