FORM 1 SEC RULE 17 (1) APPLICATION OF REGISTRATION OF ESTABLISHMENTS EMPLOYING CONTRACT LABOUR Name and location of the establishment.

Postal address of the establishment. Full name and address of the principal employer (furnish fathers name in the case of the individual) Full name and address of the manager or person responsible for the supervision and control of the establishment. Nature of work carried on in the establishment. Particulars of contractors and contract labor. (a) (b) (c) (d) (e) Names and addresses of the contractors Nature of the work in which contract labor is employed of it is to be employed. Max No of contract labour to be employed on any day through each contractor. Estimated date of commencement of contract work under each contractor Estimated date of termination of employment of contract labour under each contractor.

Particulars of demand draft enclosd . ( Name of the union bank, amount, demand draft No. And date) I hereby declare that the particulars given are true to the best of knowledge and belief. Principal Employer Scald and stamp Office of the registering officer Date of receipt of application. _____________________________________________________________________________________ FORM V Rule 21 (2) Form of the certificate by principle Employer Certified that I have engaged the applicant (name of the contractor ) as a contractor in my establishment . I undertake to be bound by all the provisions of the contract labour (regulation and

abolition) Act, 1970 and the contract labour (regulation abolition) central rules, 1971, of contract labour by the applicant in my establishment. Place: Date: Signature of Principle Employer Name & address of establishment

FORM V1-A Rule 25 (2) (viii) Notice of commencement completion of contract work I/We , Shri/M/S ..( Name and address of the Contractor),m hereby intimate that the contract work .(Name of work)in the establishment o the ..(Name of the headquarters), has been commenced / completed with effect from(date)/on(date)

Signature of the contractor(S) To The Inspector, ______________________,

FORM V1-B Rule 81 (3) Notice of commencement / completion of contract work Name of the Principal Employer and address.. No. And date of Certificate of registration.. I/we hereby intimate that contract work .( Name of work ) given to (Name and address of the contractor ) having licence No..dated

.has been commenced /completed with effect from (date )/on .(date).

Signature of the principal employer To The Inspector, ., _____________________________________________________________________________________