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  • 05-2022, CI - Assam - Form H, S&E Act

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    Pragnaa Shree
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    This document is a record form for an establishment in Tezpur, Assam to document limewashing, painting, and other treatments of different parts of the premises. The form includes fields for describing the part of the establishment treated, the treatment type (limewashing, colorwashing, painting, or varnishing), the date of treatment, and signatures from the employer. For this specific establishment, no treatments have been recorded on the form as of 2022.

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    This document is a record form for an establishment in Tezpur, Assam to document limewashing, painting, and other treatments of different parts of the premises. The form includes fields for describing the part of the establishment treated, the treatment type (limewashing, colorwashing, painting, or varnishing), the date of treatment, and signatures from the employer. For this specific establishment, no treatments have been recorded on the form as of 2022.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    4 views1 page

    05-2022, CI - Assam - Form H, S&E Act

    Uploaded by

    Pragnaa Shree
    This document is a record form for an establishment in Tezpur, Assam to document limewashing, painting, and other treatments of different parts of the premises. The form includes fields for describing the part of the establishment treated, the treatment type (limewashing, colorwashing, painting, or varnishing), the date of treatment, and signatures from the employer. For this specific establishment, no treatments have been recorded on the form as of 2022.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 1

    Form H

    [See Rules 24 (7) ]


    Record of Limewashing, Painting etc.
    The Assam Shops and Establishments Rules, 1976

    M/S. CONNECT INDIA E COMMERCE SERVICES PVT LTD,


    Name and Address of the Establishment
    NEAR HALESWAR MOUJA PATICHUBURI NAMGHAR TEZPUR -784501

    Date on which limewashing,


    Parts lime-washed, colour-
    Description of Part of Treatment whether lime colourwashing, painting or
    washed, painted or
    Establishment i.e. name of washed, or colour washed, varnishing was carried out Signature of the employer Remarks
    varnished e.g. walls, ceilings,
    room etc. painted, or varnished (according to the English
    wood-works etc.
    Calendar)
    1 2 3 4 5 6

    NIL

    2022 1 of 1 Connect India - Assam

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