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General Terms and Conditions - Calcutta Telephones

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CONTRACTOR’S LABOUR REGULATIONS<br />

B S N L<br />

Appendix ’IX’<br />

Form-XV (See Rule 77)<br />

Service Certificate<br />

Name <strong>and</strong> address of the contractor____________________________________<br />

Nature <strong>and</strong> location of work___________________________________________<br />

Name <strong>and</strong> Address of workman________________________________________<br />

Age or date of birth__________________________________________________<br />

Identification marks_________________________________________________<br />

Father’s/Husb<strong>and</strong>’s name____________________________________________<br />

Name <strong>and</strong> address of establishment in/under which contract is carried<br />

on_______________________________________________________________<br />

Name <strong>and</strong> address of Principal Employer________________________________<br />

Sl.No.<br />

Total period for which<br />

employed<br />

From To<br />

Nature of<br />

work done<br />

Rate of Wages (with<br />

particulars of unit in case<br />

of piece work)<br />

Remarks<br />

1 2 3 4 5 6<br />

Signature<br />

83

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