FORM XXIV [See Rule 82 (1)] Return to be sent by the contractor to the Licensing Officer Half Year ending_______________ 1. Name and address of the Contractor__________________________________ 2. Name and address of the establishment________________________________ 3. Name and Address of the principal employee___________________________ 4. Duration of Contract: From_______________to______________ 5. Number of days During the Half-Year on which________________________ (a) The establishment of the principal employer had worked. (b) The Contractor's establishment had worked. 6. Maximum Number of contract labour employed on any day during the Half-Year:- Men Women Children Total 7. (i) Daily Hours of works and spread over . (ii) (a) Whether weekly holiday was observed and on what days? (b) If so, whether it was paid for_______________? (iii) Number of man-hours of Overtime worked____________________ 1. Number of Man days worked by: 2. Men Women Children Total 3. Amount of wages Paid: 4. Men Women Children Total 5. Amount of deductions from wages if any:- 6. Men Women Children Total 11. Whether the Following have been provided? (i) Canteen_____________ (ii) Rest Room____________ (iii) Drinking Water ______________ (iv) Creches___________________ (v) First-aid___________________ (if the answer is 'yes' state briefly standards provided) Place ______________________ Date ______________________ Signature of Contractor. ANNUAL RETURN OF PRINICIPAL EMPLOYER TO BE SENT TO BE REGISTERING OFFICER YEAR ENDING 31ST DECEMBER, 20________. FORM XXV (See Rule 82 (2)) 1. Full name and Address of the Union Principal employer. 2. Name of the establishment (a) District (b) Postal address (c) Nature of operation/industry/ worked 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/operation on which Contract Labour was employed 6. Total number of days during the year on which contract Labour was employed 7. Total number of man-days worked by contract Labour 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 Labour 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 Period of contract Nature of work 4 Maximum No. of workers employed by each contractor 5 Number of days worked 6 Number of man-days worked 7 the contractor 1 Form To 2 3
