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Application Form |
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To, The Labour Commissioner Govt. of NCT of Delhi 5 Sham Nath Marg Delhi
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| SUB: Application for Exemption from provisions of Shops & Establishment Act 1954 |
Sir, |
| The undersigned is Proprietor/ Partner/ Manager for establishment as per the following particulars. |
| 1. |
Name & Address of Establishment: |
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| 2. |
Name of the Proprietor / Partner / Manager |
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| 3. |
Registration No. under S&E Act: |
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| 4. |
Nature of Business: |
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Retailer / Shop / Manufacturer / Corporate Office / Society / Place of Entertainment / Others i.e ______________ |
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| 5. |
| No. of employees: |
Male: |
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Female: |
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Children: | |
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| 6. |
Working Hours: |
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| 7. |
Weekly off day: |
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Shift Timings |
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No of persons in each shift | |
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| 8. |
Interval for rest _______ to ________, Interval for meals _______ to _______ |
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It is requested that exemption may kindly be given under section 14 and / or section 15 and /or section 16 of the S&E Act 1954 in following respect till 31st March 2003. |
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| 9. |
| Extend /Change working hours from- |
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AM to |
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AM and |
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PM |
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to |
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PM |
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| 10. |
Allow opening of Establishment on: Weekly off / National Holiday. |
| 11. |
| List of employees with designation who will work after the normal working hours and details of benefits |
| which shall be given to them is attached. - Yes |
No |
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| 12. |
| A copy of intimation circular given to these employees to this effect with their signatures obtained on the |
| circular is attached. - Yes |
No |
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| Dated: |
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(Signature of Applicant) | |
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UNDERTAKING |
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| 1. |
Employer shall make suitable arrangement regarding safety, security and transportation of all the employees, who have been asked to work overtime. |
| 2. |
Overtime wages should be paid to eligible employees at double rate of wages and in accordance with the provision of Delhi Shops & Establishments Act, 1954. |
| 3. |
Employees working on National Holidays shall be given compensatory leave in lieu thereof and double rate of wages as overtime. |
| 4. |
Weekly off day will be allowed to employees in rotation. |
| 5. |
Shift working shall be by rotation so as to ensure that no employee is forced to work in night shift only. |
| 6. |
A copy of this order shall be displayed on the Notice Board by the Employer. | |
| Dated: |
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(Signature of Applicant) | |
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