GOVERNMENT OF TAMIL NADU

DIRECTOR OF INDUSTRIAL SAFETY AND HEALTH

APPLICATION OF TAMILAGA ARASIN UYARNTHA UZHAIPALAR VIRUTHU FOR THE YEAR 2014.

Five copies of the application in this proforma giving the particulars specified below supported by pucca engineering drawings wherever necessary and accompanied by the crossed Postal Order endorsed to the Secretary, Tamilaga Arasin Uyarntha Uzhaipalar Viruthu Committeefor the value of Rs.100 per entry should be sent to the Secretary, Tamilaga Arasin Uyarntha Uzhaipalar Viruthu Committee, Office of the Director of Industrial Safety and Health, so as to reach him on or before 5.00 p.m. ……….

1. Name and Registration Number of the Factory : M/s BHARAT HEAVY ELECTRICALS Ltd.,

with full address phone and e-mail address High Pressure Boiler Plant

Tiruchirapplli-620 014

Registration No. TP 1142

Phone No. 0431-257 4020

e-mail:

2. Nature of Industry: Heavy Engineering

3. Full Name and address of the worker with

mobile number and e-mail address who :

made the suggestion

4. Place and date of Birth :

5. Department in which he is employed:

6. Designation and nature of work on which

employed :

7. Full particulars of the suggestion received by

the Management (Enclose separate sheets):

8. (a) Date when the suggestion was received:

9. Importance of the suggestion in relation to the

general working of the undertaking :

10. (a) Results achieved including financial

savings as a result of adoption:

(b) State the period in which the above

financial savings occurred:

11. Estimated annual savings:

12. Whether “Suggestion Scheme” or such other Suggestion Scheme

scheme is in force in the factory

:

13. Particulars of the award granted by the

management to the worker under such

scheme : Merit Certificate and Award amount Rs.

14. Particulars of Postal Orders enclosed: Number Date Amount

Signature of the worker Signature of the Manager

with Office seal