Acknowledgement 17867

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UAIN : LEDL/F1/KM/000018/05/2018

Application for Registration of Establishment under the Assam Shops & Establishment Act,1971 in FORM
O Under Section 36 and RULE 45 of the Assam Rules.

To,
The Inspector of Shops and Establishments
Sir,
I beg to apply for registration of my establishment for the period of twelve months from 18-05-2018 to 18-05-
2019 as required under section 36 of the Assam Shops and Establishments Act, 1971 and the Rules framed
thereunder.
The required particulars in regard to the establishment are furnished herein below in the form prescribed for the
purpose in Duplicate.
Name of Establishment, if any RATNA ENTERPRISES
SHOP NO. 1, CHINMOYYEE
Street name 1
COMPLEX
TOKOBARI KALIMANDIR, A.T.
Street name 2
Postal Address and exact location of the Establishment ROAD
Town/Vill GUWAHATI
District KAMRUP METROPOLITAN
Pin Code 781001

Situation of Office, store-room, godown, warehouse or (a) Office


work place, if any, attached to the establishment but (b) Store Room
situated inpremises different from those of the (c) Godown
establishment (d) Warehouse or Work Place
Name of the Employer ANJU DEVI AGARWAL
6TH FLOOR, BLOCK A,
Street name 1
PANCHRATAN APPARTMENT
Street name 2 S.J. ROAD, ATHGAON
Residential address of the Employer
Town/Vill GUWAHATI
District KAMRUP(M)
Pin Code 781001
Full Name AJAY AGARWAL
6TH FLOOR BLOCK A
Street name 1
PANCHRATAN APPT
Name of the Manager/Agent/other person acting in the Street name 2 SJ ROAD ATHGAON
general management, if any, and his address:
Town/Vill GUWAHATI
District KAMRUP METROPOLITAN
Pin Code 781001
Category of establishment : SHOP
Total No. of Employees : 4
WHOLESALE AND RETAIL TRADE AND REPAIR
Nature of business
OF MOTOR VEICLES AND MOTORCYCLES
Date of commencement of business 2003-04-04
Name of members of the employer's family employed in the establishment and residing with and wholly
dependent upon him :
Sl No. Full Name Relationship Male/Female Adult/Child
1 AJAY AGARWAL SON MALE 0

Total Number of Permanent Employees :

Sl No. Full Name Relationship Male/Female Adult/Child


1

Total Number of Temporary or Casual Employees :

Sl No. Full Name Relationship Male/Female Adult/Child


1

Total Number of Learner Probationer Employees :

Sl No. Full Name Relationship Male/Female Adult/Child


1

List of documents to be enclosed/submitted :

A copy of the registered partnership deed in the case of a


Not Applicable
partnership Firm/ Establishment.
A opy of the Trade License issued by the local
GMC TRADE LICENSE
authorities.
Attested copies of the appointment letter (s) issued to
each of the permanent, temporary, casual, probationary, Not Applicable
learner employees.

Payment Details :

Payment Mode : ONLINE


Treasury Payment Transaction Details : Transaction Status : SUCCESS
Challan No. : LABD-5afe48ad9c662
Transaction Amount (Rs.) : 2000.00
Transaction Date & Time : 18/05/2018 09:04:40 AM
Date : 18-05-2018 Signature of the Employer : ANJU DEVI AGARWAL
Place : KAMRUP(M) Designation : PROPRIETOR

Acknowledgement

Your APPLICATION FOR REGISTRATION OF ESTABLISHMENT UNDER THE ASSAM SHOPS &
ESTABLISHMENT ACT,1971 IN FORM O UNDER SECTION 36 AND RULE 45 OF THE ASSAM
RULES. has been submitted successfully to COMMISSIONERATE OF LABOUR , Assam.

Your Unique Application Identification Number (UAIN) is LEDL/F1/KM/000018/05/2018


You may track your application by entering this UAIN in the Track Your Application search box or clicking on
My Applications in the dashboard. For any further query or help, you may contact us on our helpline number +91
7086044425 / +91 7086044424 and/or email us at [email protected].

Disclaimer : This is a computed generated acknowledgement, which is subject to granting of the final
approval from the concerned authority. This acknowledgement should not be treated as the approval or its
substitute for the purpose of any other application and/or approval. The concerned authority holds no
responsibility if any other approvals are granted based on this acknowledgement.

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