Amendment status not verified — confirm the current text below against the official source.
Agreement No/Plan approval No. 12 Date of agreement /Plan approval 13 Estimated cost of construction & other Details (in case of building or other construction work) 14 Details of contractors (Contract Labour Act/Inter State Migrant Workmen Act) 15 Details of contract works ( Contract Labour Act/Inter State Migrant Work men Act) 16 Total No. of Workers 17 Details of workers Regular Casual/ Badilli In case of beedi or cigar est. Male Female Male Female Industrial premises workers Home workers Male Female Male Female 18 Workers employed in shops &Esstts. 19 19 Motor Transport Workers 20 Building & other construction workers 21 Contract workers 22 Inter State Migrant Workers 23 Beedi & Cigar workers 24 Factory workers 25 Any other Category workers (specify the category EMPLOYER DETAILS (Enclose Passport size photo 26 Employer Name 27 Designation 28 Father/husband Name 29 Contact details Applicants Details 30 Applicant Name 31 Designation 32 Father /husband name 33 Contact details DECLARATION 34 I/we hereby declare that i/we have compiled with all relevant provisions of the Labour Acts applicable to the establishment. In case the information furnished above is found to be flase, misrepresented or suppressed and material information or evaded to furnish the information, I/we are liable for prosecution as per law besides cancellation of the registration / license granted Date Signature of the Employer Place Name & Designation of the Employer 8 FORM-B COMBINED RETURN UNDER LABOUR LAWS AS ON 31ST MARCH,20 (SECOND SCHEDULE (See sec.2 (d) and sec.4 (6) ANNUAL RETURN FOR THE YEAR ENDING 31ST MARCH