Department of Labour and Employment FORM 29 (Prescribed under sub rule (1) of rule 111) Annual Return - Canteen Year ending 31st December 200 1. Industry 2. Name of factory 3. Number of workers normally employed daily 4. Providing cooked food and refreshments 5. Providing cooked food only 6. Providing refreshments and tea only 7. Providing tea only 8. Number of workers patronizing canteen normally (daily) 9. Whether issues are below cost price, If so, state items provided below cost price 10.Items of expenditure borne, if any by employer (details regarding items and amount subsidized should be given) 11.General remarks - Certified that the information furnished above is to the best of my knowledge and belief, correct. Date: Signature of Manager