The Code on Social Security (Arunachal Pradesh) Rules, 2021
Form XXII
Official text
Open in the official PDF (pp. 58–59)
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[See Rule 61(3) (a) & (c)]
DETAILS OF EMPLOYEES OF THE ESTABLISHMENT COVERED UNDER THE
COMPULSORY INSURANCE UNDER SECTION 57 OF THE CODE
(a) Name of the employee :
(b) Name of Father/Husband :
(c) Designation/Category :
(d) Date of Joining/ Appointment :
(e) Wages of the Employee :
(f) Date of Admission to Compulsory Insurance :
(g) Date of Retirement :
Place :
Date :
Signature of the Employer
Name & Designation and Address