OSHWC Form XIII: employee register

Employer’s continuing record of every employee, including employment identity, joining, benefits, nomination, pay, posting and exit particulars.

(See rule 72(1)(i)) · Central Rules 2026 · appropriate-government scope

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Fictional completed employee register; the selected facts and alternative branches are stated explicitly. It is not a genuine submission or official output.

Fictional, unsigned completed illustration. It demonstrates this form’s fields; it is not a filed return, medical opinion, official order or proof of an actual transaction.

When and how this form is used

Maintain for all employees; the register may be electronic while capturing the prescribed particulars. Record the real employment code: permanent, temporary, fixed term, trainee and badli are distinct.

A public teaching sample uses synthetic Aadhaar, PAN, UAN and bank data and omits genuine photographs/biometrics. The actual employer record needs accurate authorised information and nomination evidence.

Form XIII is not the EPF/ESI registration application, nomination form or evidence that a benefit is approved. Update pay, posting and exit fields when actual events occur.

The completed fields

One complete fictional employee entry

Prescribed field / section	Completed fictional entry
Establishment / employer / PAN/TAN / LIN	Illustration Central Construction Ltd (fictional), 14 Example Works, New Delhi 110001; Kavita Shah, director; all numeric identifiers [synthetic]
1–5. Code / full name / gender / parent	DEMO-E01; Ravi [no middle name] Kumar; male; father Vijay Kumar (fictional)
6–10. Birth / place / nationality / education / joining	15 June 1981; New Delhi; Indian; commerce graduate; 1 October 2026
11–14. Designation / skill / employment / mobile	Stores coordinator; skilled; permanent selected (P), other employment codes N/A; mobile [synthetic]
15–19. UAN / PAN / nominee / EPS-NPS / family	UAN/PAN [synthetic]; spouse Asha Kumar nominated 100% on assumed genuine nomination; EPS membership assumed established, NPS N/A; spouse Asha Kumar and child Neha Kumar, born 10 May 2015 (fictional)
20–24. Posting / pay / promotion / ESI / Aadhaar	20 Example Site, stores; basic ₹26,000/month, DA/other allowance nil; no promotion; ESI IP N/A on established selected coverage facts; Aadhaar [synthetic]
25–30. Bank / addresses / service-book	Illustrative Bank, Example Branch; account/IFSC [synthetic, not payable]; present and permanent 5 Example Street, New Delhi 110001; service book DEMO-SB-01
31–36. Exit / reason / identification / photo / specimen / remarks	Still employed: exit date/reason N/A; old small scar on left forearm (fictional); photo/signature/thumb impression not fabricated; permanent member, 1 October start
Employee / employer execution	Ravi Kumar / Kavita Shah; Unsigned fictional illustration; no actual signature, DSC, seal, certification, approval or acknowledgement

Supporting records and reconciliation

Employment/appointment and identity records, actual member/coverage determination, nomination, payroll, bank verification and genuine join/exit evidence; controlled access to personal records.

Official source and version

Official Gazette, OSHWC (Central) Rules 2026, Form XIII, PDF pages 281–282

OSHWC Code 2020: governing Act; the form is read with its applicable section and 2026 Central Rule

Download the official source pages containing this form. Adjacent prescribed forms can share a source page; use the heading and rule identified above.

The Central Rules have their stated jurisdiction. The corresponding appropriate-government rules and any later amendment must match the real establishment and event.

Practical questions

Can I submit the sample as my own completed form?

No. Replace the fictional facts with accurate records, use the competent filing or record-keeping route described above and complete genuine signatures or certifications where required.

What makes the example specific to this form?