Form No. 22 Prescribed under sub-rule (3) of rule 100 HALF.- YEARLY RETURN Period ending 30th June 19 / 31st December 19 Name of Factory Name of Occupier Name of Manager 1. District 2. Postal Address 3. Nature of industry 4. Average number of workers employed daily Men Women Adolescent: Male Female Children: Male Female 5. Number of days worked during the half year ending 30th June 19/ 31st December 19 | Signature of Occupier …………………….. | Signature of Manager ………………… | | Date of Despatch ………………………… | Date of Despatch ………………………… |
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