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[at oats rt fata after, Frat Prato affieseer 3 aan a ahaa a TO ra we ei wit ea aw fee ae ve afta area ond arya ere eT Te ts org Ft Fo oar, ote sera at srr safer A ara ‘een fibroma ed fea sre egy ea we Garg ia aga mre ae te ear aes, Rave Ah SP ‘ae Far 8 we ew a Baw les en wag Fear a (2) Prison, aoe (1) anita aoe orton dS, Reh ae CTI ‘car teh a a i Probar mira, eave a seers we, el fs Pao ior, (3) angen, tit ae veel te Reber ye ord at aren, star faa fir ae, G4) Fare ae nerd atin, rat ah areata Fre ferret ey, “rear pr oi ah ate stg ah ra, 8 fee Pes car arnt, (2) ale Prac afteert, ge sete A on aren saat fee 18 Fear, Age A sae fe Cr) om a & sta ond gata, geheter a erage! mead =F ferme aster ai ae 8; cw) ne fe agate, aPrrgaa sree fe Ren, wel ar args Cr ‘paper vel & avast SH) ee ate wee ses Ria fra sxe a aecins er, Pa ea, charger a ia Soha ee, or aegis, arp cor ape aRE ra BF oe, Fates ane we, sear ae RCM shee Tea TU Sea HS oT Sw SGA (1) Ss od wen as med at caer we we ae agahet see at gen ems oy ae Ferm wf a cer & Pe Re are Ber cron raeTs a ae, seer eG, BA AHI fer ea coat yy Ue eva & fare ergata at Freie va we, er are 8 Bike Fos om we raf, en one, eee oT oa aU HTwee wars, fess 31 Bere 2073, ‘ay 5 664(3) @ _a@ @ ay @) ford Frei, ot fr ea fifi aaa ar aaa, ones wea ge, Pram snferaa, ‘ea safeties 3 ore ape srgafia 8 weeds ar ives a ea, ered order ate cafe, St are 5 ar 6 & steits Priam witrardt & sate a water Sy, TS ane 2 fre, RA one aH ae at rte aes fee at rene ee, BA we en teh fe, Sar fe faten Fer i, ait sara ares eH ara 30 fee sae are sca Serra, ater me wari afe sndtenell, anitetta wofrertt a age at eet fr se ore, se reat 3 shat ster mage ae he Te ache fs Freese, arte ea, sree a ed gaara aT wer BET. ea : Prof Prater aifiearer & grea athe afire Prt Prater safer, ores we at ster & we Peet afeen a ad we aT ates 8 ar Reaw & hee, eq aabar & Frets at Praga area, rebar safc a weg en, Ff frie sifiern, fart aejaaten a aig ol yen, fe feet st aa, ‘Sra aren eh, et a. fr frets aiftrrcm, fret afer a, afe ae orare ai at ang 8 aH eh, Friar, dare aire ae ee, sare frst Friar safteaen, or eretera se, Fst Pretorya ar ae ‘pen sven aqui wraes efefer e3 aref ae wie wea ate, Tete fol Prats after, 28 ate acter, st sae ara ders ei, & a Senta ofardt & share ad va, ei afer ela a Prater feet Tar, ately aie ee Ua ah stents se, ‘rai Prators anfrasear 35 ora gira wel aire 8 iA, Ser fa fae fever a, aera-ae sere gi enferat ag after oh ga saftstey a ere 4 3 oerarat a sectes at &, A ae TTT oS oferat sete a aa at a sart a gett 8, st ce ore waa me a EL arn a ahi a efosa fom orm, ae, froth there Sepa are, cafeea wear oT wesher 5c ges.664.44) ‘writers Tama, feria 31 Gene 2013 (2) Wag afer sh ge safc ah eres are rae nell we a PT ret a waerd a agate a fared wal an secs wear A aw aT @, fara atid ad aah at aoe ar aR, SA Tere ae eee aw a RTT Sata cfea feoen ar. aa-S: vaiei ws stern fe, 30, fire cee arnt sae et ow Wh, es abr ie, 1973 (1974 TH. 2) sera asrer2) wes, a safc rer fret ee a eh eT A, wrenye, fast sex fan 17, sift arene weg vet ote Pte ener een ate ave arene a ar, afin sa aiff wi remem 32, (1) TRS, afi gre, afer ae aera a raters ae fe, Fro (2) aa we, fencer ote pire fa at Sarre we wf we re fe, TR from, ‘refi nang 2 ve fee ert suc ae wee, ae — (%) ens wh ae (1) & ares A Fd oF ene orga wT He Ut ‘tf (@) eas a seer (2) & aes ate a cafe fnan o, em) Fos i wi, fired rents Seb orga ara § wh Se-eTT (5 sree ort a or (a) om cat ea) B ans sewer ay Yor eA CB) a 6 ote organ an Free on Frc, ce) (ee ah sear 9 es aids a wee ed ft om oR Scar 6) & ait Brot feis aftr & oa ge tre; fay) Bie am fare, sh ym atafran & aes ated at sia fer seer ¥. = sfahr sits feta urine Fram, at: Pade fra oa ee, wena, | aoe fay an yen Fe, Fas He 30 few eT arate fore. Sew was fpr ea Tho wed 8 re aa faa ew cara A ara sore wa & ara ye, Ten ween, wie wee Pras ae Sah aA RT rn rar ee ee Wa fee Pr aan rea eT fafven gags Y afaghaa een & & ten Fes, del aig & yar aT j arta &, wena, GA suiakee ae a arch Se aE oS eT TST, Ten, ‘ev cuir ar Frcs, se free ons gel far faved an a Pata \ ca fra ar Pca we afta oe TT HT,IE aLLT, 4 ww etiarg Tr43, festa 31 aa 2013 664 (5) 2 Te Re tafe af arrow eta Berm ny Fa) Te me he aortas Se beaten CI wh : 1% Se Sfete & sin aot oye ste ramen Ha, orem ri Se Re eto A fe er ro Fe Fear aren, WAY, feria: 30 gerd 2013, SAne & Tee gaa an nee TERT ITER, fae ss THE CHHATTISGARH PRIVATE PLACEMENT AGENCRS (REGULATION) ACT, 2613 81 FOF Con tENTS HAPTER “RELIMINARY {Short title, extent and commencement Definitions,‘CHAPTER. CONTROLLING AUTHORITY AND LICENCE. ‘Appoinunent of Coutrolng Authoriy, Persons or Private Placement Agency not to operate without Licence, Application for grant and renewal of Licence Cancellation and suspension of Licence (CHAPTER APPEAL, CHAPTERIV FUNCTIONS AND DUTIES OF PRIVATE PLACEMENT AGENCIES Funetions and Duties of Private Placement Agencies, CHAPTER-V OFFENCES AND PUNISHMENT Punishment fur con nticin of certain panvisions CHAPTER: MISCELLANEOUS Application of Soue Aci addition w a Power to make rates, serty Cognizance of Oitences er lo renvove difficalbe Cominat Procedure, 1973 (Ne. 26 167 ther ia.wetteng stag, feria 31 Geng 2013 CHHATTISGARH ACT (No. 23 of 2013) THE CHHATTI (REGULATION) ARH PRIVATE PLACEMENT AGENCIES ACT, 2013 ‘An Act to provide far the regulation of Private Placement Agencies and for matters ‘connected therewith or incidental thereto, Be it enacted by the Chhattisgarh Legistature in ” » Sixty-fourth Year of the Republic of Indias follows -— CHAPTER PRELIMINARY 1 () This Act may be catled the Chhattisgarh Private Placement Agencies (Regu- lation) Act, 2013. @) extends to the whole of the State of Chhattisgarh. ) It shall come into force on such date as the State Government may, by notifi- cation in the Official Gazette appoint 2G) Inthis Act, untess the context otherwise requires, — Definitions. (@) “Appellate Authority” means an officer or Authority authorized by the State Government to hear appeal under Chapter-IIl of this Act; (b) “Controlling Authority” means the Controlling Authority appointed under Section 3; - (©) “Domestic Worker” means a person engaged, through Private Place iment Agency, to do domestic work; (@ “Government” means the Goverament of Chhattisgarh; (©) “Licence” means a licence granted under Section 5; () “Notification” means a notification published in the Official Gazette; (@) “Prescribed” means prescribed by rules made under this Ac; (h) “Private Placement Agency” means a person or body of persons other than a Government Agency, Department or Organization en- ‘aged in the business of providing work to any woman as domestic worker beyond the boundaries of Chhattisgarh; (@ “Woman” means a woman as defined under Section 10 of Indian Penal Code, 1860 (No. 45 of 1860). (2) Words and expressions not defined in this Act shall have the same meaning, a defined under any other corresponding law for the time being in force. CHAPTERIL CONTROLLING AUTHORITY AND LICENCE. ‘The State Government shall, by notification in the Official Gazette, — Appointment of a) Appoint any person not below the rank of Sub-Divisional Magistrate, to be Controlling Autho-i fa) shes roe fe go “(4h) Contealling Autherity for the purposes of this Act, aad (b) define the limits within which a Controlling Authority shall exercise the powers conferred on him, by or under this Act. Persons or Private 4 [No person or Private Placement Agency shall carry on or commence the business of Faceacet Anenc Private Placement Agency, uness he holds a Licence issued under this Act ‘without licence Provided that a Private Placement Agency which came into existence before ‘the notification of this Act, shall obtain Licence within Ninety days of the notification of this Act Application for 5 U) Every application for grant of Licence under Section 4 shal be an such form ‘and manner as may be prescribed and shall be accompanied by fee of Rupees five thousnad and Bank Guarantee of Rupees One lakh [Grant and renewal of Licence. 2) Controlling Authority may make such investigation in respect of the applica: tion received under sub-section (1) and in making such investigation the ‘Controlling Authority shall follow such procedure as may be preser-bed G) A Licence shall be issued on such terms and on such conditions as may be presoribed (4) A.Licence issued under this Section shall remain valid for a period of five years and may be renewed from time to time on payment of such fees and on such condition as may be prescribed. 6 )_Afthe Controtting Authority is satisfied either on the reference made to h=7 1 this behalf or otherwise, that- (@) a Licence issted under Section 4 has been obtained by misreprese tation or suppression of material fact, or (b) that the Licence holder has, without reasonable cause failed to co: ply with the conditions or contravened any of te provisions of & Act or rules made thereunder. then, without prefudice to any other penalty which holder of the Licence is liable under this /.ct, the Contra! ‘Authority may, after giving the holder of the Li- ence an apport: to be heard by an order in writing revoke the | icence or forfest ‘bank guarantee furnished under sub-section (1. of Section 5 by or any part thereof and communicate the ordes to the holder of licence Provided that where the Controlling Authority considers : necessary s0 todo for special reasons, he may. pending such reve: tion of forfiture, by order, suspend the Licence for such period as may be specified in the order and serve. by registered post, such order on the holder of the Licence, (2) Subject to any rules, that may’ be nade in this behalf. che Contra ling Authority may vary or anucnd a Licence issued under this Act CHAPTER APPEAL appenis. 7 (Uy Any person aggrieved by an order, of the Controlling Av thority, made under ‘Section 5 or 6, may prpfer aw appeal, in such form ar dmanner as may bewaters ey, fs 1 ye 2013 4s a3) Frescribed. against the order to the Appellate Authority within x poriod of thirty days of the date of receipt of such order Provided that an appeal may be admited after the expiry of the said Period of thirty days ifthe appellant satisfies the Appeltate Authority that he hhas sufficient cause for not preferring the appeal within that periad. (2) Before disposing of an appeal, the Appellate Authority shall give the appel lant a reasonable opportunity of being heard. CHAPTERIV FUNCTIONS AND DUTIES OF PRIVATE PLACEMENT AGENCIES (1) The Private Placement Agency shall furnish the details of employment of | Funstsas and Duties Domestic Worker to the Controlling Authority within seven days from the of Private Pacement date the woman was conveyed beyond the boundaries of State of Chhattisgarh, Agencies, @) No Private Placement Agency shall charge any fee by whatever name called from any domestic worker. (3) No Private Placement Agency shall employ, engage or deploy any woman, if she is below eighteen years of age. (4) Every Private Placement Agency shall display a signboard outside its office showing the name of Private Placement Agency and its Licence number. (5) Every Private Placement Agency shall maintain a register containing the ‘names and addresses of domestic workers, who are engaged by it and also ‘names and addresses of persons, where the women workers have been em- ployed. (6) Other functions and duties of Private Placement Agencies shall be such, as may be prescribed. ‘ CHAPTER.V OFFENCES AND PUNISHMENT (11 Any person who contravenes the provisions of Section 4 of this Act shall be punishable with imprisonment for aterm which may extend to seven years, or with fine which may extend to one lakh, or with both, (2) Any person who contravenes the provisions of Section 8 or any of the rules made under this Act or any of the conditions of Licence, shall be punishable with imprisonment for a term which may extend to three years, of with fine which may extend to fifty thousand, or with both, CHAPTER-VI MISCELLANEOUS, The provistons af the Code of Criminal Procedure, 1973 (No. 2 of 1974) relating to Appliatc: >? any search or secure shall be, so far a8 may be, applicable to any search or seizure ef Crim-aa Procedare. He made under thi Act Omer it This Act shali be in addition to and not in derogation of any other law for the time Act in addition t> being in force. any other tam(The State Government may, by Rotification, make rules for carrying out Provisions ofthis Act, @ © eiavestiztiono be conducted under ub section Qy0f Sections; (© ms and conditions subject which sch Lense is tobe isscad der subsection (3) of Sections; (2) fees and conditions of renewal under sub section (of Sex ‘© cancellation and suspension of Licence under Section 6 © Seform and mane of spel under secon (1) of Saar ©) other functions and duties of Private Placement Agencies under sub Section (6) of Section 8:and ay Aer MME which may be neéssary to achieve the objects of is Act ® en antit Act shal be lai sso a my be afte itis made Bvery rule made plore the House ofthe Suite Legislaure while tine session fora, tot TrceecaitY days which may be comprised inone sen n ‘0 succes- seen ons and if before the expiry ofthe seision in whirn itis so laid or the ton inthe a flowing, the House agrees in making on non) ful oF the House ages thatthe roles shoulé net made, and ornare Mca! Gazete, the re sill fom the dine ot Fre cut such nottcation have rie only in such eee form or be sa he ease may be; 5, tex ha say modification or dame shal be without prejadn tothe cali or anything previously done or wratied to be done under that vale sean te Or ter legal proseedie sh! ti against Controfting Authority Under ine ac ect Of anything ne init een 000 faith, under this Act All the offences under his Act shall be cognizable and ‘non-bailable. cisent je OTH. published inthe Official Gaze maken, Provisions notincon- sistemt with the provisi fev enoving the difficulty: Provided that no such order shall he mae ater the expiry of apeziod of two ‘Years from the commencement ofthis ActGOVERNMENT OF CHHATTISGARH HOME (POLICE) DEPARTMENT MANTRALAYA MAHANADI BHAVAN NAYA RAIPUR . =e NOTIFICATION Raipur, dated 2j August, 2014 No. F 2- 58/Two-Home/2013 :: In exercise of the powers conferred by sub-section (1) of Section 12 of the Chhattisgarh Private Placement Agencies (Regulation) Act, 2013 (No. 23 of 2013), the State Government, hereby, makes the following rules for regulating Private Placement Agencies and matters connected therewith or incidental thereto, namely:- 1, RULES Short title, extent and commencement. (1) These rules may be called the Chhattisgarh Private Placement Agencies (Regulation) Rules, 2014. (2) These rules shall be applicable in the whole State of Chhattisgarh. (3) These rules shall come into force from the date of its publication in the Official Gazette. Definitions. (1) In these rules, unless the context otherwise requires,- (a) “Act” means the Chhattisgarh Private Placement Agencies (Regulation) Act, 2013 (No. 23 of 2013); (b) “Agency” means a Private Placement Agency as defined under clause (h) of Section 2 of the Act; (©) “Appellate Authority” means the Principal Secretary, Department of Home, Government of Chhattisgarh; 1|Page(d) “Authorized Officer” means any officer authorized by the Controlling Authority; (e) “Controlling Authority” means the District Magistrate of the concerned district; () “Form” means Forms appended to these rules; (g) ‘Licensing Authority” means an officer or authority empowered to grant or renew licenses under these rules; (h) “Licensee” means the agency to which license has been granted under the Act. (2) Words and expressions used in these rules but not defined shall have the same meaning as assigned to them in the Act. Manner of making application for grant and renewal of license.- (1) Every application by an Agency for the grant of a license under sub-section (1) of Section 5 of the Act shall be made to the Controlling Authority in Form-I. (2) Every application referred to in sub-rule (1) shall be submitted alongwith fee, in the form of crossed bank draft/demand draft or banker’s cheque payable to the Controlling Authority, as under:- (a) If the Private Placement Agency is operating in one district, then agency has to furnish fée of rupees five thousand along with bank guarantee of rupees one lakh; (b) If the Private Placement Agency is operating in more than one district but not exceeding five districts, then agency has to furnish fee of rupees five thousand along with bank guarantee of rupees one lakh; 2[ Pace(c) If Private Placement Agency is operating in the whole of the state, then the agency has to furnish fee of rupees twenty five thousand along-with bank guarantee of rupees one lakh; (3) Every application referred to in sub-rule (1) shall be either delivered personally to the Controlling Authority or through a representative. (4) On receipt of the application referred to in sub-rule (1), the Controlling Authority shall after noting the date of receipt of the application, provide an acknowledgement to the applicant Verification of character and antecedents of the applicant. — (1) Every applicant while making an application to the Controlling Authority for issue of fresh license or renewal shall enclose with the application Form-II for verification of its antecedents. In case, the applicant is a company or a firm, separate Form-II for every proprietor, majority shareholder, partner or director, as the case may be, shall be enclosed, as if they are also the applicants. (2) On receipt of the application the Controlling Authority or Authorized Officer may, for verification of the contents of the application, forward it to the Superintendent of Police of the concerned district where the agency intends to commence its activities and make such inquiy as he considers necessary for verification of particulars of the applicant (3) After verification, the Controlling Authority or any Officer Authorized by him shall obtain:- (a) No Objection Certificate from the concerned Superintendent of Police;(b) The verification report shall be prepared by Superintenaene of Police, in which particulars of the applicant and every person in whose name the antecedent form is filled up. (4) The Superintendent of Police of the concerned police district shall furnish the no objection certificate within thirty days of receipt of the application to the Controlling Authority or any other Authorized Officer for the said purpose. (5) The Superintendent of Police shall also furnish the verification report within thirty days of receipt of the application to the Controlling Authority or the Authorized Officer containing the following information, namely: - (a) Whether the applicant is/was indulged in activities which are prejudicial to national security or public order and if so, details thereof, (b) Whether the applicant earlier operated any agency either individually or in a partnership and if so the details thereof; and (c) Whether the applicant possesses any special qualification or skill which may be considered to be facilitating the operations of the agency. Verification of character and‘ antecedents of the domestic worker. (1) No person shall be employed or engaged as a domestic worker by the agency unless he fulfills the conditions specified in section 7 of the Act and the agency is satisfied about the character and antecedents of such person in the following manner, namely:- al Pore(a) After verification of the character and antecedent by 1tseu; (b) After verification of the character and antecedent certificate produced by the person: Provided that the certificate is valid and the agency has no adverse report regarding his character and antecedent from any other sources; (c) After receiving the character and antecedent report from the Superintendent of Police. (2) A person seeking employment as domestic worker shall submit the information in Form-IIl to the agency and in case the person has stayed in more than one district during the last five years then separate forms shall be submitted for each district. (3) The agency may make an enquiry for verifying the particulars of the person seeking employment as domestic worker, either by itself or by the Authorized Officer for this purpose or may forward Form-IIl to the concerned Superintendent of Police, as the case may be. (4) The person shall deposit the verification charges as prescribed in sub-rule (9) in respect of each individual case for verification of character and antecedents to the concerned Superintendent of Police or the Authorized Officer for this purpose (5) The concerned Superintendent of Police or the Authorized Officer for this purpose, for establishing the identity and for verifying the character and antecedents of the person may make such inquiries from the respectable residents within the locality S[Page— and the District Police Headquarters and by residence, as he may consider necessary. (6) The concerned Superintendent of Police or the Authorized Officer for this purpose shall furnish the character and antecedent verification report within thirty days of receipt of the Form-IIl to the designated officer of the agency, containing the following information, namely: - (a) The comments of the police on the particulars filled by the person in Form-III; (b) A general report about other activities including his means of livelihood during the period of verification; (c) Disclosure about the criminal investigation or proceedings, registered or commenced or pending or disposed of at any point of time; (d) Regarding his conviction, if any, in criminal offence punishable with imprisonment; (c) Whether the engagement or employment of the person under verification by the agency will pose a threat to national security or not. (7) The character and antecedent verification report shall be marked as confidential and forwarded in the sealed cover and shall remain valid for three years from the date of verification. (8) On the basis of the character and antecedent verification report submitted by the concerned police station or the Superintendent of Police of the concerned district or the 6IrAuthorized Officer for this purpose or of the agency iseu, we agency shall issue a.character certificate to the person in Form- IV, which shall not, be taken back even if the person ceases to be part of the agency. (9) A fee of rupees two hundred and fifty shall be payable to the concerned Superintendent of Police or the Authorized Officer for this purpose, by way of cash or bank draft, for verifying the character and antecedents of a person to be employed by an Agency as domestic worker. Grant of licence.- (1) The Controlling Authority, after receiving a report from the Authorized Officer on the application received under sub-rule (1) of rule 3 after completing all the formalities and satisfying itself about the suitability of the applicant and also the need for granting license for the area of operation applied for, shall grant a license to the private placement agency in Form-V: Provided that the Controlling Authority either by itself or through the Authorized Officer may verify the training and skills imparted to the private security guard, domestic workers and supervisors of any Private Placement Agency; (2) The Controlling Authority may, after making such inquiries as it considers necessary and after.obtaining no objection certificate from the concérned police authority, by order in writing either grant or refuse to grant the license within a period of sixty days from the date of receipt of application with complete particulars and the fees:f Provided that when the Controlling Authority does not agree with the no objectioti certificate issued from the concerned police authority, he would briefly record the reasons of his disagreement and place the matter before the Government and proceed to’grant or refuse to grant the license as per decision of the Government: Provided further that if the Controlling Authority decides to grant a license then he shall grant license in Form-V. The license shall be valid for a period of 5 years unless the same is cancelled by the Controlling Authority under sub-section (1) of section 6 of the Act. (3)The Controlling Authority may review the continuation of license of such Private Placement Agency, which did not adhered to the conditions of ensuring the required training. (4)The Controlling Authority shall not refuse the license unless the applicant has been given a reasonable opportunity of being heard and the ground on which license is refused is mentioned in the order. (5)The Agency shall not use in its name the words like “Indian”, ‘National’ or any other such words, which give the impression of any Government patronage. 7. Conditions for grant of license.— (1) The Licensee shall intimate the name, name of parent, date of birth, permanent address, Address for correspondence and the principle profession of each person forming the Agency within fifteen days of receipt of the license to the Controlling Authority. Ble(2) The licensee shall inform the Controlling Authority regarding any change in the address of persons forming the Agency and management within seven days of such change. (3) The licensee shall immediately intimate the Controlling Authority about any criminal charge framed against the persons forming the Agency or the supervisor engaged or employed by the Agency, in the course of their performance of duties as private security agency. A copy of such communication shall also be sent to the officer in charge of the police station, where the accused person resides. (4) Save as provided in these rules, the fees paid for the grant of license shall be non-refundable. Renewal of license. (1) Every Agency shall apply to the Controlling Authority for renewal of the license within period of 90 days from the date of expiry of license. (2) The Controlling Authority may renew a license up to a further period of five years. (3) The fees chargeable for renewal of the license shall be same fee as applicable for the grant of license. Conditions for renewal of license. (1) The renewal of the license shall be granted subject to the following conditions, namely:- (a) The applicant continues to maintain his principal place of business in the jurisdiction of the Controlling Authority. 9|Page(©) The applicant continues to adhere to the license conditions; (c) The police have no objection to the renewal of the license of the applicant; (2)Application for renewal of license shall also be in Form-L 10. Suspension or cancellation of licenses.- (1) No license granted under this Act shall be cancelled or suspended until the licensee has been given a reasonable opportunity of being heard after Siving due service of show cause as to why his license should not be cancelled or suspended, as the case may be; (2) No such opportunity of being heard shall be necessary on temporary: suspension of license, when license is suspended temporarily pending an enquiry against the licensee for contravention of sub-section (1) of Section 8 of the Act or any order made there under or of any of the conditions of the license granted to him. 11. Appeals and Procedure.- (1) Any person aggrieved by any order Passed by the Controlling Authority refusing to grant a license, varying the conditions of a license, suspending or revoking a license may prefer an appeal against the said order to Appellate Authority, ; (2) No appeal shall be entertained, unless it is submitted within a Period of 90 days from the date of receiving a copy of the order, Provided that the Appellate Authority may entertain the appeal after the expiry of the said period, if it is satisfied that the appellant has sufficient cause for delay. 10]12, 13. (3) Every appeal under sub-section (1) of Section 7 of the Act shall be preferred in Form-VI signed by the aggrieved person or his advocate to the Appellate Authority in person or sent by registered post. * Register to be maintained by the Agency.- The Agency shall maintain the register in Form-VII, which shall be open for inspection by the Controlling Authority or the Authorized Officer. Identity card for domestic workers.- The Agency shall issue an identity card to every domestic worker in Form-Vill, it shall contain a full-face colour-photo, name of the agency, name of the domestic worker, designation, identification number and the period of validity and the photo identity card shall be maintained upto date and any change in the particulars shall be entered therein and in a situation where an employee is no longer engaged or employed by the agency, the photo identity card issued to domestic worker/ supervisor shall be returned to the agency issuing it, once domestic workers is no longer engaged or employed by it. By order and in the name of the Governor of Chhattisgarh, June (D.K. Mathur) Deputy Secretary gp Govt. of Chhattisgarh, Home Deptt. Ebdt. F 2-58/Two-Home/2013 Raipur, dated 2) August, 2014 NAAR 1. Principal Secretary to Hon'ble the Governor, Rajbhawan, Raipur. 2. Principal Secretary, Govt. of Chhattisgarh, Law Deptt. Mantralaya, Raipur. . Principal Secretary, Chhattisgarh VidhanSabha, Raipur. Registrar Genenral, Hon'ble Supreme Court of India, New Delhi. Registrar Genenral, Hon'ble Chhattisgarh High Court, Bilaspur. Secretary, Govt. of Chhattisgarh, G.A.D., Mantralaya, Raipur. . Director General of Police, Chhattisgarh, Raipur. All Commisner, Chhattisgarh. 11|Page9. All IGP, Range, Chhattisgarh. 10. il 12. 13. 14. 15. 16. All District Magistrate, Chhattisgarh. All Supritendent of Police, Chhattisgarh. Director, Public Relations, Chhattisgarh, Raipur for information and necessary action” Personal Assistant to Hon'ble Home Minister, Govt. of Chhattisgarh, Raipur. Under Secretary, Chief Secretary Office, Govt. of Chhattisgarh, Mantralaya, Raipur. Staff Officer to Addl. Chief Secretary, Home Department, Govt. of Chhattisgarh, Mantralaya, Raipur. Dy. Controller Govt. Press, Bhanpuri, Raipur, Chhattisgarh to Publish in Extra-ordinary Gazette positively by date Jf /08/2014 and supply 50 copies to this office waht Deputy Secretary .Govt. of Chhattisgarh, Home Deptt. co 12|PageForm-1 (See rule 3) APPLICATION FOR NEW LICENCE/RENEWAL OF LICNECE TO GE IN THE BUSINESS OF PRIVATE PLACEMENT AGENCY ENGA( To ‘The Controlling Authority : ‘The undersigned hereby applies for obtaining a license to run their business in the area of Private Placement Agencies: 1. Full name of the applicant 2. Nationality of the applicant 3. Son/ Daughter / Wife of 4. Residential Address 5. Address where the applicant desires to start his Agency 6. Name of the private placement Agency (NOTE : Régistration Number of the Agency also be indicated) 7. Name and Address of Proprietor, Partner, Majority shareholder, Director and Chairman of the Agency (NOTE: Nationality of each partner, Majority Shareholder, Director and Chairman of the Agency be indicated) @ . Name and extent of Facilities available © Qualification of staff engaged for imparting instruction: Name : Age Designation : 10. Particulars of the uniform including colour, in case the applicant intends to use any uniform for’ the private domestic work and supervisors of the Agency. 11. Does the applicant intend to operate in more than one district? If so, please mention name of the districts - 1 open12. Does the applicant intend to operate in the entire state? (Yes; uy 13. Does the applicant possess the training facility on its own or will get it on outsourcing basis? The details of training facility should be furnished (as annexure} Enclosure :- : ‘Address of applicant Telephone number of the applicant Date of application 1. Copy of current Income Tax Clearance Certificate 2. Affidavit as prescribed in sub-section(2} of Section 7 the Act 3. Other enclosures (4)Form-II (See rule 4) Form for verification of Antecedents “Thumb Impression‘ of the Applicant Recent Passport Size” Photograph Signature of the Applicant Attested By A | Class-I ) Gazetted | For official use only Officer Form Number Name of the police Date station, sent for police ____| verification | - = _ Fee Amount Rs. __ Cash/D.D. Name of Bank é Branch __ D.D.No. a Date of Issue N.B. : Please read the instructions carefully before filling the form. Please fill in BLOCK LETTERS: (Note: information or suppression of any material information in the form will Please furnish correct information. Furnishing of incorrect render the candidate unsuitable for grant of license) 1. Name of applicant (Initials not allowed) __Middle Name 2. If you have ‘ever changed your name, please indicate the previous name First Name Last Name any flee = 3. Sex (male/female) __ 4, Date of Birth 5. Place of Birth: Village /Town District. __ State & ‘Country ___ 6. Father's full name/Legal Guardian's Full Name (including surname, if any):(Initials not allowed) _ full 7. Mother's name (including surname, if any);(Initials not allowed), 8. If Married. Full name of spouse (including surname, if any]-(Initials not allowed), _ 1s9. Present Residential Address including Street No./Police Station, Vitage and District (with PIN code)__ eS Telephone No. /Mobile No. rt — * Res. ee Fax __Email ID 10. Please give the date from which applicant residing at the above- mentioned address: DD/MM/YY 11. Permanent Address including Street No./Police Station, Village and District (with PIN code)_ 7 12. If you have not resided at the address given at column (9) continuously for the last five years, please furnish the other address (addresses) with duration (s) resided. You should furnish additional photocopies of this form for each additional place of stay during the last five years. Forms may be photocopied, but photograph and signature in original are required on each form. Address From To 13. In Case of stay abroad, particulars of all places where you have resided for more than one year after attaining the age of twenty-one years. 14. Other Details: a) Educational Qualifications: A b) Previous positions held, if any, along with name and address of employer(s). ©) Reason for leaving last employment: d) Visible Distinguishing Mark: 1©) Have you ever been dismissed/ removed from Government se1 account of misconduct or moral turpitude? 15. Did you earlier operated any Private Placement Agency or were its partner, majority’ share holder, or Director? If yes, then furnish the name, address of the agency and its license particulars. 16. Are you a citizen of India by: (Birth/Descent/Registration/ Naturalisation? If you have ever possessed any other citizenship, please indicate (the same} 17. Have you, at any time, been convicted by a court in India for any offence and sentenced to imprisonment? If so, give name of the court, case number, and offence.(Attach copy judgment) 18. (a) Are any criminal proceedings pending against you before a court in India? If'so, give name-of court, case number, and offence (b) Have you been keeping links with any organization or association which is banned under any law on account of their activities which pose threat to national security or public order? 19. Self- Declaration: The information given by me in this form and the enclosures is true & correct and I am solely responsible, for its accuracy, (Signature/Thumb Impression.* of applicant) Date: Place:20. Enclosures : (Signature/Thumb Impression “of applicant) (‘Left Hand Thumb Impression if Male and Right Hand thumb Impression if Female) FOR OFFICE USE ONLY : File No, Date of issue of C&A report (Signature of Police Station In-charge) Name of Police Station _ Name of Police District Note:- (i) Three passport-size photographs duly attested by G.O. on reverse of photograph in respect of applicants. (ii) Proof of Age (iii) Certificate of incorporation issued by ROC, Sale Tax No. (ST-2), Labour License, Registration under ESI Act & EPF Act, 1952 iv) Site Plan of office (+) Proof of residence of Applicants (vi) Prescribed Fees (vii) NOC from landlord for carrying on trade of Placement Agency Business at the premises. 18Form- (See rule 5) \cter & Antecedents of Domestic Worker Form for verification of CI ‘Thumb Impression of the Applicant Signature of the Applicant For official use only Form number Name of the police station sent | Date for police verification Fee Amount Rs... Name of Bank & Branch D.D. No. .. : .. Date of Issue ... . Cash/D.D. N.B. Please read the instruction carefully before filling the form. Please fill in BLOCK LETTERS. (Note: Please furnish correct information. Furnishing of incorrect information or suppression -of any material information in the form will render the candidate unsuitable for employment/engagement in private agencies.) 1. Name of application (Initials not allowed) Last Name . First Name .........0.00+.-00»Middle Name 2. Ifyou have ever changed your name, please indicate the previous name (s) in full 3. Sex (male/female) ...... eae 4. Date of Birth 5. Place of Birth: Village/ Town .... Distt. State & Country eonee 6. Father's full name/Legal Guardian's, Full Name (including surname, if any}:(Initials not allowed) 7. Mother's full name (including surname if any):(Initials not allowed) 8. If married Full name of spouse (including surname if any):(Initials not allowed)......ees 9. Present Residential Address including Street No./Police Station, Village and District (with PIN code) .... Telephone No. /Mobile No. 19- Res. .. Email ID 10. Please give the date from which applicant is residing at above- mentioned address: DD/MM/YY w..e.e/ eo... 11. Permanent Address including Street No./police Station, Village and District (with PIN code| 12. Ifyou have not resided at the address given at column (9) continuously for the last five year, please furnish the other address with duration (s) resided. You should furnish additional photocopies of this form for each additional place of stay during the last five years. Forms may be Photocopied, but photograph and signature in original are required on each from. Address From To 13, In case of abroad stay, particulars of all places where you have resided for more than one year after attaining the age of twenty-one years. 14. Other Details: (a) Educational Qualifications: c (b) Previous posts held along with name and address of employer (s) (c} Reason (s) for leaving last employment: (d) Have you ever béen dismissed/removed from Government service on account of misconduct or moral turpitude? (Yes/No) (c) Visible Distinguishing Mark : () Height (cms) .. : 15. Are you working in Central Government/State Government/Public Sector Undertakings/Statutory Bodies (Yes/No)4 16. Are you citizen of India by: (Birth/Descent/Registration /Naturalisation) If you have ever possessed any other citizenship. Please indicate previous citizenship? oct 17. (a) Have you, at any time, "been convicted by a court in India for any offence & sentenced to imprisonment? If so, give name of the court, case number and — offence. (Attach = copy. —sof,_~— judgment) {b) Are any criminal proceeding pending against you before a count in India? If so, give name of court, case number, and offence () Did any court issued a warrant or summons for appearance (as an accused) or warrant for arrest or an order prohibiting your departure from India? 50, give name, case number and offence. (4) Are you, associated with any organizations or association which is banned under any law on account of their activities which posts threat to national security or public order? 18. Self - Declaration: The information given by me in this form and enclosures is true & correct and I am solely responsible for its accuracy. (Signature/T.1.* of applicant) (* Left Hand Thumb Impression if Male and Right Hand thumb Impression if Female) Date: Place: 19. Particulars of person to be in the event of death or accident: Name Address: Mobile/Tel.No. .. 20. Enclosures: (Signature/T.1.* of applicant) 4FOR OFFICE USE ONLY File No. Date of issue of C&A report ., (Signature of Police Station In-charge) Name of Police Station ....". Name of Police District ... Note :- () Three passport-size photographs (ii) Proof of age (Birth certificate, School leaving Certificate, Matriculation Certificate } (ii) Proof of residence (iv) Training certificateForm-Iv (See rule 5) CHARACTER & ANTECEDENT CERTIFICATE ‘This is to certify that Mr./Ms. Shri -R/o whose particulars are given below, has good moral character and reputation and that the applicant has been staying at the following address continuously for the last one year. Date of Birth : Place of Birth : oi Educational Qualification : Profession: oo Present Address: Permanent Address: Issuing Authority Signature: ... Name Designation Address/Tel.No. Date of Issue 22‘orm. (See rule 6) LICENCE TO ENGAGE IN BUSINESS OF PRIVATE PLACEMENT AGENCY Serial No... 7 Date sacs (Name of The Applicant) Shri/Smt./Ku, S/o W/o D/o. R/o... . (full address) is granted the license by the Controlling Authority for the State of to run the business of _ private Placement agency in the district(s) of/State of (cancel the inapplicable words)... . with office at (address of the office) Place of Issue .. Date of Issue This license is valid upto .. Signature Name of Granting Authority Designation Official Address This license is renewed upto Signature Name of Renewal Authority Designation Official address Date of renewal a4Form-VI (See rule 11) FORM FOR APPEAL An appeal under Rule 11 of the Chhattisgarh Private Placement Agencies (Regulation) Rules, 2014 against the order of the Controlling Authority Appellant __ S/o W/o D/o. Age 7 R/o Above appeal is presented to the Principal Secretary/Secretary (Home) against the order dated of the Controlling Authority refusing to grant/ renew license to run Private Placement Agency on the following grounds, namely:- eye Enclosed list of documents Signature Name, Designation & Address of the Appellant Date PlaceForm. VII (See rule 12) REGISTER OF PARTICULARS ‘Part-I Management details} S.No.| Name of | Parent’s/ | Present ] Permanent] Nationality] Date of Person(s) | Father's | address | address joining/ managing | Name | & phone eaving the the agency | no || agen 1 | | (Part-II Private Security Guards and Supervisor) S.No [Name | Father's] Present | Date of Permanent | photo | Badge | Salary of Name | Address | joining/ | Address | graph | no. | with guard/ & [leaving date eek Fe is | —_fisor | [Ror _| agency | 1 (Part-II Customers) [S.No [Name of | Address [Number | Date of | Date of the of — the| and ranks | commencement | discontinuation Customer | place | of of Services of services & phone|where | domestic | no. domestic | worker work is| provided provided _ (Part-IV Duty Roster) S.No. |Name of | Address | Whether | [Date and time | Date and time the of the| provided | of of ending of duty private | place of| with any | commencement domestic | duty | arms/ of duty worker/ | ammunition supervisor |Form- VIII (See rule 13) PHOTO-IDENTITY CARD FOR PRIVATE DOMESTIC WORKER/SUPERVISOR : Photograph Of The Holder Duly Attested By The Name of the Private Domestic Worker/Supervisor Issuing Authority Name of the Private Placement Agency Official Designation Identification no. of the domestic worker/ Supervisor Date of Issue___ Valid upto ‘Signature of the cardholder _ Signature of the issuing Authority Official Designation __ F