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Contact Labour (Regulation and Abolition) Act, 1970

FORM XIII : REGISTER OF WORKMEN EMPLOYED BY CONTRACTOR

[Rule 75]

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 and surname of workman

Age and Sex

Father's/ Husband's name

Nature of Employment/ Designation

Permanent Home Address of workman (Village and Tahsil / Taluk and District)

1

2

3

4

5

6

Local Address

Date of commencement of employment

Signature or thumb- impression of workman

Date of termination of employment

Reasons for termination

Remarks

7

8

9

10

11

12



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