Office/Workplace/Factory/Establishment Registration for e-Pass
**Office/Workplace/Factory/Establishment must fill the following details
**Please, Enable Popups to Display Important Messages
*Office/Workplace/Factory/Establishment Name :
*Office/Workplace/Factory/Establishment Address- Line 1 :
*Block/Taluka Name :
*Village/City Name :
*Office Email Id :
Office Phone No :
*Office InCharge Name :
*InCharge Designation :
* Office InCharge Mobile No :
*Office InCharge Email Id :
*Photo ID Proof Name of Office InCharge :
*Photo ID Proof No of Office InCharge:
*Set Your Login Password :
* Confirm Your Login Password :
*Have You Informed MIDC about Redistration ? [If Applicable] :
Note-Please, Note down your Password