S.No. Particulars/Details Description Attached Documents
1 Name /Address of the P.E Dr. Raj Kumar / ZP -9, Pitampura, New Delhi – 110034
2 Website Address ayushmanhhs.in
3 Name and address of the Proprietor/Director/Partners Dr. Raj Kumar / ZP -9, Pitampura, New Delhi – 110034
4 Phone/Mobile Number and E-Mail ID of Establishment/Person Incharge of Contract Work Dr. Arvind Jha ( Medical Superintendent) 9650060717 , ayushmanhhs.ms@gmail.com.com
5 Name and Adress of the place/ site where the contract workers are to be employed Ayushman Hospital & Health Services, Elephanta Lane, Sector – 10 , Dwarka, New Delhi – 110075
6 Phone/Mobile Number and E-Mail ID of Establishment/Person Incharge of the site 9650060717 , ayushmanhhs.ms@gmail.com
7 Copy of power of Attorney/Board resolution authorizing to act as P.E Not Applicable
8 Copy of MOA/AOA/Partnership Deed/ Proprietor’s ID Proof Proprietorship Affidavit (Attached) PDF
9 Nature of work for which contract workers are to be engaged/employed Housekeeping & Security
10 Form “V” issued by P.E to each contractor- Rule 21(2) Attached PDF
11 Notice of Commencement/completion of contract work-Rule 81(3) Submitted
12 Application in Form 1- Rule 7(1) Submitted
13 Agreement with each contractor with rate & no of worker for which contract has been given Copy enclosed
14 Letter of extension of contract period issued to contractors in case of renewal of license Copy enclosed
15 Affidavit by P E regarding compliance of Rule 25(2) (V) and that wages to contract workers are being paid through account Payees cheques/ECS Submitted
16 Name and designation of the person authorized under Rule Dr. Arvind Jha ( Medical Superintendent)
17 Challan of Registration Fees (GAR-7) Copy enclosed
18 Registration certificate no. under CLRA Act, 1970 50690000000185
19 Registration certificate no. under Companies Act 1956 Not Applicable
20 Registration certificate no. under Delhi shop & Establishment Act, 1954/ Factories Act 1948 2017040647
21 Copy of Application for amendment Not Applicable
22 Annual Return – Rule 82 (2) Submitted