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FORM "J"
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NAME OF ESTABLISHMENT: ___________________________________________________________________________________________
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[ See Rule (20)1 ]
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NAME OF EMPLOYER : ___________________________________________________________________________________________
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REGISTER OF EMPLOYMENT
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REGISTRATION NO : ___________________________________________________________________________________________
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IN A SHOP OR COMMERCIAL ESTABLISHMENT Where Opening and Closing Hours are Ordinarily uniformFor The Month Ending May To 2026
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Hours Worked On
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Sr No. Employee SexAgeComencning TimeClosing TimeRest Interval1 F2 St3 S4 M5 T6 W7 Th8 F9 St10 S11 M12 T13 W14 Th15 F16 St17 S18 M19 T20 W21 Th22 F23 St24 S25 M26 T27 W28 Th29 F30 St31 STotal Hours Worked During Week Ending
Days on Which OverTime Work is Done & Extent of each overtime on each occation during the Week Ending Extent of each overtime Worked during the Week EndingExtent of each overtime Worked Prevoiusly during the Year
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1Name:DR.BALASAHEB GAIKWADM09:0017:000PPAPPPPPAAAAPPPPAPPPPPPAPPPPPPA00:00
15
Code:230003InTime08:5308:4208:5508:5408:4609:0008:5109:1009:0009:0808:5109:0709:0408:4908:5608:5909:0308:3808:1608:5209:0708:3308:51
16
Designation:OutTime19:0713:0617:0317:0717:1617:0417:0417:1317:0717:0213:0317:0317:0417:0217:1817:0213:1317:1117:0917:0917:0917:0813:06
17
DOJ:Status10:144:2400:008:088:138:308:048:1300:0000:0000:0000:008:038:077:544:1200:007:568:008:138:228:034:1000:008:338:538:178:028:354:1500:00
18
2Name:DR.MUKUND DHULEM09:0017:000PPAPPPAPPAPPPPPPAPPPPPPAPPPPPPA00:00
19
Code:230005InTime08:5909:0208:5909:1209:0308:5809:0209:0208:5008:4409:0709:0509:0209:0008:3308:4808:4708:5308:5609:0309:0108:5808:5508:4609:01
20
Designation:OutTime18:0514:4917:5317:1417:4717:1413:5517:3617:2617:4717:3017:0813:0417:1017:0617:5917:3017:1613:0417:2217:4017:4717:1117:1413:14
21
DOJ:Status9:065:4700:008:548:028:4400:008:164:5300:008:348:369:038:238:034:0200:008:108:339:118:438:234:0800:008:198:398:498:168:284:1300:00
22
3Name:DR.AISWARIYA SATHEESHM09:0017:000PPAPPPPPPAPPPPPPAPPPPPPAPPPPPPA00:00
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Code:230006InTime08:2708:3108:3208:3408:3408:3708:4008:3608:3508:2908:2608:3008:2908:2608:4108:3508:3208:2908:2008:4408:3208:3108:2808:5508:3608:30
24
Designation:OutTime17:0013:0017:0117:0117:0017:0017:0013:0117:0017:0017:0017:0017:0013:0017:0017:0017:0217:0317:0013:0017:0117:0017:0117:1017:0113:02
25
DOJ:Status8:334:2900:008:298:278:268:238:204:2500:008:258:318:348:308:314:3400:008:198:258:308:348:404:1600:008:298:298:338:158:254:3200:00
26
4Name:DR.DHARA PATELM09:0017:000PPAPPPPPPAPPPPPAAPPPPPAAPPPPPAA00:00
27
Code:230009InTime08:5408:5209:0208:5908:5108:5208:4708:5208:5008:4708:5508:5208:4808:5908:5108:5308:5208:4208:4808:5208:5208:5008:59
28
Designation:OutTime17:0213:0217:0117:0217:0217:0317:0213:0117:0217:0117:0217:0217:0217:0117:0217:0117:0117:0217:0217:0217:0217:0117:02
29
DOJ:Status8:084:1000:007:598:038:118:118:154:0900:008:128:148:078:108:1400:0000:008:028:118:088:098:2000:0000:008:148:108:108:118:0300:0000:00
30
5Name:DR.HRIDYA P.PM09:0017:000APAPPPPPPAPPPPPPAPPPPPPAPPPPPPA00:00
31
Code:230010InTime08:3108:3208:3408:3408:3608:4008:3608:3508:2908:2608:2708:2808:2608:4008:3508:3008:2908:1908:2708:3108:3208:2908:3308:3708:30
32
Designation:OutTime13:0017:0117:0017:0017:0017:0013:0117:0017:0017:0017:0017:0013:0117:0017:0017:0117:0117:0013:0017:0117:0017:0017:0217:0113:00
33
DOJ:Status00:004:2900:008:298:268:268:248:204:2500:008:258:318:348:338:324:3500:008:208:258:318:328:414:3300:008:308:288:318:298:244:3000:00
34
6Name:DR.ARCHANA TANDALEM09:0017:000PPAPPPPPPAPPPPPPAPPPPPAAPPPPPAA00:00
35
Code:230012InTime08:4508:4308:4108:4208:3508:4808:4808:4408:4308:2308:4408:4108:3708:4008:4208:3808:4608:5008:2208:4308:4608:4408:4508:43
36
Designation:OutTime17:0013:0117:0217:0217:0117:0017:0113:0017:0117:0017:0117:0017:0213:0017:0117:0017:0017:0017:0017:0017:0117:0317:0013:03
37
DOJ:Status8:154:1800:008:218:208:268:128:134:1600:008:188:378:178:198:254:2000:008:198:228:148:108:3800:0000:008:178:158:198:154:2000:0000:00
38
7Name:DR.RAKESH GOYALM09:0017:000PPAPAAPPPAPPPPAAAPPPPPPAPPPPPPA00:00
39
Code:230041InTime08:5808:5408:4912:5808:5108:4808:5008:5108:5108:5208:5108:5108:5308:5208:4808:4908:4808:5208:4908:4908:5008:54
40
Designation:OutTime17:2217:0718:0117:0217:0213:0317:0117:0117:0217:0517:0017:0113:0117:0316:5917:0416:59
41
DOJ:Status8:248:1300:009:1200:0000:004:048:114:1500:008:118:108:118:0800:0000:0000:008:148:098:078:088:134:1200:008:158:088:108:158:098:0600:00
42
8Name:DR.SUNIL NIKHATEM09:0017:000PPAPPPPAAAAAPPPPAPPPPPPAPPPPPPA00:00
43
Code:230052InTime09:0009:0508:5709:0109:0708:5008:4609:0008:5909:1208:5908:5909:0409:0208:3608:5608:5109:0608:5509:0509:0108:58
44
Designation:OutTime17:0913:0417:0217:0217:0317:0217:0317:0317:0413:0617:0317:1217:0217:1117:0213:0317:0617:0217:1017:0517:0413:04
45
DOJ:Status8:093:5900:008:058:017:568:1200:0000:0000:0000:0000:008:178:038:053:5400:008:048:137:588:098:264:0700:008:157:568:158:008:034:0600:00
46
9Name:DR.APARNA P.DESHPANDEM20:0008:000AAAAAAAAAAAAPAPPAPPPPPPAPPPPPPA00:00
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Code:230059InTimepp17:12p09:1509:1409:0909:0609:0309:0909:0709:1209:0309:0909:1109:1709:1409:13
48
Designation:OutTime09:1217:1113:1617:1617:1617:1917:1913:2117:0217:1417:1517:2117:2113:25
49
DOJ:Status00:0000:0000:0000:0000:0000:0000:0000:0000:0000:0000:0000:0016:0000:007:564:0200:008:078:107:578:108:124:0900:007:598:058:048:048:074:1200:00
50
10Name:DR.DHANYA RM12:0020:000PPAPPPPPPAPPPPPPAPPPPPPAPPPPPPA00:00
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Code:230063InTime12:2608:4508:4908:5308:4608:5008:4508:4608:5008:4508:4508:4108:4508:4608:4808:4808:4808:4608:4709:1808:4708:5408:5108:4208:4308:43
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Designation:OutTime17:0113:0117:0117:0017:0117:0117:0013:0117:0117:0013:0217:0117:0013:0013:0017:0017:0017:0117:0013:0113:0117:0017:0117:0017:0213:00
53
DOJ:Status4:354:1600:008:128:078:158:118:154:1500:008:118:154:178:208:154:1400:004:128:128:128:158:133:4300:004:148:068:108:188:194:1700:00
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11Name:DR.HETAL RATHODM09:0017:000PPAPPPPPPAPPPPPAAPPPPPPAPPPPPPA00:00
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Code:230081InTime09:0308:5809:0108:5508:4908:5509:0308:5709:0008:4608:4608:5309:0008:5308:5408:5908:5808:3808:4909:0108:5108:5508:5608:4908:57
56
Designation:OutTime17:0113:0717:0517:0317:0217:0217:0213:0117:0117:0117:0117:0117:0317:0117:0117:0317:0217:0113:0117:0217:0217:0017:0417:0013:03
57
DOJ:Status7:584:0900:008:048:088:138:077:594:0400:008:018:158:158:088:0300:0000:008:088:078:048:048:234:1200:008:018:118:058:088:114:0600:00
58
12Name:DR.BEATRICE SYNNAHM09:0017:000PPAPPPPPPAPPPPPPAPPPPPPAPPPAAAA00:00
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Code:230087InTime08:5809:0109:1309:0208:5108:4808:5408:4008:5308:4108:4208:4908:4009:0208:3908:4908:5208:5008:3609:0508:4809:0109:07
60
Designation:OutTime17:0213:0017:0317:0817:0017:1017:0113:0117:0017:0117:0116:5517:0013:0117:0117:0117:0017:0117:0013:0117:0017:0017:05
61
DOJ:Status8:043:5900:007:508:068:098:228:074:2100:008:078:208:198:068:203:5900:008:228:128:088:118:243:5600:008:127:597:5800:0000:0000:0000:00
62
13Name:DR.ATHIRA M PM09:0017:000PPAPPPPPPAPPPPPPAPPPPPPAPPPPPPA00:00
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Code:230088InTime08:2908:2308:3008:2508:3608:3708:1508:2308:3508:3008:2708:2708:2908:3708:4008:3408:2808:2408:1508:3508:4308:0808:2808:3808:2108:33
64
Designation:OutTime17:0213:1117:0117:0717:0017:0016:5813:4017:0117:0017:0117:0017:0113:1417:0017:0217:0017:0317:1113:0717:0017:0617:1317:1017:0713:13
65
DOJ:Status8:334:4800:008:318:428:248:238:435:1700:008:268:308:348:338:324:3700:008:208:288:328:398:564:3200:008:178:588:458:328:464:4000:00
66
14Name:DR.KISHAN MAKAWANAM09:0017:000PAAPAPPPPAPPPPPPAPPPPPPAPPPPPPA00:00
67
Code:230090InTime08:3517:0008:4608:5708:4508:5208:4208:3308:3708:3508:3708:3608:3908:4308:4008:4408:2508:4008:3608:3508:4208:3808:3908:48
68
Designation:OutTime17:0117:0117:0117:0113:0117:0117:0217:0217:0417:0213:0217:0117:0117:0017:0217:0013:0017:0317:1917:0317:0017:0313:01
69
DOJ:Status8:2600:0000:0024:0100:008:148:048:164:0900:008:198:298:258:298:254:2600:008:228:188:208:188:354:2000:008:248:448:218:228:244:1300:00
70
15Name:DR.JALPA PATELM09:0017:000PPAPPPPPAAPPPPPPAPPPPPPAPPPPPPA00:00
71
Code:230091InTime09:0908:5109:0709:0808:5709:1009:0509:0108:4608:3708:3709:0709:0308:4508:4808:5509:0208:4709:0408:5409:0509:1009:1109:1209:08
72
Designation:OutTime17:0013:0017:0017:0217:0117:1017:0117:0017:0317:0117:0117:0013:0017:0017:0117:0117:0017:0113:0017:0017:0117:0017:0017:0013:00
73
DOJ:Status7:514:0900:007:537:548:048:007:5600:0000:007:598:178:248:247:533:5700:008:158:138:067:588:143:5600:008:067:567:507:497:483:5200:00
74
16Name:DR.SHYAMAM09:0017:000PPAPPPPPPAPPPPPPAPPPPPPAAAAAAAA00:00
75
Code:230095InTime08:3308:3908:4708:4108:3508:4008:2708:3608:5708:3508:3408:3608:4908:4108:4708:3408:2808:5108:3708:50
76
Designation:OutTime17:0013:0017:0017:0017:0017:0017:0013:0017:0117:0017:0017:0117:0113:0017:0117:0217:0017:0117:0013:00
77
DOJ:Status8:274:2100:008:138:198:258:208:334:2400:008:048:258:268:258:124:1900:008:148:288:328:108:234:1000:0000:0000:0000:0000:0000:0000:0000:00
78
17Name:DR.RUPALI BAWAM09:0017:000PPAPPPPPAAPPPPPPAPPPPPPAPPPPPPA00:00
79
Code:230097InTime09:0813:0109:0809:1209:1209:0708:5709:1609:0408:5508:4908:5608:5008:5308:4308:5009:0508:3808:4808:3409:0508:5208:5609:0108:57
80
Designation:OutTime17:0317:0217:0017:0217:0216:0817:0217:0117:0417:0017:0013:0217:0317:0117:0417:0017:0313:0217:0217:0217:0117:0617:0013:04
81
DOJ:Status7:5510:4900:007:547:487:507:557:1100:0000:007:467:578:098:118:044:1200:008:108:188:147:558:254:1400:008:287:578:098:107:594:0700:00
82
18Name:DR.PRAKASH METIM09:0017:000PPAPPPPPPAPPPPPPAPPPPPPAPPPPPPA00:00
83
Code:230100InTime09:0409:0909:1809:0708:5108:2109:1209:1308:5808:5108:4408:1908:4008:5108:3008:2909:0409:0208:4508:4809:0109:0809:0108:5509:0109:03
84
Designation:OutTime18:5013:3317:0117:0017:4717:5717:0613:0717:0717:0117:4817:0317:0413:1817:0817:2417:0617:0817:0913:0217:0817:0218:5017:0017:0013:04
85
DOJ:Status9:464:2400:007:437:538:569:367:543:5400:008:098:109:048:448:244:2700:008:388:558:028:068:244:1400:008:077:549:498:057:594:0100:00
86
19Name:DR.PIYUSHA THOTEM09:0017:000PPAPPPPPPAPPPPPPAPPPPPPAPPPPPPA00:00
87
Code:230102InTime08:5808:5808:5308:5908:3908:4308:4808:5108:5808:5508:3308:3708:5508:5008:4008:3508:5608:4908:1508:3508:4208:5808:5909:0109:0008:59
88
Designation:OutTime13:0413:0817:0017:0817:0217:0017:0013:0517:0017:0317:0117:0017:0013:0417:0017:0017:0417:0017:1113:0717:0017:0017:0217:0117:0313:06
89
DOJ:Status4:064:1000:008:078:098:238:178:124:1400:008:028:088:288:238:054:1400:008:208:258:088:118:564:3200:008:188:028:038:008:034:0700:00
90
20Name:DR.RABIYA SHAIKHM09:0017:000PPAPAAPPPAPPPPPPAPPPPPPAPPPPPPA00:00
91
Code:230103InTime08:5108:5409:0012:5608:5308:4908:5208:5208:5208:4908:4908:5109:0208:2208:5208:5208:2308:5308:5408:5208:5008:4708:5408:50
92
Designation:OutTime17:2117:0718:0117:0217:0013:0017:0017:0117:0317:0217:0213:0117:0117:0217:0117:0217:0213:0117:0217:0117:0417:0117:0113:00
93
DOJ:Status8:308:1300:009:0100:0000:004:068:074:1100:008:088:098:118:138:134:1000:007:598:408:098:108:394:0800:008:088:098:148:148:074:1000:00
94
21Name:DR.HARDIK PATELM09:0017:000PPAPPPPPAAPPPPPPAPPPPPPAPPPPPPA00:00
95
Code:230111InTime09:0609:0709:0609:0908:5309:1409:0308:5908:3508:3308:3308:5908:3908:4508:4308:4908:5508:4408:5308:5208:5409:0108:5609:0008:53
96
Designation:OutTime19:1516:1717:0017:0717:0117:0117:0117:0217:0117:0217:0417:0213:0217:0417:0417:0617:0517:0113:0217:0017:0317:0217:0313:01
97
DOJ:Status10:097:1000:007:547:588:087:477:5800:0000:008:038:268:298:318:034:2300:008:198:218:178:108:174:0900:008:088:098:018:048:034:0800:00
98
22Name:DR.NIVIL JOSEPHM09:0017:000PPAPPPPPPAPPPPPPAPPPPPPAPPPPAAA00:00
99
Code:230115InTime09:0509:0509:0409:0309:0009:0008:5509:0109:0309:0208:4708:3908:5508:5708:4208:4808:5008:5608:4308:5608:4508:5708:5208:49
100
Designation:OutTime17:0113:0317:0417:1117:0117:0117:0313:0117:0217:0517:1117:0117:0013:0017:0317:0417:0217:0217:0113:0117:0017:0317:0213:05