Odisha Building & Other Construction Workers'
Welfare Board, Government Of Odisha.
FORM No. O.T.C. 5
(See Subsidiary Rule 43)
Receipt No. : 4221594 Date : 01-05-2025
RECEIPT FORM
OFFICE OF THE REGISTERING OFFICER
UNDER THE BUILDING & OTHER CONSTRUCTION WORKERS
(R.E.& C.S) ACT, 1996-CUM-DISTRICT LABOUR OFFICER
Received From : Minati Rout
Father's name/Spouse's name : SAMBHUNATH PRADHAN
Present Address : ARUHA BALASORE 756042
Permanent Address : ARUHA BALASORE 756042
With reference to the Beneficiary Registration No. : ODBLS001251320 Date: 17-04-2025 the sum
of Rs.50.0 on account of Annual contribution for the year 2026, instalment(s) of Annual
contribution of beneficiary under Section 16 of the Building & other Construction Worker (R.E.&
C.S) Act, 1996 and Rule 267 Rule 267 of Orissa Building & other Construction Workers (R.E. &
C.S.) Rule, 2002.
Note:
(i) This is an electronically generated receipt from the system, which doesn't require signature.