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The Telangana Labour Welfare Fund Rules, 1988

State Rules of Telangana · 198730,855 characters of text

The enactment

TypeRules
Year1987
JurisdictionState of Telangana
StatusIn force as published by the source
TextPublished as one document, as the source published it
Subjectslabour, social

Full text

The source publishes this enactment as a single document rather than provision by provision, so the whole text is below and there are no per-section pages for it. Nothing has been shortened.

TELANGANA LABOUR WELFARE FUND RULES, 1988 [G.O. Ms. No: 131, Labour Employment and Technical Education (Labour –III) 25th June, 1988] INDEX RULES:

1. Short Title and Commencement.

2. Definitions:

3. Notice of applicability Change of Particulars or closure.

4. Maintenance of Register by employers

5. Mode of payment of dues including fines realized from employees and unpaid accumulations by the employer.

6. Payments of employer’s and employees’ contributions

7. Submission of Statement to the Government

8. Notice of employers for payment of dues

9. Particulars to be incorporated in Board’s notice about unpaid accumulations

10. Remission of Penalty

11. Constitution of the Board

12. Committees of the Board

13. Procedure regarding Board meeting

14. Minutes of the meeting

15. Allowances of Members

16. Budget of the Board

17. Additional Expenditure

18. Maintenance of Bank Accounts and Mode of Payments from Fund

19. Application for Grant from the Fund

20. Maintenance and Audit of Accounts of the fund

21. Appointment of officers, clerical and executive staff by the Board and their service conditions:

22. Duties and powers of Inspectors

23. Financial Transactions

24. Publication of the Annual report of the Board  Forms A to G 1TELANGANA LABOUR WELFARE FUND RULES, 1988 [G.O. Ms. No: 131, Labour Employment and Technical Education (Labour –III) 25th June, 1988] In exercise of the powers conferred by section 37 of the 2Telangana Labour Welfare Fund Act,1987, (Act 34 of 1987), the Governor of 2Telangana hereby makes the following rules relating to the 1Telangana Labour Welfare Fund, These rules shall come into force on the 1st May, 1988.

RULES

1. Short Title and Commencement:

(1) These rules may be called the 1Telangana Labour Welfare Fund Rules,

1988.

(2) They extend to whole of the State of 2Telangana.

(3) They shall come into force on the 1st May, 1988.

2. Definitions: (1) In these rules unless the context otherwise requires-----

(a) ‘Act’ means the 2Telangana Labour Welfare Fund Act,1987;

(b) “Board: means the 2Telangana Labour Welfare Board Established under section 4 of the Act;

(c) ‘Form’ means form appended to these rules

(d) ‘Notification ‘ means a notification published in the 2Telangana Gazette;

(e) ‘Register of establishment’ means,--

(i) in relation to a factory, Register of adult workers or a Register of child workers maintained under section 62 or section 73 respectively of the Factories Act, 1948 (Act No LXIII of 1948);

1 The Telangana Labour Welfare Fund Act, 1987 and Rules 1988. The said Rules in force in the combined State, as on 02.06.2014, has been adapted to the State of Telangana under section 101 of the Andhra Pradesh Reorganisation Act, 2014 (Central Act 6 of 2014) as per G.O.Ms.No.6, Labour, Employment, Training and Factories (Labour) Department, Dated:01.02.2016.

2 For the word “Andhra Pradesh” the word “Telangana” substituted as per G.O.Ms.No.6, Labour, Employment, Training and Factories (Labour) Department, Dated:01.02.2016.

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(ii) in relation to a motor transport undertaking, a Register of workers maintained under rule 35 of the 3Telangana Motor Transport Workers Rules, 1963; and

(iii) in relation to any other establishment, the Register of employment maintained under the 4Telangana Shops and Establishments Rules 1968;

Provided that where any establishment is not required to maintain such Register, ‘Register of establishment’ shall mean any other Register in which names of the employees employed in the establishment every day or every month of the year are ordinarily shown;

(2) All words and expressions used in these rules, unless otherwise defined shall have the same meaning as assigned to them in the Act.

3. Notice of applicability Change of Particulars or closure: (1) Every employer of an establishment shall give a notice of opening in Form-A to the Welfare Commissioner or to such other officer as may be authorized in his behalf within,--

(a) Sixty days, in respect of the Establishment existing as on the date of commencement of these rules; and

(b) Thirty days in respect of other establishments.

(2) Every employer shall within thirty days intimate in Form-B to the Welfare Commissioner to such other officer as may be authorized in this behalf, any change in the information under sub-rule(1).

(3) Where an employer intends to close down his business for good and sufficient reason, he shall serve a notice of such intended closure in Form-C on the Welfare Commissioner at least, ninety days before the date on which he intended closure is effective;

Provided that any such closure shall be in accordance with the provisions of Law.

(4) All notices to be given under this rule shall be by registered post and acknowledgement obtained thereof.

3 The Telangana Motor Transport Workers Rules, 1963. The said Rules in force in the combined state, as on 02.06.2014, has been adopted to the State of Telangana, under section 101 of the Andhra Pradesh Reorganisation Act, 2014 (Central Act 6 of 2014) as per G.O.Ms.No.38, dated.17.12.2015 of LET&F Department 4 The Telangana Shops and Establishments Rules 1990. The said Rules in force in the combined state, as on 02.06.2014, has been adopted to the State of Telangana, under section 101 of the Andhra Pradesh Reorganisation Act, 2014 (Central Act 6 of 2014) as per G.O.Ms.No.4, dated.30.01.2016 of LET&F Department.

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4. Maintenance of Register by employers:

(1) Every employer of an establishment shall maintain and preserve for a period five years.

(a) A register of wages in Form-D except in cases where a simple register is maintained under any other law for the time being in force and.

(b) A consolidated register of unclaimed wages and fines in Form-G provided that in respect of cases pending before the appellate authorities such record register shall be preserved till the case is finally disposed of;

(2) The employer of an establishment shall by the 31st January of every year forward to the Welfare Commissioner a copy of the extract from the register in Form-E pertaining to the previous year.

5. Mode of payment of dues including fines realized from employees and unpaid accumulations by the employer:

(1) Every employer of an establishment shall pay, the employer’s and employees contribution of the provident fund, all dues including fines realised from the employees and unpaid accumulations by a demand draft or money order to the Welfare Commissioner or to such other officer as may be authorized in this behalf for every quarter ending with the 31st March, the 30th June, the 30th September and 31st December, within fifteen days from the closing of each quarter;

Provided that in respect of the existing establishments, the sums payable by the employer under sub-rule(1)shall be paid in the manner provided therein within fifteen days from the date of coming into force of these rules.

(2) The payments under sub-rule (1) shall be accompanied by a statement showing full particulars of the amounts paid.

6. Payments of employer’s and employees’ contributions: Every employer of an establishment operating for any length of period during the twelve months preceding the 31st December of every year shall pay to the Welfare Commissioner or such other officer as may be authorized in this behalf, the employers’ contribution and also the employees contribution, whose names stand on the register of the establishment preceding the 31st December, by the 31st January succeeding year, along with a statement showing full particulars in form-F.

7. Submission of Statement to the Government: The Welfare Commissioner shall submit to the Government not before the 31st March of each year a statement of employees and employers contributions received by him by the 31st January of the year in Form-G.

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8. Notice of employers for payment of dues:

(1) Where the employer dose not pay whole or part of the amount due from him in accordance with rules 5 and 6 with in the stipulated time the Welfare Commissioner may after making such enquires as he may deem fit, serve a notice on such employer to pay the amount due from him within fifteen days from the date of receipt of the notice.

(2) The notice under sub-rule (1) shall be served on the employer either by personal service after taking receipt or by registered post with acknowledgement due;

Provided that an employer refuses to receive such a notice, it shall be deemed to have been served properly for the purpose of this rule, if a copy thereof of is pasted on any suitable place at or near about the main entrance of the establishment or where such notice was sent by post, if it was returned by the postal authorities with, such remarks as would indicate that it could not be served owing to refusal to accept or negligence on the part of the employer concerned.

9. Particulars to be incorporated in Board’s notice about unpaid accumulations:

The notice under sub-section(3) of section 8 shall contain the following particulars, namely;--

(a) name and address of the establishment in which the unpaid accumulations was earned;

(b) wage period during which the unpaid accumulation was earned;

(c) amount of unpaid accumulation; and

(d) the list of employees and the amount unpaid accumulations in respect of each of them paid to the Board.

10. Remission of Penalty:

(1) Application for emission of penalty under the provision to section 9 of the Act shall be made to the Welfare Commissioner within thirty days from the date of payment of penalty and shall clearly specify the grounds on which the remission is claimed.

(2) Where the Welfare Commissioner is satisfied that the non-payment of dues was due to the circumstances beyond the control of the employer the Welfare Commissioner may remit in part or whole of the penalty payable under subsection (2) of section 9:

Provided that no remission shall be made without the prior sanction of the Board, if the amount of penalty to be remitted exceeds five hundred rupees.

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11. Constitution of the Board:

The Board shall consist of the following members, namely:--

(a) Five persons to be nominated by the Government as indicated below:

(i) Minister for Labour …… Chairman

(ii) Secretary to Government, Labour Deptt., Ex-officio Member

(iii) Secretary to Government, Finance & Planning Ex-officio Member (Fin.) Deptt.,

(iv) Secretary to Government, Industries Deptt., Ex-officio Member

(v) A Women Member to represent the women employees in consultation with the Director of Women and Child Welfare Deptt.,

(b) Five persons representing the employers nominated by the Government in consultation with the organization of the employers functioning in 5Telangana;

and

(c) Five persons representing employees nominated by the Government in consultation with the organizations of employees functioning in 5Telangana.

12. Committees of the Board:

(1) (a) The Board may constitute one or more committees for the purpose of advising the Board in discharging its functions and in particular for carrying into effect any of the matters specified in sub-section (2) of section 12 of the Act.

(b) while constituting the Committee the Board may nominate one of its members to be a member of the committee who shall be the Chairman of the Committee.

(2) The Committee shall be represented with equal number of representatives of the employees and employers.

(3) The Board shall determine the qualifications and term of office of the Committee or committees constituted under section 7 of the Act.

(4) The Committee shall meet at such time and at such place as the Chairmen of the said Committee may decide and the committee shall observe such rules of procedure in regard to the transaction of the business at its meeting as it may deem proper.

5 For the word “Andhra Pradesh” the word “Telangana” substituted as per G.O.Ms.No.6, Labour, Employment, Training and Factories (Labour) Department, Dated:01.02.2016 :: 06 ::

(5) The Committee shall be treated as first class Government committee and the provisions of rule 15 shall apply to the members of the committee for purpose of Traveling Allowance and Dearness Allowance.

13. Procedure regarding Board meeting:

(1) The Board shall meet as often as may be necessary but not less that once in every three months commencing from the first meeting convened.

(2) The Welfare Commissioner shall in consultation with the chairman fix a date, time and place as well as agenda for, each meeting of the Board and give not less than seven days notice thereof to each member:

Provided the even seven days notice shall not be necessary where in the opinion of the Chairman that the business to be transacted at the meeting is of a very urgent nature requiring immediate attention and members are informed accordingly.

(3) The Chairman shall preside over all the meetings of the Board and no matter other than those included on the agenda shall be discussed at any meeting except with the permission of the Chairman:

Provided that if for any other reason the Chairman is unable to attend a meeting the members present shall choose one among them to preside over and carry on the functions of the Chairman for that meeting.

(4) No business shall be transacted in any meeting of the Board unless there is quorum of not less then one third of the number of members of the Board:

Provided that if a meeting adjourned by the Chairman for lack of quorum even after waiting for not less than thirty minutes from the appointed time the Welfare Commissioner shall with the same agenda as fixed for the original meeting, fix a date not earlier that seven days from the date of that meeting and give notice in this behalf to all members and it shall thereupon be lawful to dispose of the business included in the agenda in the meeting irrespective of members present.

(5) All matters in the meeting of the Board shall be decided by majority of votes of the members present and voting:

Provided that in case of equality of votes the chairman shall have a casting vote or a second vote.

(6) Votes on any issue shall be taken by show of hands at the meeting of the Board and the name of the person voting in favour and against on any proposal be recorded only if any member requests the Chairman to do so.

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14. Minutes of the meeting:

(1) The Welfare Commissioner shall arrange for preparing the minutes of the proceedings of each meeting of the Board showing inter alia the names of the members present and shall forward a copy of such minutes to each member of the Board as soon after the meeting as possible.

2. The minutes of the proceedings of each meeting shall be confirmed with such modification, if any, as may be decided upon as the next meeting of the Board and signed by the Chairman at that meeting by way of authentication.

3. The minutes of the proceedings of each meeting of the Board authenticated by the Chairman under sub-rule(2) shall be kept in a separate minutes book and the Welfare Commissioner shall send a copy of such authenticated minutes of the proceedings of each meeting to the Government for information as early as possible.

4. The minutes book shall be kept in safe custody of the officer authorized by the Welfare Commissioner who shall be responsible for recording the minutes of the meeting.

15. Allowances of Members:

(1) Traveling allowance and daily allowance of an official shall be governed by the rules applicable for journey performed by him on officials duties and shall be paid by the authority paying his salary.

(2) Each non-official member of the Board shall be entitled to draw traveling and daily allowance for any journey performed by him in connection with the performance of his duties at the rate admissible to a non-official member of the first class Government Committee under the 6Telangana Traveling Allowance Rules.

16. Budget of the Board: The Welfare Commissioner shall cause the budget estimates of the fund for every financial year to be prepared and laid before the Board by the 31st January every year and the Board will approve the budget before the 15th March.

17. Additional Expenditure: If during the course of financial year it becomes necessary to incur expenditure over and above provision made in the budget, the Welfare Commissioner shall submit additional demands to the Board for its approval.

6 For the word “Andhra Pradesh” the word “Telangana” substituted as per G.O.Ms.No.6, Labour, Employment, Training and Factories (Labour) Department, Dated:01.02.2016.

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18. Maintenance of Bank Accounts and Mode of Payments from Fund:

Payment from the fund shall be made:--

(1) Where the amount payable is less than hundred rupees in cash:

(2) Where the amount payable is hundred rupees and more, a cheque shall be issued by the Welfare Commissioner or such other officers as may be authorized in his behalf;

(3) Each cheque that may be issued shall bear the signatures of two such Officers who are authorized by the Welfare Commissioner.

19. Application for Grant from the Fund: The application for grant from the fund under sub-section (3) of section 12 shall be submitted to the Welfare Commissioner in triplicate. Such application shall be placed by the Welfare Commissioner before the Board within thirty days of its receipt with his remarks for consideration of the Board. The Board may recommend with or without modification any application placed before it and such application recommended by the Board shall be forwarded to the Government by the Welfare Commissioner within fourteen days from the date of the decision of the Board for the approval of the Government.

20. Maintenance and Audit of Accounts of the Fund:

(1) The Board shall maintain proper accounts and the other relevant records and prepare annual statement of accounts including balance sheet.

(2) The accounts of the Board shall be balanced on the 31st March of each year.

(3) The Accounts of the fund shall be maintained by the Accounts Officer of the Board and shall be audited by a Chartered Accountant’s firm appointed by the Government.

(4) The Government may also at any time order special audit of the accounts of the Board.

(5) The fee for the audit shall be as may be approved by the Government.

21. Appointment of Officer, clerical and executive staff by the Board and their service conditions:

(1) The Board may create all posts and appoint such number of officers executive, clerical and other staff as may be necessary for carrying out its functions under the Act. It shall also have disciplinary and administrative control over them.

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(2) The Board may make regulations specifying the terms and conditions of appointment, service and the scales of pay of officers and other staff of the Board including the payment of traveling and daily allowance in respect of journeys undertaken by the officers and other staff of the Board.

22. Duties and powers of Inspectors:--

(1) An Inspector appointed under section 18 of the Act shall generally make such inspection as may appear to him necessary for satisfying himself that the provisions of the Act and rules and any orders issued by the Government under this Act are duly observed.

(2) In addition to the powers conferred by clause (a) of sub-section (2) of section 18 of the Act, an Inspector shall for the purpose of giving effect to the provisions of the Act, have power to: --

(a) Prosecute, conduct or defend before a court any complaint or other proceedings arising under the Act;

(b) require any employer to supply or send any return or true copy of any document or information relating to the provisions of the Act;

(c) make inspection in such manner as he deems fit to satisfy himself that:--

(i) The provisions of the Act and Rules regarding the payment of contribution and unpaid accumulations and fines are observed;

(ii)The prescribed registers are properly maintained; and

(iii)The returns and registers to be maintained under these rules are properly maintained and duly sent to the appropriate authority.

(d) note whether the defects or irregularities pointed out in the course of previous inspection have been removed and the orders issued have been complied with;

(e) point out and either to record on the establishment register or inform the employer through a letter all such defects or irregularities as he may have observed in course of an inspection and to give orders for their rectification in the manner he deems fit and proper.

Provided that the employer concerned shall have the right to prefer an appeal to the State Government or such other authority as may be specified by the Government in this behalf against an order given by an inspector under clause(e) within thirty days of the receipt of such an order assigning specific reasons thereof.

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23. Financial Transaction:--

(1) The Board shall be free to undertake any financial transactions with in its budgetary limits for carrying out the purpose of the Act and for this purpose it may--- a. dispose of by sale or exchange any immovable property belonging to the Board or grant lease of any immovable property belonging to the Board for any term not exceeding 12 months.

b. With the approval of the State Government lease sell of other wise dispose of other movable or immovable property belonging to the Board.

Provided that no financial deal shall be transacted or execute without the prior approval of the State Government if it involves anything of which the money value exceeds ten thousand rupees.

The Board may enter into or execute all such contracts as it may consider necessary or expedient for bringing the provisions of the Act into effect:

Provided that prior approval of the State Government shall be obtained in respect of any contract involving an expenditure exceeding ten thousand rupees.

(2) Every contract made under or for any purpose of the Act shall be made on behalf of the Board:—

(a) by the Welfare Commissioner, or

(b) subject to such condition as the Board may specify by such member or officer of the Board it may authorize.

24. Publication of annual report of the Board.

(1) The Board shall within three months of the date of each financial year submit to the State Government for approval an audited statement of receipts and expenditure together with an annual report giving the activities in the year.

(2) The statement and the report shall be laid as soon as may be after they are approved by the State Government before the State Legislature while it is in session for a period of not less than thirty days.

(3) After the statement and the reports are laid before the State Legislature under sub-rule (2) the Board shall cause the same to be published in such manner as it may deem fit.

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FORM – A {See Sub-Rule (1) of Rule 3} Notice of opening.

From:

(here give name and designation of the signatory and name and address of the establishment concerned) To, The Welfare Commissioner , 7Telangana (give here the address) Take notice that the 7Telangana Labour Welfare Fund Act, 1987 and the Rules framed thereunder are applicable to my establishment with effect from………………………..(date here) Necessary particulars regarding my establishment are given in the below:- STATEMENT

1. Name or description of the establishment with full address:

2. Address in full for communication:

3. Is it a company under Company’s Act or a Proprietary undertaking:

(a) If it is a company under the Company’s Act indicate the name of the Chief Executive Of the company and his address:

(b) If it is a proprietary concern indicate the name and address of the proprietor / proprietries:

4. Number of employees:

5. Whether it is a factory or motor transport undertaking or a commercial establishment or any other establishment specified by the State Government through notification:

6. Articles produced or dealt with or services rendered:

7. Date of opening :

I declare that the particulars mentioned in the proceeding statement are true and correct to the best of my knowledge and belief.

Place: Signature of the Employer Date: with name and designation or Rubber stamp.

7 For the word “Andhra Pradesh” the word “Telangana” substituted as per G.O.Ms.No.6, Labour, Employment, Training and Factories (Labour) Department, Dated:01.02.2016.

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FORM – B [ See Sub-Rule (2) of Rule 3] Notice of Change From:

(Give here the name and designation of the signatory and name, address of the establishment concerned ) To, The Welfare Commissioner,

8Telangana.

(give here the address) The notice that following changes have occurred in the particulars furnished in relation to my establishment in the notice in Form A dated ………….. with effect from ……………………………(mention date here) Changes effected.

( Here specify the details of the changes ) Place: Signature of the employer with Date : name and designation or rubber stamp.

8 For the word “Andhra Pradesh” the word “Telangana” substituted as per G.O.Ms.No.6, Labour, Employment, Training and Factories (Labour) Department, Dated:01.02.2016.

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FORM – C [ See Sub-Rule (3) of Rule 3 ] Notice of Closure.

From:

(Here give the full name of the person(s) signing the notice with description of the position he holds, the name of the establishment and full postal address) To, The Welfare Commissioner,

9Telangana.

…………………………………..(Address here) As required under Sub-rule (3) of rule 3 of the 9Telangana, Labour Welfare Fund Rules, 1988, I/We hereby give the notice on behalf of the before mentioned establishment that a final decision has been taken to close the establishment for good with effect from …………( here insert the date) The reasons for such closure and other necessary information are furnished in the statement below.

STATEMENT

1. Is it a proprietary or partnership undertaking and if so the name and the name and full residential address of owner / partners of the concern:

2. If it is a company under Company’s Act and if so indicate the name of the Chief Executive of the Company and his address:

3. Address for Communication:

4. Number of employees on the date of notice,

5. Whether the employer’s and the employees contributions for the preceding year ending 31st December ……..have been paid

6. Whether the employer’s as well as employees’ contributions for the period during which the closure takes effect have been paid.

If not when will it be paid.

7. Reasons for closure.

I hereby declare that the particulars mentioned in the before mentioned statement are true and correct to the best of my / our knowledge and belief.

Place : Signature with official Seal or Date: description of the post or position held 9 For the word “Andhra Pradesh” the word “Telangana” substituted as per G.O.Ms.No.6, Labour, Employment, Training and Factories (Labour) Department, Dated:01.02.2016.

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FORM – D [ See Sub – Rule (1) of Rule 4 ] Register of Wages.

For the month of ……………………..200 Amount payable during the month Sl. Name of employee Ticket Occu- Basic Over Dearness No: No. and pation wage. time. Allowance & Badge other allowances No.

(1) (2) (3) (4) (5) (6) (7) ____________________________________________________________________ Total Amount Deducted during the month Amount actually paid during the month Bonus Fines Other deductions Basic Over – Time Dearness Bonus

(8) (9) (10) (11) (12) (13) (14)_________ Total Balance due to the employee Basic Wage Over-Time Dearness allowances Bonus and other allowances.

(15) (16) (17) (18)____ Total:

Signature of employer or Officer making.

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FORM – E [ See Sub-Rule(2) of Rule 4 ] REGISTER OF FINES AND UNPAID ACCUMULATIONS FOR THE YEAR…………… Name of the establishment……………………………………………………………… Sl. Details of file Quarter Quarter Quarter Quarter And unpaid ending ending ending ending 31st Accumulations 31st March 30th June 30th September December

(1) (2) (3) (4) (5) (6)

1. Total realisations under fines.

2. Total amount bearing “unpaid accumulations” of-

(i) Basic wages

(ii) Overtime.

(iii) Dearness Allowance.

(iv) Other Allowance.

(v) Gratuity, and

(vi) Any other item Total of 1 and 2……… See definition of “unpaid Accumulation” under sub-section(11) of Section 2 of the Act.

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FORM - F (See Rule 6 ) STATEMENT REGARDING CONTRIBUTION From:………………………………………… ………………………………………………..

(Hear give the full name of the person signing the statement with description of the position he holds).

To, The Welfare Commissioner, 10Telangana Labour Welfare Board, 1-1-17/83,behind DEVI theatre, R.T.C.”X” Rds, HYDERABAD – 020.

As required under rule 5 of 10Telangana Welfare Fund Rules, 1988. I am furnishing below the necessary particulars in relation to the amount Rs…………………..(Rupees………………………………..) tendered here-with as the total amount………………………..(words here) payable by my establishment both as employees’ as well as employer’s contribution for the year ending 31st December………..(mention the year here) A separate list containing the names of the employees engaged for the period, amount of monthly wages drawn, by each of them as also designation of each of them attached herewith.

PARTICULARS.

1. Name of the establishment with full address:

2. Whether a factory or motor transport undertaking commercial establishment/or any other class of establishment specified by a Government notification;

3. Total number of employees employed on proceeding 31st December:

4. Total number of employees from whom contributions has been deducted for the period:

5. Total amount of employees’ contribution tenure for the period:

6. Total amount of employer’s contribution tendered for the period:

7. Grand total of both the employees’ as well as the employer’s contributions deducted and tendered respectively for the period:

8. Whether full payment of the amount due to the period has been tendered:

9. Amount of unpaid balance, if any, and the reasons therefore, 10 For the word “Andhra Pradesh” the word “Telangana” substituted as per G.O.Ms.No.6, Labour, Employment, Training and Factories (Labour) Department, Dated:01.02.2016 :: 17 ::

10. Mode of payment whether in cash or by Bank Demand Draft or money order? If by money order, mention postal receipt number and date thereof. If by Demand Draft, mention name, branch and address of the bank on which drawn, D.D. number and date:

11. Remarks, if any:

I hereby declare that the before mentioned particulars are true and correct to the best of my knowledge and belief.

Place: Signature with designation Date: or description of the post held With official seal.

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FORM-G (See Rule 7) Statement of employer’s and employees Contributions received by Welfare Commissioner Sl. Name and Class of establishment No. of No. full address whether factory motor employees of each transport undertaking in respect establishment or commercial establishment of whom or other class of establishment contribution specified by Government is payable notification by the employer

(1) (2) (3) (4) Amount Amount Total Amount of Remarks payable paid as contribution as employee’s payable by employer’s contribution the Government contribution

(5) (6) (7) (8) (9) Signature of Welfare Commissioner With Seal _______________________________________________________________________ Note: Strike out the words not applicable.

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