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    This document contains two self-declarations from casual construction workers in Punjab, India. The first declaration is from a worker who has done a minimum of 90 days of construction work in the state but does not have a regular employer. The second declaration is from an employer or contractor certifying that a named individual has been employed in their establishment since a given date. Both declarations require attestation by local authorities.

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    This document contains two self-declarations from casual construction workers in Punjab, India. The first declaration is from a worker who has done a minimum of 90 days of construction work in the state but does not have a regular employer. The second declaration is from an employer or contractor certifying that a named individual has been employed in their establishment since a given date. Both declarations require attestation by local authorities.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    79 views1 page

    Form 360

    Uploaded by

    sa
    This document contains two self-declarations from casual construction workers in Punjab, India. The first declaration is from a worker who has done a minimum of 90 days of construction work in the state but does not have a regular employer. The second declaration is from an employer or contractor certifying that a named individual has been employed in their establishment since a given date. Both declarations require attestation by local authorities.

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    FORM NO,XXVII(A)

    Self –Declaration

    (In Case of those Casual Construction Workers do not have regular employer/ contractor)

    I …………………………………….Son/daughter/wife of sh…………………………….Resident of …………………….……


    ………………………… ……………………… ……..……………. do hereby that during the last twelve months I have
    done minimum ninety days construction work in state of Punjab .

    Dated........................... Signature / Thump impression of the construction worker

    Mobile No……………………………………………...

    Attested by
    Vill Sarpanch/Municipal Councilor

    FORM NO. XXVII


    [See rules 260(3)]

    CERTIFAICATE BY EMPLOYER/CONTARTOR REGARDING EMPLOYMENT OF BULDING WORKER

    NO……………………………………. DATE……………………………………………..

    TO WHOMESOVER IT MAY CONCERN

    This is certify that Sh /Smt/Miss…………………………………………..son/Daughter/wife of Sh……….……………


    ……………………… Resident of …………………………………………………………………………………………………..………….
    is employed with My/our establishment as……………………………………since…………………………….……………

    Signature and seal of the


    employer/contractor

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