"In case the candidate has worked in more than one establishment, he/she is required to submit certificate from

all the establishments"

Format for Experience Certificate

(To be issued on establishment's letter head)

This is to certify that Shri/Smt. (name of the candidate) Vo Shri (name of the father) M/s. (name of the establishment) from ( / (Date) /. .) to ( / (Date) / ). has worked directly/as contract labour in

During the above period he has carried out the following nature of work: 1 2 3 This is to further certify that the establishment is engaged in

(Nature of work) and the annual turnover of the establishment for the year 2012-13 was Rs. Crores.

During the above period, his/her conduct was

Date:

Signature of the Authorised Signatory* (with seal)

*Authorised signatory would mean Proprietor/Partner/Contractor/Company official authorized for the purpose.