OSH Code · Form IV
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
Part of the Seventh Schedule to the OSH & Working Conditions (Central) Rules 2026. View the official form layout in the gazette, or open the OSH Code forms in MedFactory.
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