FORM XXV

[See rule 82 (2))

Annual Return of Principal Employer to be sent to the Registering Officer

1. Full name and address of the principal employer

2. Name of the establishment—
 

3. Full name of the manager or person responsible for supervision and control of the establishment
4. Number of contractors who worked in the establishment during the year (Give details in Annexure)
5. Nature of work/operation on which contract labour was employed

6. Total number of days during the year on which contract labour was employed
7. Total number of man-days worked by contract labour during the year

8. Maximum number of workmen employed directly on any day during the year
9. Total number of days during the year on which direct labour was employed

10. Total number of man-days worked by directly employed workmen

11. Change, If any, in the management of the establishment, Its location, or any other particulars furnished to the Registering Officer, In the application for registration indicating also the dates

 

Principal Employer.
 

Place
Date

 

ANNEXURE TO FORM


 

Name and

address of

the cont ractor

Period of

contract

From To

 

 Nature of

work

 

Maximum number

of workers

employed by - each contractor

Number of

days

workid

Number of

man-days

worked

 
1 2       3 4 5 6 7