Name, Designation & Address of the Contact Person for Principal Employer
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1 Name & Address the Principal Employer/ Establishment Name, Designation & Address the Contact Person for Principal Employer Name & Address the Contractor/ Establishment Name, Designation & Address the Contact Person for Contractor/ Establishment Jal Board, Govt. NCT, Office 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, 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. 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 Executive/ Partner/ Prop/ Director & PAN No. Shri Sunder Singh Site/ Work Place where Contract Labour is to be engaged Maximum No workers to be engaged Ghitorni 5 Name & Designation Authorised representative PE/Contractor for Verifying/witness the wage disbursment Shri Santosh Kumar Sharma Date payment wages 7th the Month Website
2 Jun-18 Annexure "B" Sr. No. Category Workmen Minimum Daily wages payable 1 Skilled Semi-Skilled Un-Skilled Annexure "C" Sr. No. Type Workmen Category Workmen 1 Engineers / Supervisory Staff 1 2 Other Staff 4 Annexure "D" Sr. No. Particulars Remark 1 Maximum No. Workers Employed at Location 5 2 Details Bonus paid for Last Year NIL 3 Details Encashment Leave NIL 4 Details Unpaid wages NIL
3 FORM XIII [See Rule 75] Register Workmen Employed by Contractor Name and address Contractor Name and address 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 work : Name and address Principal Employer Excavation, Laying, jointing Pipe lines, construction Chambers and other related civil The Executive Engineer (C) works. Providing, Sewerage facilities in the areas covering Rangpuri Pahari,Nangal Dewat, Dr XV., Jal Board, Govt. NCT. Jal Sadan, Lajpat Nagar, New Ghitorni Village, Ghitorni Extension and Ghitorni Enclave Sl. No. Name and surname workmen Age and Sex Father's/ Husband's name Nature Employm ent/ Designati on Permanent Home Address workmen (Village and Tahsil/ Taluk and District) Local Address Bank Account No. Bank Name Date Commence ment employment Signature or thumbimpression workmen Date termination employment Reasons for termination a 7b B-3/406, Baba Colony, Sant Sewage Treatment Sunder Singh Mohan Singh SW Nagar, Burari, Babarpur, Plant, Ghitorni, New ICICI Bank North Remarks 2 Harsh Omdutt Sharma SSW 245, Mawana road, Gargi Vidyalay Ke Pas, Ganga Nagar, Defence Colony, Meerut Sewage Treatment Plant, Ghitorni, New Allahabad Bank Saurabh Sharma Omdutt Sharma USW 245, Mawana road, Gargi Vidyalay Ke Pas, Ganga Nagar, Defence Colony, Meerut Sewage Treatment Plant, Ghitorni, New Punjab National Bank Chandraprakash Puran Singh USW 5 Manoj Kumar Mangilal USW 6 Ajay Kumar Radheshyam USW 7 Sunil Singh Kirola Puran Singh Kirola USW Routh Bangar Sewage Treatment Bulandshahar Plant, Ghitorni, New ICICI Bank Resigned Ganesh Mandir Road, Akhare wale balaji ke pas Sewage Treatment Shivajinagar Madanganj Plant, Ghitorni, New Kishangarh Ajmer (Rajasthan) SBBJ Resigned House No.60, Shekhangaon, Raja Fatehpur, Tiloi, Rai Bareli, Uttarpradesh House No.25, Village & Post- Bhilkot (Garur), Bagheshwar, Uttarakhand Sewage Treatment Plant, Ghitorni, New ICICI Bank Sewage Plant, Ghitorni, New Treatment Bank Baroda
4 EPF Code No.: Name & Address the Contractor: Name & Location Work: Name & Address the Estt. In/under which Contract is carried on: Name & Address Principal Employer: Sr. No. 1 Name the Workman Sunder Singh Father's Name Mohan Singh AGE Sr. No.in the register workme n Design ation/ Nature Work Done No. days Worked Units Work done 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 Month Month Jun-18 Days Daily Rate wages / Piece Rate Basic Wages Amount wages Earned Dearness Allowance Overt ime Other cash payment (Nature payment to be indicated) 1 SW , , , , , Harsh Omdutt Sharma 2 SSW , , , , , Saurabh Sharma Omdutt Sharma 3 USW , , , Sunil Singh Kirola Mangilal 7 USW , , , Total Deduction if any (Indicate Nature) EPF Total Deduction Net Amount paid Signature/ Thumb impression workmen 30 Initial his contract or or his represe ntative Total 34, , , , ,144.00
5 SUNDAY SUNDAY SUNDAY SUNDAY M/S Street Engineering PAYSHEET OF WORKER DEPLOYED AT GHITORNI SITE EPF Code No. Name & Address the Contractor: DSNHP M/s Street Engineering, Name & Location Work: Construction work at Ghitorni Name & Address 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 Principal Employer: Jal Board, Lajpat Nagar, New S. NO. NAME FATHER'S NAME MONTH - JUNE Sunder Singh Mohan Singh 26 P P P P P P P P A A A A A A P P P P P P P P P P P P 2 Harsh Omdutt Sharma 12 P P P P P P P P A A A A A A P P P P P P P P P P A A 3 Saurabh Sharma Omdutt Sharma 10 P P P P A A A A A A P P P P A A A A A A P P P P A A 4 Sunil Singh Kirola Mangilal 12 P P P A P P P P A A A A A A A A A A A P P P P P P P `
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 :33:08 DSNHP INDIAN HUME PIPE CO. LTD Monthly Contribution Challan 4 JUN-18 8,891 5, , State Bank India Presentation Date : 13-AUG :57:51 Realization Date : Date Credit : Not Available Not Available Page 1 1
7 Page 1 2 M /118446/1-2/SEGGB/08-13 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 : BRANCH, ICICI BANK LTD.,SHOP NO.619/10,OPPOSITE TIVOLI GARDEN,CHATTARPUR,DELHI SUMMARY OF ACCOUNTS HELD UNDER CUSTOMER ID: AS ON July 06, 2018 I. Operative Account in INR TYPE OF ACCOUNT ACCOUNT NUMBER BALANCE (INR) MICR CODE IFS CODE Nomination Current ,950.38Cr ICIC Not Registered Total : 37,950.38Cr Statement Transactions in Current Account Number : in Currency INR for the period to Tran Date Value Date Particulars Location Chq.No Withdrawals Deposits Balance (INR) INF// /SUNDAR SINGH ATM/CASH WDL/ / INF/ /HARSH SALARY INF/ /SOURABH SHARMA SALARY INF// /SUNIL SINGH SALARY MMT/IMPS/ / /INDUSIND BANK L Total: 9, , Cr 4, , Cr 7, , Cr 5, , Cr 7, , Cr 10, , Cr 34, , , Cr Please note: To avoid RTGS rejection, we request you to provide your complete ICICI Bank account number to the remitting parties. "Category 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 any discrepancy in the statement. ROG_SR _TK_AS_Ssen_ Cont...
8 M/S.STREET ENGINEERING PRIVATE LIMITED Page 2 2 M-1 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 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 any discrepancy in the statement. ROG_SR _TK_AS_Ssen_
Name, Designation & Address of the Contact Person for Principal Employer. Jal Sadan, Lajpat Lajpat Nagar, New Delhi-
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
TRRN Details. TRRN No : Total Members : Total Amount (Rs) : Account-10 Amount (Rs) : Account-22 Amount (Rs) :
TRRN Details TRRN No : 1051809006416 Challan Status : Challan Generated On : Establishment ID : Establishment Name : Challan Type : Total Members : Wage Month : Total Amount (Rs) : Account-1 Amount (Rs)
Name & Address of the Contractor/ Establishment. The Indian Hume Pipe Co. Ltd., B2/82, Mohan Cooperative
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
Name & Address of the Contractor/ Establishment. The Indian Hume Pipe Co. Ltd., B2/82, Mohan Cooperative
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
Name & Address of the Contractor/ Establishment. The Indian Hume Pipe Co. Ltd., B2/82, Mohan Cooperative
Name & Address the Principal Employer/ Establishment Name, Designation & Address the Contact Person for Principal Employer Name & Address the Contractor/ Establishment Name, Designation & Address the Contact
Name & Address of the Contractor/ Establishment. The Indian Hume Pipe Co. Ltd., B2/82, Mohan Cooperative
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
Name & Address of the Contractor/ Establishment. The Indian Hume Pipe Co. Ltd., B2/82, Mohan Cooperative
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
Annexure "A" Sr. No. Particulars / Details Description
Annexure "A" Sr. No. Particulars / Details Description 1 Name / Address of website www.indianhumepipe.com 2 Name of Establishment The Indian Hume Pipe Co. Ltd. 3 Address of Establishment (Registered Office)
Name & Address of the Contractor/ Establishment. The Indian Hume Pipe Co. Ltd., B2/82, Mohan Cooperative
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
Name & Address of the Contractor/ Establishment. The Indian Hume Pipe Co. Ltd., B2/82, Mohan Cooperative
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
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