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FORM - 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 Employer (furnish father's name in the case of individuals)

 

4.

Full name and address of the Manager or person responsible for supervision and control of the establishment

 

5.

Nature of work carried on in the establishment

 

6.

Particulars of contractors and contract labour:

 

 

(a) Names and addresses of contractors

 

 

(b) Nature of work in which contract labour is employed or is to be employed

 

 

(c) Maximum number of contract labour to be employed on any day through each contractor

 

 

(cc) Estimated date of commencement of each contract work under each contractor

 

 

(b) Estimated dte of termination of employment of contract labour under each contractor

 

7.

Particulars of treasury receipt enclosed (Name of the Treasury, Amont and Date)

 

 

I hereby declare that the particulars given above are true to the best of my knowledge and belief.

 

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 Date of receipt of Application ____________

Seal and Stamp

Office of the Registering Officer