Department of Labour and Employment FORM -22 (Prescribed under sub rule 94) of rule 110) COMPENSATORY HOLIDAYS - ANNUAL RETURNS For the year ending 31st December, 200 Name of Factory _ Name of occupier _ Name of Manager _ 1. District _ 2. Postal Address _ 3. Nature of Industry _ 4. Number of workers exempted from section 52, _ of the Factories Act Men _ Women _ 5. Number who received holidays in the (1) Same month _ (2) Following month _ (3) Third month _ Certified that the information furnished above is to the best of my knowledge and belief, correct. Date: SIGNATGURE OF MANAGER