The Arunachal Pradesh Occupational Safety, Health and Working Conditions Rules, 2022
Form XVIII
Official text
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[See Rule 50 (2)]
Application for Grant of Permission under Section (1) 76
1. Full name of the industrial premises:-
2. Full postal address and location of the industrial premises:-
3. Full name and address of the applicant:-
4. Maximum number of employees proposed to the employed outside the premises:-
5. License number and date:-
6. Reason of preferring outside the premises:-
7. Amount of fees paid:-
I have by declare that the particulars furnished by me in the form above are true to the best of
my knowledge and belief.
Signature of applicant