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Contact Labour (Regulation and Abolition) Act, 1970

FORM VII : APPLICATION FOR RENEWAL OF LICENCE

[Rule 29(2)]

1. Name and address of the contractor.

2. Number and date of the license.

3. Date of expiry of the previous license.

4. Whether the license of the contractor was suspended or revoked.

5 [5. Name of the Bank, number and date of the demand draft enclosed. Date of receipt of the application with demand draft number and date.]

Place.................

Date...................

Signature of the Applicant

(To be filled in the Office of the Licensing Officer)

Date of receipt of the application with

Treasury Receipt No. and date.

Signature of the Licensing Officer



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