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FORM XII : REGISTER OF CONTRACTORS

[Rule 74]

1. Name and address of the principal employer ..

2. Name and address of the establishment ..

Sl. No.

Name and address of contractor

Nature of work on contract

Location of contract work

Period of contract

Maximum No. of workmen employed by contractor

 

 

 

 

From

To

 

 

 

 

 

 

 

 

Place ...................

Date ....................

Signature of the Licensing Officer



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