The register and forms required to be maintained by the employer under the rules shall be preserved by him in original for a period of five years after the completion of final payment of the money due to employee under the Act.
____ 1 First Proviso Omitted by S.R.O A-36/2001 dated the 18th April, 2001 2 Added by G.O. Ms. No. 1631, Labour and Employment, dated the 2nd September 1989 3 The word “further” omitted by S.R.O. A-36/2001 dated the 18th April, 2001.
4 Rule 5B omitted by G.O. Ms. No. 236, Labour and Employment, dated the 16th February, 1990 5 6 7 FORM 3 (See sub-rule (1) of rule 5) Application for payment of subsistence allowance by an employee To Assistant Commissioner of Labour in the office of the Deputy Commissioner of Labour.
(with full postal address) Sir, I beg to apply under section 4 of the Tamil Nadu Payment of Subsistence Allowance Act, 1981 (Tamil Nadu Act 43 of 1981) for the recovery of the money due to me under the Act. The particulars relating to my claim are given in the statement below:-- STATEMENT
1. Name of the employee (in full).
2. Address of the employee (in full
3. Name of the employer (in full).
4. Address of the employer (in full)
5. Department/branch/section where the employee was last employed
6. Date of appointment of employee
7. Post held with ticket No. or serial number of the employee, if any
8. Total period of service.
9. Amount of wages drawn by the employee immediately before suspension
10. Date and cause of suspension of employee (brief history may be furnished separately with a copy of the order of suspension.)
11. The period for which he is under suspension.
12. Whether any amount has been paid as subsistence allowance.
13. Amount of subsistence allowance claimed.
I declare that the particulars mentioned in the above statement are true and correct to the best of my knowledge and belief.
Yours faithfully, Place: Signature/thumb-impression Date: of employee.
8 FORM 4 (See sub-rule (1) of rule 5) Application for payment of subsistence allowance by a person authorised by the employee or the legal representative of the employee To Assistant Commissioner of Labour in the office of the Deputy Commissioner of Labour.
(with full postal address) Sir, I beg to apply under section 4 of the Tamil Nadu Payment of Subsistence Allowance Act, 1981 (Tamil Nadu Act 43 of 1981) for the recovery of the money due to Thiru/Tmt/Selvi …………………………………………… under the Act. The particulars relating to my claim made on behalf of Thiru/Tmt/Selvi …………………………………………… are given in the statement below:-- STATEMENT
1. Name of the employee (in full).
2. Address of the employee (in full
3. Name of the employer (in full).
4. Address of the employer (in full)
5. Department/branch/section where the employee was last employed
6. Date of appointment of employee
7. Post held with ticket No. or serial number of the employee, if any
8. Total period of service of the employee.
9. Amount of wages drawn by the employee immediately before suspension
10. Date and cause of suspension of employee (brief history may be furnished separately with a copy of the order of suspension.)
11. The period for which the employee has been on suspension.
12. Whether any letter of authorization has been Obtained from the employee in this behalf and if so, whether a copy of authorization enclosed with this application.
13. Relationship with the employee, if any.
14. In the case of legal representative the legal authority Under which the application is made may be explained with a copy of legal documents, if any I declare that the particulars mentioned in the above statement are true and correct to the best of my knowledge and belief.
Yours faithfully, Place: Signature of the person authorised by the Date: employee or the legal representative of the employee 9 FORM 5 [See sub-rule (3) of rule 5] Notice of appearance From Assistant Commissioner of Labour in the office of the Deputy Commissioner of Labour.
(with full postal address) To (Address of the employer of the applicant) Sir, Whereas Thiru/Tmt/Selvi ………………………………….. has / you have made an application under section 4 of the Tamil Nadu Payment of Subsistence Allowance Act, 1981 (Tamil Nadu Act 43 of 1981) for payment of a sum of Rs. ………………….. (in words) ……………………………………….. for the period of suspension from …………………. To …………………… (the copy of application is enclosed).
2. Now therefore you are hereby requested to appeal personally (or by a person duly authorized in this behalf) before the undersigned at ………………………………. For the purpose of answering all material questions relating to the application on the ……………………. day of ………….
at ……………… O’clock in respect of the claim. As the day fixed for your appearance is appointed for final disposal of application you are requested to produce on that day all the witnesses and all the relevant documents relating to the claim.
3. Take notice that in default of your appearance on the day mentioned above, the application will be examined and determined on merits.
Given under my hand and seal, this…………………. day of …………………… 10 FORM 6 [See sub-rule (5) of rule 5] Letter of authorisation to be presented by a person desiring to act on behalf of the applicant From (Full Postal Address of the applicant) To Assistant Commissioner of Labour in the office of the Deputy Commissioner of Labour.
(with full postal address) Sir, I authorise Thiru/Tmt/Selvi …………………………… for the purpose of sub-rule (5) of rule 5 of the Tamil Nadu Payment of Subsistence Allowance Rules, 1981. I furnish below the particulars in the statement below:
STATEMENT
1. Name of the employee (in full).
2. Name of the employer (in full).
3. Address of the employer (in full)
4. Name of the person authorised (in full)
5. Address of the person authorised (in full)
6. Period for which authorization is given.
2. I declare that I shall be bound by the acts of the person authorised in claiming money under the Act mentioned above.
3. I declare that the particulars mentioned in the above statement are true and correct to the best of my knowledge and belief.
Yours faithfully, Place: Signature/thumb-impression Date: of applicant The above signature / thumb-impression of the applicant is attested by:
Signature:
Witness 1 - Name:
Address:
Signature:
Witness 2 - Name:
Address:
11 FORM 7 [See sub-rule (5) of rule 5] Letter of authorisation to be presented by a person desiring to act on behalf of the employer From (Full Postal Address of the applicant) To Assistant Commissioner of Labour in the office of the Deputy Commissioner of Labour.
(with full postal address) Sir, I authorise Thiru/Tmt/Selvi …………………………… for the purpose of sub-rule (5) of rule 5 of the Tamil Nadu Payment of Subsistence Allowance Rules, 1981. I furnish below the particulars in the statement below:
STATEMENT
1. Name of the employee (in full).
2. Address of the employee (in full).
3. Name and address of the representative (in full)
4. Period for which authorisation is given.
2. I declare that I shall be bound by the acts of the representative authorised by me as above.
3. I declare that the particulars mentioned in the above statement are true and correct to the best of my knowledge and belief.
Yours faithfully, Place: Signature/thumb-impression Date: of employer The above signature / thumb-impression of the applicant is attested by:
Signature:
Witness 1 - Name:
Address:
Signature:
Witness 2 - Name:
Address:
Application for payment of subsistence allowance by an employee STATEMENT Application for payment of subsistence allowance by a person authorised by the employee or the legal representative of the employee STATEMENT STATEMENT STATEMENT