FORM J

[See Rule 14(2)]

(Notice of Holiday under Section 17)

Name of Establishment ………………………………………………………………………………………….

Address ……………………………………………………………………………………………………………

The person employed in the establishment shall be given a holiday on the day mentioned below in the
week following the date of this and until further notice :-

Serial No. Name of Employee Day on which Holiday is Allowed

Date …………………………… Signature of the Employer or Occupier

Note:- Form J. This notice is required to be in the cases of such trades to which section 16 does not
apply as stated in Schedule appended to the Act under section 4 of the Act.