FORM
I
[Rule 21 (4)] Register of Fine …………Employer……………
Serial
No.
Name
Father's / Husband's name
Sex
Department
Nature and date of the offence
for which fine imposed
1
2
3
4
5
6
Whether work-
Man showed
Cause against
Fine or not if
So enter date
Rate of
wages
Date and
amounts
of fine
imposed
Date on which fine realised
Remarks
7
8
9
10
11
FORM
II
[Rule 21 (4)] Register of Deductions for Danger or Loss Caused to the Employer
By the Neglect or Default of the Employed person
…………..Employer…………
Serial
No.
Name
Father's / Husband's name
Sex
Department
Damage
or loss
caused with
date
1
2
3
4
5
6
Whether worker
showed
Cause against
deduction if
So, enter date