State of Chattisgarh - Act
Chhattisgarh Private Placement Agencies (Regulation) Rules, 2014
CHHATTISGARH
India
India
Chhattisgarh Private Placement Agencies (Regulation) Rules, 2014
Rule CHHATTISGARH-PRIVATE-PLACEMENT-AGENCIES-REGULATION-RULES-2014 of 2014
- Published on 21 August 2014
- Commenced on 21 August 2014
- [This is the version of this document from 21 August 2014.]
- [Note: The original publication document is not available and this content could not be verified.]
1. Short title, extent and commencement.
2. Definitions.
3. Manner of making application for grant and renewal of license.
4. Verification of character and antecedents of the applicant.
5. Verification of character and antecedents of the domestic worker.
6. Grant of licence.
7. Conditions for grant of license.
8. Renewal of license.
9. Conditions for renewal of license.
10. Suspension or cancellation of licenses.
11. Appeals and Procedure.
12. Register to be maintained by the Agency.
- The Agency shall maintain the register in Form-VII, which shall be open for inspection by the Controlling Authority or the Authorized Officer.13. Identity card for domestic workers.
- The Agency shall issue an identity card to every domestic worker in Form-VIII, it shall contain a full-face colour-photo, name of the agency, name of the domestic worker, designation, identification number and the period of validity and the photo identity card shall be maintained upto date and any change in the particulars shall be entered therein and in a situation where an employee is no longer engaged or employed by the agency, the photo identity card issued to domestic worker/supervisor shall be returned to the agency issuing it, once domestic worker is no longer engaged or employed by it.Form-I[See rule 3]Application for New Licence/renewal of Licence to Engage in the Business of Private Placement AgencyTo,The Controlling Authority..........................................................................................................................| The undersigned hereby applies for obtaining alicense to run their business in the area of Private PlacementAgencies : | ||
| 1. | Full name of the applicant | |
| 2. | Nationality of the applicant | |
| 3. | Son/Daughter/Wife of | |
| 4. | Residential Address | |
| 5. | Address where the applicant desires to start hisAgency | |
| 6. | Name of the private placement Agency | |
| (NOTE :Registration Number of the Agencyalso be indicated) | ||
| 7. | Name and Address of Proprietor, Partner,Majority shareholder, Director and Chairman of the Agency | |
| (NOTE :Nationality of each partner,Majority Shareholder, Director and Chairman of the Agency beindicated) | ||
| 8. | Name and extent of Facilities available | |
| 9. | Qualification of staff engaged for impartinginstruction : | |
| Name:................................................ | ||
| Age:................................................. | ||
| Designation:......................................... | ||
| 10. | Particulars of the uniform including colour, incase the applicant intends to use any uniform for the privatedomestics work and supervisors of the Agency. | |
| 11. | Does the applicant intends to operate in morethan one district? If so, please mention name of the districts - | |
| 1......................................... | ||
| 2......................................... | ||
| 3........................................ | ||
| 4........................................ | ||
| 5........................................ | ||
| 12. | Does the applicant intend to operate in theentire state ? (Yes/No) | |
| 13. | Does the applicant possess the training facilityon its own or will get it on outsourcing basis? The details oftraining facility should be furnished (as annexure) | |
| Enclosure : - | ||
| Addressof applicant | ||
| Telephonenumber of the applicant | ||
| Dateof application | ||
| 1. Copy of current Income Tax ClearanceCertificate. | ||
| 2. Affidavit as prescribed in sub-section (2) ofSection 7 of the Act. | ||
| 3. Other enclosures. |
| *Thumb Impression* of theApplicant............................................................................ | Recent Passport SizePhotographAttested By AClass-IGazetted Officer | |
| Signature of theApplicant.................................................................................... | ||
| For official use only |
| Form Number | Name of the police station, sent for policeverification | Date |
1. Name of applicant (Initials not allowed)
First Name..................Middle Name................Last Name..............2. If you have ever changed your name, please indicate the previous name in full.................................................................................
3. Sex (male/female)...........................
4. Date of Birth...............................
5. Place of Birth : Village/Town...........................
District...................State & Country......................6. Father's full name/Legal Guardian's Full Name (including surname, if any): (Initials not allowed)......................................................
7. Mother's full name (including surname, if any) : (Initials not allowed)....................................................................
8. If Married. Full name of spouse (including surname, if any) : (Initials not allowed)....................................................................
9. Present Residential Address including Street No./Police Station, Village and District (with PIN code)..:......................Telephone No./Mobile No.........................Off..................Res..................Fax........................Email ID...................................
10. Please give the date from which applicant residing at the above-mentioned address : DD/MM/YY..............................
11. Permanent Address including Street No./Police Station, Village and District (with PIN code).................................
12. If you have not resided at the address given at column (9) continuously for the last five years, please furnish the other address (addresses) with duration (s) resided. You should furnish additional photocopies of this form for each additional place of stay during the last five years. Forms may be photocopied, but photograph and signature in original are required on each form.
| Address | From | To |
| ......................................... | ......................................... | ......................................... |
| ......................................... | ......................................... | ......................................... |
| ......................................... | ......................................... | ......................................... |
| ......................................... | ......................................... | ......................................... |
13. In Case of stay abroad, particulars of all places where you have resided for more than one year after attaining the age of twenty-one years.
14. Other Details :
15. Did you earlier operate any Private Placement Agency or were its partner, majority share holder, or Director ? If yes, then furnish the name, address of the agency and its license particulars.
16. Are you a citizen of India by : (Birth/Descent/Registration/ Naturalisation ? If you have ever possessed any other citizenship, please indicate (the same).
........................................................................17. Have you, at any time, been convicted by a court in India for any offence and sentenced to imprisonment? If so, give name of the court, case number, and offence. (Attach copy judgment)
18. (a) Are any criminal proceedings pending against you before a court in India ? If so, give name of court, case number, and offence
.........................................................................................................................................................................................................................................................19. Self-Declaration. - The information given by me in this form and the enclosures is true and correct and I am solely responsible for its accuracy.
(Signature/Thumb Impression.* of applicant)Date :...............Place : .............20. Enclosures :
............................................................................................................................................................................................................................................................................................(Signature/Thumb Impression * of applicant)(*Left Hand Thumb Impression if Male and RightHand thumb Impression if Female)For Office Use Only :File No......................Date of issue of C & A report........................(Signature of Police Station In-charge)Name of Police Station...............................Name of Police District..............................Note. - (i) Three passport-size photographs duly attested by G.O. on reverse of photograph in respect of applicants.| Form Number | Name of the police station, sent for policeverification | Date |
1. Name of application (Initials not allowed)
First Name................Middle Name.............Last Name...............2. If you have ever changed your name, please indicate the previous name(s) in full.........................................................................
3. Sex (male/female)............................................................
4. Date of Birth................................................................
5. Place of Birth : Village/Town...................Distt........................ State and Country...........................................................
6. Father's full name/Legal Guardian's Full Name (including surname, if any): (Initials not allowed)...............................................................................
7. Mother's full name (including surname if any): (Initials not allowed)........
8. If married Full name of spouse (including surname if any) : (Initials not allowed)............................................................................
9. Present Residential Address including Street No./Police Station, Village and
District (with PIN code)............'...............................................................Telephone No./Mobile No..........................;..............................Off.......................Res..................Fax..............................E-mail ID.......................................................................10. Please give the date from which applicant is residing at abovementioned address : DD/MM/YY /........................../.........
11. Permanent Address including Street No./police Station, Village and District (with PIN code).....................................................................
12. If you have not resided at the address given at column (9) continuously for the last five years, please furnish the other address with duration (s) resided. You should furnish additional photocopies of this form for each additional place of stay during the last five years. Forms may be photocopied, but photograph and signature in original are required on each form.
| Address | From | To |
| ......................................... | ......................................... | ......................................... |
| ......................................... | ......................................... | ......................................... |
| ......................................... | ......................................... | ......................................... |
| ......................................... | ......................................... | ......................................... |
13. In case of abroad stay, particulars of all places where you have resided for more than one year after attaining the age of twenty-one years.
14. Other Details :
15. Are you working in Central Government/State Government/Public Sector Undertakings/Statutory Bodies (Yes/No)
16. Are you citizen of India by : (Birth/Descent/Registration/Naturalisation) If you have ever possessed any other citizenship. Please indicate previous citizenship ? ....................................................................
17. (a) Have you, at any time, been convicted by a court in India for any offence and sentenced to imprisonment? If so, give name of the court, case number and offence. (Attach copy of judgment).......................
18. Self-Declaration. - The information given by me in this form and enclosures is true and correct and I am solely responsible for its accuracy.
(Signature/T.I.* of applicant)(*Left Hand Thumb Impression if Male and Right Hand thumb Impression if Female)Date :....................Place : ..................19. Particulars of person to be in the event of death or accident:
Name :.........................................................Address :......................................................Mobile/Tel. No.................................................20. Enclosures :.............................
(Signature/T.I.* of applicant)For Office Use OnlyFile No...................................Date of issue of C & A report...............................(Signature of Police Station In-charge)Name of Police Station ,.............................Name of Police District ............................Note. - (i) Three passport-size photographs1. ...........................
2. .....
3.
..........................4.
..........................Enclosed list of documentsSignatureName, Designation and Address of the AppellantDate :Place :Form-VII[See rule 12]Register of Particulars(Part-I Management details)| S. No. | Name of Person (s) managing the agency | Parent's/ Father's Name | Present address and phone no | Permanent address | Nationality | Date of joining/ leaving the agency |
| 1 |
| S. No. | Name of guard/ supervisor | Father's Name | Present Address and phone no. | Date of joining/ leaving the agency |
| 1 |
| Permanent Address | Photograph | Badge No. | Salary with date |
| S. No. | Name of the Customer and phone no. | Address of the place where domestic work isprovided | Number and ranks of domestic worker provided | Date of commencement of service | Date of discontinuation of services |
| S. No. | Name of the private domestic worker/supervisor | Address of the place of duty | Whether provided with any arms/ ammunition | Date and time of commencement of duty | Date and time of ending of duty |
| Name of the Private Placement Agency............................Name of the Private Domestic Worker/Supervisor..................Official Designation...............................Identification no. of the domestic worker/Supervisor............ | Photograph ofThe HolderDuly Attestedby the IssuingAuthority |