FORM 11

[See Rule 48(b)]

Register of Fines
Name and Address of the Establishment Name and Permanent Address of
where building or other construction work Establishment
is carried on

Nature of Building or other construction work Name and Permanent Address of Employer

Designation/ Act/Omission
Sl. Date of
Name of building worker Nature of for which fine
No. name Offence
employment imposed
1 2 3 4 5 6

Name of person in whose

whether building Wage periods Amount of Date on
presence building
worker showed and wages fine which fine Remarks
cause against fine payable imposed released
heard
7 8 9 10 5 6