Department of Labour and Employment FORM 30 (Prescribed under sub Rule (2) of Rule 111) Annual Return - Cr che Year ending 31st December 200 1. Industry 2. Name of factory and address 3. (a) number of women workers normally employed (b) Out of (a0 above, the number of mothers with children below age of six years 4. Number of children admitted in the cr che 5. Average daily attendance of children at the cr che (a) Two years and below (b) Above two years but below 6 years 6. Details of facilities provided with regard to (a) Milk - (b) Food - (c) Clothes - (d) Toys - (e) Medical aid - (f) Others - 7. Details of staff employed i) Nurses - ii) Midwife - iii) Ayahs - iv) Sweepers - 8. General remarks - Certified that the information furnished above is correct to the best of my knowledge and belief. Date: Signature of Manager
