0 ratings0% found this document useful (0 votes) 2K views18 pagesForm X
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content,
claim it here.
Available Formats
Download as PDF or read online on Scribd
FORM—X
Shops & Establishments Rules 1964
( See Rule 53 )
LETTER OF APPOINTMENT
Name of the Shop/Establshment.. SENCo.... BOLD.
‘Address. ARIOUUE. Nebech Rood tshagaa,..Renkaxcpere. Nunshidlabo6) D105.
Name of the Shop keeper/employer...t10.-Saznkar.Sen riiachatael
Registration No... 09.) 20.1 NAO!
S
Q). shri/Shrimad.... SAMTU....PAL,
is appointed as (describe here the nature of appointment y Pascua. Decouot. caahiol
.in this shop / establishment
o4forfi..
with effect from...
(2) His/her appointment is on probationery basis for...
(insert the period ) / temporary casual basis for ( insert the period )
permanent basis.
(3) His/her scale of pay rate of increment in wages per...
..( insert the period ) shall be
(4) He/She will drawn a total wages of.
per day / week / month composed to the following name—
900 df: Ic
(i) Basic pay of..
Gi) Dearness allowance.
(iii) Other allowance... 25295,
Signature of the SI
Date...
Note: Strik out words which are not applicable ai
The Government of West Bengal has allowed the Employer/Shop keeper to
Substitute its own appointment letter which Substantiklly contain the Particulars
specified in Form-X and if Priar approvals is taken from the State Government.
‘Available—THE BOOK CORNER, (Estd.-1960) 3, Mangoe Lane, Kol-l Ph. : 22484698 Code : SH-XFORM—X
Shops & Establishments Rules 1964
( See Rule 53 )
LETTER OF APPOINTMENT
BQH!
Pe
‘Name of the shoppeaablabesas. SE
Address. 976/274.. MelA1'. RonGl,. Khagas.Benbaanpae,.J Munakaabed W342 103,
‘Name of the Shop keeper/employer... DKAD....RMe.
Registration No... OUAOMN AO NAOT...
Q). ShriShrimad... CANTON... DEN.
is appointed as ( describe here the nature of appointment ).. sieeve. eee
Jn this shop / establishment
eloloma hie,
with etfect from...04 [11%
(2) His/her appointment is on probationery basis for..
(insert the period )'/ temporary casual basis for ( insert the period )
-permanent basis.
(3) His/her scale of pay rate of increment in wages per...
(4) He/She will drawn a total wages of..
per day / week / rponth composed to the following name—
RSS4... :
(ii) Dearness allowance.
(iii) Other allowance....1942......
(i) Basic pay of...
Signature of the Shop-Keeper/Employer
Date.!8: SB.
Note: Strik out words which are not applicable
The Government of West Bengal has allowed the Employer/Shop keeper to
Substitute its own appointment letter which Substantiklly contain the Particulars
specified in Form-X and if Priar approvals is taken from the State Government.
Available-THE BOOK CORNER, (Estd.-1960) 3, Mangoe Lane, Kol-I Ph. : 22484698 Code : SH-XFORM—X
Shops & Establishments Rules 1964
(See Rule 53 )
LETTER OF APPOINTMENT
Name of the Shop/Establishment... ANC... AOLN....LTD
Address. 22#6,(9213. NBH#311..Rond)-Aehog ann. Renamer. nunsridanod, Fu9103,
Name of the Shop keeper/employer.... MG... Ranken... Sen...
Registration No.. OUAOLIN ROL ACONIOAG.
a Shri(Shsiati.. my Peothe.. CLealhust ¥ :
is appointed as ( describe here the nature of appointment ) f¥e autive Clishame.n
Relationship...
with effect from... (044.
‘in this shop / establishment
(@) His/her appointment is on probationery basis tori éanfamafn:
(insert the period ) / temporary casual basis for (insert the period )
permanent basis,
(3) His/her scale of pay rate of increment in wages per.
insert the period ) shall be
@) He/She will drawn a total wages of.....
per day / week / mponth composed to the following name—
(i) Basic pay of...
(ii) Dearness allowance.
ii) Other allowance.
Signature of the Shop-k smployer
datelO:0%:.2019
Note: Strik out words which are not applicable
The Government of West Bengal has allowed the Employer/Shop keeper to
Substitute its own appointment letter which Substantiklly contain the Particulars
specified in Form-X and if Priar approvals is taken from the State Government.
‘Available—THE BOOK CORNER, (Estd.-1960) 3, Mangoe Lane, Koll Ph. : 22484698 Code : SH-XFORM—X
Shops & Establishments Rules 1964
(See Rule 53)
LETTER OF APPOINTMENT
‘Name of the Shop/Establishment.....\ Si Er
Address. B6/949.N@hA3}1..Kaedu, Khegar...Cenbampase, tisnshida bo) 442103,
Namie of the Shop keeper/employer....(M7%.. SAMKA... SEM.»
Registration No... OFIQOLN QOH OTD. IS:
SUKANTA
is appointed as ( describe here the nature of appointment ).“ See z. AGE R_
..in this shop / establishment
Q) Sbri/Shrimati...
: 24 [ou] 2019
with effect from.
(2) His/het appointment is on probationery basis for.
(insert the period J / temporary casual basis for ( insert the period )
....permanent basis.
(3) His/her scale of pay rate of increment in wages per...
(insert the period ) shall be
(4) He/She will drawn a total wages of..
per day / week / month composed to the following name—
S400 :
(i) Basie pay of...
(ii) Dearness allowance...
(iy Other allowance... 1.49909...
Signature i enim iar
Date!.©.:
Note: Strik out words which are not applicable
The Government of West Bengal has allowed the Employer/Shop keeper to
Substitute its own appointment letter which Substantiklly contain the Particulars
specified in Form-X and if Priar approvals is taken from the State Government.
‘Available—THE BOOK CORNER, (Estd.-1960) 3, Mangoe Lane, Kol-l Ph. : 22484698 Code : SH-XFORM—X
Shops & Establishments Rules 1964
(See Rule 53 )
LETTER OF APPOINTMENT
Name ofthe Shop/Establishment...9.
Address. 37.6)923..NelasinondaKh
‘Name of the Shop keeper/employer....!2
Registration No. QOMN AON
@ sips. SANTW DAS
is appointed as ( describe here the nature of appointment ) Acs. Boamenciel Macage
in this shop / establishment
with effect from...
(2) His/her appointment is on probationery basis tor Dai. Can) ninaboacafe|eoig
(insert the period J / temporary casual basis for ( insert the period )
permanent basis.
(3) His/her scale of pay rate of increment in wages per....
(insert the period ) shall be
(4) He/She will drawn a total wages of...
per day / week / month composed to the following name—
(Basic pay Of... BADE.
(i) Dearness allowance...
(ii) Other allowance. $42...
Signature of the Fc
Date. \O1.0%: fs
Note: Strik out words which are not applicable
The Government of West Bengal has allowed the Employer/Shop keeper to
Substitute its own appointment letter which Substantiklly contain the Particulars
specified in Form-X and if Priar approvals is taken from the State Government,
‘Avallable—THE BOOK CORNER, (Estd.-1960) 3, Mangoe Lane, Koll Ph. : 22484698 Code : SH-XFORM—X
Shops & Establishments Rules 1964
(See Rule 53 )
LETTER OF APPOINTMENT
Name of the Shop/Establishment... PEIMCO.... HOLD. D
Address. 2746) 213. Nodea}, Band... Khogara,. Berhemnpece.. raunshidaral) 42109,
‘Name of the Shop keeper/employer..... 2. saan kKan. 5S :
Registration No... OUQOUNAOACOINAS::..
CHANONE HALDER
EXECUTIVE ’-
(1) Sbri/Shrimati.
is appointed as ( describe here the nature of appointment ).
CUSTOMER. CARI
Ona Ne
with effect from.
(2) His/her appointment is on probationery basis for.
( insert the period )'/ temporary casual basis for ( insert the period )
permanent basis.
(3). Hishher scale of pay rate of increment in wages per..
(insert the period ) shall be
(4) He/She will drawn a total wages of...
per day / week / month composed to the following name—
29400900. ;
(i) Basic pay of.
(ii) Dearness allowance......
(iii) Other allowance... 88
wid iste all
(0, OF 2019
Date.’
Note : ‘Strik out words which are not applicable
The Government of West Bengal has allowed the Employer/Shop keeper to
Substitute its own appointment letter which Substantiklly contain the Particulars
specified in Form-X and if Priar approvals is taken from the State Government,
Available—THE BOOK CORNER, (Estd.-1960) 3, Mangoe Lane, Kol-l Ph. : 22484698 Code? SH-XFORM—X
Shops & Establishments Rules 1964
(See Rule 53 )
LETTER OF APPOINTMENT
Name of the Shop/Establishment.... 2ENCO.....BM ¥
Address. Satlera..neled' Rend khagaa, Rechampene..ursheebodl..#42103,
Name of the Shop keeper/employer... M7... SamKa....Sen.
Registration No.... OW 2.0.UNQOEO RAIS.
@) siysnieaati..... PR Qh!
is appointed as ( describe here the nature of appointment ). .XECVIAVE...
CUSTOMER... RELATTONS ATE. in this shop / establishment
02-A0\6
with effect from.....9.\..=
(2) His/her appointment is on probationery basis for. 29K... Qu 0\-ORNG
(insert the period )'/ temporary casual basis for (insert the period )
permanent basis.
(3) His/her scale of pay rate of increment in wages per...
.-(insert the period ) shall be
(4) He/She will drawn a total wages o
per day / week / month composed to the following name—
(Basic pay of....... BADE.
(ii) Dearness allowance.
584...
(ii) Other allowance...
Signafre of the Shop-keeps sployer
Date.0..09-22.819
Note: Strik out words which are not applicable
The Government of West Bengal has allowed the Employer/Shop keeper to
Substitute its own appointment letter which Substantiklly contain the Particulars
specified in Form-X and if Priar approvals is taken from the State Government.
‘Available—THE BOOK CORNER, (Esid-1960) 3, Mangoe Lane, Koll Ph : 22484698 Code : SIXFORM—X
Shops & Establishments Rules 1964
(See Rule 53)
LETTER OF APPOINTMENT
‘Name of the Shop/Establishment, Gos. a
Address. SA6|QA2.NE perenne, Munrshadabedl #2103.
Name of the Shop keeper/employer...M%... 2AMKOAN...SRN« Kirt
Registration No.,.OQ2O.ULN. 2.010890 .....
Q) shf/Shrimati..... DOLY... Aue
is appointed as ( describe here the nature of appointment ) Fxecatt 2Relotionshif
in this shop / establishment
1309180)
with effect from.
(@) His/her appointment is on probationery basis for:Robe.of Confamation.3'(03] 8019.
( insert the period )') temporary casual basis for ( insert the period )
permanent basis.
(3) His/her scale of pay rate of increment in wages per...
.-.( insert the period ) shall be
(4) He/She will drawn a total wages of...
per day / week / rponth composed to the following name—
(i) Basic pay of.
(i) Dearness allowance..
(iii) Other allowance...
sos Fetal el
Datel O.QrtO (9
Note: Strik out words which are not applicable
The Government of West Bengal has allowed the Employer/Shop keeper to
Substitute its own appointment letter which Substantiklly contain the Particulars
specified in Form-X and if Priar approvals is taken from the State Government,
‘Avalable—THE BOOK CORNER, (Estd.-1960) 3, Mangoe Lane, Koll Ph. : 22484698 Code : SH-XFORM—X
Shops & Establishments Rules 1964
(See Rule 53 )
LETTER OF APPOINTMENT
Name of the Shop/Establishment.... SEWNCA.... A TO.
Address, 36922. Nel0a.. Rao. Khegara, Genlharnperies Mun shale. od.
Name of the Shop keeper/employer....Mt2... SANKAN. SPA, B
Regisiration No... OMRON AOLOTOAS:.
(1) shé/Shrima.... MANDINI...DAS. GUPTA.
is appointed as ( describe here the nature of appointment )
cS effect from: of 2). IS.
(2) His/her appointment is on probationery basis fosDate of. ¢
(insert the period ) / temporary casual basis for ( insert the period )
permanent basis.
(3) His/her scale of pay rate of increment in wages per.........-...
(insert the period ) shall be
(4) He/She will drawn a total wages of...
per day / week / month composed to the following name—
(i) Basic pay of... BABE. :
(ii) Dearness allowance...
(iii) Other allowance....:2.9.4
Signature of the Shop-keeper/Employer
Date.(8..02.9.014
Note: Strik out words which are not applicable
The Government of West Bengal has allowed the Employer/Shop keeper to
Substitute its own appointment letter which Substantiklly contain the Particulars
specified in Form-X and if Priar approvals is taken from the State Government,
‘AvailableTHE BOOK CORNER, (Estd.-1960) 3, Mangoe Lane, Kol-l Ph. : 22484698 Code : SH-XFORM—X
Shops & Establishments Rules 1964
(See Rule 53)
LETTER OF APPOINTMENT
Name ofthe Shop/Establishment.. SENCO....ROHD...kTD.:
Address. 248/951. Nek#1..Rondl,.Khagera.,.Benheempene,...auashddabell, 4.2103.
mm... oon ken... en,
Ae:
‘Name of the Shop keeper/employer...
NAO
a) sidyshsiaiat nw AGHEK SARKARK
is appointed as ( describe here the nature of appointment )..EXFCW
Registration No....!
TIVE Customer
COHIE.- C87 RELATIONS
.in this shop / establishment
O]— 02 — 201k
with effect from.....
(2) His/her appointment is on probationery basis for’
(insert the period ) / temporary casual basis for ( insert the period )
L
permanent basis.
(3) His/her scale of pay rate of increment in wages per...
(insert the period ) shall be
(4) He/She will drawn a total wages of...
per day / week / month composed to the following name—
(i) Basic pay of.
(ii) Dearness allowance...
(iii) Other allowance..
Signature of the Shop-keeper/Employer
Date..A2..822. 227
Strik out words which are not applicable
The Government of West Bengal has allowed the Employer/Shop keeper to
‘Substitute its own appointment letter which Substantiklly contain the Particulars
specified in Form-X and if Priar approvals is taken from the State Government,
‘AvailableTHE BOOK CORNER, (Estd.-1960) 3, Mangoe Lane, Kol-l Ph, : 22484698 Code ? SH-XFORM—X
Shops & Establishments Rules 1964
(See Rule 53 )
LETTER OF APPOINTM. NT
‘Name of the Shop/Establishment......2-FN( hl
Address: 2461 99%..Nel@S', Read. Shorter e Bae ‘sunshedated), 2103,
‘Name of the Shop keeper/employer..Mce:. SanKan....Se.n:
Registration No... OMRON NMAQUEMOR OIG...
AIAQUL Tsram
Q) Shri/Shrimati
is appointed as ( describe here the nature of appointment )E¥=<1A3
Rekoksenwahs?
‘in this shop / establishment
e i SOA HME BOOB ZN
(2) His/her appointment is on probationery basis for: oebbon : Md
insert the period ) / temporary casual basis for ( insert the period )
permanent basis.
3) Hisyher scale of pay rate of increment in wages per.
..( insert the period ) shall be
(4) He/She will drawn a total wages of.
per day / week / month composed to the following name—
B238
(i) Basic pay of...
(ii) Dearness allowance..
AVA!
(iii) Other allowance.
Signatire of the Shop-ke ployer
Dae (2.89284
Note; Strik out words which are not applicable
The Government of West Bengal has allowed the Employer/Shop keeper to
Substitute its own appointment letter which Substantiklly contain the Particulars
specified in Form-X and if Priar approvals is taken from the State Government.
‘AvailableTHE BOOK CORNER, (Estd.-1960) 3, Mangoe Lane, Kol-l Ph. : 22484698 Code : SH-XFORM—X
Shops & Establishments Rules 1964
(See Rule 53 )
LETTER OF APPOINTMENT
Name of the Shop/Establishment... DENT...
Address. 336 lata. Neke}.. Rood) Khergaa,. Benkasnpra. sadicisalisius 109.
Name of the Shop keeper/employer...A4. sShakan Sens...
Registration No. OUQO MIN QOIACRID:
() Shriysntioat.... MOUSUML... neha.
Accenndn. (Barks)...
Stllaf aes.
with effect from...
(2) Hisjher appointment is on probationery basis for,
(insert the period ) / temporary casual basis for ( insert the period )
_..permanent basis,
(8). His/her scale of pay rate of increment in wages per.....---s--
(insert the period ) shall be
(4) He/She will drawn a total wages of.
per day / week / month composed to the following name—
(i) Basic pay Of sess
(i) Dearness allowance...
(iii) Other allowanee..
Signature of the Shop-Keeper/Employer
Date. $01,805, 2014
Note: Strik out words which are not applicable
The Government of West Bengal has allowed the Employer/Shop keeper to
Substitute its own appointment letter which Substantiklly contain the Particulars
specified in Form-X and if Priar approvals is taken from the State Government.
‘Available—THE BOOK CORNER, (Estd.-1960) 3, Mangoe Lane, Koll Ph. : 22484698 Code : SH-XFORM—X
Shops & Establishments Rules 1964
(Seo Rule 53 )
LETTER OF APPOINTMENT
Name of the Shop Establishment... SENIO...Ol.D...0D.
Address 26/949. NekeJi,..Road. Kenge. Beahempene...umsniclatadl %4 2103.
Name of the Shop keeper/employer..M2.. NRK AN.Sen.».
Registration No.. OMAOLIN AMLACIIIQAS:
(1). Shri/Sprimati... ky al. uner Cabral i
is appointed as ( describe here the nature of appointment ). Brodie Cushamen...
Relationslyp .in this shop / establishment
with effect from...
ON.foa}eaus..
(2) His/her appointment is on probationery basis for.heltol. Con}
(insert the period } / temporary casual basis for ( insert the period )
permanent basis.
(3) Hisher scale of pay rate of increment in wages per.....
(insert the period ) shall be
(4) He/She will drawn a total wages of.
per day / week / month composed to the following name—
(Basic pay of... FA8
(ii) Dearness allowance...
Signature o}
the Shop-keey ooh.
Date 20a ey
Note: Strik out words which are not applicable
The Government of West Bengal has allowed the Employer/Shop keeper to
Substitute its own appointment letter which Substantiklly contain the Particulars
specified in Form-X and if Priar approvals is taken from the State Government.
Available—THE BOOK CORNER, (Estd.-1960) 3, Mangoe Lane, Kol-l Ph. : 22484698 Code : SH-XFORM—X
Shops & Establishments Rules 1964
( See Rule 53)
LETTER OF APPOINTMENT
Name of the Shop/Establishment.... OENCO..... AOLD....-TD. es
Address. 2:t6/90°%. Aelia} Rood. Khagrs,. Sebaanpate,. tweskédabad)..42'09
Name of the Shop keeper/employer..MK... enKan...SN.
Registration No. OUROMN AONE AMMOIA..
(Q)- Shri/Sheimat Sonanisitha. Bomanicee :
is appointed as ( describe here the nature of appointment ) .Jiumie2 .Conceddise..
.-in this shop / establishment
with effect trom..0.4.1.0.2.:2049...
(2) Hisyhet appointment is on probationery basis tordake.f Gonftonel
(insert the period ) / temporary casual basis for ( insert the period )
8109 2012
permanent basis.
(3) Hisjher scale of pay rate of increment in wages per...
(insert the period ) shall be
(4) He/She will drawn a total wages of...
per day / week / month composed to the following name—
BBB:
(Basic pay of...
(ii) Dearness allowance...
(iii) Other allowance... 24.
Signature of the Soper
Date...0.:.0%,..8
Note: Strik out words which are not applicable
‘The Government of West Bengal has allowed the Employer/Shop keeper to
Substitute its own appointment letter which Substantiklly contain the Particulars
specified in Form-X and if Priar approvals is taken from the State Government.
‘AvailableTHE BOOK CORNER, (Estd.-1960) 3, Mangoe Lane, Kol-l Ph. : 22484698 Code : SH-XFORM—X
Shops & Establishments Rules 1964
( See Rule 53 )
LETTER OF APPOINTMENT
Name of the Shop/Establishment.... MEN CA... AOLN.....4ED,
Address Ah (34.2. Neded. Rood... Khagma..Renhampere, Munshddlohel, “#42103,
Name of the Shop keeper/employer... Sts... San Kan:.Gen.
Registration No... OMQMLIN AOMALMIO LS:
(1) shri/speiau.... Rozzag.ue... Hossain.
is appointed as ( — here the nature of appointment ). recut
Cushmen Relationship.
with effect from..... 12] ou, fis.
(2) His/her appointment is on probationery basis fonda s.obcondiamati Vs)aoes
(insert the period }/ temporary casual basis for ( insert the period )
Les
.in this shop / establishment
permanent basis.
(3) His/her scale of pay rate of increment in wages per...
.-( insert the period ) shall be
(4) He/She will drawn a total wages of..
per day / week / month composed to the following name—
$228.
(ii) Dearness allowance...
(Basic pay of...
(ii) Other allowanee....:...FA2s...0.0! 33
niente Bae th
Date,
Note: Strik out words which are not applicable
The Government of West Bengal has allowed the Employer/Shop keeper to
Substitute its own appointment letter which Substantiklly contain the Particulars
specified in Form-X and if Priar approvals is taken from the State Government,
‘AvailableTHE BOOK CORNER, (Estd.-1960) 3, Mangoe Lane, Koll Ph, : 22484698 Code : SH-XFORM - X /
APPOINTMENT LETTER
(Prescribed Under Rule 53 of the West Bengal Shops & Establishments Rules, 1964)
Name of the Shop/Establishment_SENCO (i th.
Aerenn_ Sih 1 4 idabad ,¥42108.
Name tthe shop keeper /émployer_Vis. Saini Sema : z
Registration No,_O120\ N 2014 Gam 4S
( Sivem___Gobinda Saba
is appointed as (described here the nature of appointment) Ixainse Accounts (eaShien)
in his shopfestabishment
with etfect trom__\9 {03/2020 meinen
{2 Higmor appointments on probationary basic for.
(insort ne porodtemporary/casual base orinsor the poriod)
pe Se eee
(8) _His’her Scale of pay/rate of increment in wages per.
(insert the period ) shall be
(4) He/She wit draw total wages of per
day/week/month composed of the following namely :=
(Basic pay of now t
(i) Deamess allowance
(Wi) Otheratiowances _10TOt—
Y lol
‘Signatura of shop-keeper/employer
Date.
‘Noto : Strike out the words which are not applicable.
‘The Government of West Bengal has allowed the Employer/shop keeper to substitute its own
Soociinnrs ieee wetveaeantnay cori on paeters speed fom Xignd ther
approval is taken from the State Government.
‘Avaliable at 6, Church Lane, Caloutta-1FORM - X ;
APPOINTMENT LETTER
(Prescribed Under Rule 53 of the West Bengal Shops & Establishments Rules, 1964)
Name ofthe Shop /Estabishmen SENCO GOCD LT.
peeves 376/379 Natit Rond khogaia Berhampore, MSd/ 142103
‘Name ofthe shop keeper /émployer_Mxx. Sankon Sen. ect
RepistationNo,_OF12 DUN 2017 000045 ea
A . +
0) ews Priya Dutta,
{i appointed as ( described here the nature of appointment) Trcaine’ — Cuistamere
Relationship _.__inimissnopestabishment
with otecttrom_O4 11 9090 :
(2) Hiser appointment ison probationary basic fr.
{insert the perioditemporary/casual basic for insert the period),
permanent basis.
(8) Histher Scale of pay/rate of increment in wages per.
(insert the period ) shatlbe
(4) HeyShe will draw total wages of per
daylweek/month composed of the following namely =
() Basic pay of 000
(i) Deamess allowance
(Wi) Other allowances 900
dail
Signature of: i)
an
‘Noto: Strike out the words which are not applicablo.
‘Tho Government of West Bengal has allowed the Employer/shop keeper to substitute its own
appointment letter which substantially contain the particulars specified in form X and it prior
approval is taken from the State Government.
‘Available at 6, Church Lane, Calcutta-1FORM - X
APPOINTMENT LETTER
(Prescribed Under Rule 53 of the West Bengal Shops & Establishments Rules, 1964)
Namectte Shop Estabiarmen SEWCo GOL DL TD
petro 3461344 NCte\V Rood, Voge, Bekhubapohe, mumthlelea #42103
Nameotthe shopkeeper ‘employer “WY Sokak Gem
rsmainnn OY LOHUNWIFOCCOGS
cy swveni_ Sosa’ coweoe
lseppoedes (decerbed hee tho naire ot apporinent) Thence - Culfoweln
Lejationcni? ge ati
wih otectrom_Lo[ti/ 28.20 =
(2 Hier appointmentis on probationary baie for.
(insert the period/temporary/casual basic for insert the period).
a
(9) Hisher Scale of pay/rate of increment in wages per.
mE
(4) He/She wilraw otal wages er
day/week/month composed of the following namely :-
© Baste pay ot 4, 060
()—Deamess allowance
WH Otheratiowances 4/004
Yn
Signature of shop-keeper/employer
a
‘Noto : Strike out the words which are not applicable.
‘The Government of West Bengal has allowed the Employer/shop keoper to substitute Its own
cosines Je wite-ewanay occa ow pater epee fore Kine tr
approval is taken from the State Government.
‘Avaliable at 6, Church Lane, Calcutta-1









