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Home Forms Name: impression Page 1 of about 37 results (0.001 seconds)Sickness Or Temporary Disablement Benefit Claim For Benefit Labour Act 1386
Category : Labour Act
SICKNESS OR TEMPORARY DISABLEMENT BENEFIT CLAIM FOR BENEFIT I s w d of Insurance No hereby state that I was certified sick temporarily disabled from a m p m on the day of 20 and I have not been at work since a m p m on the day of 20 I no longer claim to be sick temporarily disabled from day of 20 and I shall did not take up any work for remuneration before that day I claim benefit accordingly I desire payment in cash at local office by money order present last employer Department Occupation shift if any present address Signature or thumb impression Local Office Strike out if not applicable and then before resuming work a final certificate must be obtained ACCIDENT CASE ONLY Date time and place of accident If a...
Model Proforma For Interview Valuation (for Management Personnel) 468
Category : Service And Establishment Forms
Model Proforma for Interview Valuation For Management Personnel Name of the applicant Age Position interviewed for 01 Appearance Does he look a healthy energetic person Does he have any bodily disabilities What is his first impression Unsuitable Unimpressive Creates favourable impression Acceptable Impressible commands admiration Creates rather unfavourable impression 02 Voice Speech Is he irritating or pleasant Is his speech clear distinct Clear pleasing Neither particular pleasant or unpleasant Irritating or indistinct Understood 03 Poise Bearing Is he sensitive to criticism Is he shy easily upset or is he self confident Does he adapt himself to situation with much effort Good Not tense Lacks balance restra...
Complaint Under S. 33a Of The Industrial Disputes Act 1947 Labour Act 1381
Category : Labour Act
COMPLAINT UNDER S wage complaint applicant minimum beg COMPLAINT UNDER S 33A OF THE INDUSTRIAL DISPUTES ACT 1947 A full name description and address Complaint s and B full name description and address Opposite party ies The petitioner s begs beg to complain that the opposite party ies has have been guilty of wilful contravention of the provisions of s 33 of the Industrial Disputes Act XIV of 1947 as will appear from the particulars set out below Here set out briefly the particulars showing the manner in which the alleged contravention has taken place and also the grounds on which the order or act of the management is challenged The complaint s accordingly pray s that the tribunal may be pleased to decide the complaint set out above and pass such orders thereon as it may deem fit and proper The number of copies of the complaint and its annexures required by r 59 of the Industrial Disputes Central Rules 1957 are submitted herewith Dated this ...
Notice Of Excluding Husband From Family 137
Category : Notices
Notice of Excluding Husband from Family Form D See sub rule 1 of rule 5 From 1 Name of the female employee 2 Name or description of establishment where employed 3 Post held with Ticket or Serial No if any 4 Department Branch Section where employed 5 Permanent address Take notice that I Shrimati desire to exclude my husband Shri from my family for the purposes of the Payment of Gratuity Act 1972 Place Date Signature Thumb Impression of the employee Declaration by witnesses The above notice was signed thumb impressed before me Name in full and full address of witnesses Signature of witnesses 1 1 2 2 Place Date To The Controlling Authority Thro...
Notice Of Withdrawal Of Notice For Excluding Husband From Family 138
Category : Notices
Notice of Withdrawal of Notice for Excluding Husband from Family Form E See sub rule 1 of rule 5 1 Name of the female employee 2 Name or description of establishment where employed 3 Post held with Ticket or Serial No if any 4 Department Branch Section where employed 5 Permanent address Take notice that I Smt Mrs hereby withdraw the notice dated whereby I excluded my husband Shri from my family for the purposes of the Payment of Gratuity Act 1972 The earlier notice was recorded under your reference No dated Place Date Signature Thumb impression of the employee Declaration by witnesses The above notice of withdrawal was signed thumb impressed before me Name in full and full address of witnesses Signature of witness 1 1 2 2 Place Date To The Controlling Authority Through t...
Notice Of Pregnancy 149
Category : Notices
Maternity Benefit Notice of Pregnancy Form 19 See Regulation 87 I Insurance No wife of daughter of hereby give notice of pregnancy Present address Present last employee Date Signature or thumb impression Confidential...
Maternity Benefit – Certificate Of Pregnancy 150
Category : Notices
Maternity Benefit Certificate of Pregnancy Form 20 Regulation 87 Signature thumb impression of the Insured woman Employer s Code No Book Stamp of the Dispensary Serial No To I certify that I have examined you today and that in my opinion you are pregnant and your pregnancy appears to be weeks old Signature of midwife if any Signature or counter signature of Insurance Medical Officer Date Rubber stamp or name in block letters...
Dependants’ Benefit – Claim Form For Periodical Payments 156
Category : Notices
Dependants Benefit Claim Form for Periodical Payments Form 18A See Regulation 83A Name of the deceased insured person Insurance No I State relationship with the deceased of the above named insured person being his dependant claim Dependant s Benefit for the period from to The amount due may be paid to me by money order in cash at the local office I declare that I have not married remarried so far Strike out what is not applicable I declare that I am still infirm Signature or thumb impression of the claimant Date Present address Applicable only in case of female dependants Applicable only in case of legitimate infirm son or legitimate or adopted unmarried infirm daughter The claim in such cases shall be accompanied if required by a certificate of speci...
Form Of Notice Of Transfer Of Ownership Of A Motor Vehicle 170
Category : Notices
Form of notice of transfer of ownership of A motor Vehicle Form 29 See rule 55 1 To be made in duplicate and the duplicate copy with the endorsement of the registering authority to be returned to the transferor immediately on making entries of transfer of ownership To The Registering Authority in whose jurisdiction the transferee resides I We have on the day of the year sold and delivered my our vehicle No make chassis No Engine No to Shri Smt name son wife daughter of residing at House No Street Village Town Dist and State The registration certificate and Insurance Certificate have been handed over to him her th...
Hypothecation 171
Category : Notices
Notice of Termination of an Agreement of Hire Purchase Lease Hypothecation Form 35 See rule 61 1 To be made in duplicate and the duplicate copy with the endorsement of the registering authority to be returned to the financer simultaneously on making the entry in the certificate of registration To The Registering Authority We hereby declare that the agreement of hire purchase lease hypothecation entered into between us has been terminated We therefore request that the note endorsed in the Certificate of Registration of Vehicle No in respect of the said Agreement between us be cancelled The Certificate of Registration together with the fee is enclosed Signature or thumb impression of the Registered Owner Date Signature of the Financer Office Endorsement Number Dated office of the ...
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