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FORM -12 Prescribed under Rule 107 Register of adult workers. Group to which worker belongs Adolescent if certified as adult Sl. No name date of birth Sex Residen tial address Father's / Husband's name date of appoint ment Alphabet Assigned Nature of work Number of relay if working in shifts Number & date of certificate of fitness Number under section 68 Remarks 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
FORM -12 Prescribed under Rule 107 Register of adult workers. Group to which worker belongs Adolescent if certified as adult Sl. No name date of birth Sex Residen tial address Father's / Husband's name date of appoint ment Alphabet Assigned Nature of work Number of relay if working in shifts Number & date of certificate of fitness Number under section 68 Remarks 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
FORM -12 Prescribed under Rule 107 Register of adult workers. Group to which worker belongs Adolescent if certified as adult Sl. No name date of birth Sex Residen tial address Father's / Husband's name date of appoint ment Alphabet Assigned Nature of work Number of relay if working in shifts Number & date of certificate of fitness Number under section 68 Remarks 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
Group to which worker belongs Adolescent if certified as adult Sl. No Name Date of birth Sex Residen tial address Fathers/ Husbands name Date of appoint ment Alphabet Assigned Nature of work Number of relay if working in shifts Number & date of certificate of fitness Number under section 68 Remarks 1 2 3 4 5 6 7 8 9 10 11 12 13