Annexure - A


A


Sr. No.

Particulars

Description

PDF Attachment

1

Name and Address of the Contractor’s establishment

Core Enterprises

 

2

Website address

www.coreenterprises.in

 

3

Name and address of the Proprietor / Director / Partner

Pankaj Badesra
E-139 HDFC bank Saket Delhi - 19

 

4

Phone / Mobile Number and E-mail I.D. of establishment / person in charge of contract work


 

5

Name and address of the place / site where the contract workers are to be employed

E-139 HDFC bank Saket Delhi - 19

 

6

Phone / Mobile Number and E-mail I.D. of  person in charge of the site

Pankaj Badeora

 

7

Copy of MOA / AOA / Partnership Deed / Proprietor’s I.D. Proof

 

8

Form “V” issued by P.E. – Rule 21 (2)

 

9

Notice of commencement / completion of contract work – Rule 25 (2)

 

10

Form IV Rule 21 (1) / VII - Rule 29 (2)

 

11

Agreement with P.E. alongwith rate & no. of workers for which contract has been given

 

 

12

Letter of extension of contract period, in case of renewal of license

Not Applicable

 

13

Affidavit / s that wages are being disbursed through account payee cheque / ECS.

 

14

Affidavit for legal compliance including condition of license

 

15

Challan of License Fees / (Late Fees, if any) G.A.R. -7

Not Applicable

 

16

Challan of Security Deposit (G.A.R. -7)

Not Applicable

 

17

License No. under CLRA Act, 1970

Not Applicable

 

18

Nature of Work for which contract workers are to be engaged / employed

Housekeeping, Security, Peons

 

19

Registration Number / Certificate under the Delhi shops & Establishment Act, 1954

Not Applicable

 

20

PF Code Number

DSNHP0937100000

 

21

ESI Code Number

20001054830001001

 

22

Half Yearly Return – Rule 82 (1)

Not Applicable

 

1

Name and address of the Principal Employ

 

2

Website address

 

3

Name and address of the Proprietor / Director / partners of P.E. Estt.

As Per Work/Site
(Admin Officer)

 

4

Phone / Mobile Number of person in-charge of contract work/site

 

5

Registration Certificate No. under CLRA Act, 1970

CLA/PE/07NW/2016