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State of Bihar - Section
Section 19 in The Bihar Child Labour (Prohibition and Regulation) Rules, 1995
19. Certificate of age.
| Sl. No. | Name of child | Father's name | Date of birth | Permanent address |
| 1 | 2 | 3 | 4 | 5 |
| Date of joining the establishment. | Nature of work on which employed. | Daily hours of work. | Intervals of rest. | Wages paid. | Remarks |
| 6 | 7 | 8 | 9 | 10 | 11 |