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
……………………………
……………………………
