The Arunachal Pradesh Occupational Safety, Health and Working Conditions Rules, 2022
Form XVI
Official text
Open in the official PDF (p. 222)
Tables and forms lose their layout when extracted; the PDF is the authoritative version.
(See Rule- 43)
Application for Declaration of Core Activity
To,
Principal Secretary/Secretary,
Labour and Employment,
Government of Arunachal Pradesh
1. (Name and address of establishment) is engaged in manufacturing of ........................................
......................................................................................................................................................
2. The flow chart of manufacturing process is attached herewith......................................................
.......................................................................................................................................................
.
3. Activity is core activity/non-core activity of the establishment .......................................................
4. The detail of the activity in question
………………………………………………......................………………………………………………
……………………………………………...........................…….………………………………………
5. Detail grounds of the application
………………………….......................………………………..……………………………………….
……………………………………………………………………………….......................……………
6. Number of workers employed in the activity in question ……………………….................……..
7. Total number of workers employed in the establishment…………………….................…………
Prayer for : ………………………………………………………………………………………….................
…………………………………………………………………………………………………….................…
Signature (Name and Address of the Aggrieved Party)
Verification
It is verified that the content of the application is true and correct to the best of my knowledge and
belief.
Signature(Name and Address)