FORM 'B'

[See sub-rule (2) of rule 3]



Notice of Change



Name and address of

the Establishment,



Take notice that following changes have taken place with effect from …………………….. in the particulars furnished by me in notice dated ………………….. on Form A '.



Name.



Address.



Name of the employer.



Nature of business



Place Signature of the employer

Date with name and designation



To



The Controlling Authority

……………………………

……………………………