F  O  R  M  -  V

Annual return of National and Festival  Holidays Rules,1969

For the year ___________

01.         Name of the Industrial Establishment :

02.         Name of the occupier                        :

03.         Name of the Manager                        :

04.         District                                              :

05.         Postal Address                                  :

06.         Total Person employed during the year        :   Men.              Women.   Young Person.

07.    No.of person who were paid wages or the

National & Festival Holidays (Separate

Figure for each day may be furnished)

a)                    26^th January

b)                    15^th August

c)                    2^nd October

d)                                            

     08.   Total amount paid (Separate figure for

                each day may  furnished)

                a)                             

                b)

                c)

Certified that the information furnished above is correct to the best of my knowledge and    belief.

  Place_______________                                  Signature of the Employer.

Date.________________

FORM   V   

( See Rule -21 (2)  )

FORM  OF CERTIFICATE   BY  PRINCIPAL  EMPLOYER.

                                Certified that I have engaged the applicant Sri___________

Aged.________ Son of _______________ At/- ________ P.O: ____________

Dist._________ bound by all the provision of the contract Labour (Regulation and Abolition)Act,1970 and the contract lab pour (Regulation and Abolition ) Rules,1975 in respect of the employment of contract labour by the applicant my establishment.

Place____________________                                     Signature of the Principal

Date.____________________                                     Employer (With seal)

~~*~~