FORM - 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 Principal Employer : (furnish father's name in the case of individuals) 4. Full Name and address of the Manager or Person responsible for the supervision and control of the establishment : 5. Nature of Work carried on in the Establishment. 6. Particulars of Contractors and Contract Labour : a. Names and addresses of Contractors : b. Nature of work in which contract : labour is employed or is to be employed. c. Maximum number of contract labour : be employed on any day through each contractor d. Estimated date of termination : of employment of contract labour under each contractor 7. Particular of treasury receipt enclosed : (Name of the Treasury, amount and date) I hereby declare that the particulars given are true to the best of my knowledge and belief. PRINCIPAL EMPLOYER SEAL AND STAMP Date of receipt of application Office of the Registering Officer
