भारत सरकार
GOVERNMENT OF INDIA
भारत सरकार
GOVERNMENT OF INDIA
श्रम एवं रोजगार मंत्रालय
Ministry of Labour
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सुगम्यता
छत्तीसगढ़ शासन, श्रम विभाग
LABOUR DEPARTMENT, GOVERNMENT OF CHHATTISGARH
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अपडेट
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कार्य और नियम
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प्रकाशन
शिकायत / सुझाव
श्रमायुक्त से संबंधित
मंडल से संबंधित
मंडल से संबंधित शिकायतों की स्थिति
ईओडीबी सेवाएं
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होम
हमारे बारे में
मिशन / विज़न
संगठनात्मक संरचना
कौन क्या है
मीडिया / अपडेट
घोषणाएं
फोटो गैलरी
अपडेट
संसाधन
कार्य और नियम
योजनाएं
बजट
प्रकाशन
शिकायत / सुझाव
श्रमायुक्त से संबंधित
मंडल से संबंधित
मंडल से संबंधित शिकायतों की स्थिति
ईओडीबी सेवाएं
रिपोर्ट
संपर्क करें
Now the Provision of Renewal of Licence has been eliminated.Licence Shall be valid for the duration of work order
Application For License Under Contract Labour ACT 1970
FORM-IV
[See C.G. Rules 21(1)]
Application For License
Particular's of Contractor's Establishment
Name
*
Particular's of Contractor's Establishment => Please Enter Name
Land Mark
*
*
Address
*
*
State
*
--Select--
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chhattisgarh
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kerala
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Punjab
Rajasthan
Sikkim
Tamil Nadu
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
Andaman and Nicobar
Chandigarh
Dadra and Nagar Haveli
Daman and Diu
Lakshadweep
Puducherry
Delhi
Telangana
Laddakh
*
Dist
*
*
Rural/Urban
*
*
Block Name
*
*
Pin Code
*
*
*
E.P.F. Registration No
*
*
Date of Commencement of Work/Proposed Date
*
*
E-Mail ID
*
*
If Registered Under Companies ACT
*
YES
NO
*
Particulars of contractor in Person
Contractor Name
*
*
Designation
*
*
Father's Name
*
*
Date of Birth
*
*
Age
*
*
*
Postal Address
*
*
State
*
--Select--
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chhattisgarh
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kerala
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Punjab
Rajasthan
Sikkim
Tamil Nadu
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
Andaman and Nicobar
Chandigarh
Dadra and Nagar Haveli
Daman and Diu
Lakshadweep
Puducherry
Delhi
Telangana
Laddakh
*
Dist
*
*
Rural/Urban
*
*
Block Name
*
*
Pin Code
*
*
*
Adhar Number
*
*
PAN Card Number
*
*
*
Mobile Number
*
*
*
Email-ID
*
*
Particulars of Agent/Manager of Contractor
Full Name
*
*
Designation
*
*
Father's Name
*
*
Postal Adress
*
*
State
*
--Select--
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chhattisgarh
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kerala
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Punjab
Rajasthan
Sikkim
Tamil Nadu
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
Andaman and Nicobar
Chandigarh
Dadra and Nagar Haveli
Daman and Diu
Lakshadweep
Puducherry
Delhi
Telangana
Laddakh
*
Dist
*
*
Rural/Urban
*
*
Block Name
*
*
Pin Code
*
*
*
Adhar Number
*
*
PAN Card Number
*
*
*
E-Mail ID
*
*
Mobile Number
*
*
*
Information on Establishment of Principal Employer
Category of Establishment
--Select--
Factory
Non-Factory
*
Is Establishment
Government
Private
Whether Contractor was convicted of any offence withing preceding five years?
Select One
*
YES
NO
*
*
Whether any order Passed against the Contractor Revoking/Suspending License/Forfeiting Security Deposit ?
Select One
*
YES
NO
*
*
Whether the Contractor Worked in any Establishment within Five Year?
Select One
*
YES
NO
*
Whether Certificate issued By Principal Employer In FORM -V enclosed
Upload Form V
*
Download FOrm FORM -V Formate
क्या आप अपने पुराने अनुज्ञप्ति की प्रतिभूती राशी का समायोजन करना चाहते है
Select One
*
YES
NO
Payment of License Fee
E-Chalan
(Chalan Head =>0230 श्रम और रोजगार 106 संविदा श्रमिक (विनिमय उन्मूलन) एक्ट के अंतर्गत प्राप्तियां)
Help for e-challan
E-Chalan(Treasury Ref) Number
*
License Fee
*
*
+
= Total License Fee
Security Deposit
E-Chalan
(Chalan Head =>K Deposite Advance (6) Deposite Not Bearing Intrest
8443 Civil Deposite 116 Deposite under Various Contacts
Labour /Regulation and Abolition/Act 1970 (Security Deposite)
Help for e-challan
Chalan Number
Security Deposite
*
*
User Detail
User Name
*
Password
*
Mobile Number
*
*
Telephone Number
I
hereby declare that the particulars given and document uploaded here in above are true to the best of my knowledge and belief.