OSH Code · Form IV (Form 4)
Form IV — Certificate of cancellation of Registration Certificate of Establishment
Form IV of the OSH & Working Conditions (Central) Rules 2026, prescribed under Rule 3(11).
Rule: Rule 3(11) · Signed by: State Authority
What the form records
- No.
- Date
- Registration No.
- Dated
- Name of the establishment
- Cancelled with effect from
- Place
- Date (signature)
- Signature/ E -Sign/DSC of Registering Officer along with designation
OSH Code Form IV is the 4th form of the Seventh Schedule, so it is also written OSH Code Form 4. Both refer to this same form: Certificate of cancellation of Registration Certificate of Establishment.
Part of the Seventh Schedule to the OSH & Working Conditions (Central) Rules 2026. View the official form layout in the gazette, or open Form IV in MedFactory.
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