On receipt of a written application from migrant workman or in the event of his death, from next of his kin for providing legal aid in relation to any proceedings before the authority under Section 15 of the Payment of Wages Act, 1936, or under Section 20 of the Minimum Wages Act, 1948 or appropriate Labour Court under sub-section (2) of Section 33C of the Industrial Disputes Act, 1947, or Commissioners for Workman’s Compensation under the Workman’s Compen-sation Act, 1923, in which the migrant workman or his legal heir is a party, the specified authority concerned, if he is satisfied, may with the prior approval of the Labour Com-missioner engage an advocate to conduct the relevant proceedings on behalf of the migrant workman or his legal heir as the case may be, and meet all legal expenses in this regard.
FORMI [See Rule 3(1)] Application for registration of establishments employing migrants workmen
1. Name and location of the establishment.
2. Postal Address of the establishment.
3. Full name and address of the principal employer (furnish father’s/husband’s name in the case of individual)
4. Names and addresses of the directors/ particulars partners (in case of companies and firms)
5. Full name and address of the Manager or person responsible for the supervision and control of the establishment.
6. Nature of work carried on in the establishment.
7. Particulars of contractors and migrant workmen.
(a) names and addresses of contractors;
(b) nature of work for which migrant workmen are to be recruited, or are employed;
(c) maximum number of migrant workmen to be employed on any day through each contractor;
(d) estimated date of commencement of work under each contractor; and
(e) estimated date of termination or employment of migrant workman under each contractor.
8. Particulars of crossed demand draft (Name of the bank, amount, number and date).
I, hereby, declare that the particulars given above are true to the best of my knowledge and belief.
Office of the Registering Officer Date of receipt of application.
Principal Employer Seal and Stamp Haryana Inter-State Migrant Workmen (Regulation of Employment and Conditions of Service) Rules, 1981 FORMII [See Rule 4(1)] Certificate of Registration.
GOVERNMENTOFHARYANA OFFICEOFTHEREGISTERINGOFFICER Date ...................
A certificate of registration containing the following particulars is hereby granted under clause (a) of sub-section (2) of Section 4 of the Inter-State Migrant Workmen (Regulation of Employment and Conditions of Service) Act, 1979, and the rules made thereunder to .......................
1. Nature of work carried on in the establishment.
2. Names and address of contractors.
3. Nature of work for which migrant workmen are to be employed or are employed.
4. Maximum number of migrant workmen to be employed on any day through each contractor.
5. Other particulars relevant to the employment of migrant workmen.
(i)
(ii) Signature of Registering Office with seal.
Name and Nature of work for which Maximum No. of migrant Probable duration Remarks address of migrant workmen are to workmen employed on of employment of Contractor be recruited or are employed any day through a contractor migrant workmen 7 8 9 10 11 FORMIII [See Rule 4(2)] Register of establishment 1 2 3 4 5 6 7 8 Rate of wages Amount of fine imposed Date on which fine realised Remarks 9 10 11 12 Sr.
Registration Name and Name of the Type of business, trade Maximum No.
No. No. and Date address of Principle employer Industry manufacture of migrant workmen the establish- and his address of occupation, which employed directly ment registered is carried on by the establishment on any day 1 2 3 4 5 6 Particualrs of contractor and interstate migrant workmen
5. Whether the contractor was convicted of any/ : .............................................
offence within the preceding five years.
If so, give details.
6. Whether there was any order against the contractor : .............................................
revoking or suspending licence of forfeiting security deposits in respect of an earlier contract. If so, the date of such order.
Haryana Inter-State Migrant Workmen (Regulation of Employment and Conditions of Service) Rules, 1981 FORMIV [See Rule 7(1)] Application for licence for recruitment
1. Name and address of the contractor (including his : .............................................
father’s/husband’s name in case of individuals).
2. Date of birth and age (in case of individuals). : .............................................
3. Particulars of establishment where migrant workmen are to be employed.
(a) Name and address of the establishment. : .............................................
(b) Type of business, trade, industry, manufacture : .............................................
or occupation, which is carried on in the establishment.
(c) Number and date of certificate of registration : .............................................
of the establishment under the Act.
(d) Name and address of the principal employer. : .............................................
4. Particulars of migrant workman.—
(a) Nature of work in which migrant workmen : .............................................
are employed or are to be employed in the establishment;
(b) duration of the proposed contract work (give : .............................................
particulars of proposed date of commencing and ending);
(c) name and address of the agent or manager : .............................................
of the contractor at the work site;
(d) maximum number of migrant workman proposed : .............................................
to be employed in the establishment on any date;
(e) names and addresses of the directors/partners : .............................................
(in case of companies and firms); and
(f) name(s) and address(s) of the person(s) : .............................................
incharge of and responsible to the company/ firm for the conduct of the business of the company/firm, as the case may be.
7. Whether the contractor has worked in any other establishment within the past five : .............................................
years. If so, give details of the principal
8.
employer, establishment, and nature of work.
Whether a certificate by the Principal employer in : .............................................
9.
Form V is enclosed.
Amount of licence fee paid-No. of crossed demand : .............................................
10.
draft and date.
Amount of security deposit, if any.
: .............................................
Declaration.—I hereby, declare that the details given above are correct to the best of my knowledge and belief.
(Signature of the Applicant) Place ................ Contractor Date ................
Note.-The application should be accompanied by a crossed demand draft showing the payment of the prescribed licence fee and security deposit. If any, and a certificate in Form V from the principal employer.
(To be filled in the office of the licensing officer) Date of receipt of the application with crossed demand draft for fees.
Signature of the licensing officer.
Haryana Inter-State Migrant Workmen (Regulation of Employment and Conditions of Service) Rules, 1981 FORM V [See Rule 7(2)] Application for licence for employment
1. Name and address of the contractor (including his : .............................................
father’s/husband’s name in case of individuals).
2. Date of birth and age (in case of individuals). : .............................................
3. Particulars of establishment where migrant :
workmen are to be employed—
(a) Name and address of the establishment. : .............................................
(b) Type of business, trade, industry, manufacture or occupation, which is carried on in the establishment.
(c) Number and date of certificate of registration : .............................................
of the establishment under the Act.
(d) Name and address of the principal employer. : .............................................
4. Particulars of migrant workmen.—
(a) Nature of work in which migrant workmen : .............................................
are employed or are to be employed in the establishment;
(b) duration of the proposed contract work : .............................................
(give particulars of proposed date of commencing and ending);
(c) name and address of the agent or manager : .............................................
of the contractor at the work site;
(d) maximum number of migrant workmen : .............................................
proposed to be employed in the establishment on any date;
(e) names and addresses of the directors/ : .............................................
partners (in case of companies and firms);
and
(f) name(s) and address(s) of the person(s) : .............................................
incharge of and responsible to the company/ firm for the conduct of the business of the company/firm, as the case may be.
5. Whether the contractor was convicted of any/ : .............................................
offence within the preceding five years.
If so, give details.
6. Whether there was any order against the : .................................
contractor revoking or suspending licence of forfeiting security deposits in respect of an earlier contract. If so, the date of such order.
7. Whether the contractor has worked in any : .................................
other establishment within the past five years. If so, give details of the principal employer, establishment, and nature of work.
8. Whether a certificate by the Principal : .................................
employer in Form V is enclosed.
9. Amount of licence fee paid. No. of crossed : .................................
demand draft and date.
10. Amount of security deposit, if any. : .................................
Declaration.—I hereby, declare that the details given above are correct to the best of my knowledge and belief.
Place ............. Signature of the Applicant.
Date ............. (Contractor) Note.- The application should be accompanied by a crossed demand draft showing the payment of the prescribed licence fee and security deposit, if any, and a certificate in Form VI from the principal employer.
——————————————————————————————–––– (To be filled in the office of the licensing officer) Date of receipt of the application with crossed demand draft for fees.
Signature of the licensing officer.
FORMVI [See Rule 7(3)] Form of certificate by principal employer Certified that I have engaged the applicant (name of the contractor) as a contractor in my establishment. I undertake to be bound by all the provisions of the Inter-State Migrant Workmen (Regulation of Employment and Conditions of Service) Act, 1979, and the Haryana Inter-State Migrant Workmen (Regulation of Employment and Con-ditions of Service) Rules, 1981, in so far as the provisions are applicable to me in respect of the employment of migrant workman by the applicant in my establishment.
Place .................... Signature of Principalemployer Date .................... Name and address of Establishment H a ry a na I nt er -S ta te M ig ra n t W o rk m en (R e gu la tio n of E m p lo ym e n t a n d C o nd iti o n s o f S e rv ic e ) R ul e s, 1 9 81 FORMVII [See Rule 10(2)] Application for adjustment of security deposit Name and address No, and date of Date of expiry of Whether the previous No. and date of the Amount of previous of the contractor application for previous licence licence of the contractor demand draft of security security deposit fresh-licence was suspended or revoked deposit in respect of the previous licence 1 2 3 4 5 6 Amount of No. and date of crossed No. and date of the Name and address Particulars of Remarks security demand draft of the balance certificate of registration of the principal fresh deposit security deposit deposited of the establishment in employer application for the with the fresh application relation to which the fresh fresh licence licence is applied for 7 8 9 10 11 12 Place .................... Signature of Applicant Date ....................
FORMVIII [See Rule 11(1)] Government of Haryana Office of Licensing Officer Licence No. ................ Dated ................. Fee Paid Rs.....................
LICENCE
1. Licence is hereby granted to ......................................... under Sec-tion 8(1) of the Inter-State Migrant Workmen (Regulation of Employment and Conditions of Service) Act, 1979, subject to the conditions specified in the Annexure.
2. The licence is for doing the work of (nature of work to be indicated) in the establishment of............................. (name of principal employer to be indicated at ............................. (place of work to be indicated).
3. The licence will remain in force till ............................. (date to be indicated).
ANNEXURE The licence is subject to the following conditions:—
1. The Licence shall be non-transferable.
2. The number of workmen employed as migrant workmen in the establishment shall not, on any day, exceed the maximum number specified in the application for licence.
3. Save as provided in these rules the fee paid for the grant, or as the case may be, for renewal of licence shall be non-refundable.
RENEWAL [See Rule 14] Signature and seal of licensing officer.
Date of renewal Fee paid for renewal 11 Date of expiry ———————————————————————————————— 1 2 3 ———————————————————————————————— Date: ............................. Signature and seal of the Place: ............................. licensing officer.
Haryana Inter-State Migrant Workmen (Regulation of Employment and Conditions of Service) Rules, 1981
4. The rates of wages payable to the migrant workmen by the contractor shall not be less than the rates prescribed under the Minimum Wages Act, 1948, for such employment where applicable, and where the rates have been fixed by agreement, set-tlement or award, not less than the rates so fixed.
5. (a) in cases where the migrant workmen employed by the contractor perform the same or similar kind of work as the workmen directly employed by the principal employer of the establishment, the wage rates, holidays, hours of work and other condi-tions of service of the migrant workmen of the contractor shall be the same as applicable to the workmen directly employed by the principal employer of the estab-lishment on the same or similar kind of work:
Provided that in the case of any disagreement with regard to the type of work, the same shall be decided by the Deputy Labour Commissioner whose decision shall be final;
(b) in other cases the wage rates, holidays, hours of work and conditions of service of the migrant workmen of the contractor shall be such as prescribed in these rules.
(c) every migrant workmen shall be entitled to allowances, benefits, facilities etc., as prescribed in the Act and in these rules.
7. No female migrant workmen shall be employed by any contractor before 6 A.M. or after 7 P.M.
Provided that this clause shall not apply to the employment of female migrant workmen in pit head baths, creches and Canteens and as midwives and nurses in hospi-tal and dispensaries.
8. The contractor shall notify any change in the number of migrant workmen or the conditions of work to the licensing officer.
9. The contractor shall comply with all the provisions of the Act and these Rules.
10. A copy of the licence shall be displayed prominently at the premises where the migrant workmen are employed.
FORMIX [See Rule 14(2)] Application for renewal of Licence
1. Name and address of the contractor.
2. Number and date of the licence.
3. Date of expiry of the previous licence.
4. Whether the licence of the contractor was suspended or revoked.
5. Number and date of the crossed demand draft enclosed.
Place ................. Signature of the Applicant.
Date ..................
(To be filled in the office of the licensing officer) Date of receipt of the application with crosseddemand draft No. and date.
Signature of the licensing Officer H arya na In ter-State M ig ra nt W o rkm e n (R eg ula tion o f E m p lo ym e nt a nd C o n d itio n s of S e rvice ) R u le s, 19 81 FORM X [See Rule 14(2)] Particulars of recruitment and employment of migrant workmen.
Form in which the particulars in respect of recruitment and employment of migrant workmen as prescribed under sub rule (1) of rule 21, to the authorise specified under the Explanation below sub section (2) of sections 12 of the Inter-State-Migrant Workmen (Regulations of Employment and Conditions of Services) Act, 1979, to be furnished.
1. Name and address of the contractor. ..............................................................................................................................................................
2. Name and Address of the sub contractor through whom recruitment has been made. ..............................................................................
3. Number and address of the establishment. .......................................................................................................................................................
4. Name and address of the principal employer .....................................................................................................................................................
5. Name of the State in which the place of work is located. .................................................................................................................................
6. Name of the State in which recruitment was made. ...........................................................................................................................................
Sr. Name of Father;s/ Sex Age Permanent Name and address Place and address Amount of displa- No. migrant husband’s home address of the next of the of residence in cement allowance workman name kin of migrant the home paid workman state 1 2 3 4 5 6 7 8 9 Form X Contd........
Amount of outward Amount of wages for Nature of job required Date of recruitment Date of employment Details of rates of Period of contract of Details of other Remarks journey outward to be wages and employment service allowance journey performed other condition paid period paid allowance payable 10 11 12 13 14 15 16 17 18 Dated .......... Signature of contactor or his authorised representative.
Submitted to
(1) (Specified authority in the State in which migrant workman/workmen is/are employed).
(2) (Specified authority in the State from which workman/workwomen has/have been recruited).
Copy forwarded to:
..................... (The Principal employer) Signature of contactor or his authorised representative.
Note. : -In case where migrant workmen concerned have been recruited from more than one States, separate returns shall be submitted in respect of each such state.
H arya na In ter-State M ig ra nt W o rkm e n (R eg ula tion o f E m p lo ym e nt a nd C o n d itio n s of S e rvice ) R u le s, 19 81 FORMXI [See Rule 24] (Return to be sent by the contractor to the authorities specified under Explanation below sub-section (2) of section 12 of the Inter-State Migrant Workmen (Regulation of Employment and Conditions of Service) Act, 1979.
1. Name and address of the contractor
2. Number and address of the sub-contractor through whom recruitment has been made
3. Name and address of the Establishment
4. Name and address of the principal employer
5. Name of the State in which the place of work is located
6. Name of the State in which the recruitment was made Sr. Name of Father;s/ Sex Designation Age Permanent Place and Date of Date on Total No. migrant husband’s home address of employment which days workman name address indicating the state residence in home State ceased to be employed worked 1 2 3 4 5 6 7 8 9 10 11 Contd. ...... next page.
Form XI Contd........
Details of rates of Amount of displacement Amount of return journey Amount of return Total wages Details of compen- Amount of dedu- Amount of advance Amount of Remarks wages & allowances allowance journey paid sation and ctions, if any advance, other allowances paid and wages for outward allowances and wages other allowances if any recovered if any paid journey paid for return journey paid 12 13 14 15 16 17 18 19 20 21 Declaration I/We hereby declare that all wages, other dues including, displacement allowance, outward return journey allowances and wages for journeys period payable to migrant workman/workmen named above and employed by me/us have been paid by me/us to him/them.
Signature of contactor or the authorised representative.
Place ........
Dated .......... Signature of contactor or his authorised representative.
Submitted to
(1) (Specified authority in the State in which migrant workman/workmen is/are employed).
Copy forwarded to:
..................... (The Principal employer) Date .......... Signature of contactor or his authorised representative.
Note. : -In case where migrant workmen concerned have been recruited from more than one States, separate returns shall be submitted in respect of each such state.
Haryana Inter-State Migrant Workmen (Regulation of Employment and Conditions of Service) Rules, 1981 FORM XII [See Rule 48] REGISTER OF CONTRACTORS Name and address of the contractor. ........................
Name and address of the establishment ........................
———————————————————————————————————— Name and Nature of Location of Period of contract Maximum number address of work on contract of migrant contractor contract work From To workmen employed by contractor 1 2 3 4 5 6 FORM XIII [See Rule 49] REGISTER OF WORKMEN EMPLOYED BY COONTRACTOR Name and address of the contractor Number and date of the establishment Name and address of establishment in/under which migrant workmen are employed .......
Name and address of principal employer Sr. No. Name and surname of migrant workman Age and Sex Father’s/ Husband’s name Nature of employment/ designation Permanent home address of migrant workmen (village and tehsil/taluk and district 1 2 3 4 5 6 Local Date of Signature or Date of Reasons for Remaddress comme ncement of employment yment thumb impression of migrant workman termination of emplotermination arks 7 8 9 10 11 12 Signature of contractor or his authorised representative FORM XIV [See Rule 50] SERVICECERTIFICATE Name and address of contractor Name and address of the establishment in /under which migrant workmen are employed_____________________ Nature and location of work Name and address of the migrant workman Name and address of principal employer Age or date of birth Identification Marks Father’s/ Husband’s name_____________________ Serial No. Total period for Nature Rate of wages Remarks which employed. of work (with particulars From To done of unit in case of piece work) 1 2 3 4 5 6 Signature of contractor or his authorised representative.
H arya na In ter-Sta te M ig ra nt W o rkm en (R e gu la tion o f E m p lo ym e nt a nd C o nd itio n s of S e rvice ) R ules, 19 81 FORM XV [See Rule 51(1)] DISPLACEMENTAND OUTWARD JOURNEYALLOWANCES SHEET Name and address of contractor Name and address of the establishment Name and Address of the Principal employer Month and year_____________________ ————————————————————————————————————————————————————— Sr. Name of the Father’s/ Permanent Place and Designation Rate of Wages Place of No. the migrant Husband’s home address address of Wages payable recruitment workman. Name Indicating the residence in the Home State 1 2 3 4 5 6 7 8 9 ————————————————————————————————————————————————————— Place of Place of Railway Railway Station Date and time Expected date Details of modes Amount bus fare work with station /Bus Stand Bus Stand commencement and Time of of journeys from and/or second class address nearest to the nearest to the of journey from arrival at the place of train fare and/or including place of place of work the place of the place of residence in the other journey the state residence residence work home state to the expenses seperately palce of work as per the modes of journey indicated in column 15 10 11 12 13 14 15 16 Form XV Contd........
Total of Amount of Displacement Amount of Wages for Total amount Date on Signature or thumb amounts allowance outward journey outward paid which impression of the indicated Rs. Ps. allowance journey paid migrant workman in column period No. 16 17 18 19 20 21 22 23 Actual date and Balance wages for Date of payment Signature or thumb Remarks time of arrival outward journey if of the balance impression of the at the place of work any, payable wages No. 25 migrant workman 24 25 26 27 28 *Indicate separately different modes of journey.
Note:—Entries are to be made against each individual migrant workman.
Date ..........
Signature of contactor or his authorised representative.
H arya na In ter-Sta te M ig ra nt W o rkm en (R eg u la tion o f E m p lo ym e nt a nd C o n d itio n s of S e rvice ) R u les, 19 81 FORM XVI [See Rule 51(1)] RETURN JOURNEYALLOWANCE REGISTER Name and address of contractor ................................................................................................................................
Name and address of the establishment ................................................................................................................................
Name and Address of the Principal employer ................................................................................................................................
Month and year ................................................................................................................................
Sr. Name of the Father’s/ Permanent Place and Designation Rate of Place of No. the migrant Husband’s home address address of Wages work workman. Name Indicating the residence in state the Home State 1 2 3 4 5 6 7 8 Railway Station Railway Station Date and time Expected date *Expected modes Amount of bus fare /Bus Stand /Bus Stand commencement and Time of of journeys from and/or second class nearest to the nearest to the of journey from arrival at the the place of train fare and/or other place of work place of the place of residence in work to place journey expenses seperately residence in work home state of residence of as per expected modes of journeys the Home State the home state indicated in column No. 13 9 10 11 12 13 14 Contd........ Next page Form XVI Contd........
Total of amounts Amount of return Wages for Total amount Date on Signature or thumb Remarks indicated in journey allowance journey period paid which paid impression of the column No. 14 migrant workman 15 16 17 18 19 20 21 *Indicate separately different modes of journey.
Note:—Entries are to be made against each individual migrant workman.
Date ..........
Signature of contactor or his authorised representative.
Haryana Inter-State Migrant Workmen (Regulation of Employment and Conditions of Service) Rules, 1981 FORMXVII [See Rule 52(2)(a)] MUSTER ROLL Name and address of contractor ..................................................................
Name and address of the establishment in/under which migrant workmen are employed ............................................
Nature and location of work ........................................................
Name and Address of the Principal employer.....................................
Sr. Name of Father’s/ Sex Date Remarks No. migrant Husband’s 1 2 3 4 5 6 workman name FORMXVIII [See Rule 52(2)(a)] REGISTER OFWAGES Name and address of contractor ........................................................................................
Name and address of the establishment in/under which Inter- State Migrant workmen are employed ......................................
Nature and location of work ........................................................................................
Name and Address of the Principal employer ........................................................................................
Wage period ........................................................................................
————————————————————————————————————————————————————— Sr. Name of inter-State Serial No. Designation/ Number of Units of Daily rate of No migrant workman. in the register nature of work days worked done work done wages/ piece rate 1 2 3 4 5 6 7 ————————————————————————————————————————————————————— Amount of wages earned Deduction Net amount Signature/ Initial of Basic Dearness Overtime Other cash Total if any paid thumb impression contractor or Wages Allowances payment (nature (indicate of inter-State his authorised of payment to be nature) migrant workman. representative.
indicated 8 9 10 11 12 13 14 15 16 H arya na In ter-State M ig ra nt W o rkm e n (R eg ula tion o f E m p lo ym e nt a nd C o n d itio n s of S e rvice ) R u le s, 19 81 FORM XIX [See Rule 52(2)(c)] REGISTER OF DEDUCTIONS FOR DAMAGES OR LOSS.
Name and address of contractor ........................................................................................
Name and address of the establishment in/under which inter state migrant workmen are employed ..............................................
Nature of location of work ........................................................................................
Name and Address of the Principal employer ........................................................................................
————————————————————————————————————————————————————— Sr.
No.
Name of Inter-State migrant Father’s/ Husband’s Name Designation/ Nature of work employment Particulars of damage or loss Date of damage or loss Whether Inter-State migrant workman showed causes against deduction 1 2 3 4 5 6 7 Date of Recovery Name of person in whose presence employee’s explanation was heard Amount of deduction imposed No. of instalments First instalment Last instalment Remarks 8 9 10 11 12 13 FORM XX [See Rule 52(2)(c)] REGISTER OF FINES Name and address of contractor ........................................................................................
Name and address of the establishment in/under which inter state migrant workmen are employed ..............................................
Nature of location of work ........................................................................................
Name and Address of the Principal employer ........................................................................................
————————————————————————————————————————————————————— Sr.
No.
Name of Inter-State migrant workman Father’s/ Husband’s Name Designation/Nature of employment Act/omission for which fine imposed Date of offence 1 2 3 4 5 6 ————————————————————————————————————————————————————— Whether Inter-State workmen showed cause against Name of person in whose presence employee’s explanation was heard Wages periods and wages payable Amount of fine imposed Date on which fine realised Remarks 7 8 9 10 11 12 H arya na In ter-State M ig ra nt W o rkm e n (R eg ula tion o f E m p lo ym e nt a nd C o n d itio n s of S e rvice ) R u le s, 19 81 FORM XXI [See Rule 52(2)(c)] Register of Advances Name and address of contractor ........................................................................................
Name and address of the establishment in/under which inter state migrant workmen are employed ..............................................
Nature of location of work ........................................................................................
Name and Address of the Principal employer ........................................................................................
————————————————————————————————————————————————————— Sr. Name of Inter-State Father’s/ Nature of employment Wages period and Date and amount of No. migrant workman Husband’s Name Designation wages payable advance given 1 2 3 4 5 6 ————————————————————————————————————————————————————— Purpose(s) No. of Instalments Date and amount Date on which last Remarks for which by which advance of each instalment instalment was re-paid advance made to be re-paid 7 8 9 10 11 FORMXXII [See Rule 52(2)(d)] Register of over time Name and address of contractor ........................................................................................
Name and address of the establishment in/under which inter state migrant workmen are employed ..............................................
Nature of location of work ........................................................................................
Name and Address of the Principal employer ........................................................................................
————————————————————————————————————————————————————— Sr.
No.
Name of Inter-State migrant workman Father’s/ Husband’s Name Sex Designation Nature of employment Date on which overtime worked 1 2 3 4 5 6 ————————————————————————————————————————————————————— Total overtime worked or production in case of piece rated Normal rates of wages Overtime rate of wages Overtime earnings Date on which overtime wages paid Remarks 7 8 9 10 11 12 Haryana Inter-State Migrant Workmen (Regulation of Employment and Conditions of Service) Rules, 1981 FORMXXIII [See Rule 56(1)(d)] RETURN TO BE SENT BY THE CONTRACTOR TO THE LICENSIN G OFFICER Half-yearly ending ................................
1. Name and address of the contractor ..................................................
2. Name and address of the establishment. ..................................................
3. Name and address of the principal employer...................................................
4. Duration of contract: from ............................... to ...............................
5. No. of days during the half year on which
(a) The establishment of the principal employer had worked ...................................................
(b) The contractors establishment had worked ..................................
6. Maximum number of Inter-State migrant workmen employed on any day during the half year . ..................................
7. (i) Daily hours of work and spread over
(ii) (a) Whether weekly holiday observed and on what day......................
(b) If so, whether it was paid for ..................................
(iii) No. of man-hours of overtime worked ..................................
8. Number of man-days worked by Men Women Children Total
9. Amount of wages paid Men Women Children Total Note. —Wages shall not include wages for periods of outward and return journeys.
10. Amount of deduction from wages, if any Men Women Children Total
11. Amount of displacement allowance paid Men Women Children Total
12. Amount of outward journey allowance paid Men Women Children Total
13. Amount of wages for outward journeys period paid Men Women Children Total
14.
Amount of return journeys allowance paid Men Women Children Total
15. Amount of wages for return journey period paid Men Women Children Total
16. Whether the following have been provided
(i) Residential accommodation;
(ii) Protective clothing;
(iii) Canteen;
(iv) Rest-room;
(v) Latrine and urinals;
(vi) Drinking water;
(vii) Creche;
(viii) Medical facilities;
(ix) First aid.
(If the answer is ‘yes’ state briefly nature/standards provided).
Place ...........................
Date...........................
Signature of Contractor.
Haryana Inter-State Migrant Workmen (Regulation of Employment and Conditions of Service) Rules, 1981 FORM XXIV [See Rule 56(2)] ANNUAL RETURN OF PRINCIPAL EMPLOYER TO BE SENT TO THE REGISTERING OFFICER.
Year ending 31st December, ...................
1. Full name and address of the principal employer.
2. Name of establishment:
(a) District
(b) Postal address
(c) Nature of operation/industry/work carried on
3. Full name of the Manager or person responsible for supervision and control of the establishment.
4. Number of contractor who worked in the establishment during the year (give details in Annexure).
5. Nature of work/operation on which migrant workman was employed.
6. Total No. of days during the year on which migrant workman was employed.
7. Total number of man days worked for by migrant workman during the year.
8. Maximum number of workmen employed directly on any day during the year.
9. Total number of days during the year on which direct labour was employed.
10. Total number of man days worked by directly employed workmen.
11. Change, if any in the management of the establishment, its location, or any other particulars furnished to the Registering Officer in the application for registration indicating also the dates.
ANNEXURE TO FORM Name and address Period of contract Nature Maximum No. of No. of of the contractor From To of work No. of days man workers worked days employed worked by each contractor 1 2 3 4 5 6 Place____________ Date____________ * * * Principal Employer