Annexure-A

S. No.	Particulars / Details	Description
1	Name / address Of Website	www.futureretail.co.in
2	Name of the Establishment	Future retail Limited
3	Address of the Establishment	Future Group, Knowledge House, Shyam Nagar, off, JVRL, Jogeshwari East Maharashtra Mumbai-400060
4	Address of the Establishment/Branch Office where contract workers are to be engaged	Big bazaar, Metro Station Extension, Mayur Vihar Extension
5	Nature of work for which Contract Workmen are to be employed	Housekeeping / Security
6	Name of the Proprietor/Partner/Director/Managing Director	NA
7	Date of starting of Business	NA
8	Date of Initial agreement with the Principal Employer(working since with PE)	NA
9	Mobile No. of PE / Contractor	9560101238, 9582234903
10	Email ID of PE / Contractor	pradoservices2014@gmail.com thegleamteam2017@gmail.com
11	Website Address of Contractor's establishment	NA
12	Reg. cert. No. of PE/Contractor Labour License No. and valid up to	NA
13	Reg. No. under the Reg. Act,1908	NA
14	Reg. No. under the Partnership Act,1932	NA
15	Reg. No. under the Companies Act,1956	NA
16	Reg. No. under the Shops & Establishment Act,1954	2014009691
17	Reg. No. under the Factories Act ( For PE )	NA
18	Reg. No. of Employee ESI Act,1948	NA
19	Reg. No. EPF and Misc. Provisions Act, 1952	NA
20	Service Tax Reg. No.	NA
21	GST No	NA
22	Pan Card No.	NA
23	DVAT Registration No.	NA

Labour Checklist

S.No	1	2
Name & address of the contractor Establishment	M/S Prado Services, Flat No-49, Pocket-3, Sector-1, Dwarka, Delhi-110075	M/S Gleam Team Flat NO. 88A LIG G-8 Area Rajouri Garden New Delhi 110027
Name & address of pro./partner of the Establishment	Mahesh Chandna	Sanjeev Arora
Website address	NA	NA
Name and address of the site where the contract labour is to be employed	Big bazaar, Metro Station Extension, Mayur Vihar Extension	Big bazaar, Metro Station Extension, Mayur Vihar Extension
Nature of the work of the contractor	Security	House Keeping
Maximum No of workers proposed to be employed	14	20
Period of contract	1 April 2019 to 31 march 2020	1 June 2019 to 31 march 2020
Name and address of the person in charge of site	Mahesh Chandna	Dwarka Prasad Thapliyal
Date of payment of wages	7th of every month	7th of every month

Form C