FORM No. 28
(Prescribed under Rule 115 (3))
Attendance Card
Name of factory
Serial No. Department .
Name of work
Fathers or Mothers name
Permanent address
Local address ..
Signature of thumb impression
Date of commencement of
worker
employment
*Date of termination of
employment
*Note :- To be entered only when employment is terminated
Entries on the Reverse Side
Month of 19 ...
|
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 |
|
..
Signature of initials of the Manager or Time Keeper)