Form

MUST
[See Rule

M/s.isFidelity
Name and address of the establishment where building or other construction work carriedBusiness
on Services Private Limite
Name and Permanent Address of the Establishment
Nature of Building or Other Construction Work
Name and Address of Employer:

For the month of

Sl.
Name Of Employee Father's/Husband's Name Gender
No 1 2 3 4 5 6 7
1 2 3 4
1 ZUVAIR Vafid Male
2 SANTHOSH KUMAR KARTHIKarthikeyan Male
3 VINESH MANI Mani Male
4 KAILASH KUMAR MAHTO Puran Mato Male
5 MANIKANDAN K Kumarasamy Male
6 V PRABAKARAN Venkatesan Male
 Form XVI
MUSTER ROLL
[See Rule 241 (1) (a)]

ss Services Private Limited ,8th and 9th Floors, Neville

Venus Towers
Interior ,TRILNehru
No.114 Info Park Limited,
Nagar Ramanujan
1st Main Road , Ii IT City,Street
Cross Rajiv Gandhi Salai(OMR), Tara
Kottivakkam, Chennai Tamil Nadu 600041
Hafele Pantry Works
SIJI , 20 Sumathy Apartments, Boag Road, T Nagar, Chennai - 600 017

Date / Units
8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
5
 v Gandhi Salai(OMR), Taramani,Chennai-600113
et

017

Total No
of
Remarks
days/Units
Worked
6 7