Airtel Compliance

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AN UNDERTAKING BY A CONTRACTOR COMPLIANCE OF ALL LAWS,

AS APPLICABLE

GENERAL INFORMATION t- 1\' l , (' \-tJ.- l-0 \IV\ W\M yV\l ~ \ ~iv

Name of Contract
~ ' u µ-
Department
Designation - In charge/Supervisor/Owner
Work Order and Vendor Code No.
Contact No
EiC Name
Location and Nature of Work (UniUPlant Name)
LIN No From:- to:- 0
Labour License (LL) Valid up to
Number of Workers :- I
No of Workers mentioned in the Labour License
From:- to :- j
Workmen Compensation Policy valid up to
Nature: :-
Nature of WC Policy
Number of Workers :-
No of Workers mentioned in the WC Policy
Number of Male workers :-
Actual no of Workers Number of Female workers :- \.

COMPLIANCES Mentioned date of Payment :- f


Salary Paid up to Month & Year ( Mentioned date of PF Payment :-
Number of Bank Payment :-
1
Number of Cash Payment (if any) :- -.:...J
1
fI Or-
Salary Paid on Gross salary :-
Net Salary :- j

No of workers under PF

1
No of workers non PF
PF Challan up to Month & Year (With ECR/Acnowledgment Yes I No_
SlipfTRRN Payment Confirmation Slip)
Yes/ No 7
PF Challan/ECR covered for all workmen If any deviation please specify reason I
Yes/ No - \
Salary Paid as per the Minimum Wages
Yes/ No- I .,
Bonus Paid as per the Bonus Act
/ ""'tr
ATTACHMENTS
Wages Register (Form No. 8) for the Month & Year
Yes/ No - I
Attendance Register (Form No. D) for the Month of & Year
Yes/ No - I
Register of Loan/Recovery (Form C) for the Month of & Year Yes/ No - I
Yes/ No -
Bank StatemenU Bank Advise with bank seal
Yes/No-
Equal Remuneration (Form D)
If any violation or non-compliance is discovered at later date, I shall be answerable to the authorities, courts for such violation
and non - compliance and the Principal Employer shall not be responsible or liable for such violations and non-compliance in
any manner whatsoever. I hereby fully agree to indemnify the Principal Employer from associated losses, costs and risks
suffered by it in the event of any violations and non-compliances on my part.

CONTRACTOR SIGNATURE WITH COMPANY SEALNAME

Notes:
1. Invoice will be passed subject to submition of undertaking of contractor

Compliances Checked and Verified


EiC Remarks :
']'~ ~~(!)\I\. h-U-V' Signature of EiC:
r WJ- Q .J,~ y I .r W t_c,J-,"OM .
Employee Code :
I ~'C•
1U \,,'e_pJ,l<,--

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