The Arunachal Pradesh Occupational Safety, Health and Working Conditions Rules, 2022
Form XXIII
Official text
Open in the official PDF (p. 228)
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[See Rule - 50(11)]
Monthly Return
1. Name of industrial premises and full postal) address..................................................................
2. No. and date of license.................................................................................................................
3. Month in which there turn relates...............................................................................................
4. Name of the employer..............................................................................................................
5. Name of the principal employer if employer is working as contractor for the Principal
Employer................................
6. Quantity of beedi and/or cigar tobacco released by the Excise Department of the Central
Government.
7. Quantity of beedi and / or cigar tobacco supplied by the Principal Employer..................................
8. Number of beedis and /or cigar manufacture by the employer in an industrial
establishment..............................................................................................................................
9. No. of beedis and / or cigars manufactured by the employer in places other than industrial
establishment. i.e., workers working in their homes......................................................................
10. Number of beedi and/or cigar sold and to whom…......................................................................
Signature of the Employer