Date: 20—
The Regional Director,
ESI Corporation,
(Address)
Sub-: Allotment of Sub-Code No. in respect of branch office of (Company name) under ESI Act, 1948
Dear Sir,
It is stated that ——————(Company name), ————————–(Address) is covered under the ESI Act by the Regional Director, ESIC New Delhi under code 11-00-000000-0000 with effect from 01-01-97 (copy of coverage notice dated 04-04-97 is enclosed for ready reference).
We have been regularly complying with the various provisions of ESI laws to the Regional Director, Delhi. We have opened a branch office at ———————(new address) w.e.f 01-01-2014 and have employed 20 employees as on date, and the no. of employees are likely to be increased considerably in the near future. Hence, you are requested to kindly allot us a Sub Code No. in respect of our branch office situated at (Location) w.e.f 01-01-2014.
In order to enable you to allot a sub code no. in respect of our (new) branch, we are furnishing the following information of our branch office at (new branch):
| 1. Name and Address of the establishment situated at our Delhi Office (Present) |
|
| |
| 2. Name and address of the Branch Office (new branch) |
|
| |
| 3. No. of employees working in the Branch Office at (location) |
: 00 |
| 4. Date of start of Branch office |
: DD-MM-YYYY |
| 5. The date of Coverage of the Head Office under E.S.I. Act |
: DD-MM-YYYY |
| 6. Place of compliance in respect of B.O. |
: Delhi, (Return and Declaration forms will be submitted at (New Location) Local Office. However, contribution will be deposited at Delhi through separate challan) |
| 7. Place of maintenance of records in respect of B.O. |
: Delhi |
| 8. Compliance in respect of Branch Office at (location) is being reported? If yes, under which Code No.? |
: Yes, compliance being submitted under Code NO. 11-00-000000-0000 to the Regional Director, ESIC, New Delhi. |
| 9. The name of the person incharge of the Delhi Office |
: Mr. ———————- |
| 10. The name of the person incharge of the New branch Office |
: Mr. ———————– |
Compliance up to 30th September 20— will be reported to Delhi. You are requested to kindly allot Sub-code No. in respect of our (New) Branch w.e.f dd-mm-yyyy.
Kindly do the needful in the matter at the earliest.
Thanking you.
Yours faithfully
For ————————————–
(Name)
Authorized Signatory.
Enclosed:
Copy of form Coverage letter
List of Directors
Lease Agreement
Service Tax Registration Certificate
Fresh Certificate of Incorporation Consequent upon Change of Name
