FOR CB/ OS -2Name of Owner :Category of employment, mention whether monthly, weekly, daily or piece rated Serial No.From Form B Register
[ Vide rule 53 of M
Register of Leave Account during tFebruary JanuaryEmp Id
Actual nu
Name and Surname of employee
Nature of Employment, mention whether above or below ground
1 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
2
3 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
4 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
5
6
March7
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 2012Actual number of days Worked during the year
September
November
Total
Leave period due in ensuing year Arrears Days of from leave Total previous entitled year 1830.00 30.00 30.00 30.00 30.00 30.00 30.00 30.00 30.00 30.00 30.00 30.00 30.00 30.00 30.00 30.00 30.00 30.00 30.00 30.00 30.00 30.00 30.00 30.00 30.00 30.00 30.00 30.00 30.00 30.00 30.00 30.00 30.00 30.00
8
9
10
11
12
13
14
15
16
December
October
August
April
June
May
July
170 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
190.00 0.00 15.00 10.00 0.00 11.00 14.00 9.00 0.00 8.00 7.00 6.00 7.00 12.00 6.00 10.00 5.00 12.00 11.00 3.00 9.00 10.00 9.00 5.00 5.00 5.00 5.00 15.00 13.00 6.00 11.00 6.00 3.00 5.00
2030.00 30.00 45.00 40.00 30.00 41.00 44.00 39.00 30.00 38.00 37.00 36.00 37.00 42.00 36.00 40.00 35.00 42.00 41.00 33.00 39.00 40.00 39.00 35.00 35.00 35.00 35.00 45.00 43.00 36.00 41.00 36.00 33.00 35.00
0 0 0 0 0 0 0 0 0 0 0
30.00 30.00 30.00 30.00 30.00 30.00 30.00 30.00 30.00 30.00 20.00
5.00 7.00 14.00 3.00 5.00 0.00 6.00 2.00 5.00 0.00 1.00
35.00 37.00 44.00 33.00 35.00 30.00 36.00 32.00 35.00 30.00 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 -2Name of Owner :Category of employment, mention whether monthly, weekly, daily or piece rated Serial No.From Form B Register
[ Vide rule 53 of M
Register of Leave Account during tFebruary JanuaryEmp Id
Actual n
Name and Surname of employee
Nature of Employment, mention whether above or below ground
1 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
2
3 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
4 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
50 0 1 5
6
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
March7
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
0
FORM G[ Vide rule 53 of Mines Rules, 1955]
Account during the calendar year 2012Actual number of days Leave during the year
September
November
Total
Leave period due in ensuing year Arrears Days of from leave Total previous entitled year 1830.00 30.00 30.00 30.00 30.00 30.00 30.00 30.00 30.00 30.00 30.00 30.00 30.00 30.00 30.00 30.00 30.00 30.00 30.00 30.00 30.00 30.00 30.00 30.00 30.00 30.00 30.00 30.00 30.00 30.00 30.00 30.00 30.00 30.00
8
9
10
11
12
13
14
15
16
December
October
August
April
June
May
July
170 0 1 5 0 0 2 0 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
190.00 0.00 15.00 10.00 0.00 11.00 14.00 9.00 0.00 8.00 7.00 6.00 7.00 12.00 6.00 10.00 5.00 12.00 11.00 3.00 9.00 10.00 9.00 5.00 5.00 5.00 5.00 15.00 13.00 6.00 11.00 6.00 3.00 5.00
2030.00 30.00 45.00 40.00 30.00 41.00 44.00 39.00 30.00 38.00 37.00 36.00 37.00 42.00 36.00 40.00 35.00 42.00 41.00 33.00 39.00 40.00 39.00 35.00 35.00 35.00 35.00 45.00 43.00 36.00 41.00 36.00 33.00 35.00
0 6 5 3 2 0 4 0 1 0 0
30.00 30.00 30.00 30.00 30.00 30.00 30.00 30.00 30.00 30.00 20.00
5.00 7.00 14.00 3.00 5.00 0.00 6.00 2.00 5.00 0.00 1.00
35.00 37.00 44.00 33.00 35.00 30.00 36.00 32.00 35.00 30.00 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 :Category of employment, mention whether monthly, weekly, daily or piece rated Serial No.From Form B Register
Register of Leave Account during the calendar yeFebruary JanuaryEmp Id
Actual num
Name and Surname of employee
Nature of Employment, mention whether above or below ground
1 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
2
3 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
4 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
5
6
1
1
1
1
1
March7
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
3
ORM G
f Mines Rules, 1955]
g the calendar year 2012Actual number of days Sick Leave during the year
September
November
December16
October
August
April
June
May
July
Total
8
9
10
11
12
13
14
15
170 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
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