Check List – Principal Employer


Sr. No.ParticularsDescriptionPDF/Attachment
1Name and Address of the Contractor’s EstablishmentAA Globe Services Private Limited
2nd Floor, Building No. 1,
Khasra No. 505, Bye-pass Road,
New Delhi 110037
3Name and address of the
Mr Deepak Kumar Gupta Kotawala
4Phone/Mobile Number and E- mail I. D. of
establishment/person in-charge of contract work
5Name and address of the place/site where the
contract workers are to be employed
Fortis Hospital, Shalimar Bagh
6Phone/Mobile Number and E-mail ID of person
in-charge of the site
Mr Zareef Ahmed
7Copy of MOA/AOA/Partnership
Deed/Proprietor’s I. D. Proof
8Form "V" issued by P.E. -Rule 21 (2)
9Notice of commencement/completion of
contract work –Rule 25 (2)
10Form IV- Rule 21(1) / VII - Rule 29(2)
11Agreement with each contractor alongwith rate &
no. of worker for which contract has been give
12Letter of extension of contract period issued to
contractors, in case of renewal of license
13Affidavit/s that wages to contract worker are
being disbursed through account payee Cheque/ECS
14Affidavit for legal compliance including condition of license
15Challan of License Fees / (Late Fees, if any) G.A.R. - 7
16Challan of Security Deposit (G.A.R. - 7)
17License No. under CLRA Act, 1970
18Nature of Work for which contract workers are to be engaged/employed F & B Catering Services
19Registration Number/ Certificate under the Delhi
Shops & Establishment Act, 1954
20PF Code NumberDLCPM1017252000
21ESI Code Number20001199030000999
22Half Yearly Return-Rule 82(1)