Note.-The application shall be accompanied by demand draft and the challan for the appropriate amount and a certificate in Form V from the principal employer
Dated of the receipt of the application with `demand draft' and the challan for fees/security deposit].
Declaration.-I hereby declare that the details given above are correct to the best of my knowledge and belief.
Place..............
Date..............
.....................................................
Signature of the applicant (Contractor)
Note.-The application should be accompanied by a Treasury Receipt for the appropriate amount and a certificate in Form V from the Principal Employer. (To be filled in the office of the Licensing Officer)
Date of receipt of the application with challan for fees/Security Deposit. Signature of the Licensing Officer
FORM V
[See rule 21(2)]
Form Of Certificate By Principal Employer
Certified that I have engaged the applicant (name of the contractor) as a contractor in my establishment. I undertake to be bound by all the provisions of the Contract Labour (Regulation and Abolition) Act, 1970 and the Contract Labour (Regulation and Abolition) Central Rules, 1971, in so far as the provisions are applicable to me in respect of the employment of contract labour by the applicant in my establishment.
Signature of Principal Employer
Name and address of Establishment
Place...................
Date....................
[Inserted by G.S.R. 948, dated 12th July, 1978.]
[FORM V-A]
[See rule 24 (1-A)]
Application Foradjustment Ofsecuritydeposit
Name and address of the contractor
No. and dateof licence
Date of expiry of previous licence
Whether the license of the contractor
was suspended or revoked
No. and date of the demand draft of the security deposit in respect of the previous license
Amount of previous security deposit
No. and date of the demand draft of the balance of security deposit, if any, required on the fresh contract [Substituted by G.S.R. 657, dated 11-8-1987.]
No. and date of certificate of registration of the establishment in relation to which the new license is applied for
Name and address of the principal employer
Particulars of fresh contract
Remarks
1
2
3
4
5
6
7
8
9
10
11
Place .....................
Date .....................
Signature of applicant
FORM VI
[See rule 25(1)]
Government of India
Office Of Licensing Officer
Licence No............ Dated............ Fee paid Rs.....
Licence