FORM-22

Application For Half Yearly Return

Unique Business Identification Number

UBIN *

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Where to Apply *

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Factory Details

Name of the Factory *

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Name of the Occupier *

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Name of the Manager *

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Postal Address *

Address Line 1 *

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Address Line 2

Address Line 3

Country *

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State *

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District

Postal / Zip Code *

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Mobile Number

Nature of Industry *

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Number of days worked during the half yearly ending 30th june *

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Number Of Man Days Worked During The Half Yearly Ending 30th June

Adult

Women

Man

Adolescents

Male

Female

Chilldren

Girls

Boys

Average Number Of Workers Employed Daily

Adults

Women

Man

Adolescents

Male

Female

Children

Girls

Boys

Details For Notifications

Applicant Name *

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Mobile Number *

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E-Mail *

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The average daily number should be calculated by dividing the aggregate number of attendance on working days by the number of working days during the half year. In reckoning attendance , attendance by temporary as well as permanent employees should be counted and all employees (including apprentice) should be counted and all employees should be included whether they are employed directly or under contractor. Attendance on separate shifts (e. g. night and day shifts) should be counted separately. Days on which the factory was closed, for whatever cause, and days on which the manufacturing processes were not carried on should not be treated as working days. However, if more than 50% of workers employed (on the previous days) attend to repair maintenance or other such work on closed days, such days should be treated as working days.

Partial attendance for less than half a shift of working days should be neglected and attendance of half a shift or more should be treated as full attendance.

Certified that the information furnished above is to the best of my knowledge and belief, correct..