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CHECK LIST – PRINCIPAL EMPLOYER
ANNEXURE - A
Description PDF
Name and address of the P.E.
Nirmal Bhartia School, Opp-
Sector 14 Metro Station, Sector
14 Dwarka, New Delhi - 110075
Website address www.nirmalbhartia.org
Name and address of the Proprietor/
Director/Partners
NA
Phone /Mobile Number and E-mail ID of
establishment /person in charge of the contract
work
9810938102,adminhead@nirmalb
hartia-.org
Name and address of the place / site where the
contract workers are to be employed
Nirmal Bhartia School, Opp-
Sector 14 Metro Station, Sector
14 Dwarka, New Delhi - 110075
Phone /Mobile Number and E-mail ID of
establishment /person in charge of the site
9810938102,adminhead@nirmalb
hartia-.org
Copy of power of Attorney / Board resolution
authorizing to act as P.E.
NA
Copy of MOA/AOA/Partnership deed/Proprietor
ID proof.
NA
Nature of work for which contract workers are to
be
engaged/employed.
Housekeeping, Security and
Horticulture
Form “V” issued by P.E. to each contractor-Rule
21(2)
NA
Notice of commencement / completion of
contract work
-rule 81(3)
NA
Application in Form 1 –Rule 17(1) Attached Attached
Agreement with each contractor along with rate &
no .of workers for which contract has been given
Attached
Letter of extension of contract period issued to
contractors, in case of renewal of license
NA
Affidavit by P.E. regarding compliance of Rule 25
(2) (V) and that wages to contract workers are
being paid through account Payee Cheque/ ECS.
NA
Name and designation of the person authorized
under Rule
Rajib Ghose, Admin Head
Challan off Registration Fees (G.A.R.-7) NA
Registration certificate No. under CLRA Act, 1970 NA
Registration Number/ Certificate under the
Companies Act, 1956
NA
Registration Number/ Certificate under the Delhi
Shops &
Establishment Act, 1954/ Factories Act,
NA
Copy of application for amendment.
Annual Return – Rule 82 (2) Attached Attached
Name & address of the contractor establishment
Name and address of the prop./Partner/Dir. of the establishment
Website Address
Name & Address of site where contract labour is to be employed
Nature of
Work of
Contract
Max no. of
Workers
proposed
to be
employed
Perio
d of
Contr
actor
Name and
address of
person
incharge of
site/contrac
t
Date of
payment
of Wages
White Fox Support Services Pvt. Ltd
Admin Head, Nirmal Bhartia School. Sector-14, Dwarka, New Delhi - 75
www.nirmalbhartia.org
Nirmal Bhartia School,
Opp- Sector 14 Metro
Station, Sector 14
Dwarka, New Delhi -
110075
Housekeeping
, Security,
51 31-
01-
2018
to 30-
01-
2019
10th
of
Every
Month
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