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