Dynamic Challan Application Print - Perfectly Centered A4

Dynamic Print Portal

1. Recipient Office (To Whom)

Office / Directorate Name

Office Location (City/Town)

Office District

2. Beneficiary Information

Prefix

Full Name

Relation Dynamic Type

Prefix

Husband's Name

Prefix

Father's Name

3. Address Structure (Dynamic)

Village / Town

Ward No.

Local Body Type

Zone / Block / Area Name

Police Station (PS)

District

State

PIN Code

4. Card & Subscription Info

Nirman Shramik Card Reg No:

Paid Up To Date

Mobile No.

Application / Print Date

To,
The Labour Inspector,
Labour Directorate,
Government of Tripura,
Agartala, West Tripura.

Subject: Application for issuing a duplicate Subscription Challan/Receipt for Nirman Shramik Card.

Respected Sir/Madam,

I am writing to formally request the re-issuance of my subscription challan.

My name is , residing at .

I am a registered beneficiary under the Tripura Building & Other Construction Worker's Welfare Board, holding Nirman Shramik Card Registration No: .

My card subscription was successfully paid up to . However, I have unfortunately misplaced/lost the original paid subscription challan (receipt). Without this document, I am facing difficulties with my official records and the upcoming card renewal process.

Therefore, I kindly request you to verify my details from the records and issue me a duplicate copy or certificate of the subscription challan from your office so that I can proceed with my paperwork without further delay.

For your immediate reference, I have attached a copy of my Nirman Shramik Card with this application.