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    Adobe Scan Apr 28, 2023

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    sanjay upare
    This document contains an employee register template with sections for recording an employee's personal details like name, date of birth, address, qualifications, job details, bank account information, as well as sections for recording date of exit, reason for exit, identification marks, photo and signature. There are also mine-specific fields for apprenticeship details if the employee is between 14-18 years old and emergency contact information. The template is designed to collect all relevant information to maintain records for all company employees in accordance with applicable labor laws.

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    Adobe Scan Apr 28, 2023

    Uploaded by

    sanjay upare
    9 views2 pages
    This document contains an employee register template with sections for recording an employee's personal details like name, date of birth, address, qualifications, job details, bank account information, as well as sections for recording date of exit, reason for exit, identification marks, photo and signature. There are also mine-specific fields for apprenticeship details if the employee is between 14-18 years old and emergency contact information. The template is designed to collect all relevant information to maintain records for all company employees in accordance with applicable labor laws.

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    This document contains an employee register template with sections for recording an employee's personal details like name, date of birth, address, qualifications, job details, bank account information, as well as sections for recording date of exit, reason for exit, identification marks, photo and signature. There are also mine-specific fields for apprenticeship details if the employee is between 14-18 years old and emergency contact information. The template is designed to collect all relevant information to maintain records for all company employees in accordance with applicable labor laws.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    9 views2 pages

    Adobe Scan Apr 28, 2023

    Uploaded by

    sanjay upare
    This document contains an employee register template with sections for recording an employee's personal details like name, date of birth, address, qualifications, job details, bank account information, as well as sections for recording date of exit, reason for exit, identification marks, photo and signature. There are also mine-specific fields for apprenticeship details if the employee is between 14-18 years old and emergency contact information. The template is designed to collect all relevant information to maintain records for all company employees in accordance with applicable labor laws.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 2

    SCHEDULE

    [Under Rule 21 (1)|


    FORMA
    EMPLOYEE REGISTER
    |Part-A : For all Establishments]

    Namcof the Establishment LIN: DGMS: 144096327


    Name of Owncr RLC: 1152271180
    1. Serial No. 2. Employee Code
    3. Name 4. Surname
    5. Gender
    6. Father's/Spouse Name :
    7. Date of Birth
    8. Nationality
    9. Educational Level 10. Date of Joining
    11. Designation 12. *Category Address
    13. Type of Employment 14. Mobile No.
    15. UAN 16. PAN
    17. ESIC IP 18. LWE
    19. AADHAR 20. Bank Alc Number
    21. Bank 22. Branch (IFSC)
    23. Prescnt Address 24. Permanent Address

    25. Service Book No. 26. Date of Exit


    27. Reason for Exit

    28. Marks of Identification

    29. Photo

    30. Speciemen Signature /


    Thumb Impresion
    31. Remarks

    *(Highly Skilled /Skilled / Semi Skilled /Un Skilled) work


    #Note : In case the age is between 14 to 18 years, mention the nature of work, daily hours of
    Intervals of rest in the remarks colum.
    SCHEDULE
    [Under Rule 21 (1))
    FORMA
    EMPLOYEE
    IPart-B: For REGISTER
    TheMincs Act, 1952 (35 of 1952) Onlyl
    Serial No. In Employee Register

    Name

    Token Number Issued

    Date of First Appointment with


    Present Owner

    Certificate of Age / Fitness taken


    (or t4 to 18 yçars)

    6. Place of Employement
    (Underground / Opencast / Surface)
    Certification of Vocational Training Centre

    7. Number

    8. Date

    Nominee

    9. Name

    10. Address

    Adult person to be contacted in


    case of emergency

    II. Name and Relationship


    12. Address

    13. Mobile No.

    :
    |14. Remarks

    Signature of Mines Manager

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