FORM 26 (see Rule 149) LEAVE BOOK 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 nest 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 Involunt-ary unemp-loyment 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 :- The leave book shall be made out separately for each worker on thick bonds sheets. ............ (Signature of Manager)
