FORM B
[See rule 6]
RECEIPT FOR COMPENSATION
(Deposited under section 8 (1) of the Workmen’s Compensation Act, 1923)
           
Book No                                                                 Receipt No.
Register No.
Depositor ……. ……. ……. ……Deceased or injured workman
....................... ……. …… …… ……. …… ……. ……. ……..
Date of deposit …………………………..19…………..
Sum deposited Rs ……. ……. ……. …….. ……. …… ……..
.......... …….. …….. ……..
Commissioner