* * *] *40. Information required by the Inspector. - The employer shall furnish any information that any Inspector may require for the purpose of satisfying himself whether any provision of the Act, or the rules made thereunder has been complied with or whether any order of an Inspector has been duly carried out. Any demand by an Inspector of any such information if made during the course of an Inspection shall be complied with forthwith if the information is available in the catering establishment or if made in writing shall be complied with within seven days of receipt thereof.
*41. Service of notices. - The despatch by post under registered cover of any notice or order shall be deemed sufficient service on the employer of such notice or order.
*42. Annual returns. - Every employer shall furnish a 5[combined annual return] in 6[Form No. XIII] on or before the 7[31st January] to the Inspector having jurisdiction over the area in which the catering establishment is situated.
1 Omitted vide S.R.O. No. A-428 of 1966, dated the 12th April 1966 2 Subs. by G.O. Ms. No. 1900, Labour, dated the 6th August, 1983
3Ins. by G.O.(D) No. 1088, Labour and Employment (H-1), dated the 19th August, 2004 (w.e.f.
16th March, 2005) 4Rule 39, omitted ibid. (earlier inserted by S.R.O. No. A-125 of 1974, dated the 27th March, 1974 * Re-numbered by S.R.O. A-1/76, dated the 30th December, 1975.
5Subs. by S.R.O. No.A-3/2016, dated the 27th January 2016 for “an annual return” 6 Subs. by S.R.O. No. A-3/2016, dated the 27th January 2016.
7 Subs. by S.R.O. A-1/76, dated the 30th December, 1975 for “30th April” 15 *42-A. Language of registers, records etc. - All registers, records and notices required to be maintained, exhibited or given under these rules shall be either in English or in Tamil.
1[42-AA. Production of registers, records and notices. - The registers, records and notices maintained or exhibited under the provisions of these rules shall always be available in the establishment and shall be produced or caused to be produced for inspection at all reasonable hours by an Inspector having jurisdiction.]
2[42-B. Exhibition of name board. - (1) The name board of every establishment shall be in Tamil and wherever other languages are also used, the version in English shall be in the second place followed by the versions in other languages, if any.
(2) The Tamil version shall be written predominantly in the name board by providing more space than for other languages.
(3) The Tamil letters in the name board shall be in the reformed script.
Explanation. - The 'reformed script' means the script in the form as given in the annexure to the G.O. Ms. No. 1875, Education, dated the 19th October, 1978, as amended by Government Memo. No. 4704/1/79-20, Education, dated the 23rd May
1979.]
3[*43. Preservation of records. - The registers, returns, and other records maintained or received under these rules, and specified in column (1) of the table below shall be preserved for the periods specified in the corresponding entries in column (2) thereof.
THE TABLE Registers, returns and records
(1) Periods of preservation
(2)
1. Register of catering establishments Permanent.
2. Registration certificate counterfoils 8 years.
3. 4[Application] sent by the employers for obtaining registration certificates 5 years
4. Notification of change in Form IV received from employers 5 years
5. Chalans 5 years
6. Annual returns from the employers 3 years *44. Manner of destruction of records. - (1) After the period of preservation specified in 5[rule 43], the registers, returns and records shall be destroyed either by tearing or by burning in the presence of the head of the office.
(2) The records destroyed by tearing may be sold or otherwise disposed of in such manner as the head of the office thinks fit.]
* Re-numbered by S.R.O. A-1/76, dated the 30th December, 1975.
1Ins. by G.O. Ms. No.111, Labour, dated the 23rd January, 1986 2Amended by G.O. Ms. No. 499, Labour, dated the 29th February, 1984 (with effect from 1st April, 1984
3Ins. by S.R.O. No. A-1031 of 1961, dated the 3rd October, 1961
4Subs. by S.R.O. A-1/76, dated the 30th December, 1975, for “Statement”
5Subs. by S.R.O. A-1/76, dated the 30th December, 1975 16 1[*45. Power to exempt from rules. - The State Government may, by general or special order, exempt either permanently or for any specified period, any catering establishment or class of catering establishments or any person or class of persons to which or to whom these rules apply, from all or any of the provisions of these rules, subject to such conditions as they deem fit, or direct that any such provision shall apply to any such catering establishment or class of catering establishments or any such person or class of persons, with such modification as may be specified in the order.]
_____
1Ins. vide S.R.O. No. A-945 of 1961, dated the 6th September, 1961 17 1[Form No. I [See sub-rule (1) of rule 3 and sub-rule (1) of rule 6] Application under sub-section (1) of section 4 for Registration/ Application under Sub-Section (4) of Section 4 for Renewal of Registration Certificate for the Calendar Year
1. Full name of the catering establishment
2. (i) Full postal address and situation of the catering establishment
(ii) Full address to which communications relating to the catering establishment should be sent
3. (i) Maximum number of employees proposed to be employed on any one day during the calendar year
(ii) Number of employees ordinarily to be employed in the catering establishment
4. Full name and residential address of the person who shall be manager of the catering establishment.
5. Full name and residential address of the employer other than the manager, that is to say, ---
(i) the proprietor of the catering establishment;
(ii) directors in case of a public limited liability establishment;
(iii) where a managing agent has been appointed, the name of managing agent and directors thereof; and
(iv) shareholders, if any
6. Financial resources of the employer, (e.g., particulars and value of movable and immovable properties, bank reference, income-tax assessment, etc.)
7. Previous experience of the applicant in the catering industry
8. Whether the proposed site of the premises amounts to the alteration of the site of any existing premises and if so, the reasons for such alteration. [The employer should quote the licence or any other order from the Local Authority (Corporation, Municipality, Panchayat Board or Specially Notified Area)] 18
9. Whether any catering establishment was closed by the applicant during the period of twelve months immediately preceding the date of the application and if so, the reasons therefor:
10. 2[Whether the contribution to Tamil Nadu Labour Welfare Fund for the 3[previous year] has been paid and, if so, furnish the full details of payment (viz., Cheque/ Demand Draft No. and date/ Money Order Receipt No. and date).]
4[11.] Amount of fee Rs. ................ (Rupees ....................) paid in No.
............. Treasury on .............. vide Chalan ................(enclosed) Signature of employer Date :
Signature of Manager Date :
Note: (1) This form shall be completed in ink in block letters or typed.
(2) If any of the persons named against item 5 is a minor, the fact shall be clearly stated.
(3) In the case of catering establishment where a managing agent or agents have been appointed under the Companies Act, 1956 (Central Act 1 of 1956), the information required in item 5 shall be supplied only in respect of that person or persons.]
-----
1Subs. by S.R.O. A-1/76, dated the 30th December, 1975 2Added by G.O. Ms. No. 315, Labour and Employment, dated the 9th February, 1981 3 Subs. by G.O. Ms. No. 1473, Labour and Employment, dated the 19th July, 1982 4Re-numbered by S.R.O. A-75/81, dated the 9th February, 1981 19 Form No. I-A* [See rule 6-A] Application for Transfer of Registration Certificate
1. Full name of the catering establishment
2. Full postal address and situation of the catering establishment
3. Registration certificate number
4. The name and address of the persons to whom the registration certificate is to be transferred
5. Full name and residential address of the person who shall be the employer of the catering establishment
6. Full name and residential address of the employer other than the manager of the catering establishment
7. Amount of fee Rs. ............................... (Rupees ....................) paid in No. .................. Treasury on .............. (vide Chalan enclosed) I agree that I shall accept all liabilities of the transfer in respect of the employees of the catering establishment.
Date : Signature of the Transferee:
I agree that the Registration Certificate No. dated may be transferred in the name of.................
Date :
Signature of the Transferor (Holder of the Registration Certificate) N.B. - This form shall be completed in ink in block letters or typed.
----- *Ins. vide S.R.O. No. A-428 of 1966, dated the 12th April, 1966 20 Form No. II [See sub-rule (1) of rule 4] Register of Catering Establishments S e ri a l n u m b e r D a te o f re c e ip t o f 1 [* * * ] a p p li c a ti o n b y t h e I n s p e c to r N u m b e r a n d d a te o f th e p re v io u s c e rt if ic a te N a m e o f e m p lo y e r in w h o s e n a m e t h e r e g is tr a ti o n c e rt if ic a te i s to b e i s s u e d N a m e o f th e c a te ri n g e s ta b li s h m e n t A d d re s s o f th e c a te ri n g e s ta b li s h m e n t M a x im u m n u m b e r o f e m p lo y e e s e m p lo y e d o r to b e e m p lo y e d F e e p a id N a m e o f tr e a s u ry N u m b e r a n d d a te o f c h a la n N u m b e r a n d d a te o f th e r e g is tr a ti o n c e rt if ic a te i s s u e d In it ia ls o f th e O ff ic e r R e m a rk s
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) Rs. P.
1The words “statement or” omitted by S.R.O. A-1/76, dated the 30th December, 1975.
21 Form No. III* [See sub-rule (2) of rule 4] Registration Certificate or Renewal thereof in Respect of a Catering Establishment Registration number Fees Rs. .........................
S.No. .........................
Certified that........is registered as a catering establishment in the Register of Catering Establishments and that ................... employer of the catering establishment is permitted to employ not more than ...... employees on any day during the 1[calendar year].
This certificate shall remain in force till the 2[31st day of December] 20....
Dated : Inspector Renewal Date of renewal
(1) Fees paid for renewal
(2) Date of expiry
(3) Signature of the Inspector
(4)
(1)
(2)
(3)
(4) Amendments Amended to employ maximum number of employees
(1) Signature of the Inspector
(2)
(1)
(2)
(3)
(4) Transfers Name of the person to whom transferred
(1) Name of the catering establishment
(2) Signature of the Inspector
(3)
(1)
(2)
(3)
(4) *Subs. vide S.R.O. No. A-428 of 1966, dated the 12th April, 1966
1Subs. by S.R.O. A-1/76, dated the 30th December, 1975, for “financial year”
2Subs. ibid for “31st day of March” 22 Form No. IV [See sub-rule (1) of rule 5] Form in which any Change in Respect of Information contained in the 1[Application] under Section 4 should be Notified
1. Full name of the catering establishment
2. Registration number and date of registration
3. Change in the particulars relating to situation of the establishment
4. Change in the particulars relating to the employer
5. Change in the number of employees employed, namely, ---
(i) Maximum number of employees employed, prior to the change:
(ii) Number of persons newly engaged:
(iii) Total:
6. Any other change in the particulars in Form No. I relating to the statement under section 4 and the renewal of the registration certificate.
Signature of employer Date :
Signature of Manager Date :
Note : This form shall be completed in ink in block letters or typed.
------
1Subs. by S.R.O. A-1/76, dated the 30th December, 1975, for “statement” 23 Form No. IV-A1 [See sub rule (1) of rule 15] From (Name and address of the employer.)
To (Designation and address of the Inspector having jurisdiction over the area in which the catering establishment is situated) Sir, I propose that the following festivals may be specified under sub-section (2) of section 11 of the Tamil Nadu Catering Establishments Act, 1958 (Act XIII of 1958) in respect of my catering establishment (*,#).
Serial number Description of festivals
1.
2.
3.
4.
5.
2. The total number of employees in the above catering establishment is....
3. A notice in Form No. IV-B has been exhibited in the above catering establishment on the.............. A copy of the notice aforesaid is enclosed.
4. The names of the trade unions which claim to represent my employees are .....
To my knowledge there is no trade union representing the employees (%) Yours faithfully, Signature of the employer.
Date:
Note. - (*) Here enter the name of the catering establishment.
(#) Here enter the full address of the catering establishment.
(%) Delete portion not applicable to the catering establishment.
This form shall be completed in ink in block letters or typed.
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1Ins. by S.R.O. No. A-1/76, dated the 30th December, 1975 24 Form No. IV-B1 [See sub-rule (2) of rule 15] Notice I have proposed to the # ................... that the following *festivals mentioned in column (2) of the statement below may/festivals mentioned in column (3) of the statement below may be specified/be specified in lieu of the festival/s already specified and mentioned in column (2) thereof under sub-section (2) of section 11 of the Tamil Nadu Catering Establishments Act, 1958 ( Act XIII of 1958) in respect of this catering establishment.
Statement Serial number Description of the festival *Description of festival proposed for specification in lieu of that/ those mentioned in column (2)
(1) (2) (3)
(1)
(2)
(3)
(4)
(5)
2. Any employee of this catering establishment or trade union representing the employees of this catering establishment may send to the above mentioned Inspector objections or suggestions, if any to the proposal mentioned above.
3. The objections or suggestions should reach the above mentioned Inspector within a period of fifteen days from the date on which this notice is displayed in the premises of the catering establishment.
Date on which the notice is exhibited :..........
Signature of the employer.
Note : # Here enter the designation and address of the Inspector having jurisdiction over the area in which the catering establishment is situated.
(*) Delete whichever is not applicable.
This form shall be completed in ink in block letters or typed.
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1Ins. by S.R.O. No. A-1/76, dated the 30th December, 1975 25 Form No. IV-C1 [See sub-rule (5) of rule 15 and sub-rule (4) of rule 16] Proceedings of ........................ (a) Under sub-section (2) of section 11 of the Tamil Nadu Catering Establishments Act, 1958 (Act XIII of 1958) I specify the *festival(s) mentioned in column (2) of the statement below/*festival(s) mentioned in column (3) of the statement below in lieu of the festival(s) mentioned in column (2) thereof, was/were specified for the catering establishment (%) in proceedings No. , dated the / for which holidays shall be granted every year to the employees in the catering establishment, namely, at (#) Statement Serial number Description of festivals *Description of festival/s specified in lieu of that/ those mentioned in column (2)
(1) (2) (3)
1.
2.
3.
4.
5.
Date :
Signature of Inspector.
Note. (1) (a) Here enter designation of the Inspector having jurisdiction over the area in which the catering establishment is situated.
(2) (*) Delete whichever is not applicable.
(3) (%) Here enter the name of the catering establishment.
(4) (#) Here enter the full address of the catering establishment.
This form shall be completed in ink in block letters or typed.
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1Ins. by S.R.O. No. A-1/76, dated the 30th December, 1975 26 Form No. IV-D1 [See sub-rule (2) of rule 16] To (Designation and address of the Inspector having jurisdiction over the area in which the catering establishment is situated) Sir, Reference: Your proceedings No. , dated I, the employer of the catering establishment, namely, We, the employees in the catering establishment, namely, I, the Secretary of the trade union representing a substantial number of employees in the catering establishment, (*) at (#) namely (*) at (#) propose that the festival/festivals mentioned in column (3) of the statement below maybe specified under sub-section (2) of section 11 of the Tamil Nadu Catering Establishments Act, 1958 (Act XIII of 1958) in respect of the above catering establishment at (#) in lieu of the festival/festivals mentioned in column (2) which was/were specified in the proceedings cited.
Statement Serial number Description of festival/ festivals specified Description of festival /festivals proposed for specification in lieu of that/ those mentioned in column (2)
(1) (2) (3)
(1)
(2)
(3)
(4)
(5)
2. The total number of employees in the above catering establishment is..........
3. $ A notice in Form No. IV-B has been exhibited in the above catering establishment on the . A copy of notice aforesaid is enclosed.
A copy of the application has been sent to the employer of the above mentioned catering establishment by pre-paid registered post on the same date on which this is sent to you.
27
4.** The names of the trade unions which claim to represent the employees are............
There is no trade union representing the employees.
Date : Yours faithfully Signature of the employer Signature of the employees Signature of the Secretary of the trade union representing a substantial number of employees.
Note. - (1) This form shall be filled in ink in block letters or typed.
(2) Against reference, the number and date of the proceedings in which the festivals were specified shall be given.
(3) * Here enter full name of catering establishment.
(4) # Here enter full address of the catering establishment.
(5) $ Delete whichever is not applicable.
(6) ** Delete the portion which is not applicable to the catering establishment.
--------
1Ins. by S.R.O. No. A-1/76, dated the 30th December, 1975 28 Form No. IV-E1 [See sub-rule (1) of rule 17] Statement showing the holidays allowed under sub-section (2) of Section 11 of the Tamil Nadu Catering Establishments Act, 1958 (Act XIII of 1958) Name and address of the employer Name and address of the catering establishment.
No. and date of the proceedings of the Inspector.
Festival holidays allowed in the year 20...
Serial number Description of the holidays Days, dates and months of the year on which the National and Festival holidays are allowed under sub-section (2) of section 11 of the Tamil Nadu Catering Establishments Act, 1958 (Act XIII of 1958)
(1) (2) (3)
1.
2.
3.
4.
5.
6.
7.
8.
9.
Date: Signature of the employer Note—This form shall be completed in ink in block letters or typed --------
1Ins. by S.R.O. No. A-1/76, dated the 30th December, 1975 29 Form No. IV-EE1 [See rule 18] Notice to the employee under sub-clause (i) of clause (a) of sub-section (4) of Section 11 Under sub-clause (i) of clause (a) of sub-section (4) of section 11 of the Tamil Nadu Catering Establishments Act, 1958 (Act XIII of 1958), the following employee is hereby required to work on................ which is a holiday allowed under sub-section (2) of section 11 of the Act. He is further required to give his option in writing whether he prefers to be paid for such holidays on which he works-
(i) twice the wages; or
(ii) wages for such day and to avail himself of a substituted holiday with wages on any other day.
Dated at the day of 20 .
Signature of the employer To Thiru (here enter the name of the employee) Copy to the Inspector.
Note. - This notice shall be exhibited in a conspicuous place at or near the main entrance in the premises of the catering establishment.
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1Ins. by S.R.O. No. A-1/76, dated the 30th December, 1975 30 Form No. IV-F1 [See sub-rule (1) of rule 19] Register of National and Festival Holidays Serial number Name of the employee Ticket number or Father’s name Days, dates and months of the year on which National and Festival holidays are allowed under subsection (2) of section 11 of the Tamil Nadu Catering Establishments Act, 1958 (Act XIII of 1958) 1 2 3 4 5 6 7 8 9 To be marked as follows :- 'H' for holidays allowed.
'W/D' for work on double wages.
'W/H' for work with substituted holidays 'N/E' if not eligible for the wages.
------
1Ins. by S.R.O. No. A-1/76, dated the 30th December, 1975 31 1[Form No. V*] [See 1[rule 20]] Certificate of Physical Fitness
1. Certificate No. and date:
2. Name of the employee:
3. Father's name:
4. Sex:
5. Age:
6. 2[Identification] marks:
7. Date of medical examination:
8. Result of medical examination:
9. Remarks:
------ [Form No. V-A]3 [See rule 21] Age Certificate I hereby certify that I have personally examined (name) .......... son/ daughter/ wife of ......... aged............. years, residing at ................. and that................. (name) employed by ................... (here mention the name of employer, name of the catering establishment and address) has completed sixteen/ eighteen years of age.
Descriptive Marks are:
Signature or Thumb-impression of the employee Place:
Date :
Signature and designation of Registered Medical Practitioner.
*Ins. by S.R.O. No. A-428 of 1966, dated the 12th April, 1966
1Subs. by S.R.O. No. A-1/76, dated the 30th December, 1975
2Subs. ibid for “descriptive”
3Ins. by S.R.O. No. A-1/76, dated the 30th December, 1975 Place :
Signature and designation of Medical Officer Date :
Thumb-impression or signature of the employee 32 1[Form VI and Form VII] ------ Form VIII* [See sub-rule (2) of 2[rule 36]] Nomination I hereby certify that in the event of my death the balance of my pay due for a period of leave shall be paid to.............................who is my..................................
and resides at.....................................
Witnesses- Signature of employee.
(1)
(2) -------- Form IX* [See sub-rule (2) of 2[rule 37]] Notice to the Employer under clause (b) of Sub-Section (2) of Section 19 Sri .................................................... has appealed to the Appellate Authority under clause (a) of sub-section (2) of Section 19 of the Tamil Nadu Catering Establishments Act, 1958 (Tamil Nadu Act XIII of 1958). A copy of his appeal petition is enclosed.
The appeal has been posted for hearing on the day of ......................... at ...........a.m./p.m. at ................................ . You should appear before the Appellate Authority on that day and answer the claim. You must be prepared to produce on that day all the witnesses upon whose evidence, and all the documents upon which, you intend to rely in support of your defence. In default of your appearance on that day, the matter will be heard and determined in your absence.
Appellate Authority.
------ 1Omitted by G.O. (D) No. 1088, Labour and Employment (H-1), dated the 19th August 2004 (deemed to have come into force from 16th March, 2005) *Re-numbered vide S.R.O. No. A-428 of 1966, dated the 12th April, 1966
2Subs. by S.R.O. No. A-1/76, dated the 30th December, 1975 33 Form X* [See sub-rule (2) of 1[rule 37]] Notice to the employee under clause (b) of Sub-Section (2) of Section 19 Your appeal has been posted for hearing on the .................... day of ..............
at ............... a.m/p.m. at ............. . You should appear before the Appellate Authority on that day to prove the claim. You must be prepared to produce on that day all the witnessess on whose evidence, and all the documents upon which, you intend to rely in support of your case. In default of your appearance on that day, the matter will be heard and determined in your absence.
Appellate Authority.
------ #Form XI [See sub-rule (1) of 1[rule 38]] Register of Employment
1. Serial Number:
2. Name of the person employed
3. Young person or not
4. Father's Name
5. Time at which employment commences
6. Time at which employment ceases
7. Rest interval
8. Hours worked on 1 2 3 4 5 6 7
9. Total hours worked during the week
10. Days on which overtime work done and extent of such overtime on each occassion
11. Extent of overtime worked during the week ____ 2[Form XI-A] 3[Form XII & Form XII-A] ---- *Re-numbered vide S.R.O. No. A-428 of 1966, dated the 12th April, 1966
1Subs. by S.R.O. No. A-1/76, dated the 30th December, 1975 #Subs. by Form XIV vide G.O. (D) No. 1088, Labour and Employment (H-1), dated the 19th August, 2004 for Form XI 2Omitted by S.R.O. No. A-1/76, dated the 30th December, 1975 3Omitted by G.O. (D) No. 1088, Labour and Employment (H-1), dated the 19th August, 2004 (deemed to have come into force from 16th March, 2005) 34 1[FORM NO. XIII] (See Rule 42) COMBINED ANNUAL RETURN YEAR ENDING THE [31st DECEMBER] 20….
1 Name of the Catering Establishment 2 Full Postal Address of the Catering Establishment with Phone No., Fax No. and E-mail
3. Full Postal Address of the Registered Office / Head Office with Phone No., Fax No. and E-mail 4 Registration Certificate No.
5. Validity of the Registration Certificate 6 Name of the Employer with Mobile No. and E- mail 7 Name of the Manager / Authorised Person with Mobile No. and E-mail 8 Average Number of employees employed during the year a) Men b) Women c) Young Person / Adolescent i) Male ii) Female d) Total 9 Weekly Holiday 10 Number of days worked during the year 11 Daily hours of work and spread over 12 Normal hours worked per week 13 Total Amount of salary / wages paid including O.T. wages and Allowances
14. No. of employees whose employment is ceased / suspended:
i Number of employees discharged / dismissed / terminated / resigned / retired / expired during the year ii Amount of Compensation paid iii No. of employees suspended during the year iv Amount of subsistence allowance paid
15. Wages:
i Total wages paid including deductions a) Basic wage b) Dearness Allowance 35 c) Overtime Wage d) Non-profit sharing bonus e) Other allowances in cash f) Arrears of pay in respect of previous year paid during the year.
ii Number of persons whose wages does not exceed Rs.24000/-* per month (* subject to change as and when the Government of India Notifies) Men:
Women:
Young Person:
iii Details of money value concession iv Particulars of Deductions made from wages Deductions as Number of Employees involved Total Amount of Deductions Made
(a) Fines
(b) Damages / Loss
(c) Breach of Contract
(d) Others Total v Wage Period vi Total wages paid in Cash vii Total cash value of the wages paid in kind viii Disbursement from Fines a) b) c) Purpose Amount viii Balance of fine amount in hand at the end of the year ix Details of remittances of fines collected towards Tamil Nadu Labour Welfare Fund a) Mode of Payment b) Amount
16. Leave:
i Number of employees eligible for earned leave ii Number of employees availed / granted earned leave iii Number of employees paid wages / salary in lieu of earned leave
17. Welfare Measures provided:
i Uniform 36 ii Washing Facilities iii Fire Extinguisher iv First-aid box
18. Maternity Benefits:
i Benefits for No. of Employees received the Benefits Total amount paid a) Miscarriage b) Confinement c) Illness d) Medical Bonus Total ii Number of women who gave notice under section 6 of the Maternity Benefit Act, 1961 iii Number of women who were granted permission to absent on receipt of notice of confinement iv Cases in which payment was made to Persons other than the woman concerned Number:
Amount Paid:
v Cases in which payment was made on the order of the Appellate Authority or Inspector Number:
Amount Paid:
vi Claims for maternity benefit rejected Number:
Amount not Paid:
vii Claims for medical bonus rejected Number:
Amount not Paid:
viii Cases in which leave for miscarriage was applied for but was rejected Number:
Amount not Paid:
ix Cases in which additional leave for illness under section 10 was applied for but was rejected Number:
Amount not Paid:
x Women deprived of maternity benefit and or medical bonus under proviso to sub-section (2) of section 12 of the Maternity Benefit Act, 1961 Number:
Amount not Paid:
xi Number of cases where prenatal confinement and postnatal care was provided by the management free of charge under section 8 of the Maternity Benefit Act, 1961
19. Bonus:
i Number of employees benefited by bonus payments ii Percentage of Bonus declared iii Total amount of Bonus paid iv Date of Payment 37
20. Conferment of Permanent Status:
i Number of non-permanent workmen who have completed 480 days of continuous service ii Number of workmen made permanent during the period iii Number of workmen yet to be made permanent during the period iv Reasons for delay
21. Contract Labour :
i Name and Addresses of the Contractors ii Period of Contract iii Nature of work / operations on which contract labour was employed iv Maximum number of workers employed by each contractor v No. of days worked vi No. of mandays worked
22. Inter-State Migrant Workmen:
i Name and Addresses of the Contractors in Home State ii Name of the Principal Employer in Host State (Tamil Nadu) ii Period of Contract iii Nature of work / operations on which migrant labour was employed iv Maximum number of migrant workmen employed by each contractor v No. of days worked vi No. of mandays worked vii Amount of displacement allowance paid viii Amount of outward and return journey allowance paid ix Amount of wages for outward and return journeys paid Certified that the information furnished above is, to the best of my knowledge and belief, correct.
Date:
Place: Signature of the Employer 1 Subs. by S.R.O. No. A-3/2016, dated the 27th January 2016.
38 39 40 41 42 Form XVII Wage Slip [See sub-rule (9) of rule 38]
(1) Name and address of the Establishment
(2) Name of the Employee
(3) Father's/ Husband's Name
(4) Designation
(5) Date of Entry into Service
(6) Wage Period : From .................. To ...................
(7) Wage Earned : Deductions:
(a) Basic : (h) E. P. F.:
(b) D.A.: (i) E. S. I.:
(c) H. R. A.: (j) Other Deductions:
(d) O. T. Wages:
(e) Leave Wages:
(f) Other Allowances:
(g) Gross Wages: Net amount paid:
(8) Leave Availed during the month: EL ............... ML ...............
(9) Leave at Credit: EL ............... ML................
Signature of the Employer/ Manager/ or any other Authorised Person Signature or Thumb impression of the Employee 43