FORM XXIII

[See rule 78(1) (a)(iii)]

Register of Advance
Name and address of Contractor :
Name and address of Establishment in/ under which contract is carried on :
Name and address of Principal employer:
FY 2018-2019

No. of
Designat Purpose( installme Date and
Date and Date on
Father’s/ on/ a) for nts by amount of which
Wage period and amount of last
Serial No. Name of workman Husband’ Nature of wages payable which which each Remarks
advance installment
s Name Employm advance advance Installment was repaid
given
ent made to be repaid
paid

1 NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL
2
3
4
5
6
7
8
9
10