EIS Form 7 - Employment Insurance System Application

This is a mandatory form that must be completed to apply for all benefits under EIS

C. Previous Company Information

C1. Employer Code No.*

C2. Company name*

C3. Industry*

C4. Working Address*

C5. Working State*

C6. Working City*

C7. Working Postcode*

C8. Name of officer to be contacted*

C9. Telephone No. (Office)*

C10. E-mail