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Application Processing Location
Application Reference No : TBSE_REG/2019/10558
District Office Name : Rohtas -2
Sub Division : Sasaram
Establishment Details
Name of the Establishment : MEENA CYBER CAFE
Full postal address of the MOH BASTIMORE PO AND PS SASARAM
Establishment :
Type of the Establishment : Shops
District : ROHTAS
Block/Circle : SASARAM
Location of the Establishment HOUSE NO 5 WARD NO 20 PO AND PS SASARAM
(including the number of holding / ward
and the name of the police station in
which it is situated) :
Pincode : 821115
Opening Date of Establishment : 05/05/2012
Whether the Establishment is No
registered under the Bihar Sales Tax
Act 1947(Now Bihar Finance Act,
1981) :
Is it a Firm / Private Entity : : Private Entity
Maximum Number of persons proposed to be employed on any day during the
calender year in which this application is filed
Adult (Male and Female) : 1
Young Person (Male and Female) : 1
Children (Male and Female) : 0
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Number of Employer's Family : 2
Final Fee : 160
Employer Details (Manager,Agent or any other person) who is in the immediate
charge of the general management or control of the establishment
Name of the Employer : RANI KUMARI
Permanent Address : MOH PAITHAN TOLI PO AND PS SASARAM DISTT ROHTAS BIHAR 821115
Designation of Employer : OWNERSHIP
Mobile Number : 7781884894
Email Id : [email protected]
Pincode : 821115
Declaration
I hereby declare that to the best of my knowledge and belief the particulars given above are true
I Agree : Yes
Annexure List
1) Photo ID card of Employer Photo ID card of Employer
2) Rent Agreement / Municipal Receipt Rent Agreement / Municipal Receipt
3) Proof of opening of establishment Proof of opening of establishment
4) Declaration regards non-registration of Declaration regards non-registration of establishment
establishment prior to registration prior to registration
5) Photograph of the sign board of Photograph of the sign board of establishment /
establishment / shops shops
6) Signature with Designation of the Signature with Designation of the Employer
Employer
7) Signature of Applicant Signature of Applicant
8) Additional attachment 1 Additional attachment 1
9) Additional attachment 2 Additional attachment 2
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10) Additional attachment 3 Additional attachment 3
11) Additional attachment 4 Additional attachment 4
Payment Details
Amount 165.00(In Rs.)
Reference BHR201912109591E
Number
Payment Date 05-12-2019
Additional Details
Apply to the Office Office of District Labour Superintendent (Labour superintendent- Rohtas -2 )
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