The Mizoram Occupational Safety, Health and Working Conditions Rules, 2026
Form IX
Official text
Open in the official PDF (p. 213)
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(See rule-9)
NOTICE OF OCCURRENCE OF DISEASE
Name of establishment:
Registration number of establishment:
Nature of establishment:
Details of Patient:
Name of Patient:
Mobile Number & Email address, if any:
Works number of Patient:
Address of Patient:
Precise occupation of patient:
Nature of disease from which patient is suffering:
Date of Detection of Disease:
Details of Medical Practitioner:
Has the case been reported to the Medical Officer:
Signature of employer or Medical Practitioner
Date: