F O R M - I (See Rule 17 (1) ) APPLICATION FOR REGISTRATION OF ESTABLISHMENTS EMPLOYING CONTRACT LABOUR 1. Name and location of the establishment. : 2. Postal address of the establishment : 3. Full name and address of the Principal Employee. : (Furnish father's name in the case of individual) 4. Full name and address of the manager or person responsible for the supervision & control of the establishment : 5. Particulars of the contractor and contract labour. Name & address of the Contractors Nature of work in which contract Labour is employed or is to be employed Maximum nos. of contract labour to employed on any day through Each contractor Estimatd date of termination of employment of contract labour 01 02 03 6. Particulars of treasury receipt enclosed. I hereby declare that the particulars given above are true to the best of my knowledge and belief. Principal employer. (seal & stamp) Office of the Registering Officer. Time & date of receipt of the Application with treasury receipt No. And date. Signature of the Registering Officer.
