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FORM XXII : REGISTER OF ADVANCES

[Rule 78(1)(a)(ii)]

Name and address of contractor

_______________________________

Name and address of establishment in / under which contract is carried on ___________________________________

Nature and location of work

_______________________________

Name and address of Principal employer ___________________________________

Sl. No.

Name

Fatherís/Husbandís name

Nature of employment/Designation

Wage period and wages payable

Date and amount of advance given

1

2

3

4

5

6

 

 

 

 

 

 

 

Purpose(s) for which advance made

No. of installments by which advance to be repaid

Date and amount of each installment repaid

Date on which last installment was repaid

Remarks

7

8

9

10

11

 

 

 

 

 



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