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PESSI Registration Form (Pakistan)

PESSI Registration Form (Pakistan)

PUNJAB EMPLOYEES SOCIAL SECURITY INSTITUTION (PESSI)

EMPLOYER AND EMPLOYEE REGISTRATION APPLICATION

Under the Provincial Employees Social Security Ordinance 1965 (PESSO 1965)

To: The Regional Director, PESSI [PESSI Regional Office] Regional Office

Date: [Application Date]

PART A — EMPLOYER REGISTRATION (Section 11, PESSO 1965)

Name of Establishment: [Establishment Name]

Nature of Business: [Business Type]

Registered Address: [Establishment Address]

District: [Establishment District]

SECP / Business Registration Number: [Business Reg Number]

National Tax Number (FBR NTN): [NTN Number]

Employer / Principal Officer: [Employer Name] — CNIC: [Employer CNIC]

Date Business Commenced: [Business Commencement Date]

Total Workers Currently Employed: [Total Workers]

Total Monthly Wage Bill: PKR [Monthly Wage Bill]

PART B — EMPLOYEE REGISTRATION (Section 21, PESSO 1965)

Employee Full Name: [Employee Name]

Father's Name: [Employee Father Name]

CNIC Number: [Employee CNIC]

Date of Birth: [Employee Date Of Birth]

Gender: [Employee Gender]

Designation / Job Title: [Employee Designation]

Date of Joining: [Employee Date Of Joining]

Monthly Wage: PKR [Employee Wage]

Blood Group: [Employee Blood Group]

PART C — DEPENDANT DETAILS

Spouse Name: [Spouse Name] — CNIC: [Spouse CNIC]

Children Details: [Children Details]

Total Number of Dependants: [Number Of Dependants]

PART D — EMPLOYER DECLARATION

I, [Employer Name] (CNIC: [Employer CNIC]), the employer / authorised signatory of [Establishment Name], hereby declare that:

1. All information provided in this application is true and correct to the best of my knowledge.

2. I understand that failure to register within 30 days of employing any worker is an offence under Section 51 of the Provincial Employees Social Security Ordinance 1965 and is liable to a fine and contribution arrears.

3. I undertake to pay monthly PESSI contributions for all insured workers by the 15th of the following month at the designated PESSI collection bank or through the PESSI online payment portal (pessi.gop.pk).

4. I undertake to notify PESSI of any changes in workforce, wages, or business details within the prescribed period.

5. I acknowledge that the insured employees and their registered dependants are entitled to medical benefits at PESSI hospitals and dispensaries across Punjab upon issuance of PESSI health cards (Sehat Cards).

Documents attached: SECP/NTN certificate, employer CNIC, employee CNIC(s), establishment utility bill, Nikah Nama (for spouse), B-Form(s) (for children).

Employer / Principal Officer

________________

Signature

PESSI Officer (for official use)

________________

Signature

Maintained by Vladislav Sergienko, Founder·Template last modified: ·Report an error

What Is a PESSI Registration Form (Pakistan)?

A PESSI Registration Form in Pakistan supplies the facts and figures the authority requires so the matter can be processed, assessed or verified.

The Provincial Employees Social Security Ordinance 1965 is the primary statute governing social security for industrial and commercial workers in Punjab, Pakistan. The Ordinance applies to every factory, commercial establishment, road transport service, and other specified establishments employing one or more workers in Punjab — making PESSI coverage broader than EOBI coverage (which begins at five workers). Section 11 of the Provincial Employees Social Security Ordinance 1965 requires every employer of a covered establishment to register with PESSI within 30 days of employing any worker. Section 21 requires the employer to register each employee as an insured person with PESSI. Section 18 imposes monthly contribution obligations on the employer.

PESSI provides a range of medical and cash benefits to registered insured persons and their dependants. Medical benefits under Section 26 of the Provincial Employees Social Security Ordinance 1965 include free inpatient and outpatient medical treatment at PESSI hospitals (including the PESSI Teaching Hospital in Lahore), maternity benefits, and specialist care. Cash benefits include sickness benefit (a percentage of daily wages paid during medically certified incapacity), maternity benefit (paid to insured women and wives of insured men for the period around childbirth), invalidity benefit (for permanent incapacity), and survivors' grant (on the death of an insured person).

PESSI is distinct from the Employees Old-Age Benefits Institution (EOBI) established under the Employees Old-Age Benefits Act 1976, which provides pension benefits. PESSI and EOBI registrations are complementary — both are mandatory for covered employers in Punjab, and the employer must maintain separate registrations and contribution payment obligations with each institution. In Sindh, the equivalent social security institution is the Sindh Employees Social Security Institution (SESSI) established under the same provincial ordinance as adapted for Sindh. In KPK and Balochistan, the Workers Social Security Institution (WSSI) performs the equivalent function.

The Federal Government's Employment Policy 2010 and the National Social Protection Strategy recognise PESSI, EOBI, and equivalent provincial institutions as the foundational pillars of Pakistan's workers' social protection architecture. Labour Inspectors from the Punjab Labour Department have authority to inspect PESSI registration compliance and refer non-compliant employers to PESSI for penalty proceedings under Section 51 of the Provincial Employees Social Security Ordinance 1965.

The legal framework governing the PESSI Registration Form (Pakistan) in Pakistan draws on several key statutes and regulatory bodies. Under the Industrial and Commercial Employment (Standing Orders) Ordinance 1968, employers in Pakistan must issue appointment letters with terms of service. The Industrial Relations Act 2012 governs collective bargaining and the National Industrial Relations Commission (NIRC). The Employees Old-Age Benefits Institution (EOBI) administers pensions under the EOBI Act 1976. The Federal Board of Revenue (FBR) administers PAYE under the Income Tax Ordinance 2001. Labour Courts adjudicate employment disputes. Parties executing a PESSI Registration Form (Pakistan) in Pakistan should confirm the document reflects current law, including any amendments enacted since the original drafting date. The Provincial Employees Social Security Ordinance 1965 sets the foundational requirements.

When Do You Need a PESSI Registration Form (Pakistan)?

A PESSI Registration Form in Pakistan is required in several specific circumstances arising from the employer-employee relationship in Punjab.

A PESSI Registration Form is needed when a new employer establishes a business in Punjab — whether a factory, retail shop, transport company, hospital, educational institution, or any commercial establishment — and employs one or more workers. Section 11 of the Provincial Employees Social Security Ordinance 1965 requires the employer to apply for employer registration with PESSI within 30 days of commencing operations. The employer must obtain a PESSI Employer Registration Number, which is used for all future contribution payments and correspondence with PESSI.

A PESSI Registration Form is required when an existing PESSI-registered employer hires a new employee who has not previously been registered with PESSI. Section 21 of the Provincial Employees Social Security Ordinance 1965 requires the employer to register each new worker as an insured person with PESSI within 30 days of the worker's commencement of employment. The employee registration creates an individual PESSI Insured Person (IP) number for the worker, which appears on the PESSI health card (Sehat Card) issued to the worker and their dependants.

A PESSI Registration Form is needed when a worker who was previously employed by a different PESSI-registered employer joins a new employer and needs their PESSI registration transferred or their employment history updated in the PESSI database. The new employer must notify PESSI of the worker's employment and begin remitting contributions under the worker's existing IP number.

A PESSI Registration Form is required when an employer expands their workforce beyond the threshold at which PESSI coverage first becomes mandatory — for example, a small manufacturing unit that grows from fewer employees to a number that triggers mandatory registration. The employer must register both themselves (employer registration) and all currently employed workers (employee registrations) simultaneously.

A PESSI Registration Form is needed when a worker wishes to update their personal details in the PESSI database — such as adding a newly married spouse or a newborn child as a dependant entitled to PESSI medical benefits. Adding dependants requires submission of the relevant documentation (Nikah Nama for spouse, birth certificate or NADRA B-Form for children) to PESSI along with the updated registration form.

What to Include in Your PESSI Registration Form (Pakistan)

A valid PESSI Registration Form in Pakistan under the Provincial Employees Social Security Ordinance 1965 and the PESSI Regulations must contain the following essential elements to complete employer and employee registration with the Punjab Employees Social Security Institution.

Employer Registration Section: Full legal name of the establishment (factory, shop, hospital, transport company, or other entity), the employer's business registration number (SECP company registration, sole proprietor NTN, or partnership registration), the nature of business (manufacturing, trade, services, transport, etc.), the full address of the registered establishment including tehsil and district, the number of workers employed, the name and CNIC number of the employer or the principal officer, the commencement date of business, and the wage bill (total monthly wages paid to all workers) — which determines the monthly contribution amount.

Employee Registration Section: Full legal name of each worker exactly as on their CNIC, CNIC number (13-digit NADRA format), father's name, date of birth, gender, designation or job title, department, wage rate (monthly or daily), date of joining, and the worker's photograph (required for the PESSI health card). The worker's blood group, if known, should also be recorded for medical records purposes.

Dependant Details: For each insured worker, the PESSI Registration Form requires details of the worker's eligible dependants who will receive PESSI medical benefits — including spouse (name, CNIC), children below 18 years (name, date of birth, B-Form number), and in some cases parents of the insured worker who are wholly dependent on the worker. Dependant details are verified against NADRA records and family registration certificates.

Contribution Calculation: The employer's monthly contribution to PESSI is set as a percentage of the worker's wages — under the Provincial Employees Social Security Ordinance 1965 and PESSI Notifications, the contribution rate has been revised over time (currently the employer pays a prescribed percentage of the insured wage, and there is no worker contribution). The form must confirm the wage bracket applicable to each worker and the resulting contribution amount. Contributions must be paid by the 15th of the following month through designated PESSI collection banks.

Declaration and Undertaking: The employer must sign a declaration confirming that all information provided is true and correct, that they understand the penalty provisions under Section 51 of the Provincial Employees Social Security Ordinance 1965 for false declarations or failure to register, and that they undertake to pay monthly contributions on time and to notify PESSI of any changes in workforce or wages within the prescribed period.

Documentation Required: The PESSI Registration Form must be accompanied by attested copies of the employer's business registration certificate, NTN certificate from FBR, property or tenancy documents for the establishment premises, CNICs of all workers being registered, and utility bills confirming the establishment's address.

Forms-legal.com provides this PESSI Registration Form (Pakistan) template as a practical guide reflecting the requirements of the Provincial Employees Social Security Ordinance 1965 and PESSI operational guidelines. Employers should submit the completed form and documents to the relevant PESSI regional office — Lahore, Faisalabad, Rawalpindi, Gujranwala, Multan, or other district offices — and retain the PESSI acknowledgement receipt as proof of submission. For digital registration, PESSI's online portal (pessi.gop.pk) allows employer and employee registration subject to subsequent physical verification.

Additional compliance elements for a PESSI Registration Form (Pakistan) used in Pakistan include: Under the Industrial and Commercial Employment (Standing Orders) Ordinance 1968, employers in Pakistan must issue appointment letters with terms of service. The Industrial Relations Act 2012 governs collective bargaining and the National Industrial Relations Commission (NIRC). The Employees Old-Age Benefits Institution (EOBI) administers pensions under the EOBI Act 1976. The Federal Board of Revenue (FBR) administers PAYE under the Income Tax Ordinance 2001. Labour Courts adjudicate employment disputes. Forms-legal.com provides this template as a starting point for Pakistan-compliant documentation.

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Forms Legal. (2026). PESSI Registration Form (Pakistan) (Pakistan) [Legal document template]. Forms Legal. https://forms-legal.com/pakistan/employment/hr-forms/pessi-registration-form-pakistan

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BibTeX
@misc{formslegal-pessi-registration-form-pakistan,
  author       = {{Forms Legal}},
  title        = {PESSI Registration Form (Pakistan) (Pakistan)},
  year         = {2026},
  howpublished = {\url{https://forms-legal.com/pakistan/employment/hr-forms/pessi-registration-form-pakistan}},
  note         = {Free legal document template}
}

Frequently Asked Questions

Statute-referenced template — Template last modified June 2026

This template is provided for informational purposes only and does not constitute legal advice. Laws vary by jurisdiction and change over time. Consult a qualified attorney for advice specific to your situation.Full disclaimer

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