The Occupational Safety, Health and Working Conditions (Andhra Pradesh) Rules, 2026
Form IIA
Official text
Open in the official PDF (p. 440)
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[(See rule 3(14)]
Certificate of cancellation of Registration Certificate of
Establishment
No. Date:
The Registration No…………………………………dated…………………… of
…….……………………….. (Name of the establishment), of Factory/motor
transport undertaking/ plantation/newspaper establishment/ establishment
relating to beedi and cigar/ Contract Work/ Building or Other Construction
Work/ Any other work (work carried on in the establishment) is hereby
cancelled with effect from …………………. under sub-section (5) of section 3 of
the Occupational Safety, Health and Working Conditions Code, 2020 (37 of
2020).
Place:
Date:
Signature/ E -Sign/DSC of Registering
Officer
Along with designation