FORM No.

32
Prescribed under Rule 127 (3) 1

DETAILS OF CLOSURE
`1 Reg.No.

2. Name and address of the factory

3 Name of occupier

4 Name of section or department

which has closed (If the whole
factory has closed please write
Total closure)

5 Date of closure

6 Reason for closure

7 Whether the closure is

permanent or
Temporary

8 Probable period of closure

9 Intended date of re-opening

10 No. of workers on the register or

part of factory which is closed on
the date of closure
11 No. of workers affected by the
closure

12 Information required as per the

provisions of sub-rule(3) of rule
127 in respect of chemicals
stored (add separate sheet)

13 REMARKS

Certified that the information furnished above is, to the best of

my knowledge and belief.

Date.. Signature of occupier/Manager