1[FORM IV-A

1. Ins. by G.S.R. 910. dated 10th August 1984.
Notice of discontinuance/re-starting of a shift working to be given by an employer
Name of employer…………….
Address…………………
Dated the………….day of…………..19………………..
In accordance with Standing Order No of the Standing Orders certified and approved in respect of my/our industrial establishment, I/We hereby give notice to all concerned that it is my/our intention to discontinue/restart the shift working specified in the Annexure with effect from
Signature……………………
Designation…………………

ANNEXURE
(Hereby specify the particulars of change in the shift working proposed to be effected)
Copy forwarded to:
(1)  The Secretary of registered Trade Union, if any.
(2)  The Assistant Labour Commissioner (Central)/Labour Employment Officer
(Here enter office address of the Assistant Labour Commissioner (Central)/Labour Employment Officer in the local area concerned)
(3) The Regional Labour Commissioner (Central) Zone.
(4) The Chief Labour Commissioner (Central), New Delhi.)