FORM 21 (Prescribed under Rule 140) NOTICE OF PERIODS OF WORK FOR ADULT Name of factory .......... Place .......... District ........... Periods of works group Men Women Description of groups Remarks Total number of men employed Total number of Women employed Relays A B C D A B C D Group letter Nature of work 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 On Working From - To - From - To - From - To On partial working days From - To - From - To - Date on which this notice is first exhibited: ............ (Signature of Manager)
