Inter State Migrant Act, 1979

Application for Registration of Establishment Employing Migrant Workman Form 1 (rule 3(1))

Fields marked with “ * ” are mandatory

Application Processing Location

District Office Name *

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Sub Division *

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Name and Location of the Establishment

Name of the Establishment *

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Location of the Establishment *

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District *

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Block / Circle *

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Pincode *

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Mobile Number *

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E-Mail *

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Postal Address of the Establishment

Address *

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State *

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District *

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Pincode *

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Name and Address of the Manager or person responsible for the supervision and control of the Establishment

Full Name *

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Address *

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State *

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District *

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Pincode *

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Nature of work

Nature of work carried on in the Establishment *

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Are you Individual or a firm/company? *

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Full Name *

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Father's/Spouse's Name (in the case of individuals)

Address

State *

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District *

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Pincode *

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Names and Address of the directors/Particular partners

S.No

Name

Address

S.No

Name

Address

Particulars of Contractors and Migrant Workmen

Name

Address

Name

Address

Nature of work for which migrant workmen are to be recruited or are employed *

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Maximum number of migrant workmen to be employed on any day through each contractor *

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Estimated Date of commence through each contractor *

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Estimated date of termination of employement of migrant workmen under each contractor *

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Fee (To be Paid)

General Guidelines for classification of Industries /Factories as Low /Medium /High Risk Industries /Factories

1. Total Manpower engaged per day & Total rated capacity (Power) installed expressed in H.P

Total Man Power engaged per day *

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Total rated capacity (power) installed expressed in H.P. *

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2. Location

Population *

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Lighting / Thundering area *

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Seismic Zone *

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Area / District *

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Flood affected areas *

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Area / District *

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Near MAH Unit *

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3. MAH Unit *

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4. Hazardous Operation (Section 2 cb of Factories Act, 1948) and 1st schedule *

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5. Occupational Health Hazards (Schedule 2 of Factories Act) *

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6. Dangerous Operations (Refer schedule to Bihar Factories Rule, 1950) *

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7. Chemical Process (Refer schedule to Bihar Factories Rule, 1950) *

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8. Storing chemicals (Please refer to control of Industrial Major Accident Hazardous Rule, 1950) *

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9. Categories of Factories under Central Pollution Control Board *

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10. Operation in shifts *

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11. Approach road to the units *

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12. Fire prone factories (Please refer to Factories Rules, 1950) *

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13. Elevation of workplace *

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Declaration

I hereby declare that to the best of my knowledge and belief the particulars given above are true

I Agree *

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