The Uttar Pradesh Occupational Safety, Health and Working Conditions Rules, 2026
Form 58
Official text
Open in the official PDF (p. 546)
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{See sub-rule (2) of Rule 175}
Appeal under section 119(6)
a) Name and Licence no of establishment
b) the order appealed against;
c) a non-refundable fee equivalent to five percent, of the fees deposited to obtain common licence;
d) a statement of issues in dispute;
e) documentary evidence relied upon.
f) relief sought.
Name and Sign of Occupier
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