Appendix 'IV' Form-XIII (See Rule 75) Register of Workmen Employed by contractor Name and address of contractor Name and address of establishment under which contract is carried on Nature and location of Work Name and address of Principal Employer the name of ) Employment Tehsil, workman designation Employment & of / of Impression of address sex District No workman termination & Address & Sl. for / (village Thumb Remarks the home Age of surname or Local employment & Taluka Termination of Reasons commencement of workman of Name Permanent Signature Date Nature Date 1 2 3 4 5 6 7 8 9 10 11 12
Appendix 'IV' Form-XIII (See Rule 75) Register of Workmen Employed by contractor Name and address of contractor Name and address of establishment under which contract is carried on Nature and location of Work Name and address of Principal Employer Sl. No Name & surname of workman Age & sex / name Nature of employment / designation Permanent home address of the workman (village & Tehsil, Taluka & District ) Local Address Date of commencement of Employment Signature or Thumb Impression of the workman Date of Termination of Employment Reasons for termination Remarks 1 2 3 4 5 6 7 8 9 10 11 12
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