Cancellation of establishment registration certificate recorded in prescribed form with effective date and officer authentication. Certificate of cancellation of a Registration Certificate of Establishment is issued in the prescribed Form IV under the Occupational Safety, Health and Working Conditions Code, 2020. The form records the establishment's registration details, the type of work carried on, and the effective date of cancellation under sub-section (5) of section 3. It is authenticated by the Registering Officer through signature, e-sign or DSC, together with designation, place and date.