| Name of Factory ........... | On half working days ......... |
| Where Situated............ | Hours of starting work........ |
| On ordinary working days | Hour of closing work......... |
| Hours of starting work.......... | Date on which notice first exhibited.... |
| Hours of closing work.......... | (Signed) ............ |
| Period of rest interval From ...... To ......... | Manager |
Inst. Vide Notification No. F.5 (37)/ 36 I & L Dated 28-10-66.
