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1 TRRN Details TRRN No : Challan Status : Challan Generated On : Establishment ID : Establishment Name : Challan Type : Total Members : Wage Month : Total Amount (Rs) : Account-1 Amount (Rs) : Account-2 Amount (Rs) : Account-10 Amount (Rs) : Account-21 Amount (Rs) : Account-22 Amount (Rs) : Payment Confirmation Bank : CRN : Payment Confirmed 11-SEP :19:17 DSNHP INDIAN HUME PIPE CO. LTD Monthly Contribution Challan 6 AUG-18 7,913 4, , State Bank of India Presentation Date : 12-SEP :00:00 Realization Date : 12-SEP :00:00 Date of Credit : 12-SEP :00:00 Page 1 of 1

2 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, Asst. General 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 Street Engineering Pvt. Ltd. PAN - AAWCS7076B EPF - Deposited in Company's Code No.DS/NHP/3449 ESI - Not applicable Name of Executive/ Partner/ Prop/ Director & PAN No. Shri Sunder Singh Rana Site/ Work Place where Contract Labour is to be engaged Maximum No of workers to be engaged Ghitorni 5 Name & Designation of Authorised representative of PE/Contractor for Verifying/witness the wage disbursment Shri Santosh Kumar Sharma Date of payment of wages 7th of the Month Website

3 Aug-18 Annexure "B" Sr. No. Category of Workmen Minimum Daily wages payable 1 Skilled Semi-Skilled Un-Skilled Annexure "C" Sr. No. Type of Workmen Category of Workmen 1 Engineers / Supervisory Staff 1 2 Other Staff 1 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

4 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,Cooperative Industrial Badarpur, Nature and location of work : Name and address of Principal Employer Excavation, Laying, jointing of Pipe lines, construction of Chambers and The Executive Engineer (C) other related civil works. Providing, Sewerage facilities in the areas covering Rangpuri Pahari,Nangal Dewat, Ghitorni Village, Ghitorni Extension and Ghitorni Dr XV., Jal Board, Govt. of NCT of. Jal Sadan, Lajpat Nagar, New Enclave Sl. No. Name and surname of workmen Age and Sex Father's/Husband's name Nature of Employm Permanent Home Address of ent/ workmen (Village and Designat Tahsil/ Taluk and District) ion Local Address Bank Account No. Bank Name Date of Commence ment of employment Signature or thumbimpression of workmen Date of Reasons for termination of termination employment a 7b B-3/406, Baba Colony, Sant Nagar, Burari, Babarpur, 1 Sunder Singh Rana Mohan Singh Rana SW Plant, Ghitorni, New ICICI Bank North 2 Harsh Omdutt Sharma SSW 245, Mawana road, Gargi Vidyalay Ke Pas, Ganga Nagar, Defence Colony, Meerut Plant, Ghitorni, New Allahabad Bank Remarks 3 Saurabh Sharma Omdutt Sharma USW 245, Mawana road, Gargi Vidyalay Ke Pas, Ganga Nagar, Defence Colony, Meerut Plant, Ghitorni, New Punjab Bank National Chandraprakash Puran Singh USW 5 Manoj Kumar Mangilal USW Routh Bangar Bulandshahar -Sewage Treatment Plant, Ghitorni, New ICICI Bank Ganesh Mandir Road, Akhare wale balaji ke pas Shivajinagar Madanganj Plant, Ghitorni, New Kishangarh Ajmer (Rajasthan) SBBJ Ajay Kumar Radheshyam USW House No.60, Shekhangaon, Raja Fatehpur, Tiloi, Rai Plant, Ghitorni, New Bareli, Uttarpradesh ICICI Bank Sunil Singh Kirola Puran Singh Kirola USW House No.25, Village & Post- Bhilkot (Garur), Bagheshwar, Plant, Ghitorni, New Uttarakhand Bank of Baroda Pramod Parihar Kammod USW Ramjipur, Mohan Garh, Gwalior, Bhitarwar, (M.P.) Plant, Ghitorni, New Canara Bank

5 EPF Code No.: Name & Address of the Contractor: Name & Location of Work: Name & Address of the Estt. In/under which Contract is carried on: Name & Address of Principal Employer: Sr. No. Name of the Workman M/S Street Engineering PAYSHEET OF WORKER DEPLOYED AT GHITORNI SITE DSNHP M/s Street Engineering Construction work at Ghitorni The Indian Hume Pipe Co. Ltd., B2/82, MCIE, Opp.Seble Cinema, Mathura Road, Badarpur, New -44 Jal Board, Lajpat Nagar, New Basic Wages Dearness Allowance Overt ime Other cash payment (Nature of payment to be indicated) 1 Sunder Singh Rana Mohan Singh Rana 1 SW , , , , , Harsh Omdutt Sharma 2 SSW , , , Saurabh Sharma Omdutt Sharma 3 USW , , , Sunil Singh Kirola Mangilal 7 USW , , , Pramod Parihar Kammod 8 USW , , , Total Father's Name AGE Sr. No.in the register of workme n Design ation/ Nature of Work Done No. of days Worked Units of Work done Daily Rate of wages / Piece Rate Amount of wages Earned Total 17, , , , , EPF Month Deduction if any (Indicate Nature) Total Deduction Aug-18 Net Amount paid Month Days Signature/ Thumb impression of workmen 31 Initial of his contract or or his represe ntative

6 SUNDAY SUNDAY INDIPENDENCE DAY SUNDAY SUNDAY M/S Street Engineering PAYSHEET OF WORKER DEPLOYED AT GHITORNI SITE EPF Code No. Name & Address of the Contractor: DSNHP M/s Street Engineering, Name & Location of Work: Construction work at Ghitorni Name & Address of the Estt. In/under which Contract is carried on: The Indian Hume Pipe Co. Ltd., B2/82, MCIE, Opp.Seble Cinema, Mathura Road, Badarpur, New -44 Name & Address of Principal Employer: Jal Board, Lajpat Nagar, New S. NO. NAME FATHER'S NAME MONTH - AUGUST Sunder Singh Rana Mohan Singh Rana 13 P A P P A A A P P P P P P P P P P A A A A A A A A A 2 Harsh Omdutt Sharma 4 P P P P A A A A A A A A A A A A A A A A A A A A A A 3 Saurabh Sharma Omdutt Sharma 3 P P P A A A A A A A A A A A A A A A A A A A A A A A 4 Sunil Singh Kirola Mangilal 4 P P P P A A A A A A A A A A A A A A A A A A A A A A 5 Pramod Parihar Kammod 5 A A P P P P P A A A A A A A A A A A A A A A A A A A `

7 Page 1 of 2 M SUMMARY OF ACCOUNTS HELD UNDER CUSTOMER ID: XXXXX1195 AS ON September 07, 2018 I. Operative Account in INR TYPE OF ACCOUNT ACCOUNT NUMBER BALANCE (INR) MICR CODE IFS CODE Nomination Current XXXXXXXX ,770.00Cr ICIC Not Registered Total : 42,770.00Cr Statement of Transactions in Current Account Number : XXXXXXXX0533 in Currency INR for the period to Tran Date Value Date Particulars Location Chq.No Withdrawals Deposits Balance (INR) INF/ /SAURABH SALARY DELHI - CHHATTARPUR 1, , Cr INF/ /SUNDAR SINGH SALARY DELHI - CHHATTARPUR 7, , Cr INF/ /HARSH SALARY DELHI - CHHATTARPUR , Cr INF/ /SUNIL SINGH SALARY DELHI - CHHATTARPUR 1, , Cr INF/ /PRAMOD SALARY DELHI - CHHATTARPUR 2, , Cr NFS/CASH WDL/ /Fee Rs20.00 GST Rs3.60 DELHI - CHHATTARPUR 5, , Cr NFS/CASH WDL/ /Fee Rs20.00 GST Rs3.60 DELHI - CHHATTARPUR 2, , Cr Total: 22, , Cr Please note: To avoid RTGS rejection, we request you to provide your complete ICICI Bank account number to the remitting parties. "Category of service: Banking & Financial Services. Registration No.MIV/ST/Bank & Finc/4." REGD ADDRESS:ICICI Bank Tower, Near Chakli Circle, Old Padra Road, Vadodara, Gujarat. Pin This is an authenticated intimation/statement. Customers are requested to immediately notify the bank of any discrepancy in the statement. ROG_SR _TK_AS_Ssen_ Cont...

8 Page 2 of 2 M Statement of Transactions in Current Account Number : XXXXXXXX0533 in Currency INR for the period to For ICICI Bank Limited Legend for transactions in your account statement VAT/MAT/NFS - Cash withdrawal at other Bank ATM's VPS/IPS - Debit card transaction BCTT - Banking Cash Transaction Tax UCCBRN CMS - Upcountry cheque collection INF - Internet fund transfer in linked accounts BIL - Internet Bill payment or funds transfer to third party LCCBRN CMS - Local cheque collection Authorised Signatory CIN : L65190GJ1994PLC Corporate Office: ICICI Bank Ltd., ICICI Bank Towers, Bandra-Kurla complex, Mumbai , India. *** End of Statement ***

9 Page 3 of 2 M This is an authenticated intimation/statement. Customers are requested to immediately notify the bank of any discrepancy in the statement. ROG_SR _TK_AS_Ssen_

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