Contact Labour (Regulation and Abolition) Act, 1970
8 [FORM V-A : APPLICATION FOR ADJUSTMENT OF SECURITY DEPOSIT
[Rule 24(1A)]
Name and address of the contractor
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No. and date of license
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Date of expiry of previous license
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Whether the license of the contractor was suspended or revoked
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(1)
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(2)
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(3)
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(4)
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5[No. and date of the demand draft of the
security deposit in respect of the previous license ]
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Amount of previous security deposit
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5 [No. and date of the demand draft of the
balance of security deposit , if any, required on the fresh contract]
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(5)
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(6)
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(7)
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No. and date of certificate of registration of the establishment
in relation to which the new license is applied for
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Name and address of the principal employer
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Particulars of fresh contract
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Remarks
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(8)
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(9)
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(10)
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(11)
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Place:
Date: Signature of the Applicant