| 1. |
Name &
Address of Establishment: |
|
| 2. |
Name of the Proprietor
/ Partner / Manager : |
|
| 3. |
Registration No. under
S&E Act: |
|
| 4. |
Nature of Business: |
|
|
Retailer / Shop / Manufacturer / Corporate Office
/ Society / Place of Entertainment / Others i.e
______________
|
| 5. |
| No. of employees: |
Male: |
| |
Female: |
| |
Children: |
|
|
| 6. |
Working
Hours: |
|
| 7. |
Weekly
off day: |
|
| |
| |
Shift Timings |
| |
No of persons in each shift |
|
|
| 8. |
Interval for rest _______
to ________, Interval for meals _______ to _______
|
|
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.
|
| 9. |
| Extend /Change working hours
from- |
|
AM to |
|
AM and |
|
PM |
|
to |
|
PM |
|
| 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 |
|
|
| 12. |
| A copy of intimation circular
given to these employees to this effect with
their signatures obtained on the |
| circular is
attached. - Yes |
No |
|
|
|
| Dated: |
|
(Signature
of Applicant) |
|
| |
|
|
|
|
|
UNDERTAKING
|
| 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: |
|
(Signature
of Applicant) |
|
|
|
|
|