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Form Ii: Application For Licence Under The Contract Labour (Regulation and ABOLITION) ACT, 1970 (37 OF 1970)

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Sunil Sharma
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0% found this document useful (0 votes)
52 views2 pages

Form Ii: Application For Licence Under The Contract Labour (Regulation and ABOLITION) ACT, 1970 (37 OF 1970)

Uploaded by

Sunil Sharma
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

FORM II

[Under rule 21(1) and rule 29 (2) of the Contract Labour (Regulation and Abolition) Central
Rules, 1971]

APPLICATION FOR LICENCE UNDER THE CONTRACT LABOUR (REGULATION AND


ABOLITION) ACT, 1970 (37 OF 1970)

Acknowledgement Number: 12012510011267 Date of Application: 12-01-2025

Details of Contractor

1. Full Name of Contractor: MARUTI CONSTRUCTION COMPANY through MAHAVEER PRASAD JOSHI

AND DESIGNATION- PROPRIETOR

2. Full Address of Contractor : II-D-30, JAI NARAYAN VYAS COLONY, BIKANER, BIKANER, Bikaner,

Rajasthan, - 334003

3. LIN / PAN No. of Contractor: 1-9137-0675-7 / ABYPJ7792H

4. Email Id of Contractor: maruti1401@[Link]

5. Mobile No. of Contractor: 9414826119

Particulars of Establishment where workman is to be employed

6. Name of PE's Establishment: NORTH WESTERN RAILWAY BIKANER

7. Name of Principal Employer: RAMINDER KAUR AND DESIGNATION- CHIEF MEDICAL

SUPRINTENDANT, NORTH WESTERN RAILWAY BIKANER,DIVISIONAL RAILWAY HOSPITAL,

LALGARH, BIKANER, Bikaner, - 334004

8. Number and Date of Certificate of Registration of the Establishment under the Act:
CLRA/RLCJAIPUR/2022/R-10 Dated 15-12-2022

Particulars of the Contract Labour

9. Nature of work in which workman is employed or is to be employed in the Establishment: Cleaning and

Sanitation work of Railway Colonies of Bikaner and Lalgarh of Bikaner Division and garbage

removal through mechanized trolley -outcome basis for a period 04 years (1460 days).

10. Location of Work : Railway Colonies of Bikaner and Lalgarh of Bikaner, COLONIES OF BIKANER

RAILWAY AND LALGARH RAILWAY , BIKANER, Bikaner, Rajasthan - 334004

11. Duration of proposed Contract Work -

1. Date of Commencement of work: 01-08-2024

2. Date of Completion of work: 31-07-2028

12. Name and Address of the Agent or Manager of Contractor at the work-site: RAGHAV PAREEK, Railway

Colonies of Bikaner and Lalgarh of Bikaner, COLONIES OF BIKANER RAILWAY AND LALGARH

RAILWAY , BIKANER, Bikaner, Rajasthan - 334004

13. Maximum number of workmen proposed to be employed on the Establishment on any date: 28

14. Whether a certificate by the Principal Employer, in Form III enclosed: Yes

15. Work Order Number: GEMC-511687774311406

16. Amount of Licence Fee : INR 37.5 ( Transaction Id : 1201250009065 )

17. Amount of Security Deposit : INR 2520 ( Transaction Id : 1201250009081 )

Signatur of Contractor
(eSign/DSC)
Note: This is an online application summary applied on Shram Suvidha Portal.

Signature Not Verified

Digitally signed by MAHAVEER


PRASAD JOSHI
Date: 2025.09.01 [Link] IST

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