Form 21 Half Yearly Returns Factories Act 210134305 by RLGwsP

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									                                    Form No.21
    (Prescribed under sub - rule (1) of rule 100 of the Tamil Nadu Factories Rules, 1950)

Half - yearly return for the half-year ending 30th June/31st December _____



1. Registration Number of the Factory               :


2. Name and address of the Factory                 :




3. Name and address of the Occupier                :



4. Name and address of the Manager                 :



5. Nature of Industry                              :


6. Number of days worked during the half-year :


7. Average number of workers employed daily :

            Adults                      Adolescents                     Children
             (1)                            (2)                           (3)
   Male       Female                 Male       Female              Male        Female




8. Date of despatch of return                           :

I certify that to the best of my knowledge and belief the above particulars are correct in
every aspect.




Date:                                 Signature of the Manager
                                      (Name in BLOCK Letters)

								
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