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TO WHOM IT MAY CONCERN Name of Worker:------------------ Department: Certified that the above particulars of the worker of our Firm are correct. He joined this Establishment on_______________ and is working till date i.e._____________ Certified that above said industrial establishment/Mining Firm Falls under the definition of” Establishment” as defined under Workers Welfare Fund Ordinance,1971 or Companies Profit(Workers Participation)Act,1968 is registered under Factories Act,1934 is situated in the province of Punjab. Note: Condition of registration under Factories Act, 1934 is not mandatory for Mining Firms. Verification/Attestation (Employer)

Certificates Worker From Employer

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TO WHOM IT MAY CONCERNName of Worker:------------------Department:

Certified that the above particulars of the worker of our Firm are correct. He joined this Establishment on_______________ and is working till date i.e._____________ Certified that above said industrial establishment/Mining Firm Falls under the definition of Establishment as defined under Workers Welfare Fund Ordinance,1971 or Companies Profit(Workers Participation)Act,1968 is registered under Factories Act,1934 is situated in the province of Punjab.Note: Condition of registration under Factories Act, 1934 is not mandatory for Mining Firms.

Verification/Attestation (Employer)

(Verified & countersigned by DOL/ACMLW)Name: _______________________________SignatureOffice Stamp: __________________________