FOR

CB/ OS -2

[ Vide rule 53 of M

Name of Owner :-

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
32
33
34

200581
5013
7017
7018
7019
7024
7027
7028
7029
7033
7040
7043
7044
7047
7051
7054
7055
7056
7057
7061
7062
10032
10084
10114
10115
10116
10128
10135
10138
10221
10312
10350
10383
10409

March

Name and Surname of employee

Category of
employment,
mention whether
monthly, weekly,
daily or piece
rated

February

Emp Id

Actual nu

Nature of
Employment,
mention whether
above or below
ground

January

Serial No.From
Form B Register

Register of Leave Account during t

Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground

Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly

35
36
37
38
39
40
41
42
43
44
45

10440
10441
10492
10597
10633
10771
10825
11016
11062
200221

Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground

Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly

FORM G
[ Vide rule 53 of Mines Rules, 1955]

Account during the calendar year 2012

April

May

June

July

August

September

October

November

December

Actual number of days Worked during the year

Total

10

11

12

13

14

15

16

17

Leave period due

in ensuing year
Arrears
Days of
from
leave
Total
previous
entitled
year
18

19

20

30.00

0.00

30.00

30.00

0.00

30.00

30.00

15.00

45.00

30.00

10.00

40.00

30.00

0.00

30.00

30.00

11.00

41.00

30.00

14.00

44.00

30.00

9.00

39.00

30.00

0.00

30.00

30.00

8.00

38.00

30.00

7.00

37.00

30.00

6.00

36.00

30.00

7.00

37.00

30.00

12.00

42.00

30.00

6.00

36.00

30.00

10.00

40.00

30.00

5.00

35.00

30.00

12.00

42.00

30.00

11.00

41.00

30.00

3.00

33.00

30.00

9.00

39.00

30.00

10.00

40.00

30.00

9.00

39.00

30.00

5.00

35.00

30.00

5.00

35.00

30.00

5.00

35.00

30.00

5.00

35.00

30.00

15.00

45.00

30.00

13.00

43.00

30.00

6.00

36.00

30.00

11.00

41.00

30.00

6.00

36.00

30.00

3.00

33.00

30.00

5.00

35.00

30.00

5.00

35.00

30.00

7.00

37.00

30.00

14.00

44.00

30.00

3.00

33.00

30.00

5.00

35.00

30.00

0.00

30.00

30.00

6.00

36.00

30.00

2.00

32.00

30.00

5.00

35.00

30.00

0.00

30.00

20.00

1.00

21.00

Remarks

21

Continously 21 Days Working & Continously 21 W/O

Continously 21 Days Working & Continously 21 W/O

consultant 01-11-11 to 31-10-12

FOR
CB/ OS -2

[ Vide rule 53 of M

Name of Owner :-

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
32
33
34

200581
5013
7017
7018
7019
7024
7027
7028
7029
7033
7040
7043
7044
7047
7051
7054
7055
7056
7057
7061
7062
10032
10084
10114
10115
10116
10128
10135
10138
10221
10312
10350
10383
10409

March

Name and Surname of employee

Category of
employment,
mention whether
monthly, weekly,
daily or piece
rated

February

Emp Id

Actual n

Nature of
Employment,
mention whether
above or below
ground

January

Serial No.From
Form B Register

Register of Leave Account during t

Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly

Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground

0
1
5

0
2
0

0
0
0
0
0
0
8
1
8
2
8
1
0
0
1
0
3
0
0
0
1
1
2
0
0

35
36
37
38
39
40
41
42
43
44
45

10440
10441
10492
10597
10633
10771
10825
11016
11062
200221

Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground

Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly

0
6
5
3
2
0
4
0
1

FORM G
[ Vide rule 53 of Mines Rules, 1955]

Account during the calendar year 2012

April

May

June

July

August

September

October

November

December

Actual number of days Leave during the year

Total

10

11

12

13

14

15

16

17

Leave period due

in ensuing year
Arrears
Days of
from
leave
Total
previous
entitled
year
18

19

20

30.00

0.00

30.00

30.00

0.00

30.00

30.00

15.00

45.00

30.00

10.00

40.00

30.00

0.00

30.00

30.00

11.00

41.00

30.00

14.00

44.00

30.00

9.00

39.00

30.00

0.00

30.00

30.00

8.00

38.00

30.00

7.00

37.00

30.00

6.00

36.00

30.00

7.00

37.00

30.00

12.00

42.00

30.00

6.00

36.00

30.00

10.00

40.00

30.00

5.00

35.00

30.00

12.00

42.00

30.00

11.00

41.00

30.00

3.00

33.00

30.00

9.00

39.00

30.00

10.00

40.00

30.00

9.00

39.00

30.00

5.00

35.00

30.00

5.00

35.00

30.00

5.00

35.00

30.00

5.00

35.00

30.00

15.00

45.00

30.00

13.00

43.00

30.00

6.00

36.00

30.00

11.00

41.00

30.00

6.00

36.00

30.00

3.00

33.00

30.00

5.00

35.00

30.00

5.00

35.00

30.00

7.00

37.00

30.00

14.00

44.00

30.00

3.00

33.00

30.00

5.00

35.00

30.00

0.00

30.00

30.00

6.00

36.00

30.00

2.00

32.00

30.00

5.00

35.00

30.00

0.00

30.00

20.00

1.00

21.00

Remarks

21

Continously 21 Days Working & Continously 21 W/O

Continously 21 Days Working & Continously 21 W/O

consultant 01-11-11 to 31-10-12

FORM G
CB/ OS -2
[ Vide rule 53 of Mines Rules, 1955]

Name of Owner :-

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
32
33
34

200581
5013
7017
7018
7019
7024
7027
7028
7029
7033
7040
7043
7044
7047
7051
7054
7055
7056
7057
7061
7062
10032
10084
10114
10115
10116
10128
10135
10138
10221
10312
10350
10383
10409

March

Name and Surname of employee

Category of
employment,
mention whether
monthly, weekly,
daily or piece
rated

February

Emp Id

Actual num

Nature of
Employment,
mention whether
above or below
ground

January

Serial No.From
Form B Register

Register of Leave Account during the calendar ye

Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground

Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly

35
36
37
38
39
40
41
42
43
44
45

10440
10441
10492
10597
10633
10771
10825
11016
11062
200221

Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground
Above Ground

Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly

ORM G

f Mines Rules, 1955]

g the calendar year 2012

April

May

June

July

August

September

October

November

December

Actual number of days Sick Leave during the year

Total

10

11

12

13

14

15

16

17
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
1
0
0
1
0
0
0
0
0
0
0
0
1
0

0
0
3
0
0
0
0
0
0
0
0