FORM 25 (see Rule 148) REGISTER OF LEAVE WITH WAGES Part I - Adults Part II - Children Factory : - Name of Worker : - Department : - Father's Name : - Sl. No. Serial Number in the register of adult/ child workers Date of entry into service Interruptions Leave due with effect from Whether leave not desired during the next 12 months Date from which the worker is allowed leave Wages for leave paid in Discharged worker Rem-arks Sickness and accident Authori-sed leave Lockout or legal strike Involuntary unemployment Others Date of discharge Date and amount of payment made in lieu of leave 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Note :- Separate page shall be allotted to each worker. ............ (Signature of Manager)
