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.

Names and addresses of the directors / partners (in case of companies and firms)

5.

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

6.

Nature of work carried on in the establishment

7.

Particulars of contractors and migrant workmen:

(a) Names and addresses of contractors

(b) Nature of work in which Migrant Workmen are recruited or are employed.

(c) Maximum number of migrant workmen to be employed on any day through each contractor

(d) Establishment date and commencement of work under each contractor

(b) Estimated date of termination of employment of migrant workmen  under each contractor

7.

Particulars of crossed demand draft (Name of the bank, amount, number and date)