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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:MR.KAILASH KARALEM09:0017:000PPAPPPPAAAPPPPPPAAPPPPPAPPPPPPA00:00
15
Code:230001InTime08:2708:3108:3208:3408:3408:3708:3508:2908:2608:3008:2908:2608:3508:3208:2908:2008:4408:3208:3108:2808:5508:3608:30
16
Designation:OutTime17:0013:0017:0117:0117:0017:0017:0017:0017:0017:0017:0013:0017:0017:0217:0317:0013:0017:0117:0017:0117:1017:0113:02
17
DOJ:Status8:334:2900:008:298:278:268:2300:0000:0000:008:258:318:348:308:314:3400:0000:008:258:308:348:404:1600:008:298:298:338:158:254:3200:00
18
2Name:MR.KALIDASH HARIJANM09:0017:000APAAPPPPPAPPPPPAAPPPPPPAPPAPPPA00:00
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Code:230015InTime08:2108:2908:4508:3708:3908:3908:4308:2808:3708:1917:0308:4508:2108:2808:3408:3108:3008:3417:0108:3908:4808:25
20
Designation:OutTime13:0117:0217:0217:0317:0313:0217:0217:0217:0217:0213:0217:0217:0417:0217:0317:0213:0217:0417:0217:0313:03
21
DOJ:Status00:004:4000:0000:008:338:178:268:244:2300:008:198:348:258:4319:5900:0000:008:178:438:348:298:314:3200:008:3014:5900:008:238:154:3800:00
22
3Name:MS.RIZWANA SAIYEDM09:0017:000PPAPAPPPPAPPPPPPAPPPPPPAPPPAPPA00:00
23
Code:230018InTime08:5808:5608:5108:5208:5208:5408:4908:5108:5208:5208:5308:4908:4908:5308:5208:5308:5308:4808:4908:4808:5308:5008:5008:55
24
Designation:OutTime17:0013:0017:0017:0017:0017:0013:0017:0017:0017:0117:0017:0013:0017:0117:0017:0017:0017:0013:0117:0017:0017:0117:0013:00
25
DOJ:Status8:024:0400:008:0900:008:088:088:064:1100:008:098:088:098:078:114:1100:008:088:088:078:078:124:1200:008:128:078:1100:008:104:0500:00
26
4Name:MS.MEGHA PATELM09:0017:000PPAPPPPPPAPPPPPPAPPPPPPAPPPPAAA00:00
27
Code:230054InTime08:4508:4308:4108:4208:3508:4808:4808:4408:4308:2308:4408:4108:3708:4008:4208:3808:4608:5008:2208:4008:4308:4608:4408:45
28
Designation:OutTime17:0013:0117:0217:0217:0117:0017:0113:0017:0117:0017:0117:0017:0213:0017:0117:0017:0017:0017:0013:0017:0017:0117:0317:00
29
DOJ:Status8:154:1800:008:218:208:268:128:134:1600:008:188:378:178:198:254:2000:008:198:228:148:108:384:2000:008:178:158:198:1500:0000:0000:00
30
5Name:Mr.Jignesh GohilM09:0017:000PAAPPPPPPAPPPPPPAPPPPPPAPPPPPPA00:00
31
Code:230060InTime09:0508:5809:0608:5909:1009:0309:0309:0709:0608:5509:0109:1109:0009:0809:1209:0609:1009:0309:0309:0408:5909:0409:0308:5909:04
32
Designation:OutTime17:0317:0317:0317:0717:0617:0913:0617:0317:0417:0217:2917:0713:0717:0617:0417:0417:0313:0317:0817:0417:0517:0917:1713:07
33
DOJ:Status7:5800:0000:008:057:578:087:568:064:0300:007:567:588:078:287:564:0700:007:587:517:547:548:004:0000:008:048:058:018:068:184:0300:00
34
6Name:MS.LEELA MAKWANAM09:0017:000PPAPPPPPPAPPPPPPAPPAPPPAPPPPPPA00:00
35
Code:230061InTime08:5909:0408:5909:0409:1008:5809:0609:0008:5008:5108:5108:4109:0609:0409:0408:5909:0909:0709:1209:0309:0909:1109:1709:1409:13
36
Designation:OutTime17:1713:0717:0417:0517:0617:0317:0313:0717:0117:0117:0217:0117:0313:0717:0817:0417:1917:1913:2117:0217:1417:1517:2117:2113:25
37
DOJ:Status8:184:0300:008:058:017:568:057:574:0700:008:118:108:118:207:574:0300:008:048:0500:008:108:124:0900:007:598:058:048:048:074:1200:00
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7Name:MR.BRIJESH RATHWAM09:0017:000PPAPPAPPPAPAAAAPAPPPPPPAPPPPPPA00:00
39
Code:230069InTime08:5408:5209:0208:5908:5208:4708:5208:5009:0408:5908:5108:5308:5208:4209:0408:4808:5208:5208:5008:5909:12
40
Designation:OutTime17:0213:0217:0117:0217:0317:0213:0117:0213:0717:0117:0217:0117:0117:0213:0717:0217:0217:0217:0117:0213:21
41
DOJ:Status8:084:1000:007:598:0300:008:118:154:0900:008:1200:0000:0000:0000:004:0300:008:028:118:088:098:204:0300:008:148:108:108:118:034:0900:00
42
8Name:MR.NILESH PARMARM09:0017:000PPAPPAAAAAAAAAAAAAPPPPPAPPPAPPA00:00
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Code:230070InTime09:0108:4609:0109:0308:4608:4808:4608:4709:1808:4708:5408:5108:4608:46
44
Designation:OutTime17:0313:0117:0317:0517:0117:0017:0117:0013:0113:0117:0017:0117:0113:01
45
DOJ:Status8:024:1500:008:028:0200:0000:0000:0000:0000:0000:0000:0000:0000:0000:0000:0000:0000:008:158:128:158:133:4300:004:148:068:1000:008:154:1500:00
46
9Name:MR.JAYESH HARIJANM09:0017:000PPAPAPPPPAPAPPPAAAPPPPPAPPPPPPA00:00
47
Code:230072InTime08:5308:4508:4908:4608:5008:4508:4608:5008:4508:4108:4508:4808:4808:4608:4709:1808:4708:5408:5108:4208:4308:43
48
Designation:OutTime17:0013:0117:0117:0117:0117:0013:0117:0113:0217:0117:0017:0017:0017:0117:0013:0113:0117:0017:0117:0017:0213:00
49
DOJ:Status8:074:1600:008:1200:008:158:118:154:1500:008:1100:004:178:208:1500:0000:0000:008:128:128:158:133:4300:004:148:068:108:188:194:1700:00
50
10Name:MR.AKASH PARMARM09:0017:000PPAPPAAAPAPPPPPPAPPPPPAAPPPPPPA00:00
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Code:230077InTime09:0008:5609:0109:0309:3009:0309:1608:5108:3508:4908:5009:1809:0308:4909:0309:2108:4909:2709:2808:5408:4909:16
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Designation:OutTime17:0313:0517:0317:0513:1017:0517:1617:0617:1617:0412:4117:1517:0317:0417:0317:2217:0717:2117:2317:0717:0713:23
53
DOJ:Status8:034:0900:008:028:0200:0000:0000:003:4000:008:028:008:158:418:153:5100:007:578:008:158:008:0100:0000:008:187:547:558:138:184:0700:00
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11Name:MS.KINJAL VANKARM09:0017:000PPAPPPPPPAPPPPPPAPAPPPPAPAPPPPA00:00
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Code:230078InTime09:0009:0109:0309:0209:0109:0308:5408:5308:5208:5008:5108:5808:4908:5508:5509:0308:5808:5008:5609:0408:4908:5409:0309:02
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Designation:OutTime17:0513:0217:0517:0317:0317:0517:0613:0417:0317:0317:0617:0217:0413:0117:0417:0317:0217:0013:0317:0417:0717:0717:0313:05
57
DOJ:Status8:054:0100:008:028:018:028:028:124:1100:008:118:138:158:048:154:0600:008:0900:008:008:048:104:0700:008:0000:008:188:138:004:0300:00
58
12Name:MS.MAMTA DARJIM09:0017:000APAPPAPPPAPPPPPPAPPPPPPAPPPPPPA00:00
59
Code:230080InTime08:5809:0108:5508:5509:0308:5709:0008:4608:4608:5309:0008:4908:5308:5408:5908:5808:3808:4909:0108:5108:5508:5608:4908:57
60
Designation:OutTime13:0717:0517:0317:0217:0213:0117:0117:0117:0117:0117:0313:0117:0117:0117:0317:0217:0113:0117:0217:0217:0017:0417:0013:03
61
DOJ:Status00:004:0900:008:048:0800:008:077:594:0400:008:018:158:158:088:034:1200:008:088:078:048:048:234:1200:008:018:118:058:088:114:0600:00
62
13Name:MR.KAUSHIK PARMARM09:0017:000PPAAPPPPPAPPPPPPAPPPPPPAPPPPPPA00:00
63
Code:230086InTime09:0008:5608:5308:5308:5208:3508:4908:5208:5208:5308:5308:4908:4908:5108:5208:5308:5308:4908:5608:4908:5308:5508:4008:5608:56
64
Designation:OutTime17:0313:0517:0717:0517:0712:5813:0917:0517:0517:0917:0517:0213:0517:0317:0417:0517:0517:0613:0217:0517:0417:0517:0017:0213:01
65
DOJ:Status8:034:0900:0000:008:148:128:154:234:2000:008:138:138:168:128:134:1600:008:128:128:128:128:174:0600:008:168:118:108:208:064:0500:00
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14Name:MS.GEETABEN DABHIM09:0017:000PPAPPPPPPAPPPPPPAPPPPPAAPPPPPPA00:00
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Code:230108InTime08:5308:5608:5208:5508:5509:0508:5408:5608:5508:5308:5308:5308:5808:5309:1208:5608:5308:5408:4908:5608:5508:5308:5208:5508:51
68
Designation:OutTime17:0513:0417:0517:0317:0817:0517:0613:0417:0317:0317:0717:0317:0413:0217:0417:0717:0317:0817:0317:0517:0517:0817:0817:0313:05
69
DOJ:Status8:124:0800:008:138:088:138:008:124:0800:008:088:108:148:108:064:0900:007:528:118:108:148:1400:0000:008:098:108:158:148:084:1400:00
70
15Name:MR.VRUSHANG PARMARM09:0017:000PPAPPPPPPAPPPPPPAAPPPAPAPPPPPPA00:00
71
Code:230110InTime08:4308:5308:5309:0609:1009:0809:0308:5408:5709:0608:5508:4108:5508:5808:5609:0009:0408:5708:5008:5108:5508:5508:5909:08
72
Designation:OutTime19:2617:0817:0917:1517:0617:5017:1513:5617:0317:0417:0317:2917:2614:3217:0417:0917:3313:3217:2417:4217:1017:1117:1713:17
73
DOJ:Status10:438:1300:008:168:097:568:428:125:0200:008:067:588:088:488:315:3400:0000:008:088:098:2900:004:3500:008:348:518:158:168:184:0800:00
74
16Name:MS.REKHA YADAVM09:0017:000PPPPPPPPPAPAPPPPAPPPPPPAPPPPPPA00:00
75
Code:230114InTime08:5408:4409:5208:5609:1008:4509:0309:0509:0809:1308:5408:5009:0008:5508:4309:1608:5709:0608:3809:1808:4408:4708:5909:0208:4008:46
76
Designation:OutTime19:2317:0315:5217:0817:0617:0517:0913:0717:0417:0617:1217:1313:2017:0917:0317:1017:0517:0413:0817:0617:0717:0617:1017:09
77
DOJ:Status10:298:196:008:047:588:218:028:043:5900:007:5100:008:128:228:134:2400:008:267:478:137:598:263:5000:008:228:208:078:088:298:1400:00
78
17Name:MR.SHANTILAL PARMARM09:0017:000PPAPPPPPPAPPPAPPAPPPPPPAPPPPPPA00:00
79
Code:230117InTime08:5308:5509:0508:5708:5908:5708:5809:0008:5808:5108:5008:5508:4608:4508:5008:5408:4908:5408:5108:4808:5608:5308:5108:5008:50
80
Designation:OutTime17:0413:0217:0517:0217:0317:0417:0213:0317:0217:0317:0317:0313:0317:0317:0317:0417:0217:0313:0317:0417:0217:0517:0517:0313:01
81
DOJ:Status8:114:0700:008:008:058:048:078:044:0300:008:048:128:1300:008:084:1700:008:188:138:108:138:094:1200:008:168:068:128:148:134:1100:00
82
18Name:MR.JAGDISH PARMARM09:0017:000PPAPPPPPPAPPPPPPAPPPPPPAPAPPPPA00:00
83
Code:230118InTime08:5508:5309:0109:0008:5408:5908:5509:0008:5308:5408:4508:4908:5208:4808:4308:5308:5208:5208:4808:5608:4908:5308:5408:5208:48
84
Designation:OutTime17:0313:0517:0317:0717:0517:0717:0513:1017:0517:0517:0917:0517:0213:0517:0517:0417:0417:0517:0613:0217:0517:0517:0017:0213:01
85
DOJ:Status8:084:1200:008:028:078:118:088:104:1000:008:128:118:248:168:104:1700:008:228:118:128:138:184:0600:008:1600:008:128:068:104:1300:00
86
19Name:MR.VINOD BARIAM09:0017:000PPAPPPPPPAPPPPPAAPAAPPPAPPPPPPA00:00
87
Code:230131InTime08:2312:2408:1508:1708:2608:1708:1512:2009:0308:2108:2308:1908:2708:2208:2608:1908:1908:2608:2908:2308:1108:2412:38
88
Designation:OutTime17:0817:0817:0717:0717:0717:0717:0717:1117:1017:0717:0817:0717:1017:0717:0913:1617:0917:0917:0917:0917:09
89
DOJ:Status8:454:4400:008:528:508:418:508:524:5100:008:078:468:458:488:3300:0000:008:4800:0000:008:418:504:5700:008:438:408:468:588:457:2200:00
90
20Name:MR.GANPAT TALAVIYAM12:0020:000PPAPPPPPPAPPPPAPAPPPPPPAPPPAPPA00:00
91
Code:230160InTime08:3308:2908:2508:3008:2908:4708:5808:5208:5608:2608:2608:3208:2808:3208:3408:2808:2808:2608:2908:2508:2708:2609:3009:37
92
Designation:OutTime17:0013:0017:0017:0017:0017:0017:0013:0017:0017:0017:0017:0013:0017:0017:0017:0117:0117:0013:0017:0017:0117:0016:22
93
DOJ:Status8:274:3100:008:358:308:318:138:024:0800:008:048:348:348:2800:004:3200:008:288:268:338:338:344:3100:008:358:348:3400:006:5210:2300:00
94
21Name:MR.MAHENDRA VAGHELAM09:0017:000PPAPAAAAAAAAAPPPAPPPPPPAPPPPPPA00:00
95
Code:230170InTime08:5608:5709:0509:0009:0108:5509:0709:0509:0009:0208:5708:3809:0309:0409:0009:0508:5608:57
96
Designation:OutTime17:0112:5616:5717:0716:5512:5616:5816:5716:5816:5516:5913:0616:5916:5716:5616:5516:5513:04
97
DOJ:Status8:053:5900:007:5200:0000:0000:0000:0000:0000:0000:0000:0000:008:077:544:0100:007:517:527:587:538:024:2800:007:567:537:567:507:594:0700:00
98
22Name:MR.PIYUSH RATHWAM09:0017:000PPAPPPPPPAPPPPPPAPPPPPPAPPPPPPA00:00
99
Code:230174InTime09:0408:4809:0509:0309:0409:0609:0708:5509:0009:0509:0309:0509:3308:4809:1009:0609:0709:0808:2908:4308:4309:0309:0309:0409:0908:47
100
Designation:OutTime16:5713:0816:5516:5616:5816:5717:0413:0816:2416:5716:5616:5516:5813:1016:5816:5916:5717:1313:1216:5416:5216:5316:5316:5513:12