The Plantations Labour (Karnataka) Rules, 1956:
 F O R M – ‘1-A ’ [See Rule (1) of Rule 2 -A]

Application for Plantation Registration

             (Please go through the Instructions carefully, available on the Home Page of this Website before entering the information for Online Application)       
                    If you already filled the details partially, Please Enter the Temporary Application number       
Name of the plantation: *   Full address to which communication relating to the plantation should be sent: *  
Nature of plantation, eg., tea, coffee, rubber or cinchona: *   Area of plantation(In Hectares): *  
Division :*   District/Sub Division :*  
Taluk:*  
Mobile Number :*     Email ID:*  
 
Maximum number of plantation workers employed on any day of the preceding 12 months (figures for men and women employees to be given separately): * MEN: *   Women:   * Total: *  
Full names and residential addresses of the Proprietor and partners of the plantation in case of a firm not registered under the Partnership Act, 1932, *  


 
Full names and residential addresses of the Chief Executive in cse of public sector undertaking *  

 
Name of the managing director/directors in the case of a company registered under the Companies Act, 1946: *   Residential addresses of the managing director /directors in the case of a company registered under the Companies Act, 1946:  

Field Extension (in Hectares):*   Online Registration Fee (In Rupees):*  

Document Required to be Submitted at the time of online Registration


(The Applicant shall scan his/her latest documents with max. size 250kb for each document in .pdf format and upload the same, while submitting the Online application for registration, The applicants shall not upload any other documents (except the below specified documents) at the stage of submitting the online application).
1. Authentic Identity Card of the Applicant (Like EPIC,Driving licence,Pan Card,Aadhar Card,Passport,Bank OR Post Office Passbook,Raton Card,Railway Identity Card,Identity Card for the Disabled):*  
2. List with full address and Identity Card of Partners/Directors/Owners/Occupiers/Proprietor of the Organization:*  
3. Applicants / Authorised Signatories Full Name, Address, Designation with Seal:*  
4. Declaration regarding Non-employment of Child Labour:*  
5. Copy of Memorandum of Association (MOA) / ROC in case of Private / Public Companies:*  
6.RTC/ Any other such record Renewal of the Ownership of Application:*  
Particulars of Treasury Receipt Enclosed(Name of the treasury) :*
                                                    The Applicant should scan his/her Signature in JPEG format with 50kb Size
I hereby declare that the particulars given above are true to the best of my knowledge and belief. :*
(Please upload the Signature file in JPEG format and less than 50KB)
Place: Date: Signature of the Employer:*

 
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