Form XXIV — Agreement between Producer and Audio-visual Worker

Rule: Rule 105 · Signed by: Occupier · Under: OSH & Working Conditions (Central) Rules 2026

What the form records

• Agreement made on this day
• Month
• Year
• Name of Producer (M/s)
• Producer having office at
• Name of audio-visual worker (Shri/Smt/Kumari)
• Son/daughter/wife of Shri
• Audio-visual worker residing at
• Duration shall not exceed ____ consecutive months
• Sum of Rs. (remuneration)
• Rupees (in words)
• Balance of Rs.
• Number of equal installments

This page opens the blank statutory form in MedFactory, ready to fill, save and print. See the Form XXIV reference page for the rule and signatory detail.

MedFactory — Occupational Health Centre software for Indian factories