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Form Xiii (Register of Deductions For Damages or Loss)
Form Xiii (Register of Deductions For Damages or Loss)
Name &
Father's/ Designation/ Permanent Particulars of
Name of
Sl. No. Husband's Nature of address of Damage or
workman
Name Employment Building Loss
Workers
1 2 3 4 5
FORM XIII
ee Rule 54(1)(b) and rule 54(10))
R OF DEDUCTION FOR DAMAGES OR LOSS
First
nstalment
6 7 8 9 10 11
r:-
ak
Last
instalmen
t
12 13