Name & Address of the Contractor/ Establishment. The Indian Hume Pipe Co. Ltd., B2/82, Mohan Cooperative

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1 Name & Address of the Principal Employer/ Establishment Name, Designation & Address of the Contact Person for Principal Employer Name & Address of the Contractor/ Establishment Name, Designation & Address of the Contact Person for Contractor/ Establishment Jal Board, Govt. of NCT of, Office of the Executive Engineer (C ) DR-XV, Jal Sadan, Lajpat Nagar, New Shri Adarsh Kumar, Executive Engineer (C) DR-XV, Jal Sadan, Lajpat Nagar, New The Indian Hume Pipe Co. Ltd., B2/82, Mohan Cooperative Industrial Estate, Mathura Road, Opposite - Seble Cinema, Badarpur, New Shri Harish Chandra Kushwaha, Sr. Project Manager The Indian Hume Pipe Co. Ltd., B2/82, Mohan Cooperative Industrial Estate, Mathura Road, Opposite - Seble Cinema, Badarpur, New Name, Address & PAN No. and EPF No.of the Sub - Contractors Engaged M/s Amar Traders PAN - AMLPB7955L EPF - DSNHP ESI - Not applicable Name of Executive/ Partner/ Prop/ Director & PAN No. Site/ Work Place where Contract Labour is to be engaged Maximum No of workers to be engaged Name & Designation of Authorised representative of PE/Contractor for Verifying/witness the wage disbursment Shri Amar Bhardwaj Ghitorni 5 Shri Naresh Baghel Date of payment of wages 7th of the Month Website

2 FORM XIII [See Rule 75] Register of Workmen Employed by Contractor Name and address of Contractor Name and address of establishment in/ under which contract is carried on : - The Indian Hume Pipe Co. Ltd, B-2/82, Mohan Estate, Mathura Road- Opp - Seble Cinema,Co-operative Industrial Badarpur, Nature and location of work : Name and address of Principal Employer Excavation, Laying, jointing of Pipe lines, construction of Chambers and other related The Executive Engineer (C) civil works. Providing, Sewerage facilities in the areas covering Rangpuri Pahari,Nangal Dewat, Dr XV., Jal Board, Govt. of NCT of. Jal Sadan, Lajpat Nagar, New Ghitorni Village, Ghitorni Extension and Ghitorni Enclave Sl. No. Name and surname of workmen Age and Sex Father's/Husb and's name Nature of Employm ent/ Designati on Permanent Home Address of workmen (Village and Tahsil/ Taluk and District) Local Address Bank Account No. Bank Name Date of Commence ment of employment Signature or thumbimpression of workmen Date of termination of employment Reasons for termination Remarks 1 Shri Vishant P23 Yr. M Shri Virendra P SW 2 Shri Rajnikant24 Yr. M Shri Sahdave SSW 3 Shri Priyakant21 Yr. M Shri Sahdave USW Vill. Alamgirpur, Distt. Meerut Vill. Badroli, Distt. Sonipat (HR) Vill. Badroli, Distt. Sonipat (HR) Plant, Ghitorni, New ICICI Bank Plant, Ghitorni, New Plant, Ghitorni, New 40 OBC Bank OBC Bank 01 Apr Apr Apr Shri Sanjay 35 Yr. M Shri Harpal Sin SSW Vill. Bijwada, Distt. Baghpat Plant, Ghitorni, New - 01 Apr Aug. 14 Left Service

3 5 Shri Vikram 36 Yr. M Shri Maidan USW 6 Shri Sahdave 46 Yr. M Shri Maidan USW 7 Shri Amit 28 Yr. M Shri Surender S USW 8 Shri Rahul 30 Yr. M Shri Ravidath S USW Vill. Bijwada, Distt. Baghpat Vill. Bijwada, Distt. Baghpat Vill. Baradavad, Distt. Baghpat Vill. Madhwa, Distt. Baghpat Plant, Ghitorni, New - 01 Apr Jun. 14 Left Service Plant, Ghitorni, New - 01 Apr Jun. 14 Left Service Plant, Ghitorni, New - 01 Apr Aug. 14 Left Service Plant, Ghitorni, New - 01 Apr Jun. 14 Left Service 9 Shri Shyam Su40 Yr. M Shri Inderaj Sh SSW Azad Vihar, Khoda Colony, Distt. Ghaziabad Plant, Ghitorni, New 0 Canara Bank 02 Apr Shri Brijmoha34 Yr. M Shri Inderaj Sh USW 11 Shri Parvesh 27 Yr. M Shri Surender S USW 12 Shri Akshay 19 Yr. M Shri Radhey Sh USW 13 Shri Ankit 22 Yr. M Shri Ishwar USW 14 Shri Ishwar 48 Yr. M Shri Kashi USW Azad Vihar, Khoda Colony, Distt. Ghaziabad Vill. Baradavad, Distt. Baghpat Vill. Kaswa Kala, Distt. Shamli Vill. Tyodhi Distt. Baghpat Vill. Tyodhi Distt. Baghpat Plant, Ghitorni, New - 02 Apr Jun. 14 Left Service Plant, Ghitorni, New - 02 Apr Aug. 14 Left Service Plant, Ghitorni, New - 03 Apr Jun. 14 Left Service Plant, Ghitorni, New - 03 Apr Aug. 14 Left Service Plant, Ghitorni, New - 04 Apr Aug. 14 Left Service

4 15 Shri Amit Dub24 Yr. M Shri Babban Du USW 16 Shri Pardeep 26 Yr. M Shri Ramprasa USW 17 Shri Gaurav 24 Yr. M lt. Sh. Dharmen USW 18 Shri Sunil 36 Yr. M Shri Naresh USW 19 Shri Manoj 29 Yr. M Shri Naresh USW 20 Shri Radhey S33 Yr. M Shri Hariram Sh USW 21 Shri Pramod K38 Yr. M Shri Lakhmi Ch USW 22 Shri Chanderk43 Yr. M Shri Anoop Sha SSW Vill Saidpur, Distt. Sultanpur Vill. Dhobawaliya Kothi, Distt. Swiyam Bihar Vill. Tyodhi Distt. Baghpat Vill. Chunati Kharkdi. Sharanpur (U.P) Vill. Chunati Kharkdi. Sharanpur (U.P) Vill. Tyodhi Distt. Baghpat Vill. Baradavad, Distt. Baghpat Azad Vihar, Khoda Colony, Distt. Ghaziabad Plant, Ghitorni, New - 07 Apr Jun. 14 Left Service Plant, Ghitorni, New - 09 Apr Jun. 14 Left Service Plant, Ghitorni, New - 04 Jul Aug. 14 Left Service Plant, Ghitorni, New - 03 Jul Aug. 14 Left Service Plant, Ghitorni, New - 23 Jul Aug. 14 Left Service Plant, Ghitorni, New - 03 Jul Aug. 14 Left Service Plant, Ghitorni, New - 07 Jul Aug. 14 Left Service Plant, Ghitorni, New - 02 Jul Aug. 14 Left Service 23 Shri Arpit Sha27 Yr. M Shri Madan Sh USW VPO Karana Shamli 24 Shri Sohan 32 Yr. M Shri Baburam USW VPO Karana Shamli Plant, Ghitorni, New - 06 Jul Aug. 14 Left Service Plant, Ghitorni, New - 18 Jul Aug. 14 Left Service

5 25 Shri Gaurav To31 Yr. M Shri Shreepal USW VPO Karana Shamli 26 Shri Ravi Shar27 Yr. M Shri Rakesh USW VPO Karana Shamli Plant, Ghitorni, New - 30 Jun Aug. 14 Left Service Plant, Ghitorni, New Punjab Nationa 02 Jul. 14 l Bank

6 AMAR TRADERS SEPTEMBER 2014 Annexure "B" Sr. No. Category of Workmen Minimum Daily wages payable 1 Skilled Semi-Skilled Un-Skilled 329 Annexure "C" Sr. No. Category Count 1 Supervisiors 1 2 Crane Operator 1 4 Other 3 Annexure "D" Sr. No. Particulars Remark 1 Maximum No. of Workers Employed at Location 5 2 Details of Bonus paid for Last Year NIL 3 Details of Encashment of Leave NIL 4 Details of Unpaid wages NIL

7 M/S AMAR TRADERS PAYSHEET OF WORKER DEPLOYED AT GHITORNI SITE EPF Code No.: Name & Address of the Contractor: DSNHP/ /000 M/s Amar Traders, Block H, 134 A, Dharam Pura, Nazafgarh, New. Name & Location of Work: Name & Address of the Estt. In/under which Contract is carried on: Construction work at Ghitorni The Indian Hume Pipe Co. Ltd., B2/82, MCIE, Opp.Seble Cinema, Mathura Road, Badarpur, New Name & Address of Principal Employer: Jal Board, Lajpat Nagar, New Month SEPTEMBER 2014 Sr. No.in Design Daily Amount of wages Earned Deduction if any the ation/ No. of Rate of Dearn Other cash Sr. payment Total Net Amount Name of the Workman Father's Name AGE register Nature days wages / ess Overt No. Basic Wages (Nature of Total EPF Deduction paid of of Work Worked Piece Allow ime payment to workmen Done Rate ance be indicated) 1 VISHNAT POONIYA VIRENDER SINGH 23 1 SW , , , , , SHYAM SUNDER INDER RAJ SHARMA 40 9 SSW , , , RAJNIKANT SAHDEV 24 2 USW , , , PRIYAKANT SAHDEV 21 2 SSW , , , RAVI SHARMA RAKESH SHARMA USW , , , TOTAL 20, , , , ,094.00

8 M/S Amar Traders PAYSHEET OF WORKER DEPLOYED AT GHITORNI SITE EPF Code No. Name & Address of the Contractor: DSNHP/ /000 M/s Amar Traders, Block H, 134 A, Dharampura, Nazafgarh, Name & Location of Work: Construction work at Ghitorni The Indian Hume Pipe Co. Ltd., B2/82, MCIE, Opp.Seble Cinema, Mathura Road, Badarpur, New Name & Address of the Estt. In/under which Contract is carr -44 Name & Address of Principal Employer: Jal Board, Lajpat Nagar, New S. NO. NAME MONTH - SEPTEMBER VISHNAT POONIYA A A P A P A P P P A P A P P A A A A A A P P P P A A 3 SHYAM SUNDER A P A P A P A A P A A A A P P A A A A A P P P A A A SUNDAY 4 RAJNIKANT A A P P A P P A A P A A A A A A A P A A P P A P A A 5 PRIYAKANT A P A P P A A P P A A P P A A A A P A A A P P A A A 19 RAVI SHARMA A A P P A A A A A P A A A P P A A A A A P A A P A A SUNDAY SUNDAY SUNDAY

9 COMBINED CHALLAN OF A/C NO. 01, 02, 10, 21 & 22 (With ECR) (STATE BANK OF INDIA) EMPLOYEES' PROVIDENT FUND ORGANISATION DELHISOUTH TRRN: Employer E-Sewa ESTABLISHMENT CODE & NAME : DSNHP M/S AMAR TRADERS ADDRESS : 202, PLOT NO. 73, 100 FEET ROADVILLAGE GHITORNI 186DL Dues for the wage month of:09/2014 TOTAL SUBSCRIBERS: A/C.01 5 A/C.10 5 A/C.21 5 TOTAL WAGES: A/C A/C A/C SL. PARTICULARS A/C.01 A/C.02 A/C.10 A/C.21 A/C.22 TOTAL 1. EMPLOYER'S SHARE OF CONT EMPLOYEE'S SHARE OF CONT ADMIN CHARGES INSPECTION CHARGES 5. PENAL DAMAGES 6. MISC. PAYMENT (INTEREST U/S 7Q) GRAND TOTAL (IN WORDS) : Rupees Five Thousand Two Hundred and Sixty-Five Only 5265 FOR BANKS USE ONLY Amount Received Rs Date of presentation of Cheque/DD Date of Realisation of Cheque/DD SBI Branch Name SBI Branch Code FOR ESTABLISHMENT USE ONLY (To be manually filled by Employer) Cheque/DD No Date: Cheque/DD drawn bank & Branch Name of the Depositer Date of Deposit Mobile No Signature of the Depositor (KINDLY SUBMIT CHEQUE/DEMAND DRAFT & CHALLAN AT SBI COUNTER ONLY) (This is a system generated challan generated on 10/10/ :49, the particulars shown in this challan are populated from the Electronics Challan Return (ECR) uploaded by the establishment for the specified month and year. Remittance can be made through a local Cheque/DD in any designated branch of SBI)

CITIZEN S / CLIENT S CHARTER FOR LABOUR DEPARTMENT U.T. OF DADRA AND NAGAR HAVELI, SILVASSA ( ) Phone No. (0260)

CITIZEN S / CLIENT S CHARTER FOR LABOUR DEPARTMENT OF U.T. OF DADRA AND NAGAR HAVELI, SILVASSA (2011-12) Phone No. (0260) 2642721 Fax No. : (0260) 2642787 Email - labourdnh@gmail.com APPEAL TO EMPLOYERS