FORM XIV EMPLOYMENT CARD (See Rule 76) Name and Address of contractor.... Name and address of establishment ................. in/under which contract is carried on ....... Nature of work and location of work .. Name and Address of Principal Employer .................. ..................... .................. .................. 1. Name of the Workman........ ..................... 2. Sl. No. in the register of workmen ..................... Employed ............. .................. 3. Nature of Employment / Designation. .................. 4. Wage rate (with particulars of unit, in .................. Case of piece-work)......... 5. Wage period........... ..................... 6. Tenure of employment ....... .................. 7. Remarks............. .................. Signature of Contractor Page 67 of 151
