Appendix 'XII' Form - XX (See rule 78 (2) (d)) Register of Deductions for Damage or Loss Name and address of the contractor : Nature & Location of Work : Name & address of Establishment under which Contract is carried on : Name and address of Principal Employer : Whether Designation / / Particulars Date of Father’s workman Sl Name of Nature of of damage damage or Husband’s showed cause no Workman Employment name or loss loss against fine 1 2 3 4 5 6 7 Date of Recovery Name of person in Amount of whose presence No. of deduction employees Remarks installment First Last imposed explanation was Installments Installment heard 8 9 10 11 12 13
Appendix 'XII' Form - XX (See rule 78 (2) (d)) Register of Deductions for Damage or Loss Name and address of the contractor : Nature & Location of Work : Name & address of Establishment under which Contract is carried on : Name and address of Principal Employer : Sl no Name of Workman Father’s / Husband’s name Designation / Nature of Employment Particulars of damage or loss Date of damage or loss Whether workman showed cause against fine 1 2 3 4 5 6 7 Name of person in whose presence employees explanation was heard Amount of deduction imposed No. of installment Date of Recovery Remarks First Installments Last Installment 8 9 10 11 12 13
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