APPLICATION FOR RENEWAL OF LICENCE OF CONTRACT LABOUR
 
1.           Name, father's name,age,and address              Sri.______________________
        of the contractor.                                             Son of ____________________

 

2.           No. and date of licence:                                   No.__________Date._________

 

3.           Date of expiry of previous licence.

 

4.           Whether the licence of the contractor
             was suspended of the work.

 

5.           No. and date of Treasury Challan.                   No._________Date.__________
               
 
                              Date._________                                                                 Signature of the contractor.
 

 

               

 

REPORT OF THE LICENCING OFFICER AND DISTRICT LABOUR OFFICER;Ganjam:

 

 
              In the matter of grant of licence to M/S
 
              In the matter of undertaking under the Rule 22 of the Orissa contract Labour (Regulation and Abolition) Rules, 1972.
 
That the applicant most respectfully shown as follows:-
 
          1.           That the applicant has got authority to apply for licence on behalf of M/S
          2.           That the applicant is about ____ years of age on the date of application for licence and therefore the                         applicant is not a minor one.
          3.            That the applicant is not of unsound mind and stands so declared by a competent court.
          4.            That the applicant is not annundischargeds insolvent.
          5.            That there is no order of the appropriate Government on award or settlement for abolition of contract                         labour in respect of particulars type of work in the establishment in relation to which the applicant is a                         contractor.
          6.           That the applicant was never convicted during last five years which involves moral turpitude.
          7.           That the required fees under rule 26 and  security deposits under rule 24 of Contract Labour (R&A)                         Rule,1975 have been deposited in the Treasury on _______.
 
 

 

VERIFICATION
 
                  That I Shri _____________________________ Son of _____________                aged.__________ At:_______________P.O.____________District.______________ declare that the Statement made above is to be best of my knowledge and belief are true and correct.
 
Place.__________                                                                                                                                        Applicant.
           Date.___________
 
 

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