Name, Designation & Address of the Contact Person for Principal Employer. Jal Sadan, Lajpat Lajpat Nagar, New Delhi-

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1 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 Shri Adarsh Kumar, of the Executive Executive Engineer (C) Engineer (C ) DR-XV, DR-XV, Jal Sadan, Jal Sadan, Lajpat Lajpat Nagar, New - 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, Sr. Project 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 Date of payment of wages 7th of the Month Website

2 Jul-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 4 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

3 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,Co-operative Industrial Badarpur, Nature and location of work : Excavation, Laying, jointing of Pipe lines, construction of Chambers and other related civil works. Providing, Sewerage facilities in the areas covering Rangpuri Pahari,Nangal Dewat, Ghitorni Village, Ghitorni Extension and Ghitorni Enclave Name and address of Principal Employer The Executive Engineer (C) Dr XV., Jal Board, Govt. of NCT of. Jal Sadan, Lajpat Nagar, New Sl. No. Name and surname of workmen Age and Sex Father's/ Husband's name Nature of Permanent Home Address of Employ workmen (Village and Tahsil/ ment/ Taluk and District) Design ation Local Address Bank Account No. Bank Name Date of Commence ment of employment Signature or thumbimpression of workmen Date of termination of employment Reasons for terminatio n a 7b Sunder Singh Rana Mohan Singh Rana 2 Harsh Omdutt 3 4 Saurabh Chandra prakash Omdutt SW SSW USW Puran Singh USW 5 Manoj Kumar Mangilal USW 6 Ajay Kumar Radheshyam USW 7 8 Sunil Singh Kirola Pramod Parihar Puran Singh Kirola USW Kammod USW B-3/406, Baba Colony, Sant Sewage Treatment Nagar, Burari, Babarpur, Plant, Ghitorni, New North 245, Mawana road, Gargi Vidyalay Ke Pas, Ganga Nagar, Defence Colony, Meerut , Mawana road, Gargi Vidyalay Ke Pas, Ganga Nagar, Defence Colony, Meerut Sewage Treatment Plant, Ghitorni, New Sewage Treatment Plant, Ghitorni, New ICICI Bank Allahabad Bank Punjab National Bank Routh Bangar Bulandshahar -Sewage Treatment Plant, Ghitorni, New ICICI Bank Resigned Ganesh Mandir Road, Akhare wale balaji ke pas Sewage Treatment Shivajinagar Madanganj Plant, Ghitorni, New Kishangarh Ajmer (Rajasthan) House No.60, Shekhangaon, Raja Fatehpur, Tiloi, RaiBareli, Uttarpradesh House No.25, Village & Post- Bhilkot (Garur), Bagheshwar, Uttarakhand Ramjipur, Mohangarh, Gwalior, Bitarwar, Madhya Pradesh Sewage Plant, Ghitorni, New SBBJ Resigned Treatment ICICI Bank Resigned Sewage Plant, Ghitorni, New Treatment Bank of Baroda Sewage Treatment Plant, Ghitorni, New Canara Bank Remarks

4 M/S Street Engineering PAYSHEET OF WORKER DEPLOYED AT GHITORNI SITE EPF Code No.: DSNHP Name & Address of the Contractor: 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 Sr. Design Amount of wages Earned Deduction if any No.in Daily ation/ Units Name of No. of Rate of Other cash Father's the Nature of payment Total Net Amount the AGE days wages / Dearness Overt Name register of Work Basic Wages (Nature of Total EPF Deduction paid Workman of Worked Piece Allowance ime Work done payment to workme Rate Done be indicated) 1 Sunder n Mohan 1 Singh Rana Singh Rana SW , , , , , Harsh Omdutt 2 SSW , , , , , Saurabh Omdutt 3 USW , , , Sunil Singh Kirola Mangilal 7 USW , , , , , Pramod Parihar Kammod 8 USW , , , , , Total 46, , , , , Sr. No. Month Jul-18 Month Days Signature/ Thumb impression of workmen 31 Initial of his contract or or his represe ntative

5 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 - JULY Sunder Singh Rana Mohan Singh Rana 19 P P P P P P P P P P P P P A A A A A A A P P P P P P 2 Harsh Omdutt 15 P P P P P P A A A P P P P P P P P P A A A A A A A A 3 Saurabh Omdutt 14 P P P P P P A A A A A A P P P A A A P P P P A A A P 4 Sunil Singh Kirola Mangilal 17 P P P P P P A A P P P P A A P P P P P P A A A A A P 5 Pramod Parihar Kammod 17 P P P P P P A A P A A A P P P P P P P P A A A P P A `

6 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 12-AUG :11:20 DSNHP INDIAN HUME PIPE CO. LTD Monthly Contribution Challan 6 JUL-18 14,955 9, , State Bank of India Presentation Date : 13-AUG :59:17 Realization Date : Date of Credit : Not Available Not Available Page 1 of 1

7 Page 1 of 2 M /131443/1-2/SEGGB/08-14 Your Details With Us : M/S.STREET ENGINEERING PRIVATE LIMITED H IN,KH 302,GF FLR,SULTAN PUR NEW DELHI DELHI - INDIA Your Base Branch : DELHI - CHHATTARPUR BRANCH, ICICI BANK LTD.,SHOP NO.619/10,OPPOSITE TIVOLI GARDEN,CHATTARPUR,DELHI SUMMARY OF ACCOUNTS HELD UNDER CUSTOMER ID: AS ON August 07, 2018 I. Operative Account in INR TYPE OF ACCOUNT ACCOUNT NUMBER BALANCE (INR) MICR CODE IFS CODE Nomination Current ,046.98Cr ICIC Not Registered Total : 40,046.98Cr Statement of Transactions in Current Account Number : in Currency INR for the period to Tran Date Value Date Particulars Location Chq.No Withdrawals Deposits Balance (INR) NFS/CASH WDL/ /Fee Rs20.00 GST Rs3.60 DELHI - CHHATTARPUR 5, , Cr INF/ /SUNDAR SINGH SALARY DELHI - CHHATTARPUR 10, , Cr INF/ /HARSH SALARY DELHI - CHHATTARPUR 7, , Cr INF/ /SOURABH SHARMA SALARY DELHI - CHHATTARPUR 6, , Cr INF/ /SUNIL SINGH SALARY DELHI - CHHATTARPUR 7, , Cr INF/ /PARMOD PARIHAR DELHI - CHHATTARPUR 7, , Cr Total: 46, , Cr ROG_SR _TK_AS_Ssen_ 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. Cont...

8 M/S.STREET ENGINEERING PRIVATE LIMITED Page 2 of 2 M For ICICI Bank Limited Authorised Signatory 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 Legend for transactions in your account statement CIN : L65190GJ1994PLC Corporate Office: ICICI Bank Ltd., ICICI Bank Towers, Bandra-Kurla complex, Mumbai , India. *** End of Statement *** INF - Internet fund transfer in linked accounts BIL - Internet Bill payment or funds transfer to third party LCCBRN CMS - Local cheque collection 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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