Extra No. 186 qr[iis crqLzq.ii ri it.

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@llt Guiamt Gobemmmt Galilte
EXTRAORDINARY
PLIBLISIIED I}Y ;{UTHORITY
)!)r.l.Ill 1i .1. ..;l:;it l-1.2020/.\sADli.\I t'.1_
':. r:rr.:1.'r,,,rir :iiri : rr.r', l-c -l,r,r ,. | .(

j-.!tl1 I\'-B
Rules and Ordcrs (()lItr iij:ri thoir'lrublishcd in Prrts I, I-.1.r,'.1 I.l.)ir:rrlr
h) thc (joyrl.nnr,rnr ol (Jujarat undcr the C;ujtrat .\crs-

LAl.lol.ll{ ,\ND tr.Nll'L0\'}lIiN'l DEPAltI lUIi^- l'

NOll t't( rA I toN
Sachir ala1a. Ganclhinagar.2l'd June, 2020.

Cujarrt Shops and llstablishments (Regulation of .;n)ploymert and Conditions of Sen'icc)

.,lct,2019.

No. GHR2020/73IGSE|19D01943$B|M-3: - WHRIAS certain draff rules were published as

required by sub-seclion (2) of section 39 of the Gujarat Shops and Establishments (Regulation of
Elrlplo).moot and Conditions ofSe ice) Act, 2019 (Ouj. 4 of 2019) (hereinaftcr rcfcrrcd lo as "the
said Act"), at pages 346-l lo 346-38 in the Guiaral Govemment Gazetle, Exlraordinary. Psrt I\LB,
daled the 3'd October, 2019, under Govemment Notification. Labour and Employment Depanmenl
)io. GHR-/ 2019 / ll7 I GSF- I 19 i 2019 :236319 i l*l-1, daleC the j0'i' Seprcmber, 2019 inviling
objections ard suggcstions iiont lhe pcrsoos likcl) lo be affected thcreb! bctbrc thc expiry ofthi,t"
days frorn the date ofthe prblication ofthe said noiificalion in the Official Gaze e;

AND WIIEREAS, the objections ard su3gestions leceir.ed ir respect ofthe said draft rule:,
have been considered by the Governrnent;
NO% TIIEREFOIID, in cxcrcise oflhe n,:rers cor:fenrd L,v sub-section (l) ofsection l9
of the Gujarat Shops and EstablishmeD6 (Reg"',t;or'. of EmployDent and Conditions of Service)
Act, 2019 (Guj. 4 of 2019) and of all other powers enabling it in thal behalf, the Govemmerfi of
Guja&t, hereby makes the following rules, namely: -

IV-B Ex.-186 186-l

 136-: (;rj.t.\t\iri(r\ii,iNNIfrNtC..{ZD'|TE,EX.,2l_06_10j0 [pAR.l I1/-B
L Shori .rirle llrc.. , --,.. lr,,.iirilr..rr Shots rnrj I-"rrrt .r,irrr:cnrs rR..gullrrion,)i
Ilorploymcnl rod (bD(lilirf \,,, :,.r \ i.,j r ItLrlfs. :Oll).
2. DcfiIritions.- (]) In th.,sc rLrl,,:: rinle:s lhe rolltcxl olhcnvise requircs.-
(a) "Act" nrL-nus llrc (;Lrjlu.at Shops and Eslablishmenls (Rcerrl:rtion (jl- fnllrollncilt as{1
Conditions ofScr r cl .,\cl.l0l9(Cq.i.4of 2019);
(b) "Compounding ofi.,rj" nreans an authority appoiDled by thc Co\-.rixnent roder sub-
sc(lion ( I ) ul s.(licr :-1.
(c) "Form" ficans tLc lim1 rppcnded to lhcsc rules;
(d) "Govemtnent" ntelrIs lh. Ciir\,erruncnl of Gujalat;
(.) "Managcrial l.irncLiors means rll
such limctions rvhich arc inltercntl\. supelvisory in
Dature an(i xrc b.-.i1.!rrd !\,ith po\!err a.d aulhodty to takc all l)oli!\ ittd adnri,istrati'e
decision in rn .r',,r:'rtj,,n e r. poN,cr lo sanctioI] lcar,c. lrrrr.l inr:rt:rnent. lukq
discipliorrr ,ri:. .rii:.iI-:i.. :rlrspcjxl or dismiss a rr,,rl..i .. ,:^irrirc in oolicr
making ilci ,.,i,rn r, 1. r!r ',rll itsfcct ol rhe huiirrcrs .r .,.n iL i ,
' ,,, ,,. ut..nrf",.
aDd such rir l ',
(tj -Schcdrrlc- rr:eu ,: r.i- : .lr.:.jule rfP(rldcd to these rulesj
(8) "Section nr(:r)s r., ,i,,jr oJ lhe r\ct.
(2) Won]s aDtl crpr'csrrtt,,,f ,rs.,i tn rlt.ri l,ltlcs [Irr ol dcllncd hcrcrnaltve shall haYe thc
sarne mcaiings as are rcsj)(eti\i lr :Lssir:ncd to ljrcrn in Ihc Ac1.
.3 Application for Regislr':rlir)n ol i:stxbli\hnrcnt. -
'fhe enrplot'cr .rvorkcrs shall s,,hnrrr applicatrorr
ol crct'-\ cjrll)lishnteltt c
lt,.ginB tcD or rDore
i:r l,omr-A for registration ollhc,rsr,blishntct)l .s per scction 6 ofthe A.1 along r.ith the requircd
(locuments as specificd in l,arl- ..\ cr-rhe ScheJIl!.. lhc npplicition mar. bc submitred onlinc r,"here
o linc access is available.
{. Itx}rnent of Fcc\.
Jccs 1., hc 1.ri.l .r ,r, ,rr,' rt.. .'1,1,1;. ,11.,1, rrr r,,gisrrrrr,,rr
llrc in }.onn A by lhc
rglublishntents enDloyirlg lur L'r ntorc enlflol ct* slrrrll I,c as specified bclow:
Sr. Faes to be lraid
( xlrgt)rr of Estohlishtlrc I
No. in Rs.
l Establishmerls 500/-
500i
l Residential IIotels. 2500/-
.l Restaumnts and Eating I Iouses 1000/-
5 Theatres and othea laces of blic amusement or enterlainment. i000/-
the fees shall be paid through elayrnent where onliae access is available
5. i\{anner of Registration of Bstahlishnrent -
(l)
Eyery applicati(,n submitted .i1her.,r,li:;c ,r orhenvise jn I-'(,nn,,{ for reoijrr:1li(,r ol.
L5lablrshfient may be assrgncd to anr' (,f the tnsl.ct(-r conccr)ed, rvho shall scrutinizc the
applications, documcnts cither uploaded ot:lj , ,,r subnritted othenvisc and lhe fces pa:J eirirer
through e-payment or olhcnvisc alonq rr'ifi 1l). (lcrrils mcnrjoned i! lhr: applicaticrr. If the
is complete in ill rcslccts.uld supi)on.(l \iilli rril the requiied (locuments, pr-scril,ed
^l)l)licarion
fees, he shall either sign digitally o-r issuc olhe ise lhe certificite rfregistrati.il. \^,hich
ihaii be in
iiorm-u withir one day cirhqr liori the datc rh. applicalio, appcars i)n the dashboarcj of the
inspector or received othenvisc b)' rhc inspcctor. The cnu-v- of the establishnrcnr which is reeistered
shall be made in the Register ofEsrablishme[t to be mainlained itr Form-C.
 p.\R1 I\/,ll J r;ri.r\R_.\r (jo\,jrRNtrIENTGAZFTf.tL.lix.:l ir(r:1),:tl
I86-l
(2) lf an application is incornplete or nor supported with required
ducumenls as ntentioned in
!s or if the prcscribed fce is not paid, then the inspcclor, mri r.,1r.r s rrh ;pplrcttion by
mentioning the teiuons tlereof i\,ithin one day liom the date on which
lhc appli.al;on appeilrs on
the dashboard ofthe inspcclor or received otherwise by the lnspecror
6. Intimatiotr ofcommencemenl of business by employer engaging
less than tel erdployees._
The. employer of every establishntent engaging less thalt
tcn entployees shall submit an
i[timation in Form-D of commenc.m.nt ot rhelusiness along wirh rhe r"qurreA
docuftents as
specified in Part-B ofthe scheduie. The intimation may b" *u."itt.a
orriin" *here online access is
svaileble.
7. It€ceipt oflntimatior. -
Alicr receivi,lg an jntjrrr:rlii)n in Iirrnl_D along rvith all the ilor:rrrnr.rrLs . r..l
inrirration in I oror-E shrll ],. ir i,..1 :. iLc rr]lplici;Ir cirhcr onlirrc or oth,.,r,, ., .
i|t 0l such
ir,: ,:r:e rrat, L,c
r)rr,l lhc d.lailr lhcrcofslr:l; l. ;., , r rtgi,rlcr mainreirrcil ii)r ririrl
i,rrtr,:{
3- l'rocctlrrrc lor t.enccll::t:,.,. r- rilr,ir Cerlificatc
,\1 xnvlintc,ii it iltLLrrLi,,, rr,,,i !irtrolhenoiiccoi.thehlsl).clorIlr]ltl:c
r.ti.!.iillion ofnrv
shop or cslLLrlisluncnt h:rs hecn .lrlr,rrrc.l h: r:rsrcprcsentatrorr rr,
,,ipp..r.i,,, ,,,,,,,,i.ri,, i i,"i.:
sublritting false or lorgcd docrurcrts r,; jrls.,dsllaralion r)r by 1i.autJ. thc 1|:pt.tor
shall- ".'ii
. .(i).b, a noticc require thc.'rrpjorer ro sLrLrnir his case as r. *irl rhc r.errstrrrior nra,,.no1 hc
ri,. . ,l. J:
(ii) it \ithin 1cn dals lior. tir. rlrrc olrhc rcceipl oflhe r).ricc.
the cnrl i, ,., r..:i" ,,r srrb,it
hrs case arong wilh thc rclcvanr dor:Lrmt.ls. the lnspcitor may cance]
thc rcSistralio, oL sufh shop
nr c'I.rLr| .I'Irr. IIL r) thc..r.e rr.r. I....
(iii) if within tc (la\,s. lhe cnrl)I)1fr sLrbnrit his casc aloog uitlr r.1r\ani do!iunrcnls_
the
Inspector. alicr considcring the cas. l.ud lhe relevxnr docLrnents suf,rrilc4
nxr).\\,rlhd'it,u.noticc or
ctrlcel thc regislratio,l ofsuch sh()p or eslalrislnncnt. as the case mal be
aniJ rerlo!.e the saric rionl
the register ofcstablishmenl maintaincLr rn ftrmr-C. eiter tlrc reJsons ru
LrL. rceorded rn rhc order..

9. Nolicc to makc changcs in Rrgistrrlion Certificatc. -

(l) Any ch.nges ifl the certificalc of registrarion shall be submitted in lronn_G lo
the
Inspcctor as per section 9 of the Act within 1ifl)- days liom thc dare the
chaDge took place along
rvith the required documcnts b b€ subnlitled as specified in pa-rt_C ofthc
Schcdule.

...-lhc fees ro be pnid along rvith the application for rcgistration in Iro.m,C bv the
estabiishments employing ten or morc cmployees shali be as specilieJ belorv
:

Sr. I
Category of Establishment ecs to be
No,
aid in Rr.
I Establishments
500/-
2. Sho
540/-
llesidcfllial Ilotels
),50ai
.l Reslaurants and Eatin IJaruses to00/-
) Theatres and olher t,lic amusement or enterlainfient. i000./-
The fees shall be submitted oniine q.he-re online access is available.
(2) on receipt of such notice the lr$rrecl.or shall sc.uiirize the same and
shal either sign l
digitally or otherwise as the case rra], l.e aod issue a liesh modified certificate within
one aay fro'n, I
the date of receipt ofsuch Irotice. Horvever, ifthe notice is not complete or is not
supported b\, ,jli.- _.
required-documents or if the prescribed fees is not paid, he shall reject the notice withio
orr" aiy Cy ._-
mentioning the reasons thereof

i
 tN6-{ (lll.l,\li \l( r)\lli'\iilr\l(i'\7i:ill:. lr\ . .l i 1)1, .'1 .lrl I PART IV-B
10. Closing of Busincss.'
Every ernplcrycr t,l ir .\lrhlirihnrenl cngxging tcn or morc rrrrtkrrs. trrt closing its
(l)
b1l5incss pemlanentlv shell irr ti,r':tr hc sllmc rvithin thirry days fiom the dale of such closin
lflspeclor in Form-H.
(2) Ever] enrl)loler t,l lril c:ulrlishnlenl crtgaging lr:ss lhlrn l.n \\'()rkers. on closing irs
business permanentll shall inlirrnr (h. silnlc lvithin thirty dlys liom lhc dllc i,lsuch closing to the
lnspector in Fo.m-I.
(l)
The Inspelor ..rrr r, , .'r\ rrr!, lh,' rnlhrnralion ind on heing snlisfied ahout its correctness
shall remove the entry of such shoI r,r .s(itblisirmcnt l'rorl thc rcgistcr of eslahlislnrents and cancel
lh e .re-cis tral ion cec;fic;ltc:

I'ro. iJcd lhat. if the I|l rp,-, r,,: .lies n.t rccci!c thc inlorrnation bul 1.. ;: .,1]r(r'.vise snlislied
ihat any shop or cslrblijir,r).r, ir, lr.:rr ilostJ. he mav rcnlove li)t (llii , j streh s.rlop or
.slahlishnlcnt liom tha:(!-rl.: . :rr.lrrri.rrlti.;lllcci sll.ll ccfliJl!i,i'

I t" CoIlditions for cnrplor r;rr, r , , '

,,rrttn irt oighl shills. -

'
\Vomen $'orkcr sL.rll 1,. r.,..,:..1 .,r rrll,Nc,J to ',rork rrr shop,,r'r:.ii: iir'. :.r:.i l'('i.'.ccrl 9.00
p-In. 10 6.00 a.m. after oblainin! lh. .r,ilr(rll ()l stlch \1)lncrl \\()rk.r rn l-,'rrri I slrlic.l l) such
condilions as nla)' he specilieti irl rl'. , ''.ler 0l lhc Irrsfcr:lor
12.\otice ofrveekly holidal ofrrorlitls in t:ttlr sltitt. -
Iii cry emplol'cr shall rlr.f irrr ,L ir,rlr.. rt il uonsPicLlolls plncc of l|,r frrnlijcs on a nolice
board and on vebsite. il clrp|rrrr )rrrs r' l,srtr. shUrrirur thc illt ofrest. irr [olnl K -'\ cop] ofthe
sarne shall besendtothelnspect(,r(ic.1i(t;riclrJllor,rthcl.riscrrtctcortlirleaccL-sirsDola\'aihble.
l1 .l'rohibilion of oycrlapping of shifis.-
; be carried on in m)'ost:lblisltirijr)l by rncans ofa systcn ol shitts so aniulged
work shallnot
lhat rnore than one relay ofrvorkcrs is ongagud iD \vorl ol lhc si]lnc kin,l at lhc srrrrc tirnc.

1,1. List of persons engrged in shift.-

(i) In case ofestablishrnent operating itr morc tlran onc shili, thc ernplrrlcr shall displal rvell
in advanced a shift schedule, showing lhe nantes and dcsignatir-rn ofall pcrsotls \vorkilg lhal il
shift, so that each worke! is arvarc ofthe shii in rvhicll he has to work. Such list shall be in frrm-[-
and shall be kept in every establishmcnl and [)ade avrilable for inspection to the lnspector on
demand. nle list shall be displaycd at a conspicuous place of the pretlliscs on lhe lrotice board 3nd
on the website, if employer has website. A copy ol'thc samc shall bc scnd to the InsPctor
electronically or otherwise where online access is not availablo
(ii) Thcre shall be not less than tlvelve consecutivc hours olrcst or 8ap bctwcen the lastshift
and night shift whenever a \vorker is changed from day shift to:1ight shjft and also from nightshift
to day shift.

15. Parf-time employmeDt.-

It shall be lawful for the cmpio)'er to cngage any \vorkcr as paft-tinle worker frovid.dlhat
he shall not be allowed to work more lhan 1iv,: horrrs irr r rlnv

16, ldeu tity Card.-

As per section 17, every emp1o1'cl shail pror,ide 10 each w(r'ker an Identit:/ airrii li Jpecfred
hFom-M.
 P.ART IV-B I Cr,'J.\tu\ I COVEI{NMENT GAZETTE, EX., 2t-06-2020 1E6,5
17. l,eave tsook.-

livery emp)o_vrr rirrrli l,r,rriLlc lo each workcr \\.ilh a Lrook r_allcJ.l.er\. llt)(,k,.in l:om N
,\ copy oflhe seme sireil 1-'e ret;rinc'l 1.1 employer. AII the entfics oi rirjr.tiorrcil carncd leavc as oer
scclion l8 Jhall bc nolrd in ric l.;1,,,e Book All carned lea\e apFli.rl for rrrri r.r r..lLrsecl shail also
bc norcJ in the.cgisrcl r!iih i,iiiLil: ol dre employerorhls rcprcseritaiivc in ihc reqrecii'c columa
of Leave llook. Ikrue'cr- er,er' r-rrrployr:r shali be liee to rnaintein Ler*r. llc,ol in such lornrel
cither manually,or elcclrrxricnil\, I1 lhe l-eave Book is lost bytheuorker. theenrflo'cru, t,,aluger
shallprovide him the duplicate col.r'ofthe sarne.
18. Nofice by emplol,er or nrtnager of accumulated lcovc. -
Ihe enrplot,er or lrteniigcr sltrll issuc a notice up to the jls, la utr_\ r)i.a.h calenclar year
*hish shall bc.lisplel,ed in [nr]ri () ci'ing rhc natnes o1-all rvorkers ,rto.. t.,.. r.hith lrrs L.ec,
carried irll\,a11l. has rcach,,l t ,. :::tr:I]urn Iirnit allo.r\.cd under sLti; :.rt:ic:: lr .t .cctio lS ,\
sco]] es possiblr in tht lirfl 1..;t-r '.1-;l:;:ien.1:rycar. lhcnrliccsl ,:ll ,.r.., l.r, lr, ir.rlea\,e
can be carried lor\trrJ..\ c,r;r .,r:, : riL. s|a1i be given to cacL \roJr.rit,:t.,r,-.i
lrl. (-lcxnli|n\\. I iir!r,j1:,.,
p:enrisesoier'er' e:i;ii,rrsl.,,:, iii sltll bc kepl clean and ir.. lrrur irl..ii,,:r. ii shoul.i hare
proPcr vcntil,rtion :rnJ lightirrg \,r ,-Jhbish. lilth or tlcbris shrll be ailr,,,\,.r1 i,r .rcLrrrj)rrlirlc or to
rcmain on an] prclllises or in.,rr eil.rl ii:lnlrcnl or in thc sLrrroundings r,t :.irch..siai,li.h]ncnl il],.uch
posiliouthatelfluriallrcrrir,r :iurr ari:r rrirhintheestablishnlcntorilssunoLlldinss.
20. Precautiofls ngrinst fire.
il!,ery emplo]'er shall trkc ali lh. nrcasurcs to protect tlre prcnriscs arrLl LIrc \r'.,rl(crs Lhercin
liom thc dangcr ollirc Hc shall adopL and inlplement all such ntcasures as sultgcsteJ or .lircctcJ-b).
th€ Fire Proteclion Departmenr o, lhe Local Aulhorily or Fire Ilrigade ofrhar lou.rl arc.r or.rn_r, iirih
autholit)'. It shall hc his.lul) l1r lirllo\\ thr nolms and guidclin.s lbr prorlcrioll .ru;rr.r tir, .rs-prr
any law for the time bcing in lbrce or tnv direction or i[structjon issued by ar11, Loca] 1\ulho tv or
an) su(h lulholll)'\\'hereir Ilr( r.r.rl-rr'l lr( Dl i::llrulrJ.
2,. Lalrines aniJ I rinxls.-
Il,cry entploycr .i1hcr inrli\rlurll) or group of emplovcrs shail pror,ide and nraintain a
common, ncat and cleaa urinal and latrines facility rvith supply of anti, bacteria I liqrrid soap lbr mcn
and woilen worker separatel] irr such sulficienl numbers. [t shall be we]l vcntilaled \rith exhaust
fan and liElted and safe lbr use ol-rvomen rvorker. There shajl bc proper provision of \\,a1er supply
and flushing ofwaste.

22. Latrines aad uriDals to be accessible.-

(l) The latrines and urinals shall be conveniently siluated and accessible to workers at all
times at the establisbment.
(2) (i) Lat.ines and urinals other lhan those connected with a flush sewage system slall
comply with t}le requirement ofthe public health aurhodties.
(ii)
Water shall be provided the means of tap or otherwise so as to be convenienliy
accessible in or near the la'trine and urinals.
23. Crache.-
(i) The criche shall be conveniently accessible to the morhers of the children accommodale<l
thetein and so far- as is reasonably and praoticable. It shall not be situated iD close proximity to a
part ofthe sho11'ar.e-stablishment where excessively noise ptocesscs are carried on_
(ii) Effectrve and suitable provision shall be made in every part of the crCche for securing
and maintaining adequate ventilation by the circulation offresh air.
 136-6 (jL'.],\lL\,rr|\lrli\i\11-.NI(ir\llll'lE.EX..:10(,.l1rllr lPr\RT IV-B
tiiil lhr crir l:. siri ll l , r.i.,, irirt. I l'r:rrri:ired xnd .\luil'rirt,:i r:rJ irr i,,rriiir.ilar 1l)erc shall be
L,n.r sLrilablc r:ol or ire,i c r\ r:h thr ir..cssrry bcLlJinc lirr rath .:hil,l. pror iilcii iir+r lirr c)rrldrcn olti
1$o ycars olage it rvill he ,;ulllrient il ruj1:iirl( I)L-ddutgs madt a\'3ihbl. rtrrri :rl lcasl otre chair or
equir'alenl sealing 3ceornnr()J:r(r() ii{ lhe usc ol .rch molhcr lvhilc slre is l...lin.q or attcllding to
her child, and a sLtl'llcjcrrt srtrJrl\ oi suii:rhle rol -s tirr thc older children

(iv) 1'hcre shall bc in or aLlirrirring the criche a suilable wash roonr fbr lhe cleaning ofthe
childrcn and Ihr;r clothrng. Ih. \\'rsh room shall be adequately lighled an,:l the lloor shall be
elfcctively drained and in a clean atd lidy comlition. An adequate suppll ol \\rler, baby soap and
clean to\\'els shall bc madc er ljl:rl-.1.' lor cach chjld wlliie it is ilt the crdche.

(v) For each LrrtchLr ther. slr:rll he appointed a \\'on1a]] incharge and an idequcte number of
lcmale-attcndalts 1{) helf th!' ir{)rrin inchar-qe. The crdchc, sl.rll shdl bc pro|idcd u'ith suitable
cieal clolhes for use \riile on tlr,lr
21" l'irsl-Aid Applirrc.s-
llven cmplo)-er shall rniLirr. i. I .1r pr,:,1 lirst-eid ho\ in cach tstahiiri;rtr' il r 1h.: tbllowirlg
I r"l .,.l.ilil, i:llr.ci rr'1.. ., ,.
(i) srrall, medrurl !rlil lrl!r sterilizcd drcssirlg in rcquircd nun)bers:
(ji.) large size slc lizcd Lrrrrr, LLcssirg i*requircd numbcrs:

(iii) packels ofstcrilizeLl r:orlorr r"ool in required nttnbers:

(iv) fair oldressin! scisrrorr r

(v) botllc conlaining sol(rlioD ol_rodinc or rrlcrcury chrorrc;

(vi) bottle containing solution ol savolari)1e having rhe dose and nrodc of administration
. ildicated on the label:
(vii) bottle containjrlg potassium permangalale crystals: and
(riiiJ anr anlidot. tor l'.rrn.
25- Cantccns. -
Every employer har'ing one hundred or more workers in shop or establishment shall provide
afld maintain a canteen with the follolving conditions, namely: -

(i) The doo6 turd windo\rs of a calteer building shall be of fire proof coDslructior and
shall allow adcquale vcrlilal,otr.

(il) The canteen shall be sui'ficjently lighted at aii times *hen any persol have access to it.
(iii) The precincts of the canteen shall be maintained in a clean and sanitary condition.
Waste shall be carried arvay in suitable covered draios and shall nol be allolved to
accumulate so as to cause a nui$[ce. Suitable arrsigcne]rts shall be made lbr the
colleclio! and disposal ol garbage.
(ir,) Sufficient tables, stools, chairs or benches shall be available io cantecn.
(l, There shall be provided ard maintailed r::rlflcirrt ulcnsils 3l:l l:li1 .ili,ll e,lriln:ent
' necessnry for the efficient tun-ring ofthe canleei:.

(vi) 'Ihe charge per portioD or iirod 6tufl, beverages anri ,nI other itern sened in the
canteen shall be corlspicuously displayed iu the canleefl
 UAIII tv-lti r,l .r \li ( (r', Fit\\.lENl G,\ZllIIFl.F\.ll {a:rl:i) 186-7

26. Nlaintenantc r)f lltsi\tcr s rn(l llecoI'ds

(l) lhe ernllo\,jr :.!rill :r:tinr;rin r N'1rrsrer Roll ailrD Wrlcs R.llisi(-r irr I'orrr-P unless any
crnployer or manaser nrrinuir:r il \\'rges l{egister in fonr B and Nlusrer Roll in lrorm-D as
prescril-.cd in nrie I oi the S.he,jirle t(, thc l:esc ofLlompliance to llaintain llegislcr.s under various
Labour Laus (CLr a:ri) ltulrs l(rll
(2) Er'er-! cntr] ilr llrc rcgiriil'r r]r rccrrrds rcquircs to be nlainlained undcr lhes. rules shall bc
Nuth(:nticated digitall) or manuill| i.\ thc cmplo)'er or the manager or iL'ly persLrn so autho zed by
him. The enlries rciali]r! rr) r,\.rtrrr' lhrll hc rnadc imrlcdiatclv alier corrplijtron ol slrch ovcrlimc
uork. In case hoth the enrFlo).r rnd the monogcr {uc obscnt on any day, the enni.s shall be
autherllicalcd b),such |('rlorr i:\ r r.\ l).:rulhoriTcd ir *riting by lhe ernploycr
(3) Ilery rccislcr. rt,:,,,,1 ur,l rrlticc recluircd bc nraintaincrl, rxhibitcLl or !li\!nuDLlcrthc-{ct
xnd tlrcsc nrles shill l-'c cjtl:lr irr (:irrrrrli Lrr in [nr:lish ienquace-
11) lrert cnrt,l,,,.: .,ll |r.strr.'thr irsp.,:ti,r,rr rcLrr;.: ,.' I .rer'tLrriorI
o.riodofllvclearsandql:rl |ri,l .i:,ri.]rre\\'hencverdenl:tndedb!Iher,.i,.1,'
(5) \\'hcrc al ollieL: :t, r r, rr,iou!r. rr';rrthrrrrsc or tor). pkc Lr.,:r r ':rrrrcli(,n \idr
thc lrldc and busincss o; a s]]L,i r: :j[rrlrd irt fic premises other lha]r iliu irrcIrises oI sLrch
cstablishnlcnl, all srrch rLir.risirrsl rr(r:,1s. rrlustcr-rolls, nolicts !1c. requirtrl li, ire rrailltained,
e)ihihitcd or gilen undcr rhe ,\.1 .,:r.i tlrcsc rulis shall Lre sepiiratcl), so nrunrain.d. cxiribired or
lliveninlcspcctofsLlchollicLr.sl()r(r,Lrrrr.!orlo\vn,\\'archorlscor$orkirlaccljl.,.
27- Annuel Retur . -
Ilvery enrplol-'cr slrirll sLrlnrrl lhc,\n Lral Rclrrrn in lorm-(l to lhe lnspc.lor rvithin one
lDorrlh ailcr conll)letion ol lhe.rilcndxr )car ending on the llsr December. lt shall be subnliltcd
( r)iine uh(r( unllnJ rc..'.1 rrr,rl..l l,'

28, Sup€nision ofState (;ovcrnmcnt over l-ocal Authorify.

Ifthe l-ocai AuthoriLy or thc panchaJ'al dut] ofclrlorcilg thc provisions ofthis
10 whom the
,,\ct is dclegatcd undcr secrion 2.1 oflhe Act makes default in the perfornance ol anv duty imposed
by or under this Act. the Slate (loremntcnl ma)' appoinl appropriale person as aI Inspcctor to
pcrfomr it and may dircct lhal the L'\p.nscs ol lhc pcrsdr so appoinled lo pcrfonrl thc dut)'. shall be
paid fonhwith by such Local Authority or panchayal, as the case may be.

29. Dutics and polvers oflDspt:tor.

(1) The Inspector shall Inakc such cxanrination as may appear to him lo be necessary lor thc
puryose ofsatisrying himselfthat the provisions 01'the Act, thcsc rules and aJIy ordcrs issued by thlr
Covernment or the Local Authorily or the panchayat undcr the Act and the nllcs made thereunder
are duly observed.
(2) The Illspector shall nlaintain a monthly diary and submit it to such olliccr as djrcctcd by
the office order.
(3) It shall be the dull oflh.r lnspector I1r s.fl'c all fic noticcs and ordcff as frcr thc,Acl lLr the
concemcd persors isstlcd by the Conrlounding Officer.
(4) It
shall bc thc duty of lhe Inslector to cafiy out inspeclion as per the onlinc
rardonization inspection system or aur) otlier s]'sterl1 for the linrc being in lorct .

(5) It shal! be the duty ofthe lnspcctor 1o ca.r) out nrorthlY rcconciljrlion cf thL: ::p;,lication
and fees .eceived odine and the fees deposited in the treasury.
(6) It shall be the duty of each lnspcctor to maintaix a ,rit Cases Register individrrally and
the register of cases referred to the Compounding Officel a: per the illstmctiorr Sivefl by the office
order.
 Ilt6-ti I PARI' IV-u
(7) Ir shall \.':hc .lrrrr ,.t lh. IIsi]:.rnr k-.r(i\rsd t]r(r clnpio\..r.:,, : i,, ..e:irl\ r!ith rhe
irregularities poinred olt I'r hr:rr rr: lrrs iuspcctiLrl Drrmo Il s[nll ai.Li i.. ]rj-, Jur] Io guidc rhc
workers in an esEblishmcnt ub(jtrl ihair rigi,ii u .ler the Acl and thc rentedi.s it\'.rilablc to lhcn.
(8) lt shall be the dutl ol lhc Inspectol ro conlirm lhat rhe dcfaulling crrployer )ras paid rhe
lces as per rhe direclion ol'thc ( irnrpounding Officer and shall veritl, \\'h.lhcr the amount is
deposited in the local arca ircasLrr! o11ice.

30. Application for Cornpounding of Offence. -

(l) Evcry application for con,prrunding ofan offence shall he in l"onn-lt

(2) The Compounding Officur shall Daintain a proper Rojnaora oI al1 the rases heard by
him.
The Comp.)un(lin! ()lil..r ilpl-.(iinled as per lhc pro\i:ions ol rinl,.rc.r;.,1 Ii)ol section
(l)
1.1 of th. Acl shal, regularlr i:.1.1 I :t,'r.s i]] erch di-\1rjrr (,r iD sLr.h ir i:. r 1. ..:l rrrr.rr.: pcr
1.1::..
thc rvork load or the mailcr r(.t{r,',,' r , r,rL. ljirr

-11. l'roctdure for Contpolr.llir,! ,,i Irjlrn(.e.

I ) The CompoundinS t ,rlr . r ort rcceipt of an al)l,lrcatiirl shail crlnlrjnj :!ll rh. .lo(unrcnrs,
(

the nature of breaches oi rhc ..\Lt .Ir(l these mles and shall lrilss a rlcrnrk.l L;r!,:, \,.rliriD seYen
\!orking days lrom rcceipt ol thc ul,FIicalion. 'l hc Compounding Olll.er \\jril. d(irrnirling the
arrrottnt ofconrpounding lccs shuli hr,r'e rerard to ihe seious[es$ Lri-hrr-rchcs. Irll]r( ,)t i,Il olfercc
rrnrl cvidcrtce on record.'l_hc (,,:t:fr, :rr,l:irr Llllicar shall onrcc,:iDtrrl rir, ,.i,r:rf,,l::rijir:t tces r akc
llic ordor lbr de!,osit ol c11rnl-rr rr,i,'rr: .. r :rJ alier Jepi,:ir ci :rLr..h r,t:,r'Lt,t. i,:. .,ilL;,1. s|.,j1 i,c
colltl)ounded and the (\rrtr1.orrrrtlirr$ ir ricrr sltalj nrakc nccessar; cnlries il, n L.!jslri jicr)l llr that
purlose.
An ordcr passcd b) thc LoirpoundiDg ()lflccr shall bc /bnvar(led io rhc conu.rnc(l local
(2.)
lnspcctor lbr serving thc sixnc to the .lefaulling employer within seven wor king da) s.
(3) The maximrun fces ir'conr|,rrrrrrling rrioflenee rnny be irruoscd bv the ( ornpoundirrg
Olllcer shall not be less lhan se1'eIlr' il!e pcr cent oflhe nlaxintrrnt finc specilied ior srrch ollincc
under the Acl-

(4) ln calculating the period for filling ofprosecution under section 33. rle rimc period kken
Ibr corupounding ofoffence shall be cxcluded.

32. I!tirtratioD of persoDs dischargirg Managerial functi0n, -

Every employer registered under section 6 shall inforrn to the Iospector in FolTn-S the names
and designation and briefnature ofdutjes ofsuch persons who arc discharging managerial fiuction.

33. lDtimatioD ofpersons doing confidcntial work-

Evcry employer shall infonr: in Fontr-l the names 01'such persols \\ho are (rccupliug
position of confidential charaL:tcr in a; eslahlishment. Hor e',cr. tlrr rrunrber cl' :r:r!: ;-.;j,,ns slall
nol he nlorc than one percent of the roral strenglh of *.orkers of Ihe esrablis|menr sul'iccr l) 3
nlaxi lum ol'fifty persons.
:r4. Name Board lo be iD Gujarati. -

The Name Board of every establishnent shall be pre| iirt'll in dljrr. ii l3nl.!-lc.:
Provided that, the employer may also have the Name lJoard in aay other lalguage in
addition to Gujarati.

i
 tlglGa&..:i$.q4! *:*rl+*,ri:qzeir**&*r. ri€

PrlRr lv-B l ci iJ \l.t ., I ( ,\ r:RN\IENT a;AzL: I'lL. L._\ . :l t)o tr]](l t86r)
I.'0Ri\I --{
' (tee rule J) PII() l( )

,\I'I,I,II ,,\ IION FOR RFCIS IRA II( iN

I Nanre of the Eslabli:i|rrr.]lrl

Poslal addtess and situatiorr i)l th(

Establishrnent
I Date of commencement of Business

l Nature of Business

,i tddrc'ss ,.rf tlrr oill, r , :rr. r!

ilodor,"n. lvirlhour,L r\ ,i ' r ,. i1 .rl1
olhcr than thc ]bort..,l,lrr:
(should bc 1icl.i ,rrii ,riJ,r,,rl:.
sho\\,rooD, elc. is n()l ralrl 'irlri\ rc!rslercd
undcr thc Ac1.l
Nanre of the Emploler

7 Residential Address ofthe l.-rrrplor cr

Slatus/ DesignatioD

Itlobilc No. :U)d c-ntail id

8 (l) Category of Establishnrent

(Shop,Estabiishment)
(2) T)pe oforganizaliorr (i.c. l)roprictor.
Partnership , LLP Company/ l'rusl./ Co-
operative Society/ Board)
9 Name and Mobile No. aDd
Delails ofthe Paftner lDiectot / Residential Address e-mail ID.
Truslee/Board and Soci Mefibers
IO lName of the members of employer's Rclation
Name ofthe person
larily employed ia the establisluDcnt
ll Maapouer/ Workers Details lVlen Women

Pcrsons s'orking in Managerial/

Supervisory/Confi dentiz, capacity

No. ofworkers other than above

l2 No. of apprentices under the Apprentices
Act, 1961 (52 of 196l)
No. of contract labour
No. of part-time wolkers
Total
 I86-t{) (itr.l.\ti \r (:(,r i rir..'!Jl )il ri.\,'l l ll. l \.ll rt, -lr) I'.,\R I' IV.B
5r:lI l)eellratiorr
l./ We hcrebl'sol.i.ril\ rrlt in rnrl i'rtr: th.rl tltr irli\ir.s5 !!hicn j \,.c h.r\'( slared is lot
barurcd or pn,hi[,itcJ [rr un.. ];l.,rur l.,rr's. Iiirlcs. L,r ()rJcr ,rl .rrry lalrr,r' (, :. i,r snv conlpelenl
authority trndcr lahor l:rrrs irnri :hr't.r.rnis(: rrhc;r Ir Nc are conduclini llir :.1:.1 l.lisiuc\s rr lice
fiom violation of arl'lal-.oL:r la',is. l{ulcs. ()r.j.i i,i ,iri) laLour Coirrr rr.rrr\ r ,,i::t)rt.rit /\1)lhority
unJcr laborrr los's.
I/ We hereby declarc rhar thc rnfi)rlll:rlir)Jr pr,[ iJcJ abore is true al]d cor,.cl 1ll thc bcst of
my personal krowledge, rnlbrmarion ard heirrt. I arn llrilt,a\!arc aborrl lhe c.rlrjcquences olgiviDg
false information' If thc i:r1-orm:rtion is lbund to bc lalse, I shall be liablc fir prosccution and
punishment under the Indian Penal Code (.15 of lSfi{)) and /or any other la\\,apPlicahle rhereto
l/
We have oblaincd necessar\, labour laws related liccnses, pelmissions. permit for thc
conduct oflhis husiness rh. lhr.,r1 businr:ss liorn thc appropriate Authoritl.
^nd
l/We shall be responrihlr irJ liablc lirr lcgal actio:r if the businc-.s i\ .,,ndLr.tc.l Nithout
nropcr lahotrr laws rclalcd li, (r,is. r;;rissi,,l. pcrnrjt fronl the alrprol)riir. arrL, rrr,
L/ \Vc hcreby declirri i:1.' r::j ,r,,rric. rlleslrd hy lrr;lL lruc cerpirr. ,.1 .rrjrI:.rl JocunrrDls
I xrn $ell a\\-arc ofilk'lir.i i: ' !' i, , r'ijs lr. Ii)Llnd l'3lsc.,furg.d. I shili I. t i, r nr(,)ucution
rnd punislxnctrt Lrndcr tl. lr: ,:::: rinj.r.li,,llN/,0)rD.l,(,lirn!orl1!r]...,f,.:l':rhlerhcrtt,,
I / \\'c undenak.. r ::hr.r. r., lhc pr,\'isiLrns oi the (j{arat Sh,r1.s :l':,. Ilslablishnle0ts
(Regulation ol llnlpio)menl Jnci i,rr.ijrrrrns of St'n,icc) Acl. l0l9 (Gui -1 (r'1,11'rr iDd thc Rr:lcs
and orders passcd lhcreunrl,:r h arr;, .,Lithoritl. -
I)ale:
Plaac: Nlnre and Signxturr of-{pplicana
,()lil\I ,;l
{Sec rulr 5l
RE(;iSlltA't'IoN (iItR IIFICdt'[:
I It istratio Nunlhcr
'l Name of the llstahlishnrenl
This certificare is issuetl basetl oI llrc,.Pplicalion and the uploaded Seif- C'crtiljcd
docunents and declarar;on $i\dr b)' thc applicant. l\'ithout physical vcriticarion of rLe
cxistcncc o1- cstablisl]menl. the nthrre ofl)usincss canicd our and thc details menlioned in thc
application.
This is just a certificale of registration and docs nor give an], righr to propcrl). or
sscssiol or lhe ri offie rtl
.+. Dale ofcommencernenl of business

5 Pcriod lbr which re lion is obta;ned

6. Nar c 01-lhc Ilm lL,
NatuJe of Business
8 Postal Address of Fstahl;shmcnt
Details ofM eltl Mcn Womcn

No. of workin Ir)

al/Su 'cclfidcrtial
acrt
No. ofu,orkers other than above
No. of a enlices undcr lhe
4pprentices Act, l96l ( of (j l
.,r
)
No. ofc!.ntract labour
No. of afl trnle workers
Total
 il;q!.*

PAR'| rv-B j I 186-ll

It is hercbl ccrtilicd thxt lhe obove establishfient has been regt-srered under lhe Gujarat
Shops and Establishnr€n1s (Regulations ofEmploymen( and Conditions ofSenice) Act,2019 (Guj.
4 of20lr) or this dir\'(i|
as shop/eslablishrnenl 20
I)alc:
Place: Name and Signature oilnspector
Oflice,\ddrcss
Application Icl No I:crs paid (lupccs)

I.(] R,\'l c'

(.1.. rrrl,5)
1I:: '. ! t-ti 0I lsl'.\BLIsIIltlNl-

rcsidenlial Whelher Situ.,ir ., , i .:::. ,. r|osroom

Rcgistrarion Nnme
.stflblishmc l godorrr r,,r,:h,,rse or
Sr. Cenifical6 thc falls under rorkplae:- rl an\. xnached to a
No No. wirh of the
public/ shop bul sirunl..i in premises
Dale I-stablishn)enl
Personirndl privats seclor diffcrtrt ii nr rl{)sr ol rhc shop
Manager-l
l 5l 1

No. ofother
No. offamill' pcrsons
occupying I'otalNo.
of
Date :-
Datc o1' Nature employer position of
(inchdirrg renewal of
fees Applicarion Remarks,
Cornnrencenlent of employed in managemenl
registration
pa id It) No. ifany.
ofbusiness busincss the or Persoos Parl-time ccriticatc.
establishmenl engaged in workers)
(Men/Women) confidential

I 10. ll 12. ll l-1 t5 l6

FORIII _ D
(See ruk 6) PI{()'t'o
FORMAT TOR INTIMATION
, Narne of the Establishment
Previous details of establishment
Rcgistlation No.
Datc ofExrriry
l l'ostal address and situation ofthe
Establishment
j Date of Conrmenccmcnt of Busiress
6 Natue of Business Whethcr Public / Private
Establishment falls under Prrblic Seclor
or Private Sector
1 Total No. of Employee Men.......,.-.Women.....
Total ............
 t86 l: {, l \l( \ I dr )\ LR.\l\lL\ l rj.\ll: I ll.. : 1.
I PART IV.IJ
s Namc ('l'rhc Employer
I{esidential ;\ddress oithe Employer
Status ,' Desigrration

Mobile No. nnd e-mail ID

Name, Address, Mobile No. and E-mail
ID ofthe Manager (if any)
t0 (a) Category of Establishment
i.e. Shop/ Establishment
(h) 'l lpe oJ org.mization i.e. Prolrietor.
l'nilr)crsbip. I-l l'. ( orrpany/'l'rust/ Co-
of elxlire S.)! i('1y,' Br)itrd

]l Nanrc . i rl:,, ,:ni,crs,rf.:nrplor'cr's

iarnily rrrpl, ,'..1 in lhe cstablishment i llclation

l
Self-l)rc hrnli0n
l/Wc hercb) solenrnl! allirm and stale lhill the brrsir, r.:, r,iti, l, I r|i hr',c slarled is nol
banncd or prohibilcd bl anl labour larvs, Rrrlcs- or (lrdcr oI ,rrr! ll,i r,,rr t,rLll oi rnv coutpctenl
authoril) undcr labor larvs aJrd thc prcmiscs wharc L'$'c a;'. .r,ir..rr,i:,,r il: siir.t l:,Lrsin.ss is liee
lionr violatiorr ol-anY lnbour larvs, Rules, Ordcr ol'uD). labour CoLrrt or ]itY Conrpelcnt Authority
under labour Iaws.

I/ Wc helcby dcclare that lhe infomtaliorr pft.\idcd above i..i llrlc nnd corrcct to the bcst of
my perconal knowlcdge. information and beliel-. I alr] lirlJl urvarc- abotlr tlte coDsequeDccs ofgiving
falsc informatior). If thc infonnation is fbrrnrl to Trr l)rise. I :-lrril bc liable for prosecrrtion and
punishnlent under the Irrdiarr Penal Code (45 of I li60) irrd /or aD.y otlrcr i:rir applicabie thereto.

U Wc have oblained necessary labour laws related licenses. pcrmissions. permit fo: the
conducl oflhis business aDd the place ofbusincss liom lhc appropriate Authority.

1,4l/e shall be responsible and liable for legal action ii

ihe business is conducted witloul
proper labour laws related license, permission. pe.mil fri)m the appropriale Authority.

t / Wc hercby dcclare that the copies atlested by me are true copies of original docummts.
I am well aware ofthe fact that if the copies are found iilse/forged, I shall be liable fbr prosecuion
and punisluncnl under thc Indian Penal Codc (45 c,i 186(ll and /or an].' olher laq, appiicable thereo.

I/ We undertake to abidc by the provisiols oi rhe Gujarar Shops and EstabiishnrrDts

(Regulation of llmplolment and Conditions of SLr\icl') Acl,20l9 (Cuj. .1 of20l9) and the Rl)es
a.nd orde6 passed thereunder by any Authoril).

Date:
Place:
Narne and Signature of Appticut
 PAR'| IV ts ] (;l I \lt \ (,(l\ liJll\\lLN1Gr\ZEJ'lE.L-\.ll lla,:)r) i 1ti6 ll
FOII \! - l],
LOC0
(S?t rule 7)
INTII,IATION RF,CEIPT
The applica t
has infimrte,J the f.l!r)]r'irg rlel:rils for having comrlencrd thc B,rsiness in
!orm-ii to this office. Thr: delails lhcrrol rre ,s follotl's:
Receipt Number

2 Application Id nurnber

:l Name of fi e Establishnrcr)1

-l
I otal No. of\\brkers

a) Name ofrltr: Iintpl,,,'.r

h'l Pos12l Address ol rlir Ij\r:,l,li.lirr. i,r

c) Registered Office Address 01- the

Establistunenl (if aDy)

6 This isjust an ackrrou,ledg!'nrcn1 ot ll)c inlimation application and nol a prool ol-er. istcnce ollhe
business and the plice of bnsrncss as merltion in the Intimation applic0tion. 1r shrll be the
responsibility of llc c,r)plolcr ro oblr;,r all lhc prior ard post permissiolr- pcrxil. licenses
mandatory for the condLrct ofllrc said i)usiness and for the place of business lrorr thc conccmed

Nature ofllusiness

8 Old R(BisndtiJn N^ 1nJ nar, I aot :cal,l(

Q.'lote: -This is an electronically generaled receipt, hence does not required signature.)
Date:
Place Orllc. -\JJr.s.
FORM _ F
(See rkle 7)
REGISTER OF trSTAI]LISHNIEN'I' 1YHO }LAVE GIVEN INTIMA'I'ION
(For ilstahUshment eDgagiDg less thaD teD ldorkers)

JIDcludjn
Date
Employer

I 2. t. 5. 6. 1 8. 9 lu. It
 1116-l+ (iUJAl{AI (iovliltNl1l N1(i,\/-l]ilt, lX.,23-06-2t)20 ll'\1(l I\'-ll
lt)Ri\I - (;
(.\i,r,rulc 9)
NOTICE l|OIt CIIAN(;I' IN ItIi(;ISTR,TTION CERTIFICAI'E
Tcr.
'fhe Inspector,
Offiue Address.
Subject: - Request to mal.e thc changcs rn lhc l(cgistration Certificate No. .......-.....
Dear Sir,
It is to inform you thal VWe wish lo malic lblJowing changes in the Registration Cenificate
as per delails mentioned below:-
Delnils.
Nanre ofthe employer. i
.-t
I
ficate No t-
I Ihe lollolt ing may shall be marle ir t' , ' ., nlli.ir.
L'han
\arDe of the Eslablishnrenl
(h) Nrme of the Employer/

Nature ofBusiness
(d) Poslal address ofplace lfthc
establishment
I
ir) Ilanpower Details

l
) Icn

(0 Any otherdelails 10 be
cfianged

S{rlf- D!clnralion
hereby declilre thi l th!: ir i)n alir]r proyiilcd abovc is truc and corrcct 1o the besl of
ll \\'c
my personal koowledge. information and bclicl l arrr lirlll'a\\,arc about lhc consequences ofgjving
false inlbnnation. lf thc information is lbuntl to hc lalsr:, I shall bc liablc lor prosecution aDd
pu,risfulcnt undcr lhe Indian .Penal (Ixlc (45 o1 1860) rrr)d/or any othcr law appliciible lhereto.
I/ \ve have obtaincd neccssary IiccDscs, I)cnnissiorls, pcrlnit for thc co[duct of this business
and the placc ofbusiness fiom the appropriale Aulhority.

e shall be responsible and iiable lor icSal actioD if the business is conducted willout
IA
proper licence, permission, permit fron the appropriate Aulhority.

L/ Wc hcrcby declare that lhc c('pirs rtl{ st'rl L)}' nrc ilr'c lrlic copics (,l original docummts.
I ar *e1l awarc ofthc facl thal il llrc copics ure louucl luJse/llrgcrJ, I slull Lc liirl lt ir; prosecuriou
and punishment under thc lndiiu: l'clal Co.lc 115 rrl 1360) rurcl /or any other la* applicable thereto.

I / \lre undertake to abide by thc prrrr isions of lhe Cujaral ShoPs and Llstahlishrrrnrs
iil.tsulaiiod of En)plolment aud (i)nditions r)i .;cr!iccl ,\cl, :()19 (Cuj. t .rf )0 i:,,) i,irrj thc Rrles
and ordcrs passcd there under by any Aulhority.

Date: Nune and Signarule oiAppiicrnt.

Place:
I
 PART IV.B ]
(,irJ,\R:\1- (iOVURNMIiN'l { ir\Zl: I I lr. Ir\ ll 0a 1020 r86 r5
FOIIII . II
(See rule 1/.)(l ))
INTI]VIATION OF CLOS]NG Oti Bt]SINI]SS
To,
-fhe
LspecEor,
OfIice address.
Subject Closing of busincss ard rcmovai of tho nern.. ol lhc l-stablishment fron1 the
l{cgistcr.
Dear Sir.
LnVe wish to infornr r,,rr tirrl L/\\'c havc fcl,nrncntlr rloserl tltc L,Lrsir)1-..! ol lhe eslabljshmcnt is pcr
the delails trrerrtii'r',:rl t
I ,.':

l/Wc rcqLresl l,on r., r,rLri r,ur Rcuistralion nLrmbcr unrl rerrro!e ihc itrir:; ot our estahlishment
lroDl \ o.r, rc. ,l.r
Dctails of eslablishntenl.
I Re slraliorr Ccrliiiru1c no
2 Va1 criod
Name of the lstahlishn)ent
I Poslal Address 0f placc ofestablishmcnt
R stered/ t;ltc oi o11lcc address, if ur
Prt)PrrLilur. l']rlrl|(]r 5l)jp. 1.LI'. Companll
(, Type oforganization
l rLrsl,' Strcirli. Bornl
(A) Category ofbusiness
7
Natue ()1-busiDess
3
Name and residenlial address of the
Proprietor
Details of lhe Partner / Director/ Trust/
I :
Board Member/Mcnbcr
Mobile
l0
Narne and residential address of
Authorized person, if any. 'i Narla E-Mail
No.

Mobile
lt Name and residential address of Name E-Mail
No.
Manager, if any.

Men Total
1). Manpov/er Details

l3 Date of closjng of business

l1 Reasons for closrng of bwiness

Self- Declaration
I/ We hereby declare that the information provided above is true and corect to the best of
my personal knowledge, information and belief. I txn fully aware about the colsequences ofgiving
false information- If rhe infonnation is found to be false, I shall be liable for prosecution and
punishment under the Indian Penal Code (45 oi 1860) end /or any other law applicable thereto.

Date: Name and Signaturc ofApplicart.

Place:

!
 llir li, CiIIJARAT GOVERi\ \'11:l I ( i'\lL I fD, EX., 23-06-2020 i r' !r. . i'\ rl

I.( )ltll I

rule l0(2))
(SL'e

INTI]\IATIoN 0II (]I,oSING OIT- BIJSINESS

{For establish!uent erlg:rgitrg less tha, ten workers)
I ,r.

Oftlc€ a.klrcss.
StLhject : Closirrg ofhusiness a d rcmo\ll ol the name ofthe Eslablishmcnt lrom lhe ll(irst(r
Dear Sir.

1\',e,.ristrloinlornryouthat[/Weha\'.j'.]i:r.,:::r:ilrcl,rscdthebusinessoflhe.slablj:1r';:i.r: .,, i.r

,i.Lirils nrcl1li..n.d bclow :-

l \l f r.riLrr\t \,ou n) rirrlovc lhe nanre i: ,tri ::' .1 :.ir;r,.']1t tionr \,oui regisler

Delails ol csriblislxreDl

lDiirration lleceipt no.

l lilrnc of the Establishnlerlt
l'.,:.tal iddress ()1' lacc of eslablislxr.rrl
ri.!,rstcred prirlcipal ollliie addrlss, il iint l

ir'1,e oforganization Proprietor, PadDership, LLP, Cornpall 11r ust,'

Socr / Board
(; (A ) Calegor) ol busincss
(B) Natue ofbusiness
Nanre & Residcntial Address ofthe Pronrictor
3 Dctails oi thc Partoer / I]irector,' Irust
Board IVernber,'Nlember
t Narr.: and l{esidential Addrcss of -'\uthorizsd Naroe [-NIail Mobile No
ferson, ifany.
t0 Name and Rcsid.rtial Al1rircss ol \'fanagcr. N:xne E-Mail Mobilc No.
il an1

ll Manpower Details Men Iotal

12 Daleof closin ofbusiness

I3 Reasons for ofbusiness

Scif-Dcclaration
L'\1ie hcreb) declare rhat the inlirnnalion prc,rided above is lrL:c alLl loriect 1() rhe bes. irf
m)r personal knorvledge, inlbrrnation tuid bcliel. I arn iulJy arvarc aboLrt !h. consequences Lrigi\.ing
lalsc inlbrmalion. If the inl'ormalion is Ibund ro bc ialsc. I shall bc ljable ior prosecution and
punislxnent under the II1dian Penal Code (,15 of ] 860) and /or anv other lavr apl'rlLcJble thereto.

Ditt.: llare ::ri Il arrnie cf .-\ipliaiirt

Place:
,., ^
{r&i,.,.?i'*r*iil,{AEE;+iif;Sl&;{r*', ij:-',, ,d,&;!b;*;&:.L, -. i.l-.- , .., -.::- ..

I"\RT iV-B ] CIJJARAT GOVI;RNl\lFl\ f (iA;/hITE, EX.,21 06-1010 Ili6,I 7

l-Ol{r\I - J
(.tzg rule I l)
(:o l.lN l' (lli \tIl ivli,ll{ \\,4) ItK EtT 'I'O WORK IN NIGHI'SIIII.'f
I Miss / Snrt. . ---- rdsidino at
(|ul1 ,\ddrcss)
slate tl1at I am working as (Designatiorl) *--------------
- in M/s
------- - slnce I am a\refa thal- -

ilc cnlployer will prol,idc sali lrarlsport Iacilirl trorn the doorstcp of Dt_v residence to rhc placc of
\\1rrk arld rice-yi?r-ra and that there rvill he ar leirsr three \\,onten workcr rvorkilrg in tltc n--r:hrshiii
ari-l rhrt lherc is a Commillae lo preverlt sc\ral ilrriissnlent at work place under the ( lhair ln.rr'hir of
,\:rri
ri , c1,rre ,.rillin! to riork er nigl,l:.),i;i ;, ; ; . , -r,,,.1 ltont io - -. -

J,

i",.:t.
Signature/Thumb impressirlrr
ofthc Wolnen workcr.

Namc- address, Signature oiwitnesses

l
2

F'ORM _K

. (.tee rule t2)

NOTICE OF WEEI(LY HOLII'AY

Narnc and address ofthe Establishnrcnt

Name of the Manager/Authorized representativc

All the workers in the establishment are hercby informed that the days of weekly holiday of
cach worker is given belorv: -

Sr. Namc of worker I)esignation Day of weekly IIours of

No holiday
fonr ... to.
(t) e) (4) (,s) i

Datc: Signatue of the Manager or

Place: Authorized representative.
 186 l8 L;rrr{l(,\l .,, \ I l{NIlt.NT C.\lE n E, F X , ).i-Uh-lojr) l PART tV-B
I-ORr\I- L
t.lec rule l4)
I,IS'I oI.' \\'oIIKIRS ENGAGED IN SHIF'I'
All the workers in establislunenl arc hcrcby iltorrned

in nrore lhitn.rne shilt fro,ir date. 'The shift schcrlrrlc ol thc workers is as

lbllorvs: -

Shift schcrlulc for the monrh ------'-

Dales of \\:cckl)
Sr.
Name of
lhe the
Lrui. s l
r(,lirLLl dr).
llre l)r..irn,rion
No Itlonth \ lolii l,
rvorkcr
-l
r't shift 2'd st,iri
l rotl
I,,
:

-l

Date: Signature of Manager/ Aulhorized

Place: lepres€ntalive.

roR I -ill
(See Rule 16)

IDENTIT}'CARI) Photograph
(a) Name and address ofthe estahlishnrcr)r:
(b) The full name and address ofthe *orkcr: -

(c) Date ofbirth ofthe worker;

(d) Date ofjoining the scrvice in the eslabli-ihnrcnt:

(e) Recent passpoll sizc pholograpll oiiLe 1\'niker.

(D Contact No.

!igrtiru'c or left thumb irnprc:siur ol titc r,. :l:. r

Signilure oiltlanager or Authorizcd ,igent.

llalc oflssuc.
.: . *ri&i",", eiIE *i,i;&;;,;,1:*- -.;Ei.,.. ".

t,.\ Rt lv-u l GUJARAT GOvtrt{\\ ,\t (;r\ZETTE, EX., 23 06-202(t lii, . )

F0II]I_ N
(J,.. rule I7)
T,I,AVE IJOOK
N,nrc ol lhc cslablishment: Na re or rhc (:rLflt\ cr Rcceiproit.a\etook
N rc ul Ihc worker:
I)escritrion olrh€ Department
(Sisnature orthumb
I'alment for Leave on discharg€ ofan workcr quitring
allowed employment if adm jssible
-l
l ,] 6
No. Signa.ure or left han(l
!pliolion
drys 'lo- Moiety N{oiel} Drlc li. r. l
,l
impress;$ of\ork(r

III I III S ()F I'TS'rIYAL LE-{VE

I..

l)t] \ It.s orcr\stir\L LEATE

Namc xnd Signrlure ot ,ruth0ritr.

t ok,\, - o
(Sre rulc l8)
NOTICE O}' ]\{AXIi\f T;\I I,}]A\'1.: A(:('TJIIILILATtrI)
Nenre iu:rl address ol the establishmenr.
\rnlc L\l thc Arrthorizcd person./ JVlanagcr.
No(ire.
-.\s pcr scction l8 (5) of the Cujarat Shops and Ijslablishments (Rcgu]ation of Ilmploymenr
and Condilions ofService) Act,20l9 (Guj. 4 of20l9) thc nraximum lcale that can be accunrularc<l
is k-rr 45 days. 'l hc following workers whose namcs are mentioned below have maximum lcave of
45 days accumulatcd at their credit. Hence, no hulhcr lcavc due to them but not availed by them
rvill be accumulated and it shall lapse ifunveiled.
Details oFrvorkers.

Period for u,hich leave

Nunrbcr of
Sr.No Nanrc of worker-s is accumulated
accunll,llated ieave
!'rom Titl
I
Daler:
I:lac.-
flal:re an,l SignaturF of
Authorized represeltative
/Il4anager.
Copy to \lrorkers
 \i l (iL.l.\l{.\ i (,o\ l ,i\\lf i{T {;,\71:1'Tll. l:X, -l1-rxr-j(r-10 I PART IV.B
Iot2l houts
Total Cross
MinirDunl
production
Dearness ol
Housc Rent
mte Ovenime
in case of Payable
of wages Panl
piece Paid Rs.
payable Rs. Rs -*5- during rhe
mle Rs.
month
(|) (12) rll { I ..1 t5 l(,) (17) l

I'ro!idcn1 Loan ?btal Ncr

Fa'nily FSI
and Deduction Payable
Cortibuti(xr
Rs.
I{\ Intcrest iir Rs. Rs Rs.
lrl xn\'l Rs. lil rn) l
l t12) 25 26i t I 'li
I

Date of
['ay,rent
:e (irl

S i glalurc of cnlploycr or autltorized represeutatiye

(Sec rulcs 26)

IIILISTEIi-ROl,1, C(,1!l IVA(;l,l RITCIS'l ln
Narne,rf the Fstablishmcnt
Nanrc ofthc crnplo)er '
i\,fonth:

Fuil Name Designation Date of

Sr. Interr,al fo, Date of lhc
ofthe Name Age Sex entry inro Working hours
No. Rcsl N,lonlI
worker of the worker service
(l ) (2) (t) (4) ( -i l (6 ) (7) (8) (e)
l ronr Io Irrom To I 2 1 5 6

Dalc,rl Lirc triontll I Toml Drls

*orkec
(e)
tl
E I it t2.

trr l4 l5 t6 11 l8 l t.) 20 2\ l:) ?4 25 26 27 28 29 l0 ri

ll ITI
 PARI' IV-l] I (,iiJAIi.\t ( i( )\'rrtiNlvJFNT cAZlll-TE, E-X.:l-06 .r,r.t1l 186-21
FORM _ Q
_ (See rute 2Z)
AA\'UAN Ri:TUR]\,
(For the calendar year ending as 3lsr December
........)
To,
The Inspector,
Office address

I Name ofrhc EstabJishmenr

2 Narne ofthc Owncr.,'p}nner 1 (Jccupier
,'Direcror / Authorizcd person
i Name ofthe lvlanalrcr
.l I otrl number ,rt \\', . i..i!
- Nl cn
Nlanagcrixl Sr.t'

ai)nlracl Lahr,rf
('rLrsal
Part I'imc

Tot;tl
5 \\/hcthcr the Dolicc sho\ring rhe Jclail! ,r1-
N.
persorls cngagcd irr corrlidcnrial. malragcr ial.
supen,isory capacill, is scnl?
6 Nature ofBus,ress
7 Regisrralion numher
I)ate of Validit) oFrhe Registrrtion
Certificalc
E Number ofshift il applicablc
: ln ?nr 3rd
Avcrage number ofpcrsons engagcd slrili lvise
9 \\/hether notice of shjfi is displaled rnd copv sent ro thc No
lnspector?
I0 Num.ber. of
womeo workers engaged durjng the year (if
appiicable)
Nur,iber ofwomen tvorkers engaged in night shift
1l Whether consent letter from rvomen workers working in night
No
shift is obrained? (ifapplicabte)
12 Whether notice showing the weekly holiday of each worker
is No.
displayed?
I3 Whether committee under the Sexual Harassment of Womcrt at
No N.A.
Workplace (Prevention, prohibition and Redressed) Acr, 2013
(14 of20t 3) is conslirured ? (ifapplicable)
Name ofthe Chairoan ofthe Commiftee
l4 Whetherpolice verificarion ofall the drivers and staffengaged in
transpofation ofwomen workers is obtained ? (ifappiicable)
\o
I5 Jdent;D card issued to all workers: No
l6 Is leave book main@ined? Yes No
l7 Wlether Committee lor Health, Safeq, and Welfare is conslitlted Nc.
? (ifapyiicable)
N.A
I8 \&1,::ier .,llsafery measures as per llte direcLions of fire Yes N'o
proleclion department / Iocal authoriry are observed?
19 Whether First aid box is rnaintairied?
r
 t86 :l (ll I\li,\l COVEll\\ILI1(i.\lirlll i1., I ir6-1010 I PART IV.B
21) \\h.1lrcr lirr i,rl t,ryilrg !!cllare lacilities ir. t-rrnl'rded lrlr! r\.'
rppli.ablc)
a (a) srfficienr number of
.A latrines and urinals
., (h) Criche No.
(c) Canteen No. N.A
No N,A.
2l Whcther all the records and registers are nlaintlrir1!'d anLl No-
required notices are displayed.
22 Arr_r,appliration for corrpounding ofan ollencr is rn.rdc during
the ]'car ?
il yes.
Datr: ol-appliceLion
{ii\f,,srl
Da1.-,'1
Arrr.L.rii,,1,.rs,l.i\)!il!d
:i NLrri,.r trt r..i.l.Dt occurred in Ihe estabiishmcnl iLrrii! ili.
\c:il NLrnrh(",r1 \orkers irjured 1\nrount ofcorrf.Is!ii,, r,:Ll
'.1 Ltl .,r.,,, ., dJ .tl.,\1il r,a,uj,r:,tr No

Decler';rrion

I r.c i\l: ,\lrs. .. - .' - *--

hcreby solemnlv at'finn
tl)rr .rll l|lj irrli)rrnllioD mefllioncd in lhe.]tlnual rclurn erc rrue:lril (:.)r'rc.t I /wc altrare aware lhai
il ::'r., :Iii,rtD::tio| sLrbrDltlcLl bv D1c lurus out t.r he til::c trr'll,i lruir or illcorrccl I shall bo liable lor
L.r'r lclri)n tlr(i.r lhc conccutcd law.

Date
Place Signature ofEmployer

t otL\'I - lt
(See r l? l0)
APPLICATION T'OR COT{POUNDINC OT' OTFTNC}I BY AN ENX'LOYER
'I'o,
'I he Compounding Officer.
Office ,,\ddress.
Subject: Request for compounding of offencc/s.
Reference: Ilspection memo dated

tlear Sir
ihjs is 10 inlorm you that the local Ftcilitator 1.;<ilJl rixil inspected our estal)lislxncnt
areas
un ...'....-..-(datc). llc had pointed out certain hreaches oi ile airij.rat Sbops aDd Irstabljshmenls
{R.Eulation of Emploi,ment ard Conditions ofSerlicc) Acl,:019 (CLrj.'1 of2{ll9) iurd the rules
I
r,rrde drere uiider during his ilspcctiol and tur inspectiors m.nio as reic[ed abo!c \\.as issdcr.l ro us.
*
\t"- llavc icceiverl a notice dt. .- - lbrcomlourdins oithe olt cc b) thc ar:tjtcrit.r
\1ie are rvilling and request you to contpound all ihc ollences [rentioncd in the inslection
lnemo, or to compound only the foiJowing ollences menlioncd in lhe i'rspeclion menlo. I

i
 ;,,rj!.- &.. - ,,a

PART I\/ B J (lli.lj\it\, ( j, ) \'illt\l\rEN'l' C,\ZI1TTE. I-1X..:r 1)a,10:rl 186-23

Desciption of offenccs in shon

You alc, lhcrelbrc, requcsrcd to compound the above offences. We will deposit the amount
offine lees as decidcd by you u,irhln the time mentioned in the order passed by you.

l/\l/c lnr,/are at,are lhdl il-\\. fiilcd ro D,ry the finc in slipulalcd tirrrr: rre rlill be liLrbic Ior
aL[]itionrtl llne ls pel thc 1:r,,r isr,,;:. nl llr. r\rl ind prosccLrti(in rnav alsL) [.c ]r,ulcl:tJ ls:Lirrst us in
th(' ( ilurt oi l.;1\.

Date Namc and Signature c,r'!j. l':.i!.c1, :; l).:flncr/

I'lacc l)ircclor or,{uthorizcd li. :::r:, ;:;. :i.. ).rnteand
Addrcss oflhc Establi::hmcrii !!ilh Siral.

FORItt - S

(,le( rul? -12)

DNTAILS OT' PEIiSONS DISCII,\RCINC MANA(;I'ItIAL TIiNC'I'IoNS

'I o.

The Inspector,
011icc address.
Namc arld adclrcss ofrhc Establishnr.nl ( )rlaoizlli(),r:
E-mail lI) / Website Add.ess ..

Narne of .,\uthorized persoD/manager:

Ii-mail ID :

The Management hereby declares the lbllowing persons to be the persons $,ho will bc
engaged to conduct rnarugc al lurrctiorr aDd sllrJl be responsible for dischrLrging managerial
furctioos, for the period Aom tilt ----------------

Sr.
Narne ofthc pcrson Designation.
No

Date : Signature of the ldanager/

Placc : Authorized Pcrson.
 i; ,li\l(;r )\|tu\\llNi(i.r.'l I I ,' lr)lrr I PARI' rv-r]
I.r)l(\l I '

l)li:l.\ll.S l )l' PI,lltS()fiS O( ( t P\ l\{; l'( )\l I I()\ ol ( ()\l Il)l-\'IIrtL CHAIi-1-ffli
'l'o,
'l he Insfcctor.
( , r'
) IIi r r .i.Ir
' '
Nanre ofthc I;sl.rblishDlenl / Organ;zalion
E-mail II) \\, 1* t. .r',l,lr.ss :

Nanrc of,\ulh(irrTe(l pc rs rrn.'/rr ra nager :

f.-nrril iD l

l; ,. ril

I)csignation

Date lir,.:n:rrLrc o1' lhe lvlanager,'

Placc 1rlrlr,rrl-.rl Irurson \\itl Sclll

s( H I, !tl rt .t,.

l.t(( t'ulr\.1, h, unl \t,

T,ISI' O I' I)OCII]IIE N'T'S 1() BI I Pt.( ),\ l) t.lrA I 'l AcHIll)
P-{lll'- A
(^) Docunlonls to bc uploaded for New licEislrrli(xr (Fonn A):'
(l ) ldcntity proof of the employer. (ln case oI legal stalute such as company, etc. copy of
Identity proofofresponsible person under thc rcspcclive Ac1.)
(2) Actral photo of the establishmert displaying lhe interior and the Name Boad at the
appropriate place of the establishment.

fj, Copy of the l,icense, Registration \vhich is n]an(lalor! uoder any other law iiom
conlletenl authoritl before sla ing o1 rLlch bLr:iiu.: :
ll) ln casc ol'business con.luctcd iD Lr\\ ncJ [cn]is.i' rrt\' rrlld of llr. follrrBing:_
(i) Sale/ Purchme lleed;
(ii) Cunenr Prcfeit!;.r faid Re.eiDr: I

(iii) Cunent Eiect: ir I nril:or

(iv) Current Sociely N{aintenar.c Receip!

I
 PARI' I\'-I] i
( il I l.{R,{ J- G(IVIIRNNIIINT (1. \7 i I rl.. IlL.2.l 06 2020 136 -15

t'-i I In .,t1. ,,1 bLlsincss,couduatcd in renlll i,rnr.{i i)rrInises an) one ol the lbllolving
(I nrllrlcrll\: -

-("i tiI Lu:isr Agrcellrel]l:

1ii) I-eave and I-icense Agreelncl)1: or
(iii) in case where lhc possessjon is hcld b-v way ofany other order ofthe
court or older ofan) competenl aulhorit\', cop) aI'such order and
(Lr) An) one document ,nentioned at Sr. No. (4) lvith respect to the owncr of the
establishment whose prcmises is renled or leased.
(61 If thc placc ofbusiness is owned or leascd.or reutcd hr'any rnenrber of family or relative;
No ohieL:li.rlr lcttcr from such me lber or relatiYe.
/;, Ii the placc of husiness is situated jIl an) r! rirr. iii,l horsing society; No oliection
c.irlli.irl. ir]m rhe rcsidr:nliai socrcl\ irr ., . :llllllorilv responsible lor il!
mrirttlilr'tcr
/i!) r\;i :u.:il ilL);unlrrrls whcrc\cr cnlionc.l iI tl,. I ;

PAR'I- B

(B) Lisl ol docurn.frs 1() he uploaded lirrrr ilr -

for inlimalioD i
/// Idr)rlitl'pro,rfol-tire clnplo](r. lln i.rse,,flt;.r) r. lur(
suLh i]! rompaoy, ctc coPy c,1'
IdeDtifl prcof of responsiblepcrson tlDdcr lhc r.sfr'clirc,\c1 )
all .\cturl pholo (]1 rhc LrslablishrDcnl rlisplafing thc inlcrior ond fic Namc Board 31 fic
app|opr iatc piace of the establishmcrtt.

1,.. {l'-(l
(q LisI ofdocumcnts applicable 10 be uploaded ior Not:rc o1 ('hange (lonn-G):

//, Identil]'prool ofthe employcr. (irr casc oflcgal sliltule such as compan)! etc. copJ'ol
ldcl1lil] proofofresponsi[rle person under the raspccli!c Acl.)
f2) Actual piroto of the establishment displaying thc inlcrjol' xnd thc Name tsoiud at thc
appropriate placc of the cstablislxncnt.
(J) Old registration certificate.
(4) Copy of thc l-icense, Registration which is rrandalor) under any olher larv fiont
competent authorily before slarting ofsuch business.
(5) In case ofbusincss conducted in o\rned premises any onc ofthe following

/y' Sale/ Purchase Deed;

fl, Cunent Property Tax paid Reccipt;

fii, Cunent Electricily Bill; or

(iv) Cunent Society MajoleDaDcc Rcc.ipt.

/6J h cilse ofbusiness ionductcd jn rentni ,'leased premises tnl) onc oftic lo1lowilg docLunenls:

G)
(i) Lease Agreement;

. (iD Leave a]rd License Agreemenl;

(iii) Irr case where the possession is held by way of any other o.der of the court or
order ofany competent authority, copy ofsuch order and
t3(, l(r GI I.IARAT COVERN\1I:tr', I ri.\,/t:Tt-E EX.,2i-06-2020 | I,:\Ri l\ B

(hl Any oDe docunrcrli rn!'nti,,;r,J.1 ir Sr Nu. (5) rvith respect lc the o,,\1rr.r ..1 1lr.
est!blishn1ent whosc Ir.nriscs is rr_ir1cd or lcascd.

a;, 11_rhe pldce ol business is oulc.l or lcased or rcntcd by any mcrnbcr ol lantill or
rclative: No obj eclioD lcitur liorir sLrc| nrember or
([i) If the place of busincss is silrrdrcli i. ani lcsiddltial hoosing socicty: No obieclioD
ccrtificate t'iom thc resirlcntiitl locirty or itry such ar.lthority r-espoDsihle hr ils
mointefunce.

f9, /1.ny other doclrruents as Drentioned in the lbrDrs.

llr i:rder and in the nanle ofthe (iovernor ofCui!rat.

JYOTSNA CHAIiIIAN.
Dcputl' sc. r c :.r' lo t ir,\. '

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