Gopal Rai
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Form No.26
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Form No.29
Form No.26


Name of Factory..........

Place where situated..........
Working Hours




Monday to Friday Saturday Time of Commencement of work Rest Period Time of Completion of work  





Serial No.


Father's Name

Nature of Work

For the Period ending ...






1 2 3 4 5 6                  






Note:- Separate page should be used for workers employed during different period of work.

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