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Form XVI

MUSTER ROLL
[See Rule 241 (1) (a)]

Name and address of the establishment where building or other construction work is carried on M/s. Fidelity Business 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), Taramani,Chennai-600113
Name and Permanent Address of the Establishment Kottivakkam, Chennai Tamil Nadu 600041
Nature of Building or Other Construction Work Hafele Pantry Works
Name and Address of Employer: SIJI , 20 Sumathy Apartments, Boag Road, T Nagar, Chennai - 600 017

For the month of Total No


Sl. Date / Units of
Name Of Employee Father's/Husband's Name Gender Remarks
No 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 days/Units
1 2 3 4 5 Worked
6 7
1 ZUVAIR Vafid Male
2 SANTHOSH KUMAR KARTHI KEYAN Karthikeyan Male
3 VINESH MANI Mani Male
4 KAILASH KUMAR MAHTO Puran Mato Male
5 MANIKANDAN K Kumarasamy Male
6 V PRABAKARAN Venkatesan Male

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