CHECK LIST – PRINCIPAL EMPLOYER
ANNEXURE-A
S. No.
Particulars
Description
A
1
Name and Address of the P.E.
O.P.SURI MEMORIAL EDUCATION SOCIETY
THE SRIJAN SCHOOL
4B, NORTH MODEL TOWN DELHI-110009
2
Website address
www.thesrijanschool.com
3
Name and address of the Proprietor/ Director/Partners
List-of-trustees
4
Phone /Mobile Number and E-mail I.D. of establishment/ Person in-charge of contract work
Mr. Vincent Ashish Moses
Ph. 9650220576
Mail :- info@thesrijanschool.com
5
Name and address of the place/ Site where the contract worker are to be employed
The  Srijan School,
4B, North Model Town, Delhi-110009
6
Phone /Mobile number and E-mail ID person in-charge of the site
Mr. Devashish C. Tewary,
Ph. 9910084627
Mail:- info@thesrijanschool.com
7 Copy of Power of Attorney/ Board resolution authorizing to act as P.E.
8 Copy of MOA/AOA/ Partnership Deed/ Proprietor’s I.D. Proof
MOU
9 Nature of work for which contract workers are to be engaged/ employed
House Keeping Services,Security Services &
Drivers & Helpers
10 Form “V” issued by P.E. to each contractor – Rule 21(2)
Form-V-Principal-Employer
11 Notice of commencement/ completion of contract work – Rule 81 (3)
12 Application in Form I-Rule 17 (1)
13 Agreement with each contractor along with rate & no. of workers for which contract has been given

Agreement-with-Impex-Facility

Agreement-with-MJG-Suraksha

14 Letter of extension of contract period issued to contractors, in case of renewed of license
15 Affidavit by P.E. regarding compliance of Rule 25 (2) (V) and that wages to contract worker are being paid through Account payee Cheque/ ECS.

Affidavit-Impex

Affidavit-MJG Suraksha

Affidavit-Swift-Securitas

16 Name and designation of the person authorized under rule
Mr.Vincent Ashish Moses,Principal
17 Challan of Registration Fees (G.A.R.7)
18 Registration Certificate No. under CLRA Act. 1970
19 Registration Number/ Certificate under the Companies Act. 1956
Registraton-certificate
20 Registration Number/ Certificate under the Delhi Shops & Establishment Act, 1954/ Factories Act, 1948
21 Copy of application for amendment
22 Annual Return –rule 82(2)
 
Details of Contractors
Sr. No. Name & address of the contract establishment Name & address of the Prop/ Partner/Dire of the  establishment Website Address Name & address of site where contract labour is to be employed Nature of work of contract Max No. of workers proposed to be employed Period of contract Name & address of person in-charge of site/ contract work Date of payment of wages
From To 
1 MJG Suraksha Sanstha Pvt. Ltd.
106, Balaji Chambers, D-246/10
Laxminagar,Delhi-110092
Mr. Manjeet Singh
The Srijan School,
4B,North Model Town,
Delhi-110009
Housekeeping
Services
47
1-Apr-17
31-Mar-18
Mr.Manjeet Singh
7th of every month
2 Impex Facility Mangament Services,
B-15 Mahindra Park,Delhi-110033
Mr. Rajeev Goel
The Srijan School,
4B,North Model Town,
Delhi-110009
Drivers/ Helpers
61
1-Apr-17
31-Mar-18
Mr. Rajeev Goel
7th of every month
3 Swift Securitas Pvt.Ltd.
57, Rajdhani Enclave, Pitampura,
New Delhi-110034
Mr. Nitin Dhupar
The Srijan School,
4B,North Model Town,
Delhi-110009
Security Services
8
1-Apr-17
31-Mar-18
Mr. Nilmani
7th of every month