Form No.29 Prescribed under Rule 53 (A) P ART I 1. Name of the Worker
.. 2. Serial No. as in the register of workers, under section 62 of the act
3. Father's Name
... 4. Age and date of birth
5. Nature of work
. 6. Qualifications, if any, or period of service on similar work
7. Date when tight fitting clothing were provided
. 8. Signature or thumb impression of workers
.. 9. Remarks
Signature of Occupier | 
