Attestation

The Labour Officer before whom any recruited worker is brought shall satisfy himself that the requirements of the Act and these Regulations have been complied with and shall thereupon complete the endorsement on Form D of the Schedule hereto and return two copies to the recruited worker. Schedule. __________ Labour 15 SCHEDULE FORM A [regulation 3] LABOUR ACT Application for a Licence to Recruit Workers under section 68 of the Act. Date…………………………… 2………. Application is hereby made for a licence under section 68 of the Labour Act: Name (in full).............................................................................. Address ....................................................................................... (Permanent Postal Address) ........................................................ Occupation .................................................................................. Period for which licence is required From………………..... 2…… To…………………… 2…… Areas in which applicant proposes to recruit workers ................................................ ................................................ 16 Labour Prospective employer(s) and nature of work for which workers are to be recruited. ................................................ ................................................ A recommendation of character signed by ................................. ................................................. Justice of the Peace, Minister of Religion, Consular Officer .......................................................... (delete or complete as required), of ............................................ ...................................................................... is attached hereto. Yours faithfully, ................................................ (applicant) __________ Labour 17 FORM B [regulation 5] LABOUR ACT Licence as a Recruiter of Workers issued under section 68 of the Act Licence is hereby granted to……………………………………. of……………………………………………to recruit workers in……………………………………………………………….. areas subject to the general conditions in regulation 4 of the Labour (Recruiting of Workers) Regulations, and such special conditions as may be endorsed below. This licence is not transferable and unless renewed for a further period expires on the …………………………………… 2……. Date…………………………… 2…….. LABOUR COMMISSIONER, BELIZE RENEWALS Renewed for a further period of……………………………….. expiring on the………………………………………. 2………. LABOUR COMMISSIONER SPECIAL CONDITIONS __________ 18 Labour FORM C [regulation 7] LABOUR ACT Bond of Licensee BELIZE: KNOW ALL MEN BY THESE PRESENTS that we………… of……………………………….and………………………….. of……………………………….and………………………….. of……………………………….are jointly and severally bound to the Government of Belize the said………………………….. in the sum of one thousand dollars and the said ……………………………………………………. and the said …………………………………………… in the sum of two hundred and fifty dollars each to be paid to the said Government of Belize. SEALED with our seals this……day of………………. 2…… CONDITION WHEREAS the said………………………has applied for a licence to recruit workers under the Labour Act, and is required by the said Act and Regulations thereunder to furnish security for the due observance and fulfilment of any conditions subject to which the licence may be issued and of the provisions of the said Act and any Regulations made thereunder:- Labour 19 FORM C (cont.) NOW THE ABOVE WRITTEN BOND is conditioned to be void if the said …………………………………………………. ………………………………………………………. shall well and faithfully observe and fulfil every of his duties as licensee under the said Act and Regulations. SIGNED SEALED AND DELIVERED by the above named: ...................... ........................... ........................................ ...................... ........................... ........................................ ...................... ........................... ........................................ in the presence of: ....................................................................... __________ FORM D [regulation 10] LABOUR ACT Workmen’s Memorandum of Information 1. Name in full ..................................................................... 2. Age .................................................................................. 3. Nationality ....................................................................... 4. Home Address ................................................................. 5. Date and place of recruitment ......................................... 6. Name and address of prospective employer .................... 20 Labour 7. Nature of work for which recruited ................................. 8. Wages and other consideration ........................................ 9. Amount advanced and terms of repayment ..................... 10. Description of transport to place of employment ............ 11. Name and address of person to be notified in an emergency ................................................................................... 12. Other particulars .............................................................. ………………………………. ………………………………. Signature of licensed recruiter Signature of recruited worker I hereby certify that the above named………………………… has been brought before me and I have satisfied myself that all requirements of the Labour Act, have been observed in respect of this recruitment. Date…………………………….. 2………. Signed ........................................ Labour Officer __________ Labour 21 FORM E [regulation 15] LABOUR ACT Certificate of Medical Practitioner I hereby certify that I have examined……………………… ………………………............................... who has informed me that he is a recruited worker and proposes to enter into employment with …………………………………………. at ….………………… as a …………………………. and in my opinion he is fit/unfit to undertake the journey to the place of employment and the work which he has informed me he will be required to perform. Remarks .................................................................................... .................................................................................... Signature………………… Date……………………… 2……… __________