F O R M – I

REGISTER OF WORKMEN

(Regulation-7)

i)

Name and address of the Contractor

:

ii)

Number and date of the Contract

:

iii)

Name and address of the department awarding the Contract

:

iv)

Nature of the contract and location of the work

:

v)

Duration of the Contract

:

Sl. No.

Name and Surname of the Worker

Age & Sex

Father’s / Husband’s Name

Nature of employment / designation

Permanent home address of employee (Village / Dist / Thana

Present address

Date of commencement of employment

Date of termination of leaving of employment

Signature or thumb impression of the employee

Remarks

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)