No.51/R/12/13/KDBM/2012 Dt. 03.08.2012 To M/s Goms Electric Company 30, Mylai Ranganathan Street., T Nagar, Chennai 600 017 sir, Sub: Accident case of Shri.s.ArulDavidFrance Ins No.51-20336394-Reg, Ref: Accident Report dt.23.06.2012 submitted in person on 03.08.12.Further information under Reg 70 of ESi(General) Regulations, 1950. Please refer to the accident report cited above. The above case is required to be investigated and relevant documents are required to be verified by this branch office. In this connection you are requested to produce the following documents on or before 10.08.2012 to this Branch office to decide the Employment injury. 1. Atendance Register for the month from April 11 to June 12. 11. Wages Register for the month from Apri to June 12 Accident Register Under Reg 66 3. Employees Register under Reg 32 If not filed on line RC 4, Return of Contribution for the CPE 09/11 if not filed on line 5. Appointment order if any issued by the Employer at the time of appointment 6. Copy of agreement entered into with Principal Employer ie., SP info city. 7. Xerox copy of in-out Register of M/s SP Infocity for the month of May12 and June 12in particular from 18.06.12 to 23.06.12. 8. Copy of first aid register maintained at M/s SP info city 9. Ifthere is any break in service, records to show such break in employment 10. Insurance No. of statements and Written statement from 2. Munusamy 2 Sentheel kumar ‘Who have been shown as witness in the accident report. . 111. Copy of intimation letter, if any, sent to Inspector of factories Please note that non-compliance with the provisions of the Act or the rules or the ‘regulations will attract criminal prosecution u/s 85(g) of the Act. Yours faithfully, Re x