Form IV

[Rule 11(4)]
Overtime Register for Workers
The Andaman and Nicobar Islands Shops and Establishments Rules, 2005

M/s. Connect India E Commerce Services Pvt Ltd,

Name and Address of the Establishment
Check Post Protrapur Junction, Vill Prothrapur PO Brijgunj PS Paharagaon Brijgunj RV South Andamans & Nicobar - 744105

For the Month of May"2022

Date on Extent of Total over time Dates on
Over
which overtime worked or Normal Normal Normal Total which over
S.No E.Code Name of the Employee Father's or Husband's name Sex Designation time Overtime
overtime worked on each production in hours rate earnings earnings time
rate
worked occasion case of piece payments

1 1A 2 3 4 5 6 7 8 9 10 11 12 13 14 15

Nil Nil Nil Nil Nil Nil Nil Nil Nil Nil Nil Nil Nil Nil Nil Nil

2022 1 of 1 Connect India - Andamans Nicobar