Get Application For Licence ( See Rule 21 (1) ) Form Iv 1. Name And ... - Pioneersecurityservices

This guide provides a comprehensive overview of the Application For Licence ( See Rule 21 (1) ) FORM IV, offering clear instructions on how to complete the form online. By following these steps, users can ensure a thorough and accurate submission process.

Follow the steps to complete your application efficiently.

1. Press the ‘Get Form’ button to access the form and open it in your preferred document editor.
2. Enter the name and address of the contractor in the first section. If the contractor is an individual, include their father's name.
3. If you are the contractor, provide your date of birth and age in the designated fields.
4. Provide details about the establishment where contract labor will be employed. Include the establishment's name and address.
5. Specify the type of business, trade, or industry that is conducted at the establishment.
6. Input the certificate number and date of registration of the establishment under the relevant Act.
7. Provide the name and address of the principal employer associated with the establishment.
8. Fill in the particulars of contract labor, starting with the nature of work to be undertaken by contract labor within the establishment.
9. Indicate the expected duration of the proposed contract work by specifying the start and end dates.
10. Provide the name and address of the agent or contractor who will be present at the work site.
11. Outline the maximum number of contract labor expected to be employed on any single day at the establishment.
12. Answer whether the contractor has faced any convictions within the last five years and provide details if applicable.
13. Indicate if there have been any prior orders against the contractor regarding license revocation or security deposits, along with dates.
14. State if the contractor has worked in any other establishment over the past five years and list details if applicable.
15. Confirm whether a certificate in Form V from the principal employer is enclosed with your application.
16. Specify the license fee amount and provide Treasury Challan number and date.
17. Document the amount of security deposited including the Treasury Challan number and date.
18. Complete the declaration stating that all provided details are correct to the best of your knowledge, and then sign the application.
19. Finally, review the completed form for accuracy, save your changes, and proceed to download, print, or share the form as needed.

Start filling out your application for a license online today!