CHECKLIST – PRINCIPAL EMPLOYER
ANNEXURE – A
S No. PARTICULARS Description PDF /Attachment
1 Name and Address of PE Fortis Flt. Lt. Rajan Dhall Hospital, Sector B, Pocket 1, Aruna Asaf Ali Marg, Vasant Kunj, New Delhi, Delhi 110070 NA
2 Website Address NA
3 Name and address of the Proprietor/ Director/ Partners Mr. Sandeep Guduru NA
4 Phone/ Mobile Number and E-mail I.D. of establishment/ person incharge of contract work 01142776222 NA
5 Name and Address of the place/site where the contract workers are to be employed Fortis Flt. Lt. Rajan Dhall Hospital, Sector B, Pocket 1, Aruna Asaf Ali Marg, Vasant Kunj, New Delhi, Delhi 110070 NA
6 Phone/ Mobile Number and E-mail ID of person incharge of the site Vibha Sharma
Vibha.sharma1@fortishealthcare.com
NA
7 Copy of power of attorney/Board resolution
8 authorizing to act as PE
9 Copy of MOA/ AOA/ Partnership Deed/ Proprietor’s I.D. Proof
10 Form“ V” issued by P. E. to each contractor –Rule 21(2)
11 Notice of commencement/ completion of contract work- Rule 81 (3).
12 Application in form 1-Rule 17(I)
13 Nature of work for which contract workers are to be engaged
14 Agreement with contractors along with rate & no. of workers for which contract has been given
15 Letter of extension of contract period issued to contractors, in case of renewal of license
16 Affidavits by PE that wage are being disbursed through account payee cheque/ECS.
17 Name and designation of the person authorized under Sandeep Guduru Facility Director
18 Rule
19 Challan of Registration
20 Registration certificate no under CLRA Act 1970
21 Registration number certificate under companies act 1956 CLA/PE/46/07/SWD/46
22 Registration number certificate under the Delhi shops & establishment Act 1954 Factories act 1948
23 Copy of application of amendment
24 Annual return Rule 82(2)
  
Details of contractors
Name and Address of contractors Website address Name and address where contract labour is employed Nature of work contract Man no of workers proposed to be employed Period of contract Name and address of person incharge of site Date of payment of wages
RARE HOSPITALITY & SERVICES (P) LTD. 10, Aishwariya Towers, C.S.T. Road, Kalina, Santacruz (E), Mumbai. www.raregrp.com Flt. Lt. Rajan Dhall Charitable Trust Hospitality Services 140 01/04/2018 to 31/03/2019 PE Between 7th to 10th
SWIFT SECURITAS PVT LTD2, Rajdhani Enclave, Near Rani Bagh, Pitampura,Delhi – 110 034 www.swiftsecuritas.in Flt. Lt. Rajan Dhall Charitable Trust Security 60 01/04/2018 to 31/03/2019 PE Between 7th to 10th
RARE HOSPITALITY & SERVICES (P) LTD. www.raregrp.com Flt. Lt. Rajan Dhall Charitable Trust Housekeeping 100 01/04/2018 to 31/03/2019 PE Between 7th to 10th
Hi Trac Manpower Services PvtLt 85, Link Road, Bhim Nagar, Gurgaon http://hitrac.in/fortis-doc.rar Flt. Lt. Rajan Dhall Charitable Trust Operation & Maintenances for Engineering 15 01/04/2018 to 31/03/2019 PE Between 7th to 10th
Aaglobe Services Private Limited A-253/2, Road No.5 http://www.aaglobe.com/home/labour%20compliance Flt. Lt. Rajan Dhall Charitable Trust Food and Catering Services 70 01/07/2017 to 31/07/2018 PE Between 7th to 10th
Mahipalpur Extn. New Delhi 110037