SERVANT PASS APPLICATION.

 Date:-                                                                                                                            photo of                                                                                                                                       

To,                                                                                                                                  servant

The Secretary

                                                                                                                                        

                                             Application to issue/renewal of servant pass

Sir,

I/We _________________________________ Owner/tenant Of Flat No. ________ Building _________ wish to employ Mr./Mrs./Ms _______________________________ as Full/Part time house Maids/driver/car cleaner with effect from______________ is  working on my/our flat from ________.

Particulars are as follows:

        (a)     Name:_________________________________ (b) Age ______ (c) Sex- M/F    

        (d) Married   Yes/No

(e) Religion_______________ (f) Height____________ (g) Built ____________

(h) Contact No. ______

Native Place Address (Mandatory):

....................................................................................................................................................................................................................................................................................................................

Local Address/ Known Relatives: ……………………………………………………………………………………………………………..…

I/We request to you to please issue/renew the Security/Entry pass for the period of __________ months.

I/We undertake to do the police Verification of my/our house maids/driver/car cleaner with the local police station and submit the photo copy of the police verification to the Society Office. I/We Undertake the responsibility of registration of my/our Servant/s with Department of Labor Government of Maharashtra as safe camphor is my/our OR ours Servant/s.

I/We hereby indemnify and keep indemnified the said society and its office-bearers against any claim demand, suit or other legal proceeding between us and said servant/s and also indemnify and keep Indemnified the said society and its officer-bearers against any damage/ losses done by my/our servant/s to any member or to Society in any manner. I/We undertake to bear all expenses, cost, and charges in respect of damage/losses, claim, demand, suit and/or legal proceedings which may be filed by society member / my servant/s or Society.   

I/We also know that as per the Juvenile Workers Act, 1986, it is prohibited to employ child labor in household work and other works and as per the provisions of the said Act.

Signed by

(Owner/Tenant)

Mr./Mrs. _______________

Flat No.

Note: Issuing pass for the tenant’s servants will be done by submitting the valid tenancy Records only.

Pass Will be issued on producing the following documents

1.       Application from owner/tenant

2.       Police versification obtained from the resident

                        3.     Address & ID proof of servant