Form LAB/EW/1
FEDERAL REPUBLIC OF NIGERIA
LABOUR ACT CAP Li LFN 2004
(SECTIONS 23, 24, 25 and 71)
FEDERAL MINISTRY OF LABOUR AND PRODUCTIVITY
For Official Use Only
1, State.
2. Date Received.
APPLICATION FOR EMPLOYER'S PERMIT/
RECRUITER'S LICENCE 3. Checked.
PRIVATE EMPLOYMENT AGENCY 4. Certificate No.
5. Treasury Receipt No
I/We hereby apply for registration and issuance of Employer's Permit/Recruiter’s Licence
("Delete whichever is not applicable)
PART A
1 Name of Applicant... Serena
2. Registered office:
a. Postal Address:
b. Location AddPeSS! arn
Telephone No(s)
d. E-mail Address...
e. Website Address
3. Head Office:
a. postal Address:
b. Location Address:
Telephone No(s }
d. E-mail Address:
wunw.nelexnigeria.com
110.
11,
12.
13.
14.
15.
e. Website Address:
Do you have Branch of fices? If yes, attach list.
Attach Names, Addresses and Mobil/Cell Telephone Numbers of Directors
Attach copy of the Management Profile.
Are you an Employer or a Recruiting Agent.
Tf Recruiting Agent, are you an *Employment Agency or a *Labour Contractor
If Labour Contractor or Employment Agency, indicate the sector{sf* you wish to
be registered [maximum of 5 Juss:
If recruitment is for Oil and Gas, Construction, Manufacturing or Security Sector,
please attach copy(ies) of Regulatory/Professional Certificate.
Tf Labour Contractor, give the name(s) of your major client(s),
[if any}.
What categories of workers do you wish to recruit? [Skilled] [Semi-skilled] or
[Unskilled] - Tick whichever is applicable.
Do you have a training policy? Provide details....0.10
a. Has any of your Directors ever been convicted under the Nigerian
Law?, : ie
b. If yes, what was the offence, and when?,
a. Are you recruiting for another person(s) or organization(s)?
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2b. Tf yes, is/are that/those person(s) or organization(s) in possession of a valid
permit? [Attach contract agreement between the recruiter and
organization]
Are you recruiting person(s) under the age of 16 years?...u..nssnsssnnnansne
Will you ensure that the worker(s) is/are not recruited by illegal pressure,
misrepresentation or mistake?......
What other documents are you submitting in support of this application? Please
list.
[co] Are your workers unionized)...
[b] If Yes, give name{s] of their Union{s]/Association{s]
20. (A) Are you in position to deposit Bank/Insurance security with the
Ministry for the following:
[i] Unpaid salaries and wages of workers to be recruited?
[ii] Differed wages which are duly authorised by the Honourable Minister?
[iii] Other contingencies?
(8) If Yes, state type and value of security...
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3PART B
Recruitment For loyment Outside Nigeria
21, Name of the Companyfies]/Country(ies) for which recruitment is
undertaken...
(Attach letter of attestation from Government of the country on the company for which workers are to be
provided)
22. Are you in a position to deposit with the Ministry, Bank/Tnsurance Security to meet the following
[i] Wages and travelling expenses of the workers about to be recruited?
[ii] Any expenses which may be incurred by the Government in respect of the
workers and their families?
Any fine which may be imposed on the employee?
[iv] Other contingencies as the Minister may deem fit?
If Yes, attach type and value of security.
23. What are the arrangements for the medical examination of worker(s) to be
recruited and member(s) of the family accompanying him/them? [Attach
documentary evidence from a registered medical practitioner]
24. What are the arrangements for the transportation of the worker(s) from the place of
recruitment to the place of employment?..
25. Will you repatriate at your own expense recruited worker(s) who:
[a] become(s) incapacitated by sickness or accidents during the journey to the
place of employment?...
[6] _ is/are found on medical examination to be unfit for employment?.... ie
Ie] for areason for which he is not responsible, is not engaged after being recruited?.
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4{d] is/are found by an Authorized Labour Officer to have been recruited by
misrepresentation or mistake?.....
26. Will you repatriate at your own expense the family of a recruited worker who:
[a] is repatriated under Section 23 above?.
{b] dies during the journey to the place of employment or at the place of
employment?
27. State the expected point of departure of the person(s) recruited for certification before
an Authorized Labour Officer.
28. Will you within 30 days of the expiration of the contract provide the worker a
return passage for himself and his family, if any, to the place of recruitment,
together with proper accommodation and maintenance on the
Journey?.
CONDITIONS
[a] The terms of the contract shall not be detrimental to the worker. [prototype of contract of
employment to accompany application]
[b] Applicant to submit security deposit in Bond issued by registered Insurance Company/Bank as
follows:
1. Recruitment within the country:
‘S/No No of Employees Industry/Sector “Amount
1 1-100 Oil and Gas =N=3Million.
z 10% and above Gil and Ges
3 1-100 Others
4 10 and above others
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52, Recruitment outside the country:
‘S/No No of Employees Industry/Sector ‘Amount
1 1-100 il and Gas =NE5Million|
2 1-100 Others Million
The security deposit is to take care of the following:
(i) Unpaid salaries and wages.
(1) Contractual arrears,
[ili] Travelling expenses of workers not paid for
[iv] Any expenses which may be incurred by the Government in respect of the worker(s) and
Families.
[v] Any fine imposed on the employee in the course of carrying out instructions imposed on
him/her by the recruiter
[vi] Other contingencies relating to wages and salaries as agreed to by the parties and as may
be deemed fit by the Ministry.
[c]_ Private Employment Agencies [PEAs] should not make workers available to user enterprise to
replace workers of the enterprise who are on strike [ILO Recommendation 188 on Private Employment
Agency [PEA] 1997]
[d] Where an employer, and/or a recruiter violates the provisions of Sections 23, 24, 25 and 71 of the
Labour Act CAP L1, LN 2004 or any amendment thereto, the Recruiter (Labour Contractor) and the final
beneficiary (Secondary Employer) shall be jointly and severally liable for the offence.
[e]__ Attach copy of contract of employment with recruited workers in accordance with section 40 of
the Labour Act CAP. Li, LFN 2004 [for recruitment outside Nigeria]
Name and Signature of Applicant
Official Stamp/Seal
Date. 20.
wunw.nelexnigeria.com‘Any application not satisfactorily completed may be rejected.
The Honourable Minister can suspend or withdraw the certificate in accordance with the Labour
Act.
The Ministry reserves the right to cross check all information given in this form.
Item 8 asterisked* above:
Employment Agency: Services for matching of fers of and applications for employment, without the
Private Employment Agency becoming a party to the employment relationships.
Labour Contractor: services consisting of employing workers with a view to making them available
to a third party, who may be a natural or legal person [referred to as “user enterprise") which
assigns their tasks and supervises the execution of these tasks.
Trem 9 asterisked above”
[a] Industrial or Economic sectors such as: Agriculture, Hunting and Forestry. Mining and Quarrying,
‘Manufacturing, Electricity, Energy, Water supply, Oil and Gas, Construction, WholeSale and Retailtrade,
Hospitality, Hotel and Restaurants, Transportation, Haulage, Warehousing, Real Estate, Renting and Leasing,
Education, Training, ICT including Communication, Financial and Insurance, Health and Social Welfare Services,
Others (Please specify]
‘Completed Application form should be returned in duplicate to:
The Honourable Minister,
Federal Ministry of Labour and Productivity,
Federal Secretariat, Phase 1,
‘Shehu Shargari Way,
P.M. 8.
04, Garki
Abuja, NIGERIA,
wunw.nelexnigeria.comFEDERAL REPUBLIC OF NIGERIA
(148. ACT CaP L1 LEN 2004)
FEDERAL MINISTRY OF LABOUR AND PRODUCTIVITY
EMPLOYER'S PERMIT AND RECRUITER’S LICENCE
Conditions And Guidelines
(These conditions and guidelines do not apply to the employer(s) who
‘employ directly into his/her /their service(s) and does/do not contract
Such employee(s) out to the services of other person(s) or agency(s).)
Al persons given Employer's Permit and Recruiters Licence are bound by the provisions of the Labour Act CAP
LEN 2004 ( or any amendment thereto}. In addition, they are advised to note and comply with the following.
conditions and guidelines:
7
Permit/Licence will be withdrawn if not renewed at the period of expiration of two years
in the first instance and one year thereafter.
Recruitment in Labour Health Areas should be in accordance with the provisions of
Section 26 of the Labour Act.
Every Recruiter shall keep comprehensive records from which all recruiting operations
and conditions of service of his/her workers as specified in Sections 1 ~ 20 of the Labour
Act can be verified on demand by an Authorized Labour Officer
The transfer of any contract for service from one employer to another shall be reflected
in the Conditions of Service.
Where an Employer and or a Recruiter violates the provisions of Sections 23, 24, 25, 46
and 71 of the Labour Act CAP L1 2004 (or any amendment thereto), the Recruiter
(Labour Contractor) and the final beneficiary (Secondary Employer) shall be jointly and
severally liable for the offence.
Every Employer or Recruiter shall render quarterly reports to the Federal Ministry of
Labour and Productivity in the State in which he operates on the following:
[a] Number of workers employed or recruited,
[6] Place(s) where work is/are being or are to be performed,
[ce] Nature of work, and
Id} Evidence of registration and remittance of pension fund
Labour Officers must mandatorily inspect your organization.
Honourable Minister,
Federal Ministry of Labour and Productivity,
Abuja.
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