Rule Form XII Form XII
- Chapter
- Annexures · Forms and Appendices
- Text as on
- As notified 08 May 2026
FORM-XII (See rule 71) NOTICE OF PERIODS OF WORK
Name of the Establishment..............................Place.......................................District........................
Periods of Men Women Description of Groups, Remarks work Total no. of men employed Total no. of women employed Nature of work Groups, Relays
A B C D E F GH
1 2 3 12 31 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3
On working days
From .. To .. From .. To .. From .. To .. On partial Working days From .. To .. From .. To ..
Date on which this notice is first exhibited : Signature of employer : Date :