CONSTRUCTION WORKER (LABOUR CARD) REGISTRATION AFFIDAVIT
Executed at Khanna on 2 April 2026.
I, Simranjit Kaur, daughter of Sh. Gurmeet Singh, resident of House No. 212, Guru Nanak Nagar, Jalandhar, Punjab 144001, holding Aadhaar 4444 5555 6666, ordinarily resident within the State of Punjab (the "Deponent" or "I"), do hereby solemnly affirm and declare as follows:
- 1. MY WORK
1.1 I was born on 1 April 2026.
1.2 My trade or work in building and other construction work is mason, and I work under a contractor (thekedar).
1.3 My employer, contractor or site owner (or, if self-employed, my main clients or site owners), with address, is: Sh. Rajinder Kumar, contractor, Shop No. 14, Mandi Road, Khanna.
- 2. DAYS WORKED
2.1 During the period 1 October 2025 to 30 September 2026, I worked 112 days in building or other construction work.
The sites or places where I worked in that period are: House construction at Model Town, Khanna; shop building at Samrala.
- 3. OTHER REGISTRATION
3.1 I declare that I am not registered with any Building and Other Construction Workers Welfare Board in any State or Union Territory.
- 4. PURPOSE
4.1 This affidavit is sworn in support of my application for registration as a construction worker with the Building and Other Construction Workers Welfare Board of the State of Punjab, and for the issue of a registration (labour) card.
4.2 I undertake to produce the employer's or contractor's certificate and any other proof of work that the Board asks for, and to inform the Board of any change in the particulars stated here, and I understand that the registration may be refused or cancelled if any statement made here is found false.
- 5. DECLARATION
5.1 Every statement made above is true to my own knowledge and belief, and I have concealed nothing material to this application. I am aware that making a false declaration in an affidavit is an offence.
VERIFICATION
Verified at Khanna on 2 April 2026 that the contents of paragraphs 1 to 5 above are true and correct to my own knowledge, that no part of it is false, and that nothing material has been concealed.
DEPONENT
Signature: ______________________________
Simranjit Kaur
ATTESTATION
Solemnly affirmed and signed before me on 2 April 2026 at Khanna, the Deponent having been identified to my satisfaction by Aadhaar 4444 5555 6666.
Notary Public / Oath Commissioner
Registration No. and seal: ____________________