FORM E
[See rule 9]
RECEIPT FOR COMPENSATION
“(Deposited under section 8 (2) of the Workmen’s Compensation Act, 1923)

 

Book No.                                                                                       Receipt No.
Register No.
Depositor ………. ………… ……………
In favour of …….. ………… ……………
Date of deposit ………………. 19 ……………
Sum deposited Rs ………. ……….. ………. …………………
Commissioner