The Uttar Pradesh Occupational Safety, Health and Working Conditions Rules, 2026
Form 27
Official text
Open in the official PDF (p. 508)
Tables and forms lose their layout when extracted; the PDF is the authoritative version.
(See sub-rule (1) of Rule-79 and Rule-84)
Format of licence
Licence No. ------------- Date: -----------
Fees paid: Rs. ----------
Security deposit: Rs …………….
1. Licence is hereby granted to .................................................................under sub-section (1) of
section 47 of the Occupational Safety, Health and Working Conditions Code, 2020 subject to the
conditions specified in the Annexure.
2. Name and location of work ................................
3. Name of the principal employer……………….
4. Registration Certificate no. and date of the principal employer…………………
5. The licence shall remain in force till.................................(date to be indicated)].
6. Maximum number of contract labour/migrant workmen to be employed on a single day under the
licence :
Date................... Signature and Seal of the Authority
AMENDMENTS:
Year Maximum Date of Date of Signature of
payment of
when number of Contract labour Payment the Issuing
amendment fee
/workers on any one day
Amended Authority
Signature of Authority
RENEWAL
Date of renewal Fee paid for renewal Date of expiry Seal and signature of Authority
1.
2.
3.