Académique Documents
Professionnel Documents
Culture Documents
Name
Date
of
birth
Sex
Residen
tial
address
Fathers/
Husbands
name
Date of
appoint
ment
Group to which
worker belongs
Alphabet Nature
Assigned
of
work
8
Number
of relay
if
working
in
shifts
10
Adolescent if
certified as adult
Number
Number
& date of
under
certificate
section
of fitness
68
11
12
Remarks
13