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FORM XXV : ANNUAL RETURN OF PRINCIPAL EMPLOYER TO BE SENT TO THE REGISTERING OFFICER

[Rule 82 (2)]

Year ending 31st December, 19 ___________________

1. Full name and address of the principal employer.

2. Name of establishment:

(a) District

(b) Postal address

(c) Nature of operation/industry/work carried on.

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

4. Number of contractors who worked in the establishment during the year (give details in Annexure).

5. Nature of work/ operations on which contract labor was employed.

6. Total number of days during the year on which contract labor was employed.

7. Total number of man-days worked by contract labor during the year.

8. Maximum number of workmen employed directly on any day during the year.

9. Total number of days during the year on which direct labor was employed.

10. Total number of man-days worked by directly-employed workmen.

11. Change, if any, in the management of the establishment, its location, or any other particulars furnished to the Registering Officer in the application for registration indicating also the dates.

Place............. Principal Employer

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

ANNEXURE TO FORM

Name and address of the contractor

Period of contract

Nature of work

Maximum number of workers employed by each contractor

No. of days worked

No. of man- days worked

From

To

1

2

3

4

5

6

 

 

 

 

 

 

 

 

 

 

 

 

 

16[ANNEXURE 'A' ]

[Rule 38(1)]

Sl. No.

Officers

Head quarters of the officers

1. ALC (C)

Delhi

Delhi

2. RLC(C)

Ajmer

Ajmer

3. ALC(C)

Ajmer

Ajmer

4. ALC(C)

Adipur

Adipur

5. RLC(C)

Asansol

Asansol

6. ALC(C)

Asansol

Asansol

7. RLC(C)

Bombay

Bombay

8. ALC(C)

Bombay

Bombay

9. ALC(C)

Nagpur

Nagpur

10. ALC(C)

Vacso Da Gama

Vasco Da Gama

11. RLC(C)

Calcutta

Calcutta

12. ALC(C)

Calcutta

Calcutta

13. RLC(C)

Gauhati

Gauhati

14. RLC(C)

Dhanbad

Dhanbad

15. ALC(C)

Dhanbad

Dhanbad

16. ALC(C)

Chaibasa

Chaibasa

17. ALC(C)

Hazaribagh

Hazaribagh

18. RLC(C)

Hyderabad

Hyderabad

19. ALC(C)

Hyderabad

Hyderabad

20. ALC(C)

Vijayawada

Vijayawada

21. ALC(C)

Visakhapatnam

Visakhapatnam

22. RLC(C)

Jabalpur

Jabalpur

23. ALC(C)

Jabalpur

Jabalpur

24. ALC(C)

Raipur

Raipur

25. ALC(C)

Shahdol

Shahdol

26. RLC(C)

Kanpur

Kanpur

27. ALC(C)

Kanpur

Kanpur

28. RLC(C)

Chandigarh

Chandigarh

29. RLC(C)

Bhubaneshwar

Bhubaneshwar

30. ALC(C)

Bhubaneshwar

Bhubaneshwar

31. RLC(C)

Madras

Madras

32. ALC(C)

Madras

Madras

33. ALC(C)

Ernakulam

Ernakulam

34. RLC(C)

Banglore

Banglore

35. ALC(C)

Bellary

Bellary

36. ALC(C)

Dehradun

Dehradun

37. ALC(C)

Rohtak

Rohtak

38. ALC(C)

Jagdalpur

Jagdalpur

39. ALC(C)

Jaipur

Jaipur

40. ALC(C)

Kolar Gold Fields

Kolar Gold Fields



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