Sr.No. Particulars Description PDF /Attachment
1. Name and Address of Contractor Establishment. AA GLOBE SERVICES PRIVATE LIMITED A-253/2, Road No. 5, Mahipalpur Extn., New Delhi - 110037  
2. Website Address.
3. Name and address of the Proprietor/ Director/ Partners Mr Deepak Kumar Gupta Kotawala
4. Phone/ Mobile Number and E-mail I.D. of establishment/ person incharge of contract work Tele.: 011-46778888, Email:
5. Name and Address of the place/site where the contract workers are to be employed FORTIS HEALTHCARE LIMITED, Shalimar Bagh
6. Phone/ Mobile Number and E-mail ID of person incharge of the site Mr. Amit Kohli - Operation Manager, Mobile : +91-9810909693. email -
7. Copy of MOA/ AOA/ Partnership Deed/ Proprietor’s I.D. Proof
8. Form“ V” issued by P. E. to each contractor –Rule 21(2)
9. Notice of commencement/ completion of contract work- Rule 81 (3).
10. Form“ IV” –Rule 21(1) VII- Rule29(2).
11. Agreement with P.E. alongwith rate & no. of workers for which contract has been given
12. Letter of extension of contract period issued to contractors, in case of renewal of license N/A no
13. Afidavits that wage are being disbursed through account payee cheque/ECS.
14. Afidavits for legal Complience including condition lience.
15. Challan licence fee/() late fees if any G.A.R.-7. no
16. Challan of security Deposite (G.A.R-7).
16. Licence No. under CLRA Act-1970. Under Process
17. Nature of Work for which contract workers are to be engaged/employed . Food and Beverages no
18. Registration Number/ Certificate under the Delhi Shops & Establishment Act, 1954.
19. P.F. Code number DLCPM1017252000
21. ESI Code Number. 20001199030000999
22. Half Yearly Return-Rule 82(1).

PF Muster Roll Wages ESIC Others Month/year