INTERNATIONAL PATIENTSPrincipal Employer Checklist
| ANNEXURE-A | |||||||
| Particulars | Description | PDF Attachment | |||||
| Name and Address of the P.E | Mr. Mahipal Singh Bhanot,Facility Director C/o Fortis Hopitals, A - Block, Shalimar Bagh, New Delhi - 110088 | ||||||
| Website Address | https://www.fortishealthcare.com/india/hospitals-in-delhi-ncr/fortis-hospital-shalimar-bagh | ||||||
| Name and address of the Proprietor/Director/Partner | Mr. Mahipal Singh Bhanot,Facility Director C/o Fortis Hopitals, A - Block, Shalimar Bagh, New Delhi - 110088 | ||||||
| Phone/Mobile Number and E-mail I.D. of establishment/person-In-Charge of contract work | Mr. Ankit Kumar Gupta,Unit Head - Human Resources Mobile : 0-8800666744 E-mail : ankit.gupta1@fortishealthcare.com | ||||||
| Name and address of the place /site where the contract workers are to be emloyed | C/o Fortis Hopitals, A - Block, Shalimar Bagh, New Delhi - 110088 | ||||||
| Phone/Mobile Number and E-mail I.D. of person in-charge of the site | Mr. Ankit Kumar Gupta,Unit Head - Human Resources Mobile : 0-8800666744 E-mail : ankit.gupta1@fortishealthcare.com | ||||||
| Copy of Power of Attorney/Board resolution authorizing to act as P.E. | Power of Attorney in the name of Facility Director | Power Of Attorney - FD | |||||
| Copy Of MOA/AOA/Patnership Deed/Proprietors 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 | Annexure of Details of Contractor | Details of Contractor | |||||
| Form"V"issued by P.E. to each contractor -Rule 21(2) | Form V | Form V | |||||
| Notice of commencement/completion of contract work-Rule17(2) | Form VI B | Form VI B | |||||
| Application in Form I- Rule 17(2) | Application submitted for Renewal of Reg. Certificate | Application for Renewal of RC | |||||
| Agreement with each contractor alongwith rate &no. of worker for which contract has been given | Valid Contracts & Extension of Contracts | Contracts | |||||
| Letter of extension of contract period issued to contractors, in casr of renewal of licence | Extension of Contracts | 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 | Mr. Ankit Kumar Gupta,Unit Head - Human Resources Mobile : 0-8800666744 E-mail : ankit.gupta1@fortishealthcare.com | ||||||
| Challan of Registration Fees(G.A.R-7) | N.A | N.A | |||||
| Registration Certificate No. under C L R A Act, 1970 | Registration Certificate for the F.Y. 2017-18 | Registration Certificate Fortis Hospotel Ltd 2017-18,Registration Certificate Fortis Healthcare Ltd 2017-18 | |||||
| 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 | Application for Renewal of RC | |||||
| Annual Return-Rule 82(2) | Annual Returns under Various Labour Laws | Annual Returns | |||||
For more details/queries, please write to us at reachus@fortishealthcare.com
| DETAILS OF CONTRACTORS | |||||||||
| Sr.no. | Name and address of the prop./partner/Dir of the eastablishment | Website address | Name and address of site where contract labour in to be employed | Nature of work of contract | Max. no. of worker proposed to be | Period Of Contract | Name and address of person in-charge of site/contract work (Directors) | Date of pay roll of wages | |
| 1 | Rare Hospitality and Services Pvt Ltd,10 Aishwarya Tower,Gr. Floor,C.S.T Road,Kalina,Santacruz (East),Mumbia 400 098 | https://www.raregrp.com/ | Fortis Hospital,Shalimar Bagh, New Delhi - 110088 | General Duty Assistant/HK | 150 | 1-Apr-18 | 31-Mar-19 | Mr. Ammin / Mr. Shahab | On or before 7th |
| 2 | M/s Dhai Steps Pvt Ltd, Mukherji Park, Tilak Nagar, New Delhi - 110017 | https://www.dhaistep.com/ | Fortis Hospital,Shalimar Bagh, New Delhi - 110088 | Laundry | 20 | 1-Apr-18 | 31-Mar-19 | Dr. Munisha Balain | On or before 7th |
| 3 | M/s AA Globe Services Pvt. Ltd., A253/2 Road No-05, Mhipalpur, Ext. New Delhi-110037 | Fortis Hospital,Shalimar Bagh, New Delhi - 110088 | Food & Beverges | 90 | 1-Apr-18 | 31-Mar-19 | Mr. Deepak Gupta | On or before 7th | |
| 4 | M/s Invisible Kitchen Pvt. Ltd, 178, East of Kailash, New Delhi -110065 | Fortis Hospital,Shalimar Bagh, New Delhi - 110088 | Food & Beverges | 20 | 1-Apr-18 | 31-Mar-19 | On or before 7th | ||
| 5 | M/s Shubhram Hospital Solution Pvt Ltd, 485-486, Phase - II, Barhi Textile Park,HSIIDC Industrial Area, Sonipa,Haryana | https://www.dhaistep.com/ | Fortis Hospital,Shalimar Bagh, New Delhi - 110088 | Food & Beverges | 20 | 1-Apr-18 | 31-Mar-19 | Dr. Munisha Balain | On or before 7th |
| 6 | Good House Keeping, WZ-519, Raj Nagar Part-1, Palam Colony, New Delhi – 77 | Fortis Hospital,Shalimar Bagh, New Delhi - 110088 | Housekeeping Service | 100 | 1-Apr-18 | 31-Mar-19 | Arun Agarwal | On or before 7th | |
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