The Uttar Pradesh Occupational Safety, Health and Working Conditions Rules, 2026
Form 31
Official text
Open in the official PDF (p. 512)
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{See Rule-95}
EXPERIENCE CERTIFICATE OF CONTRACT EMPLOYEE
To whom so ever concerned
1. Name of contractor/employer*:
2. LIN/PAN No. of the contractor/employer *:
3. Email Id of the contractor /employer*:
4. Mobile No. of the contractor/employer *:
5. Nature and location of work:
6. Name of Principal Employer*:
7. LIN/PAN No. of the Principal Employer:*
8. Email Id of the Principal Employer :*
9. Mobile No. of the Principal Employer:*
10. Name of the worker*:
11. UAN / Aadhaar No.*:
12. Mobile No. :
13. Serial Number in the Employee Register:
14. Registration number, date and name of the labour and Board (if the contract labour is registered as
a beneficiary with Uttar Pradesh Building and Other Construction Workers Welfare Board or with
Uttar Pradesh Unorganized Workers Welfare Board):
15. Period of Employment:
16. Designation:
Date: Signature of Contractor
Place: Seal
*Please strike off whichever is not applicable.