Proving EMPLOYEES" feed Teghiratton Namaber OLD-AGE BENEFITS , i SS wsnrurion FORM: PROT say Bibesde Regional Heat Cotte Cone Scns Sector Code| APPLICATION FOR REGISTRATION UNDER EMPLOVE! SH FLAP EE ALE ee aype ot Sa Reger ctas: Soca Re Notified 1 me of establishme: ss pee 2. Address Union Counc cry inert Town Portal Code AleIe$ oat Meg ‘Address: © Be 4. IF is a Branch, siate address of the Head OMe : 7. Date the Establishment came into existence Sale emleo 8 Dace the numbes Rest cotalod or ese? j., Provoitsumber of Siena No SAL i Erbe sUsisee beste 10, Lf previously registered with E.O.B.1. PN GRUe ek nels ee Pigase state Kegitraiion NO sets Sai A 9-B. Number of female employees 11, Number of employees (olulled fess than Tapnly voluntarily Ur senna Bo Spans he LIS nF SUT LIL 12, Nature of Business, Industry or Service: SEEN 2. Number of handicapped employees —___ LAI Seal ofthe fe i esinbhah Destgnaiton ate: ea oa or == ==--—-- ~~~ —— =. roromicianuseonuy ——-——-------~- Registration Category? Mandntory Notifted Voluntarily Joictat Code. al): esas)