अपनी जानकारी भरिए

CONSTRUCTION WORKER (LABOUR CARD) REGISTRATION AFFIDAVIT

I, __________, __________, resident of __________, holding __________, ordinarily resident within __________ (the "Deponent" or "I"), do hereby solemnly affirm and declare as follows:

1. 1. MY WORK

1.1 I was born on __________.

1. 2. DAYS WORKED

1. 3. OTHER REGISTRATION

1. 4. PURPOSE

4.1 This affidavit is sworn in support of my application for registration as a construction worker with the Building and Other Construction Workers Welfare Board of __________, and for the issue of a registration (labour) card.

4.2 I undertake to produce the employer's or contractor's certificate and any other proof of work that the Board asks for, and to inform the Board of any change in the particulars stated here, and I understand that the registration may be refused or cancelled if any statement made here is found false.

1. 5. DECLARATION

5.1 Every statement made above is true to my own knowledge and belief, and I have concealed nothing material to this application. I am aware that making a false declaration in an affidavit is an offence.

VERIFICATION

DEPONENT

Signature: ______________________________
__________

ATTESTATION

Notary Public / Oath Commissioner
Registration No. and seal: ____________________