FORM ‘B’
[SEE SUB-RULE (2) OF RULE 3]
 NOTICE OF CHANGE

Name and Address of the
Establishment.
Take notice that following changes have taken place with effect from...........................in the particulars furnished by me in notice dated............................on Form ‘A’.
Name.
Address.
Name of the employer.
Nature of business
Place                                                                                        Signature of the employer
                                                                                                with name and designation.
To
The Controlling Authority.
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