Rule 65. Certified that the above declaration and nomination has been signed/thumb impressed before me by Shri/Smt/Ku .. entry/entries or have been read over to him/her by me and got confirmed by him/her in either of the cases. Signature of the employer or other authorised officer of the establishment and Designation Place: Date:

Chapter 7 — MiscellaneousMade under The Code on Wages, 2019No. 1115/VIII-1/2026-60(Shram)/2019, 25 Aug 2026

Text read by machine from the official scan

..employed in my establishment after helshe has read the FORM-III [See rule 43]

Source: The Uttarakhand Code on Wages Rules, 2026, No. 1115/VIII-1/2026-60(Shram)/2019 — Uttarakhand Gazette Extraordinary, 25 August 2026, pp. 90–91 of the PDF. Open our copy at p. 90 · official download · all sources

The official copy is a scan. This text was read by machine and only tidied by program, not checked page by page, so it will contain mistakes, including in numbers: the official PDF is the copy to rely on. The Forms are not reproduced here; read them in the PDF. This is the English translation the Governor ordered published under Article 348(3) of the Constitution; the Hindi text in the same file could not be machine-read. Rule numbers the machine missed (15, 42, 43, 48) stay inside the rule before them here. The headings are printed in the margin of the scan and may be incomplete here.