INTERNATIONAL PATIENTSPrincipal Employer Checklist
| ANNEXURE-A | |||||||
| Particulars | Description | PDF Attachment | |||||
| Name and Address of the P.E. | Fortis Healthcare Ltd (Fortis Hospital) A Block, Shalimar Bagh, Delhi - 110088 | ||||||
| Website Address |
https://www.fortishealthcare.com/india/hospitals-in-delhi-ncr/ fortis-hospital-shalimar-bagh/principal-employer | ||||||
| Name and Address of the Proprietor/Director/Partners | Mr. Mahipal Bhanot (Zonal Director)
Fortis Hospital, A Block, Shalimar Bagh, Delhi - 110088 | ||||||
| Phone/Mobile Number and E-mail I.D. of establishment/person in-charge of contract work |
Ms. Shubhra Kohli, Unit Head - Human Resources
Mobile : 9911129588 E-Mail ID : shubhra.saxena@fortishealthcare.com Mr. Rajeev Kumar, Human Resources Mobile : 8447738045 E-Mail ID : rajeev.kumar2@fortishealthcare.com | ||||||
| Name and Address of the place/site where the contract workers are to be employed |
Fortis Healthcare Ltd (Fortis Hospital) A Block, Shalimar Bagh, Delhi - 110088 | ||||||
| Phone/Mobile Number and E-mail ID of person in-charge of the site |
Ms. Shubhra Kohli, Unit Head - Human Resources
Mobile : 9911129588 E-Mail ID : shubhra.saxena@fortishealthcare.com Mr. Rajeev Kumar, Human Resources Mobile : 8447738045 E-Mail ID : rajeev.kumar2@fortishealthcare.com | ||||||
| Copy of Power of Attorney/Board resolution authorizing to act as P.E. | Power of Attorney in the name of Zonal Director | Power Of Attorney - FD | |||||
| Copy of MOA/AOA/Partnership Deed/Proprietor's I.D. Proof | Memorandum & Certificate of Incorporation | Memorandum & COI - FHL,Memorandum & COI - FHTL | |||||
| Nature of Work for which contract works are to be engaged/employed | As per Annexure - B | Given below | Form "V" issued by P.E. to each contract - Rule 21(2) | Form V | Form V Swift Securitas Form V Dynamic Services Form V Invisible Kitchen Pvt Ltd | ||
| Notice of commencement/completion of contract work Rule 21(2) | Form VI B | ||||||
| Application in Form I - Rule 17(2) | Application submitted for Renewal of Reg. Certificate | RC Application FHL | |||||
| Agreement with each contractor along with rate & no. of worker for which contract has been given | Valid Contracts & Extension of Contracts | ||||||
| Letter of extension of contract period issued to contractors, in case of renewal of licence | Extension of Contracts | ||||||
| Affidavit by P.E. regarding compliance of Rule 25(2)(V) and that wages to contract worker are being paid | Self Declaration by Principal Employer | Self Declaration by Principal Employer | |||||
| Name and Designation of the person authorized under Rule |
Ms. Shubhra Kohli, Unit Head - Human Resources Mobile : 9911129588 E-Mail ID : shubhra.saxena@fortishealthcare.com Mr. Rajeev Kumar, Human Resources Mobile : 8447738045 E-Mail ID : rajeev.kumar2@fortishealthcare.com | ||||||
| Challan of Registration Fees(G.A.R-7) | N.A | N.A | |||||
| Registration Certificate No. under C L R A Act, 1970 | CLA/PE/02/NW/2010 dated 18.01.2010 | RC FY 18-19 | |||||
| Registration Number/Certificate under the Companies Act,1956 | Memorandum & Certificate of Incorporation | Memorandum & COI - FHL,Memorandum & COI - FHTL | |||||
| Registration Number/Certificate under the Delhi Shops&Establishment Act,1954/Factories Act,1948 | Certificate under Shops & Commercial Establishment Act | Certificate under Shops & Commercial Establishment Act | |||||
| Copy of application for Amendment | Application submitted for Renewal of Reg. Certificate | RC Application FHL | |||||
| Annual Return-Rule 82(2) | Annual Returns CLA | Form 25 | |||||
| ANNEXURE-B | |||||||
| Name & address of the contractor establishment | Website Link | Nature of work of contract | Period of contract | Maximum number of workers employed by each contractor | |||
|
Swift Securitas Pvt Ltd,
2, Rajdhani Enclave, Near Rani Bagh,Pitampura,
New Delhi-110034
Contact Person: Mr. Anil Mago Mobile : 9717997174 E-Mail: anil.mago@swiftsecuritas.in | https://swiftsecuritas.in/ | Security services | 01-Apr-20 | 31-Mar-21 | 8 | ||
|
Dynamic Services,
A-100, Ratan Appartment, Raju Park,
New Delhi - 110062
Contact Person: Mohammed Ejazul Bari Mobile : 9811009550 E-Mail : dynamicaziz@gmail.com | https://dynamic-services.in/ | General Duty Assistant | 01-Apr-20 | 31-Mar-21 | 180 | ||
|
Prime Facility Services,
1730, Near Bus Stand, Rajpura, Patiala, Punjab
Contact Person: Mr.Chander Shekhar Sharma Mobile : 7827251970 Email : sanjay.ojha@invisiblekitchens.com | https://www.primefacilityservices.com | Food & Beverges | 01-Apr-19 | 31-Mar-22 | 90 | ||
For more details/queries, please write to us at reachus@fortishealthcare.com
| ANNEXURE-A | |||||||
| Particulars | Description | PDF Attachment | |||||
| Name and Address of the P.E. | Fortis Healthcare Ltd (Fortis Hospital) A Block, Shalimar Bagh, Delhi - 110088 | ||||||
| Website Address |
https://www.fortishealthcare.com/india/hospitals-in-delhi-ncr/ fortis-hospital-shalimar-bagh/principal-employer | ||||||
| Name and Address of the Proprietor/Director/Partners | Mr. Mahipal Bhanot (Zonal Director)
Fortis Hospital, A Block, Shalimar Bagh, Delhi - 110088 | ||||||
| Phone/Mobile Number and E-mail I.D. of establishment/person in-charge of contract work |
Ms. Shubhra Kohli, Unit Head - Human Resources
Mobile : 9911129588 E-Mail ID : shubhra.saxena@fortishealthcare.com Mr. Rajeev Kumar, Human Resources Mobile : 8447738045 E-Mail ID : rajeev.kumar2@fortishealthcare.com | ||||||
| Name and Address of the place/site where the contract workers are to be employed |
Fortis Healthcare Ltd (Fortis Hospital) A Block, Shalimar Bagh, Delhi - 110088 | ||||||
| Phone/Mobile Number and E-mail ID of person in-charge of the site |
Ms. Shubhra Kohli, Unit Head - Human Resources
Mobile : 9911129588 E-Mail ID : shubhra.saxena@fortishealthcare.com Mr. Rajeev Kumar, Human Resources Mobile : 8447738045 E-Mail ID : rajeev.kumar2@fortishealthcare.com | ||||||
| Copy of Power of Attorney/Board resolution authorizing to act as P.E. | Power of Attorney in the name of Zonal Director | Power Of Attorney - FD | |||||
| Copy of MOA/AOA/Partnership Deed/Proprietor's I.D. Proof | Memorandum & Certificate of Incorporation | Memorandum & COI - FHL,Memorandum & COI - FHTL | |||||
| Nature of Work for which contract works are to be engaged/employed | As per Annexure - B | Given below | Form "V" issued by P.E. to each contract - Rule 21(2) | Form V | form 5 prime facility sevice item | ||
| Notice of commencement/completion of contract work Rule 21(2) | Form VI B | Form VI Ghibelliance BT | |||||
| Application in Form I - Rule 17(2) | Application submitted for Renewal of Reg. Certificate | RC Application BT | |||||
| Agreement with each contractor along with rate &no. of worker for which contract has been given | Valid Contracts & Extension of Contracts | ||||||
| Letter of extension of contract period issued to contractors, in case of renewal of licence | Valid Contracts & Extension of Contracts | ||||||
| Affidavit by P.E. regarding compliance of Rule 25(2)(V) and that wages to contract worker are being paid | Self Declaration by Principal Employer | Self Declaration by Principal Employer | |||||
| Name and Designation of the person authorized under Rule |
Ms. Shubhra Kohli, Unit Head - Human Resources Mobile : 9911129588 E-Mail ID : shubhra.saxena@fortishealthcare.com Mr. Rajeev Kumar, Human Resources Mobile : 8447738045 E-Mail ID : rajeev.kumar2@fortishealthcare.com | ||||||
| Challan of Registration Fees(G.A.R-7) | N.A | N.A | |||||
| Registration Certificate No. under C L R A Act, 1970 | CLA/PE/09/NW/2012 | RC FY 18-19 | |||||
| Registration Number/Certificate under the Companies Act,1956 | Memorandum & Certificate of Incorporation | Memorandum & COI - FHL,Memorandum & COI - FHTL | |||||
| Registration Number/Certificate under the Delhi Shops & Establishment Act,1954/Factories Act,1948 | Certificate under Shops & Commercial Establishment Act | Certificate under Shops & Commercial Establishment Act | |||||
| Copy of application for Amendment | Application submitted for Renewal of Reg. Certificate | RC Application BT | |||||
| Annual Return-Rule 82(2) | Annual Returns CLA | Annual return | |||||
| ANNEXURE-B | |||||||
| Name & address of the contractor establishment | Website Link | Nature of work of contract | Max. No. of workers proposed to be employed | Period of contract | |||
|
Swift Securitas Pvt Ltd,
2, Rajdhani Enclave, Near Rani Bagh,Pitampura,
New Delhi-110034
Contact Person: Mr. Anil Mago Mobile : 9717997174 E-Mail: anil.mago@swiftsecuritas.in | https://swiftsecuritas.in/ | Security services | 60 | 01-Apr-20 | 31-Mar-21 | ||
|
Atulya Helathcare (Mukul Sales Ltd),
H. No. 3038, Sector 20D, Chandigarh, Punjab
Contact Person: Ms. Rasha Sharma Mobile: 9958390920 E-Mail : radha.sharma@atulaya.com | http://mukulsales.com/login.aspx | Radiology Services | 18 | 01-Apr-20 | 31-Mar-21 | ||
For more details/queries, please write to us at reachus@fortishealthcare.com
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