Notice of Closure

Form ‘C’
[See sub-rule (3) of rule 3]

Take notice that it is intended to close down the establishment with effect from ………………. The other details are furnished below :

1. Name and address of the establishment:
2. Name and address of the Head Office, if any:
3. Name and designation of the employer:
4. Number of persons in employment:
5. Number of employees entitled to gratuity :
6. Amount of gratuity involved:

Place :……..
Date :……….

Signature of the Employer with
name and designation.

To

The Controlling Authority