{"id":81,"date":"2025-11-05T07:08:12","date_gmt":"2025-11-05T07:08:12","guid":{"rendered":"https:\/\/worker4u.in\/Users\/?page_id=81"},"modified":"2025-11-05T07:14:05","modified_gmt":"2025-11-05T07:14:05","slug":"employers-application-form","status":"publish","type":"page","link":"https:\/\/worker4u.in\/Users\/employers-application-form\/","title":{"rendered":"Employer&#8217;s Application Form"},"content":{"rendered":"    <div class=\"worker4u-container\">\n\t\n\t\n                 <div class=\"worker4u-form-container\">\n                <div class=\"worker4u-form-header\">\n<div class=\"worker4u-form-title\">Worker4u<\/div>\n                    <div class=\"worker4u-form-subtitle\">Servie Request Form<\/div>\n                <\/div>\n                \n                <form method=\"POST\" enctype=\"multipart\/form-data\" class=\"worker4u-form\" id=\"worker4uForm\">\n                    <input type=\"hidden\" id=\"worker4u_nonce\" name=\"worker4u_nonce\" value=\"24ed94f36e\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/Users\/wp-json\/wp\/v2\/pages\/81\" \/>                    \n                    <div class=\"worker4u-form-row\">\n                        <div class=\"worker4u-form-group\">\n                            <label class=\"worker4u-form-label\"> \u0d2a\u0d47\u0d30\u0d4d (Name) <span>*<\/span><\/label>\n                            <input type=\"text\" name=\"name\" class=\"worker4u-form-input\" required>\n                        <\/div>\n                        <div class=\"worker4u-form-group\">\n                            <label class=\"worker4u-form-label\">\u0d2b\u0d4b\u0d7a \u0d28\u0d2e\u0d4d\u0d2a\u0d7c (Phone Number) <span>*<\/span><\/label>\n                            <input type=\"tel\" name=\"phone\" class=\"worker4u-form-input\" required>\n                        <\/div>\n                    <\/div>\n                    \n                    <div class=\"worker4u-form-group\">\n                        <label class=\"worker4u-form-label\">\u0d35\u0d3f\u0d32\u0d3e\u0d38\u0d02 (Address) <span>*<\/span><\/label>\n                        <textarea name=\"address\" class=\"worker4u-form-textarea\" required><\/textarea>\n                    <\/div>\n                    \n                    <div class=\"worker4u-form-row\">\n                        <div class=\"worker4u-form-group\">\n                            <label class=\"worker4u-form-label\">\u0d32\u0d3e\u0d7b\u0d21\u0d4d\u0d2e\u0d3e\u0d7c\u0d15\u0d4d\u0d15\u0d4d (Landmark) <span>*<\/span><\/label>\n                            <input type=\"text\" name=\"landmark\" class=\"worker4u-form-input\" required>\n                        <\/div>\n                        <div class=\"worker4u-form-group\">\n                            <label class=\"worker4u-form-label\">\u0d2a\u0d4b\u0d32\u0d40\u0d38\u0d4d \u0d38\u0d4d\u0d31\u0d4d\u0d31\u0d47\u0d37\u0d7b (Police Station) <span>*<\/span><\/label>\n                            <input type=\"text\" name=\"police_station\" class=\"worker4u-form-input\" required>\n                        <\/div>\n                    <\/div>\n                    \n                    <div class=\"worker4u-form-row\">\n                        <div class=\"worker4u-form-group\">\n                            <label class=\"worker4u-form-label\">\u0d15\u0d41\u0d1f\u0d41\u0d02\u0d2c\u0d3e\u0d02\u0d17\u0d19\u0d4d\u0d19\u0d7e (Family Members) <span>*<\/span><\/label>\n                            <input type=\"number\" name=\"family_members\" class=\"worker4u-form-input\" required>\n                        <\/div>\n                        <div class=\"worker4u-form-group\">\n                            <label class=\"worker4u-form-label\">\u0d2e\u0d41\u0d31\u0d3f\u0d15\u0d33\u0d41\u0d1f\u0d46 \u0d0e\u0d23\u0d4d\u0d23\u0d02 (No of Rooms) <span>*<\/span><\/label>\n                            <input type=\"number\" name=\"no_of_rooms\" class=\"worker4u-form-input\" required>\n                        <\/div>\n                    <\/div>\n                    \n                    <div class=\"worker4u-form-row\">\n                        <div class=\"worker4u-form-group\">\n                            <label class=\"worker4u-form-label\">\u0d24\u0d3e\u0d32\u0d42\u0d15\u0d4d\u0d15\u0d4d (Thaluk) <span>*<\/span><\/label>\n                            <input type=\"text\" name=\"thaluk\" class=\"worker4u-form-input\" required>\n                        <\/div>\n                        <div class=\"worker4u-form-group\">\n                            <label class=\"worker4u-form-label\">\u0d1c\u0d3f\u0d32\u0d4d\u0d32 (District) <span>*<\/span><\/label>\n                            <select name=\"district\" class=\"worker4u-form-select\" required>\n                                <option value=\"\">Choose...<\/option>\n                                <option value=\"Thiruvananthapuram\">Thiruvananthapuram<\/option>\n                                <option value=\"Kollam\">Kollam<\/option>\n                                <option value=\"Pathanamthitta\">Pathanamthitta<\/option>\n                                <option value=\"Alappuzha\">Alappuzha<\/option>\n                                <option value=\"Kottayam\">Kottayam<\/option>\n                                <option value=\"Idukki\">Idukki<\/option>\n                                <option value=\"Ernakulam\">Ernakulam<\/option>\n                                <option value=\"Thrissur\">Thrissur<\/option>\n                                <option value=\"Palakkad\">Palakkad<\/option>\n                                <option value=\"Malappuram\">Malappuram<\/option>\n                                <option value=\"Kozhikode\">Kozhikode<\/option>\n                                <option value=\"Wayanad\">Wayanad<\/option>\n                                <option value=\"Kannur\">Kannur<\/option>\n                                <option value=\"Kasaragod\">Kasaragod<\/option>\n                            <\/select>\n                        <\/div>\n                        <div class=\"worker4u-form-group\">\n                            <label class=\"worker4u-form-label\">\u0d2a\u0d3f\u0d28\u0d4d\u0d15\u0d4b\u0d21\u0d4d (Pincode) <span>*<\/span><\/label>\n                            <input type=\"text\" name=\"pincode\" class=\"worker4u-form-input\" required>\n                        <\/div>\n                    <\/div>\n                    \n                    <div class=\"worker4u-section-heading\">Personal Information<\/div>\n                    \n                    <div class=\"worker4u-form-group\">\n                        <label class=\"worker4u-form-label\">\u0d32\u0d3f\u0d02\u0d17\u0d02 (Gender) <span>*<\/span><\/label>\n                        <div class=\"worker4u-radio-group\">\n                            <label class=\"worker4u-radio-label\">\n                                <input type=\"radio\" name=\"gender\" value=\"Male\" required>\u0d2a\u0d41\u0d30\u0d41\u0d37\u0d7b (Male)\n                            <\/label>\n                            <label class=\"worker4u-radio-label\">\n                                <input type=\"radio\" name=\"gender\" value=\"Female\" required>\u0d38\u0d4d\u0d24\u0d4d\u0d30\u0d40 (Female)\n                            <\/label>\n                            <label class=\"worker4u-radio-label\">\n                                <input type=\"radio\" name=\"gender\" value=\"Other\" required> \u0d2e\u0d31\u0d4d\u0d31\u0d4d (Other)\n                            <\/label>\n                        <\/div>\n                    <\/div>\n                    \n                    <div class=\"worker4u-form-row\">\n                        <div class=\"worker4u-form-group\">\n                            <label class=\"worker4u-form-label\">\u0d35\u0d2f\u0d38\u0d4d\u0d38\u0d4d (Age) <span>*<\/span><\/label>\n                            <input type=\"number\" name=\"age\" class=\"worker4u-form-input\" required>\n                        <\/div>\n                        <div class=\"worker4u-form-group\">\n                            <label class=\"worker4u-form-label\">\u0d1c\u0d28\u0d28\u0d24\u0d4d\u0d24\u0d40\u0d2f\u0d24\u0d3f (Date of Birth) <span>*<\/span><\/label>\n                            <input type=\"date\" name=\"dob\" class=\"worker4u-form-input\" >\n                        <\/div>\n                    <\/div>\n                    \n                    <div class=\"worker4u-form-row\">\n                        <div class=\"worker4u-form-group\">\n                            <label class=\"worker4u-form-label\">\u0d35\u0d3f\u0d26\u0d4d\u0d2f\u0d3e\u0d2d\u0d4d\u0d2f\u0d3e\u0d38 \u0d2f\u0d4b\u0d17\u0d4d\u0d2f\u0d24 (Education Qualification) <span>*<\/span><\/label>\n                            <input type=\"text\" name=\"education\" class=\"worker4u-form-input\" required>\n                        <\/div>\n                        <div class=\"worker4u-form-group\">\n                            <label class=\"worker4u-form-label\">\u0d2e\u0d24\u0d02(Religion) <span>*<\/span><\/label>\n                            <input type=\"text\" name=\"religion\" class=\"worker4u-form-input\" required>\n                        <\/div>\n                    <\/div>\n                    \n                    <div class=\"worker4u-section-heading\">Documents<\/div>\n                    \n                    <div class=\"worker4u-form-row\">\n                        <div class=\"worker4u-form-group\">\n                            <label class=\"worker4u-form-label\">\u0d2b\u0d4b\u0d1f\u0d4d\u0d1f\u0d4b (Photo of the Person) <span><\/span><\/label>\n                            <input type=\"file\" name=\"photo\" class=\"worker4u-form-input\" accept=\"image\/*\" >\n                        <\/div>\n                        <div class=\"worker4u-form-group\">\n                            <label class=\"worker4u-form-label\">\u0d24\u0d3f\u0d30\u0d3f\u0d1a\u0d4d\u0d1a\u0d31\u0d3f\u0d2f\u0d7d \u0d30\u0d47\u0d16-ID Proof (Image) <span><\/span><\/label>\n                            <input type=\"file\" name=\"id_proof\" class=\"worker4u-form-input\" accept=\"image\/*\" >\n                        <\/div>\n                    <\/div>\n                    \n                    <div class=\"worker4u-form-row\">\n                        <div class=\"worker4u-form-group\">\n                            <label class=\"worker4u-form-label\">\u0d35\u0d40\u0d1f\u0d3f\u0d28\u0d4d\u0d31\u0d46 \u0d24\u0d46\u0d33\u0d3f\u0d35\u0d4d (Proof of House) <span><\/span><\/label>\n                            <input type=\"file\" name=\"proof_of_house\" class=\"worker4u-form-input\" accept=\"image\/*,.pdf\" >\n                        <\/div>\n                        <div class=\"worker4u-form-group\">\n                            <label class=\"worker4u-form-label\">\u0d15\u0d30\u0d3e\u0d7c \u0d30\u0d47\u0d16 (Agreement Document) <span><\/span><\/label>\n                            <input type=\"file\" name=\"agreement_document\" class=\"worker4u-form-input\" accept=\"image\/*,.pdf\" >\n                        <\/div>\n                    <\/div>\n                    \n                    <div class=\"worker4u-form-row\">\n                        <div class=\"worker4u-form-group\">\n                            <label class=\"worker4u-form-label\">\u0d06\u0d27\u0d3e\u0d7c \u0d15\u0d3e\u0d7c\u0d21\u0d4d Aadhaar Card (PDF)<\/label>\n                            <input type=\"file\" name=\"pcc_certificate\" class=\"worker4u-form-input\" accept=\"image\/*,.pdf\">\n                        <\/div>\n                    <\/div>\n                    \n                    <div class=\"worker4u-section-heading\">\u0d1c\u0d4b\u0d32\u0d3f \u0d35\u0d3f\u0d2d\u0d3e\u0d17\u0d02 (Job Category)<\/div>\n\n                    <div class=\"worker4u-form-group\">\n                        <label class=\"worker4u-form-label\">Select Job Category <span>*<\/span><\/label>\n                        <select name=\"job_category\" class=\"worker4u-form-select\" id=\"job_category_select\" required onchange=\"toggleJobCategoryOther()\">\n                            <option value=\"\">Choose...<\/option>\n                            <option value=\"Baby Care\">Baby Care<\/option>\n                            <option value=\"Old Person Care\">Old Person Care<\/option>\n                            <option value=\"House Cleaning\">House Cleaning<\/option>\n\t\t\t\t\t\t\t<option value=\"Cooking\">Cooking<\/option>\n\t\t\t\t\t\t\t<option value=\"Cloth Washing\/Iron\">Cloth washing\/Iron<\/option>\n                            <option value=\"Others\">Others<\/option>\n                        <\/select>\n                    <\/div>\n                    \n                    <div class=\"worker4u-form-group\" id=\"job_category_other_field\" style=\"display:none;\">\n                        <label class=\"worker4u-form-label\">Please specify other job category <span>*<\/span><\/label>\n                        <input type=\"text\" name=\"job_category_other\" class=\"worker4u-form-input\" id=\"job_category_other_input\" placeholder=\"Enter your job category\">\n                    <\/div>\n                    \n                    <div class=\"worker4u-section-heading\">Duty Preferences<\/div>\n                    \n                    <div class=\"worker4u-form-group\">\n                        <label class=\"worker4u-form-label\">\u0d21\u0d4d\u0d2f\u0d42\u0d1f\u0d4d\u0d1f\u0d3f \u0d38\u0d2e\u0d2f\u0d02 (Duty Time) <span>*<\/span><\/label>\n                        <select name=\"duty_time\" class=\"worker4u-form-select\" required>\n                            <option value=\"\">Choose...<\/option>\n                            <option value=\"Full Time\">Full Time<\/option>\n                            <option value=\"Part Time\">Part Time<\/option>\n                            <option value=\"Day Shift\">Day Shift<\/option>\n                            <option value=\"Night Shift\">Night Shift<\/option>\n                            <option value=\"Flexible\">Flexible<\/option>\n                        <\/select>\n                    <\/div>\n                    \n                    <div class=\"worker4u-form-row\">\n                        <div class=\"worker4u-form-group\">\n                            <label class=\"worker4u-form-label\">\u0d1c\u0d4b\u0d32\u0d3f \u0d38\u0d4d\u0d25\u0d32\u0d02 (Job Location) <span>*<\/span><\/label>\n                            <input type=\"text\" name=\"job_location\" class=\"worker4u-form-input\" required>\n                        <\/div>\n                        <div class=\"worker4u-form-group\">\n                            <label class=\"worker4u-form-label\">\u0d15\u0d4b\u0d7a\u0d1f\u0d4d\u0d30\u0d3e\u0d15\u0d4d\u0d1f\u0d4d \u0d15\u0d3e\u0d32\u0d3e\u0d35\u0d27\u0d3f (Contract Period) <span>*<\/span><\/label>\n                            <input type=\"text\" name=\"contract_period\" class=\"worker4u-form-input\" placeholder=\"e.g., 6 months, 1 year\" required>\n                        <\/div>\n                    <\/div>\n                    \n                    <div class=\"worker4u-form-group\">\n                        <label class=\"worker4u-form-label\">\u0d2a\u0d4d\u0d30\u0d24\u0d40\u0d15\u0d4d\u0d37\u0d3f\u0d15\u0d4d\u0d15\u0d41\u0d28\u0d4d\u0d28 \u0d36\u0d2e\u0d4d\u0d2a\u0d33\u0d02 (Expected Salary) <span>*<\/span><\/label>\n                        <input type=\"text\" name=\"expected_salary\" class=\"worker4u-form-input\" placeholder=\"e.g., \u20b915,000 per month\" required>\n                    <\/div>\n                    \n                    <div class=\"worker4u-section-heading\">Worker Preferences<\/div>\n                    \n                    <div class=\"worker4u-form-group\">\n                        <label class=\"worker4u-form-label\">\u0d24\u0d4a\u0d34\u0d3f\u0d32\u0d3e\u0d33\u0d3f\u0d2f\u0d41\u0d1f\u0d46 \u0d32\u0d3f\u0d02\u0d17\u0d02 (Gender of the Worker) <span>*<\/span><\/label>\n                        <div class=\"worker4u-radio-group\">\n                            <label class=\"worker4u-radio-label\">\n                                <input type=\"radio\" name=\"worker_gender\" value=\"Male\" required>\u0d2a\u0d41\u0d30\u0d41\u0d37\u0d7b (Male)\n                            <\/label>\n                            <label class=\"worker4u-radio-label\">\n                                <input type=\"radio\" name=\"worker_gender\" value=\"Female\" required>\u0d38\u0d4d\u0d24\u0d4d\u0d30\u0d40 (Female)\n                            <\/label>\n                        <\/div>\n                    <\/div>\n                    \n                    <div class=\"worker4u-form-row\">\n                        <div class=\"worker4u-form-group\">\n                            <label class=\"worker4u-form-label\">\u0d24\u0d4a\u0d34\u0d3f\u0d32\u0d3e\u0d33\u0d3f\u0d2f\u0d41\u0d1f\u0d46 \u0d35\u0d2f\u0d38\u0d4d\u0d38\u0d4d (Worker Age) <span>*<\/span><\/label>\n                            <input type=\"text\" name=\"worker_age\" class=\"worker4u-form-input\" placeholder=\"e.g., 25-35 years\" required>\n                        <\/div>\n                        <div class=\"worker4u-form-group\">\n                            <label class=\"worker4u-form-label\">\u0d24\u0d4a\u0d34\u0d3f\u0d32\u0d3e\u0d33\u0d3f\u0d2f\u0d41\u0d1f\u0d46 \u0d2e\u0d24\u0d02 (Worker Religion) <span>*<\/span><\/label>\n                            <input type=\"text\" name=\"worker_religion\" class=\"worker4u-form-input\" required>\n                        <\/div>\n                    <\/div>\n                    \n                    <div class=\"worker4u-form-group\">\n                        <label class=\"worker4u-form-label\">\u0d24\u0d4a\u0d34\u0d3f\u0d32\u0d3e\u0d33\u0d3f\u0d2f\u0d41\u0d1f\u0d46 \u0d38\u0d4d\u0d25\u0d32\u0d02 (Worker Location) <span>*<\/span><\/label>\n                        <input type=\"text\" name=\"worker_location\" class=\"worker4u-form-input\" required>\n                    <\/div>\n                    \n                    <div class=\"worker4u-form-group\">\n                        <label class=\"worker4u-form-label\">\u0d13\u0d2b\u0d4d \u0d21\u0d47 (Off Day) <span>*<\/span><\/label>\n                        <select name=\"off_day\" class=\"worker4u-form-select\" required>\n                            <option value=\"\">Choose...<\/option>\n                            <option value=\"Weekly 1 Day\">Weekly 1 Day<\/option>\n                            <option value=\"Weekly 2 Days\">Weekly 2 Days<\/option>\n                            <option value=\"Weekly 4 Days\">Weekly 4 Days<\/option>\n                            <option value=\"Weekly 6 Days\">Weekly 6 Days<\/option>\n                            <option value=\"Monthly 2 Days\">Monthly 2 Days<\/option>\n                            <option value=\"Monthly 4 Days\">Monthly 4 Days<\/option>\n                            <option value=\"Monthly 6 Days\">Monthly 6 Days<\/option>\n                        <\/select>\n                    <\/div>\n                    \n                    <div class=\"worker4u-form-group\">\n                        <label class=\"worker4u-form-label\">\u0d2a\u0d47\u0d2f\u0d4d\u0d2e\u0d46\u0d28\u0d4d\u0d31\u0d4d \u0d30\u0d40\u0d24\u0d3f (Payment Method) <span>*<\/span><\/label>\n                        <select name=\"payment_method\" class=\"worker4u-form-select\" required>\n                            <option value=\"\">Choose...<\/option>\n                            <option value=\"UPI\">UPI<\/option>\n                            <option value=\"Bank Account\">Bank Account<\/option>\n                            <option value=\"Commission Payment\">Commission Payment<\/option>\n                        <\/select>\n                    <\/div>\n                    \n                    <div class=\"worker4u-form-group\">\n                        <label class=\"worker4u-form-label\">\u0d05\u0d28\u0d41\u0d2d\u0d35\u0d02 (Experience)<\/label>\n                        <textarea name=\"experience\" class=\"worker4u-form-textarea\" placeholder=\"Describe your relevant work experience...\"><\/textarea>\n                    <\/div>\n                    \n                    <div class=\"worker4u-form-group\">\n                        <label class=\"worker4u-form-label\">\u0d05\u0d31\u0d4d\u0d31\u0d3e\u0d1a\u0d4d\u0d1a\u0d4d\u0d2e\u0d46\u0d28\u0d4d\u0d31\u0d41\u0d15\u0d7e-Related Attachments (Optional)<\/label>\n                        <div id=\"attachments_container\">\n                            <div class=\"worker4u-attachment-row\">\n                                <input type=\"file\" name=\"attachments[]\" class=\"worker4u-form-input\" accept=\"image\/*,.pdf\">\n                            <\/div>\n                        <\/div>\n                        <button type=\"button\" class=\"worker4u-add-attachment-btn\" onclick=\"addAttachmentField()\" style=\"margin-top: 10px; padding: 10px 20px; background: #2e7d32; color: white; border: none; border-radius: 5px; cursor: pointer;\">+ Add More Files<\/button>\n                    <\/div>\n                    \n                    <button type=\"submit\" class=\"worker4u-submit-btn\">Submit Application<\/button>\n                <\/form>\n            <\/div>\n            <\/div>\n    \n    <script>\n        document.getElementById('worker4uForm')?.addEventListener('submit', function(e) {\n            const submitBtn = this.querySelector('.worker4u-submit-btn');\n            submitBtn.textContent = '\u23f3 Submitting...';\n            submitBtn.disabled = true;\n        });\n        \n        \/\/ Function to toggle job category \"Others\" field\n        function toggleJobCategoryOther() {\n            const selectElement = document.getElementById('job_category_select');\n            const otherField = document.getElementById('job_category_other_field');\n            const otherInput = document.getElementById('job_category_other_input');\n            \n            if (selectElement.value === 'Others') {\n                otherField.style.display = 'block';\n                otherInput.required = true;\n            } else {\n                otherField.style.display = 'none';\n                otherInput.required = false;\n                otherInput.value = '';\n            }\n        }\n        \n        \/\/ Update job_category value when submitting if \"Others\" is selected\n        document.getElementById('worker4uForm')?.addEventListener('submit', function(e) {\n            const selectElement = document.getElementById('job_category_select');\n            const otherInput = document.getElementById('job_category_other_input');\n            \n            if (selectElement.value === 'Others' && otherInput.value.trim()) {\n                selectElement.value = otherInput.value.trim();\n            }\n        });\n        \n        \/\/ Function to add more attachment fields\n        function addAttachmentField() {\n            const container = document.getElementById('attachments_container');\n            const newRow = document.createElement('div');\n            newRow.className = 'worker4u-attachment-row';\n            newRow.style.marginTop = '10px';\n            newRow.innerHTML = '<input type=\"file\" name=\"attachments[]\" class=\"worker4u-form-input\" accept=\"image\/*,.pdf\">';\n            container.appendChild(newRow);\n        }\n    <\/script>\n    \n","protected":false},"excerpt":{"rendered":"","protected":false},"author":4,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-81","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/worker4u.in\/Users\/wp-json\/wp\/v2\/pages\/81","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/worker4u.in\/Users\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/worker4u.in\/Users\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/worker4u.in\/Users\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/worker4u.in\/Users\/wp-json\/wp\/v2\/comments?post=81"}],"version-history":[{"count":2,"href":"https:\/\/worker4u.in\/Users\/wp-json\/wp\/v2\/pages\/81\/revisions"}],"predecessor-version":[{"id":83,"href":"https:\/\/worker4u.in\/Users\/wp-json\/wp\/v2\/pages\/81\/revisions\/83"}],"wp:attachment":[{"href":"https:\/\/worker4u.in\/Users\/wp-json\/wp\/v2\/media?parent=81"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}