4i Apps SoLutions (P) LTD Date: 2" Nov'22
To
The Joint Director (OCW)
Industrial Safety and Health,
Chennai
‘SUB: Submission of Form XII CLRA Registeration _Reg
Respected Sir,
With reference to the above subject, we would lke to submit the application FORM Xil under CLRA
Rule 1975 of BOCW Rule 2006 for our organization 4l APPS SOLUTIONS PRIVATE LIMITED, Sy No
209/41, Akshaya HQ, 2nd Floor, OMR, Kazhipattur, Padur, Chennai 603103,
We have enclosed the following supporting documents for your kind perusal.
‘Application FORM ~ XII In Triplicate copy
Proof of Employer Identity “Aadhar card
Proof of Site in-charge identity ~ Aadhar car.
Work order copy.
Contractor Proof
Company PAN Card
Payment Details ~ Rs.5,000/- Challan No : 173 , Dt: 01/11/2022, SBI Treasury Bank
‘Thanking you
\Yours faithfully,
1-4-1 Tecci Park 1: +91 44 6638 0000 4iapps.com
# 285, OMR Sholinganallur info@diapps.com
Chennai - 600 119