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State of Chattisgarh - Section
Section 13 in Chhattisgarh Private Placement Agencies (Regulation) Rules, 2014
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 |