Every employer shall maintain a register of advances, deductions for damages or loss and fines inform No.XXII.]
1Subs. by G.O. Ms. No. 3466, Industries, Labour and Housing (Labour), dated the 22nd August, 1966.
2Subs. for the words “an annual return in duplicate”, by G.O. Ms. No. 117, Labour and Employment (H-1), dated the 12th June, 2017 (with effect from 5th July, 2017).
3Omitted by G.O.(D) No. 581, Labour and Employment (H-1), dated the 10th November, 2010 (with effect from 23rd February, 2011) 4Rule 46, 47 and 48, added by G.O.(D) No. 581, Labour and Employment (H-1), dated the 10th November, 2010 (with effect from 23rd February, 2011) 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 38 39 1[FORM NO. XIX] (See Rule 43) COMBINED ANNUAL RETURN FOR THE YEAR ENDING THE 31st DECEMBER 20….
1 Name of the Motor Transport Undertaking 2 Full Postal Address with Fax No. and E-mail of the-
(i) Motor Transport Undertaking
(ii) Registered Office/Head Office
(iii) Units/ Branches
3. Nature of business/industry/work/ establishment/ work carried-on/service rendered 4 Registration No.
5. Validity of the Certificate of Registration 6 Name and addresses of the Employer with Mobile No.
and E-mail 7 Name and addresses of the Manager / Authorised Person with Mobile No. and E-mail 8 Average number of employees employed daily a) Adults b) Adolescent Total 9 Normal hours worked per day 10 Rest Interval given 11 Weekly Holiday 12 Number of employees exempted from section 19 13 Number of days worked during the year 14 Total Amount of salary / wages paid including overtime wages and allowances 15 Number of employees who received compensatory holiday in the:-
(i) same month
(ii) following month
(iii) third month
1Subs. by G.O. Ms. No. 117, Labour and Employment (H-1), dated the 12th June, 2017 (with effect from 5th July, 2017 40
16. Number 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 Number of employees suspended during the year iv Amount of subsistence allowance paid
17. Wages:
i Total wages paid including deductions:- a) Basic wage b) Dearness Allowance 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:
Adolescent:
iii 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 iv Wage Period v Total wages paid in Cash vi Total cash value of the wages paid in kind vii Disbursement from Fines a) b) c) Purpose Amount viii Balance of fine in hand at the end of the year 41
18. 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
19. Welfare Measures provided: (if “yes” state briefly the standards provided) i Canteen ii Rest Rooms iii Medical facilities
(a) Number of Dispensaries
(b) Number of Doctors
(c) Number of Nurses iv Uniform v First-aid box
20. 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:
42 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
21. Details of the remittances of Fines collected towards Tamil Nadu Labour Welfare Fund:- i Demand Draft No. and Date ii Bank iii Amount
22. Bonus:
i Number of employees benefited by bonus payments ii Percentage of Bonus declared iii Total amount of Bonus paid iv Date of Payment
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
24. 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 Number of days worked vi Number of mandays worked 43
25. 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) iii Period of Contract iv Nature of work / operations on which migrant labour was employed v Maximum number of migrant workmen employed by each contractor v Number of days worked vi Number 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 are, to the best of my knowledge and belief, correct.
Date:
Place: Signature of the Employer] 44 45 46