You are on page 1of 2
7 | o 02. ii) iii) iv) vi) ») CONT! Te NTI oR! LE ENCY LOR OBTAINING HR/ALABOUI Re E Naine of the Agency : Adi Durga Steel pvt ltd Name of Propriétor/Pariner : Anupam Agrawsot Father's nme of ProprictorPariner : Ghopat Paasad Agroaad Nature of Business Sgenvice providers Permanent Address & Tel. No. : af SoF Chow colorigSamtan Colona. Reiepure + chhats garth» HqQoot Local Addross & Tel. No. plot No Lat] 34, Panche.calshonge pumdusra ) Khoredho Odishoy FS101F FONa: @ Date §5000293S7-0AS-1053 dt B-4A18 ‘Name of the Work (Description): pesign.trgineering Sure! sronsperctations insieliostto Of Pre tngineened family FHCine) oF DSTPP: i : ne Location of Work NTpe Dantipati Township Value of Co: : RSL 30,860, ONS FS Period of Contract, + From aS Maximum No. of Workers engaged ‘on any day during the work period ‘Skilled ‘Semi- ‘Un-skilled | Others Total Skilled (Supervisor! | Staff) 7 | A re 3 Nos Do you have Simultancous Work Have you covered your workers. > YES under Employees State Insurance Scheme (ESIS) ES CodelSubCode | Date of ESI Code/Sub-Code [Remarks Number Allotment (Sqooneaayaon0qiy] O-L1 LAL AOS | Details of Coverage of Workmen as per EPP & MP Act’ 1952 will Registration No. 03.) Wage period ii) —Dateof Wage payment (has vere enonths Dnecrwasegamenitn rh of evertey roth, end of your wage petid, Weekly Holiday Sundog BN’ iv) Finaneial Year Aola-a2 04, Whether leave is allowed? If yes, No, of days ___ Period if any_____-— 05. Ifany other allowance is paid to your workers & staff or benefits allowed ica teas clearly: DA, HOUSERENT, CONVEYANCE sMOBILEALL \ We stalVhave feliV full all obligations arising from and under al aws i force fom time wo ts 4 talicharken he NTPC indetasifed spans any los or Fabilty arising out of file of myfor abiding the loss or liability. t ‘The name of my/our representative is to act atthe NIPC Pi premises on my behalf. “For, Adi Durga Steel Pej itd. Datel 21 $/ 20 2° Signa men His Representative (With seal) Enclosures: 1) Copy of Wage Sheets) (duly signed/wimnessed by EIC) with Bank Payment Statement, ECR & PF Challan(s) 2) Copy of Purchase Order. 3) Copy of Labour License (wherever applicable) _ ; VD) SEU SEEST CodetSub

You might also like