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State of Madhya Pradesh - Section
Section 4 in The M.P. Child Labour (Prohibition and Regulation) Rules, 1993
4. Certificate of age.
| S. No. | Name of Child | Father's name | Date of birth | Permanent address | Date of jointing the establishment |
| (1) | (2) | (3) | (4) | (5) | (6) |
| Name of work on which employed | Daily hours of work | Interval of rest | Wages paid | Remarks |
| (7) | (8) | (9) | (10) | (11) |