Form 37

{See clause (2) of sub-rule (A) of Rule 108 and clause (7) of sub-rule (C) of Rule 108 }

Record of white washing, colour washing, varnishing, painting and cleaning

Part of industrial Parts white Treatment Date on which Remarks Signature of

premises (name washed, colour whether white white washing, employer or

of room) washed, painted, washed, painted, painting or manager

varnished (walls, varnished or varnishing or

ceilings, cleaned cleaning was

woodwork etc.) carried out

(DD/MM/YY)

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