Format of Form A for return of list of holidays

Dear All, please provide format of Form A for return of list of holidays
26th November 2018 From India, Delhi

You have to inform under what Act your establishment is covered, the format would depend on the Act applicable. However format of a general circular is as follows:
Holiday notice
Date: _______ (Dt. )
Holiday Notice
This is to notify all employees that our Factory/Plant/office/shop will remain closed from ___day____ (dd/mm/yyyy) to ____day_____ (dd/mm/yyyy) (or) On______day_____ (dd/mm/yy) on account of _____________ (reason for holiday).
After this holiday declared, our Factory/Plant/Office/shop will reopen for regular work at _______hours on ___ day_______(dd/mm/yy).
By order
HR Manager.
c.c.to: The Labour Inspector, Factories Act/ or other Competent Authorities.
26th November 2018 From India, Bangalore