(1) Every employer of an establishment to which the Payment of Wages Act/ 1936, does not apply shall maintain-
(a) a register of wages in Form 'A'; and
(b) a consolidated register of unclaimed wages and fines in Form 'B'.
(2) Such employer shall, by the 31st January every year, forward to the Welfare Commissioner, a copy of the extract from the Register in Form 'B' pertaining to the previous year.
_____________________ 13 FORM A (See Rule 29) Register of Wages Sl.No Name of the employer Ticket and Badge No Occupation 1 2 3 4 Amounts payable during the month Amounts deducted during the month Basic Wages Overtime D.A.and other allowance Bonus Fines Other deductions 5 6 7 8 9 10 Amounts actually paid during the month Balance to due to the employee Basic Wages Overtime D.A.and other allowance Bonus Bank Wages Overtime D.A & Other allowances Bonus 11 12 13 14 15 16 17 18 Total _________________ 14 FORM B (See Rule 29) Register of Fines Realised and unpaid accumulations for the year During Quarter ending 31st March Quarter ending 30th June Quarter ending 30th September Quarter ending 31st December
1. Total realizations Under fines……………..
2. Total amount becoming Unpaid accumulations
(i) Basic Wage ………………….
(ii) Overtime …………………….
(iii) Dearness Allowance and other Allowances …………………………..
Total of (1) and (2) ……………………..
* See definition of “unpaid accumulations” under Section 2(1) of the Karnataka Labour welfare Fund Act, 1965. For example in the column for the quarter ending June 1953 should be shown the payments which become due to the employees during the quarter January-March 1950 and which have since remained unpaid.
__________ FORM C Particulars to be furnished in the notice to be published by the Board under Section 7(3) of the Karnataka Labour Welfare Fund Act, 1965
1. Name of the employer ------------------
2. Name of the worker with Token No. and Address Man Woman Child
3. Section in which he/she was working --------------------
4. The period to which the unpaid accumulation relates ---------------------
5. Details of wages earned by the worker:
(a) Actual wages (Basic)
(b) Over-time wages
(c) D.A
(d) Other allowances
(e) Deduction, if any
(f) Balance due the worker 15 FORM D [See Rule 3-A] Statement of employers and employees contribution to be sent by the employer by 15th of January.- ___________________________________________________________________________
1. Name and Address of the establishment.
2. Name of the employer.
3. Total number of workers whose names stand in the establishment registers as on 31st December.
4. Employee’s contribution at rate of Rs.1 per employee.
5. Employer’s contribution at the rate of rs.2 per employee.
6. Total of items 4 and 5.
7. Whether the contribution is sent by Cheque, bank draft, Money Order or cash and details thereof.
______________________________________________________________________________ ---------------------------- Signature of the employer ___________ FORM E [See Rule 3-A] Statement of employers contribution received by the Welfare Commissioner for the year ending 31st December ____________________________________________________________________________ Name of the establishment Amount employers and employees contribution received by the welfare commissioner ______________________________________________________________________________ ______________________________________________________________________________ Total: Rs.
__________________________________________________________________________ …………………………………………….
Signature of the Welfare Commissioner.
ABSTRACT: Employee’s contribution Rs.
Employer’s contribution Rs.
______________________________________________________________________________ Total: Rs.
______________________________________________________________________________ Government contribution to be received Rs …………………………………… …………………………………… Welfare Commissioner _____________________________________________________________________________________
1. Form ‘D’ and Form ‘E’ inserted by Notification No.SWL 31 LBW 80, dated 27-8-1981 w.e.f. 27-8-1981.