Signature of Registering

Officer with Seal.

FORM III

[See rule 18(3)]

Register Of Establishments

REGISTER OF ESTABLISHMENTS

PARTICULARS OF CONTRACTOR AND CONTRACT LABOUR

Sl. No.

Registration No. and date

Name and address of the establishment registered

Name of the principal employer and his address

Type of business, trade, industry, manufacture or occupation, which is carried on in the establishment

Total No. of workmen directly employed

Name and address of contractor

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

Maximum No. of contract labour to be employed on any day

Probable duration of employment of contract labour

Remarks

1

2

3

4

5

6

7

8

9

10

11

FORM IV

[See rule 21(1)]

Application For Licence