Form - L

[See Rule 15 (1)]

Register of Showing Dates of Lime - Washing Etc.
The Madhya Pradesh Shops And Establishment Act, 1958 and Rules, 1959

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

Name and Address of the Establishment
Shop No. 1, Near Old Tikari Naka Ambedkar Ward, Sadar Betul 460001. Madhya Pradesh – 460001.

Parts of the Establishment, Parts lime-washed, colour washed, Treatment (whether lime - Date on which lime-washing, colour-washing, painting, or varnishing was
e.g., painted or varnished, e.g. walls, washed, colour-washed, painted carried out (According to the English Calendar)
name of room ceilings, wood works, etc., or varnished) Signature of the employer or
Remarks
manager

Day Month Year

1 2 3 4 5 6 7 8

NIL NIL NIL 1 May 2022 NIL NIL

2022 1 of 1 Connect India - Madhya Pradesh