GOVERNMENT OF ANDHRA PRADESH

LABOUR DEPARTMENT
Application No

IRE230127000872
Date : 27/01/2023
FORM-C
CERTIFICATE OF REGISTRATION OF ESTABLISHMENT - Sec2(d) AND 4(2)
The Andhra Pradesh (Issuance of Integrated Registration and Furnishing of Combined returns under
various Labour Laws by certain Establishment) Act,2015

1. Registration Number (LIN) : AP-747-4927-10491180-230127000872

2. Name of the Establishment : DURGA BHAVANI HAIR SALON
3. Address of the Establishment : MAIN ROAD , MODEKURRU2 , KOTHAPETA-R ,
Dr.B.R.Ambedkar Konaseema , Pincode- 533229
4. Employer Name : PENUMANTRA MUTYALARAO
5. Employer Address : MODEKURRU2 , KOTHAPETA-R , Dr.B.R.Ambedkar
Konaseema , Pincode- 533229
6. Nature of Business/ work/
construction/ activity/ : Barber shop/ Hair Salon
manufactory
7. Date of Issue : 27/01/2023
8. ServiceType : Fresh Registration / License
Date of
Act Name No of Workers Date of Completion Validity
Commencement
AP Shops and ESTTS. 0 02/02/2016 ---- 31/03/2023
Act 1988
It is hereby certified that the above said establishment has been Registered / Licenced under the above
said Act / Acts.

ALO-Dr.B.R.Ambedkar Konaseema
REGISTERING / LICENSING OFFICER
Note:
The Registration / Licence w herever requires shall be renew ed for further period w ithin 31 days before
expiry of the Registration / Licence.
If the information furnished by the employer is subsequently found that any of the particulars furnished
are w rong, or essential information is suppressed or misrepresented, the Registration / Licence is liable
for cancellation w ithout any notice and the employer w ill be liable for penal action as per law .
The Certificate of Registration / Licence is system generated instantaneously, based on the information
furnished by the employer in the application and required no signature. The Certificate can be verified
online in the AP Seva Portal at https://vsw sonline.ap.gov.in/

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