SHRAM SUVIDHA

Ministry of Labour & Employment

Government of India

Common Registration for New Employer Code under ESIC,EPFO

Application Reference Number : 2554486190 Date of Registartion :25-08-2018

Establishment Name: Bharatbhai Kantilal Gajjar Data Source: Online

Brief Information

Address: At , Prahlad Park , Vastral Nagarpalika , Ahmedabad, Gujarat, 382415

Nearest Police Station: Setup Date: 01-04-2018

Establishment Category: Others PAN: ARJPG2119E

Factory Licensed Under

Sector (Ownership Type) : Proprietory Firms
Section:

Factory License Number: Issued By Authority, Place:

Date of Trial Production, if

Date:
Factory:

Start Up Number: Start up Registration date:

MSME Number: MSME Registration date:

Ownership Details

Date Of Registration No. : 01-04-2018 No Of Owners: 1

Registration/ Deed No: NA Issued By: Na

Issued At: Ahmedabad CIN:

eContact Information

Sr No eContact Type eContact Value Primary

1 email bhartepf1@gmail.com Yes

2 mobile 9099350414 Yes

Contact Persons

Sr No Person Name Representing as Person Details Person e-Contacts

1 Manager Address :

2 BHARATBHAI Owner Address : AT , PRAHLAD PARK , E-Mail: bhartepf1@gmail.com

KANTILAL GAJJAR VASTRAL NAGARPALIKA , 382415 , Mobile: 9099350414
Gujarat , Ahmedabad
Gender [Male] DOB [01-07-1965]
Father's Name [KANTILAL
GAJJAR]
Date From Which In Position
[01-04-2018] Designation
[Proprietor] PAN [ARJPG2119E]

Identitiers

Sr No Identifier Identifier Type Name as on Date of Issued by Issued at

Number/Value Identifier Issue Authority Place
 1 GJ12D0001702 Others Bharatbhai K 29-07-2018 Msme Ahmedabad
Remarks: Gajjar
Udyog Aadhar
Issued By Msme

Employment Details

Number of Employees
(Including Excluded Number of Excluded
1 0
Employees) As On Date Of Employees :
Application :

Date On Which the Date Of Aggreement

Employment Strength between Employer and 15-08-2018
Exceed 19 : Employees Majority :

Any Subsequent Date

Date from Which Act Will Be
Mentioned in The Agreement 15-08-2018 15-08-2018
Applied :
:

Is there any Hazardous

activity in your
establishment :

Number of Workers as on date

Employed Directly by Principle employer Employed through Immmediate Contractor Total

Male 0 0 0

Female 0 0 0

Others 0 0 0

Total 0 0 0

No of Employees drawing wages Rs. 21,000 or less

Regular Contract Labour Total

Male 0 0 0

Female 0 0 0

Others 0 0 0

Total 0 0 0

Give first date since when

10/20 or more coverable
employees under ESI Act, were
employed for wages :

Total wages paid in the preceding month

WAGES PAID TO EMPLOYEES

TOTAL WAGES DRAWING WAGES Rs.21,000/-
or LESS

To employees employed directly by the

principal employer
 To employees employed through immediate
contractor

Other Details

Whether the building/premises

of factory/Estt is owned or Owned Unit/ownership:
hired

Leased from: Leased Till :

ESI Code number if Covered

Is Establishment Multinational
earlier:

Date from which Estt is closed Name of Income Tax

down : Ward/Circle/Area :

Maximum No. of persons that Whether Any work/Business is

can be employed on any one being carried out through
day, as per License : contractor/immediate employer

Whether Establishment Is
Describe work Carried Out: NO
Working With Aid Of Power?

Branch / Division

Sr No Relationship Type Name of Number Of Members LIN Name Of Person Address

unit Employees Responsible

No Records Found

Activities

NIC Code : N-78200 Primary Business Activity : OTHERS

Subcategory of Nature of Work

Nature of Work :
:

Brief Description : JOB WORK

Attachments

Sr No Type Specify Document Name File

1 addressProofAttachment Any license/certificate/number issued by any Govt. 32a3b7252829e42.pdf

authority

2 dateOfSetupProofAttachment Others 68979c420aa9e54.pdf

3 licenseProofAttachment UDYOG AADHAR 81cd454bb4e135b.pdf

4 specimenSignatureAttachment d0a1b863036fd6d.pdf

5 voluntaryCoverageApplication AGREEMENT 93d6ed2c11d3383.pdf

EPFO Office

Name NARODA

Address Shankar Vijay Saw Mill Compound, Nr G D.High School Bus Stop, Saijpur Bodha, Naroda - 382345 Gujarat

Email SRO.NARODA@EPFINDIA.GOV.IN

Phone 079-22800534

Fax 079-22820617
Digitally signed by
BHARATBHAI K GAJJAR
Date: 2018.08.25
15:12:41 IST