F O R M - I
(See Rule 17 (1) )
APPLICATION FOR REGISTRATION OF ESTABLISHMENTS EMPLOYING CONTRACT LABOUR
1. Name and location of the establishment. :
2. Postal address of the establishment :
3.
Full name and address of the Principal
Employee. :
(Furnish father's name in the case of
individual)
4.
Full name and address of the manager or
person responsible for the supervision &
control of the establishment :
5.
Particulars of the contractor and contract labour.
Name & address of the Contractors
Nature of work in which contract Labour is employed or is to be employed
Maximum nos. of contract labour to employed on any day through Each contractor
Estimatd date of termination of employment of contract labour
01
02
03
6.
Particulars of treasury receipt enclosed.
I hereby declare that the particulars given above are true to the best of my knowledge and belief.
Principal employer. (seal & stamp)
Office of the Registering Officer.
Time & date of receipt of the
Application with treasury receipt No.
And date. Signature of the Registering Officer.
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