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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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    Raaz Malik

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

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

    Uploaded by

    Raaz Malik
    10 views2 pages

    Original Title

    28020326

    Copyright

    © © All Rights Reserved

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    © All Rights Reserved
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    10 views2 pages

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

    Uploaded by

    Raaz Malik

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    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: 21032406031372 Date of Application: 21-03-2024

    Details of Contractor

    1. Full Name of Contractor: IRB KOTA TOLLWAY PRIVATE LIMITED through Mr Rajpaul Sharma -

    Director

    2. Full Address of Contractor : 1101, 11th Floor, Hiranandani Knowledge Park,, Hill Side Avenue,

    Opp. Hiranandani Hospital, , Powai, Mumbai, Maharashtra, - 400076

    3. LIN/PAN No. of Contractor: / AAHCI4631H

    4. Email Id of Contractor: rakeshkumar.kataria@irb.co.in

    5. Mobile No. of Contractor: 7976993035

    Particulars of Establishment where workman is to be employed

    6. Name of PE's Establishment: National Highways Authority of India

    7. Name of Principal Employer: Sandeep Agrawal - Project Director, National Highways Authority of

    India,Project Implementation Unit - A504,, Indra Vihar, Kota , Kota, - 342005

    8. Number and Date of Certificate of Registration of the Establishment under the Act: KT-03/2005 Dated

    03-10-2005
    Particulars of the Contract Labour

    9. Nature of work in which workman is employed or is to be employed in the Establishment: "Tolling,

    Operation, Maintenance and Transfer (TOT) of Kota bypass and Cable Stayed Bridge on NH-76

    (New NH-27) in the State of Rajasthan [TOT Bundle-13]"

    10. Location of Work : Nayagaon toll, Kota bypass toll plaza, Hanging bridge NH27, Village -

    Nayagaon. Taluka- ladpura, Kota, Rajasthan - 324010

    11. Duration of proposed Contract Work -

    1. Date of Commencement of work: 01-04-2024

    2. Date of Completion of work: 31-12-2039

    12. Name and Address of the Agent or Manager of Contractor at the work-site: Mr. Rakesh Kumar

    Kataria, Nayagaon toll, Kota bypass toll plaza, Hanging bridge NH27, Village -Nayagaon. Taluka-

    ladpura, Kota, Rajasthan - 324010

    13. Maximum number of workmen proposed to be employed on the Establishment on any date: 175

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

    15. Work Order Number: IN-DL25337729546809W

    16. Amount of Licence Fee : INR 150 ( Transaction Id : 2203240006005 )

    17. Amount of Security Deposit : INR 15750 ( Transaction Id : 2203240006350 )

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

    Signature Not Verified

    Digitally signed by MVPL


    Date: 2024.03.27 14:13:47 IST

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