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FORMNOI

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FORM NO.

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 fathers name in the
case of individuals).

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

5. Nature of work carried on in the establishment.

6. Total number of workmen directly employed.

7. 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.

(d) Estimated date of commencement of each contract work under each
contractor.

1. Particulars of Treasury Receipt enclosed
(Name of the Treasury, Amount & Date)

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



Principal Employer

Seal and Stamp
Office of the Registering Officer
Date of receipt of application

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