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FORM XVII [See rule 52 (2) (a)] Muster Roll Register

Name and address of establishment M/s. Sri Lakshmi Ganapathi Brick


Name and address of Mr. Sanjaykumar Rout, Turekela Village, Bolangir Dist,
in/under which migrant workmen are Company, S.No. 94/11, Melmaligaipattu
Contractor. Odisha.
employed. Village, Thiruvallur
Nature and Location of Loading & Unloading, Name and address of Principal Mr. L.K.M Rao. P, No. 10, Pinjala Street,
work. Melmaligaipattu Village For the month of APR 2023 Employer. Arani, Ponneri, Tiruvallur.

Remarks
Name of migrant Father's/Husband' Dates
Sl.No

Sex.
workman. s name.
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
1 Pushapa Chandan Jugbandhu Nag F 8 8 8 8 8 8 8 8 8 8 8 8
2 Lokesh Patel Jugdeesh Patel M 8 8 8 8 8 8 8 8 8 8 8 8
3 Benudher Lohar Bajru Lohar M 8 8 8 8 8 8 8 8 8 8 8 8
4 Gomathi Lohar Benudher Lohar F 8 8 8 A 8 8 8 8 8 8 8 8
5 Purstam Parabhoi Bajru Parabhoi M 8 8 8 8 8 8 8 8 8 8 8 8
6 Dashamathi Parabhoi Purustam Parabhoi F 8 8 8 8 8 8 8 8 8 8 8 8
7 Madhavi Lohar Sitaram Lohar F 8 8 8 8 8 8 8 8 8 8 8 8
8 Shivo Lohar Sitaram Lohar M 8 8 8 8 8 8 8 8 8 8 8 8
9 Bada Lohar Dutto Lohar M 8 8 8 8 8 8 8 8 8 8 8 8
10 Sabitri Lohar Niran Lohar F 8 8 8 8 8 8 8 8 8 8 8 8
11 Khabiro Lohar Niran Lohar M 8 8 8 8 8 8 8 8 8 8 8 8
12 Puran Lohar Abhiram Lohar M 8 8 8 8 8 8 8 8 8 8 8 8
13 Balbhadro Lohar Tikatika Lohar M A 8 8 8 8 8 8 8 8 8 8 8
14 Shivani Lohar Balbhadro Lohar F 8 8 8 8 8 8 8 8 8 8 8 8
15 Lakshmi Lohar Purnochandan Lohar F 8 8 8 8 8 8 8 8 8 8 8 8
16 Lalita Lohar Aantoram Lohar F 8 8 8 8 8 8 8 8 A 8 8 8
17 Gharmani Lohar Ramsing Lohar F 8 8 8 8 8 8 8 8 8 8 8 8
18 Mansing Lohar Joto Lohar M 8 8 8 8 8 8 8 8 8 8 8 8
19 Tila Lohar Mansing Lohar F 8 8 8 8 8 8 8 8 8 8 8 8
20 Aanto ram Lohar Madhu Lohar M 8 8 8 8 8 8 8 8 8 8 8 8
21 Purnochandro Lohar Aanto ram Lohar M 8 8 8 8 A 8 8 8 8 8 8 8
22 Jugeswar Majhi Kamo Jugat M 8 8 8 8 8 8 8 8 8 8 8 8
23 Tikemani Jugat Jugeswar Jugat F 8 8 8 8 8 8 8 8 8 8 8 8
24 Bharat Lohar Jayo Lohar M 8 8 8 8 8 8 8 8 8 8 8 8
25 Jugeswar Jugat Gohati Jugat M 8 8 8 8 8 8 8 8 8 8 8 8
26 Sravani Jugat Jugeswar Jugat F 8 8 8 8 8 8 8 8 8 8 8 8
27 Chhabilal Jugat Ramsing Chinda M 8 8 8 8 8 8 8 8 8 8 8 8
28 Nila Jugat Sukraram Majhi F 8 8 8 8 8 8 8 8 8 8 8 8
Nature and Location of Loading & Unloading, Name and address of Principal Mr. L.K.M Rao. P, No. 10, Pinjala Street,
work. Melmaligaipattu Village For the month of APR 2023 Employer. Arani, Ponneri, Tiruvallur.

Remarks
Name of migrant Father's/Husband' Dates
Sl.No

Sex.
workman. s name.
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
29 Radhamadhavo Nag Chamar Nag M 8 8 8 8 8 8 8 8 8 8 8 8
30 Sureswari Nag Radhamadhavo Nag F 8 8 8 8 8 8 8 8 8 8 8 8
31 Lalmohan Majhi Rameswar Majhi M 8 8 8 8 8 8 8 8 8 8 8 8
32 Dhanajay Lohar Dhansing Lohar M 8 8 8 8 8 8 8 8 8 8 8 8
33 Gomathi Parabhoi Dhanjay Lohar F 8 8 8 8 8 8 8 8 8 8 8 8
34 Rudhra Nag Paramanand Majhi M 8 8 8 A 8 8 8 8 8 8 8 8
35 Panjuri Majhi Rudra Majhi F 8 8 8 8 8 8 8 8 8 8 8 8
36 Omkar Majhi Bhujbal Majhi M 8 8 8 8 8 8 8 8 8 8 8 8
37 Rajanti Majhi Omkar Majhi F 8 8 8 8 8 8 8 8 8 8 8 8
38 Ranjeeta Majhi Nikhil Majhi F 8 8 8 8 8 8 8 8 8 8 8 8
39 Hemanand Majhi Jaldher Majhi M 8 8 8 8 8 8 8 8 8 8 8 8
40 RaJani Majhi Jaldher Majhi F 8 8 8 8 8 8 8 A 8 8 8 8
41 Dinesh Majhi Durjan Majhi M 8 8 8 8 8 8 8 8 8 8 8 8
42 Bashmati Majhi Durjan Majhi F 8 8 8 8 8 8 8 8 8 8 8 8
43 Tikeswari Majhi Ratan Majhi F 8 8 8 8 8 8 8 8 8 8 8 8
44 Haduram Majhi Jaydher Majhi M 8 8 8 8 8 8 8 8 8 8 8 8
45 Kunthula Majhi Haduram Majhi F 8 8 8 8 8 8 8 8 8 8 8 8

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