FORM XXII

1(See rule 78 (1) (a) (ii)]

Register of Advances

Name and address of contractor --------------------------------------------------------------------

Name and address of establishment in/under which contract is carried on ------------------------------

Nature and location of work--------------------------------------------------------------------------

Name and address of principal employer --------------------------------------------------------------
 


 

Sr.

No.

Name  Father's/
 

Husbands

name

Nature of
employment/

designation

Wage period
and wages

payable

Date and
amount

of advance

given

Purpose (s)
for which

advance

made

1 2 3 4 5 6 7
 

 

 

 


 


 

No. of installments by which advance to be repaid Date and amount of each installment repaid Date on which last installment was repaid Remarks
8 9 10 11