The court fcc payable in r~'pect ol proceedings under Section 20 ; hall be-
(i) for every application to summon a "itnos>. one rupee in re>pcct of each witness :
(ii) for eve f)' application made by or on behalf of an individual ~ne rupee:
Pro,•ided thut the Authority may if in its opinion the applicant h a proper e'empt him wholly or part I) from the pa)m<nt of >UCh fees:
Provided further that no fee shall 1x chargeable :
(a) from persons cmpiO)<d in Agriculture : and
(b) in rc>pcct of an application made by an Inspector.
• 16 FORM RtGI'ill R OF Fli'ES RULE 71(4) ••• [mplo:-cr Sl. Nu.
2 3 4 t>epartment 1'.4lUic: oiP..J d.alr II h<lh<r ~'H~man ihov.ed cause s ~I No.
of orrc:n ... c:t lor whkh ftnr impo- M!d.
~ Dalo & ""''"''" oi r..,. imi>O'<"' 9 FORM II RULE 21 (4) il.Jillmt tine Or 001.
ent~r dale.
7 Dace on .. b., "h.fme real bed 10 if so, RemarL.s II Register or dtductMn (or damaee or l.>i) -:-.:tU\.t\1 to the: Cf11PII))er. by l.be neakc• or ddauh <lf rile cmpiO)cd per;oos.
Employer •.• Name of emplu)CC;)
2 fatbtr';,{HUjband'l name Sox Ocpanment -------4----~s-----J Damage or foss caused with 4ale.
\\<betber worker IDC>"'ed Dace and amount ot cau~ apirut d.edua ion tkductlon imp.xrd.
6 No. of intlalmenLs.
if any.
9 d 10. enier d.lh!.
7 8 Date on which total umount Remarks.
realised.
10 I I 17 ANNUAL RETURN FORM In (Ruk 21 (4) DEDUCTION FROM W AGF.'> Return for the year enJmg the Jl,t December I. (al Name of the c~labli,hment & postal address lhl '<:ome on<l r«i<knual • ddre of the ownerfC'nnlractnr
(c) Name & re.idential address of the Managing Agent/ Director (Partner-in-charge) of the day to day a!fa"' of the establi,hment owned by a Company. body corporate of Association ...
(dl ~arne and residential addr< , of the manager 'agent. if
2. , umber of day> worked during the ~ear •J. ~umber ol mandu~> ~~oorked durin~ the ~ear ... .. ..... .... ... ... .
••4 Avera~c daily number of per.ons employed during the year
(i) Adults ...... ..... .......... .. ... (iil Children ....... .... ... .. . .. . ..
5. Total wage paid in ca.h ...
•••6. Total cash value of the wages paid in kind ................. .
7. Di:>bur>ement from fines.
Purpo,e Total amount
(a) (bl (cl
(d) Rs. patse.
8. Deduction :- No. of cases Total amount.
pai.,e. Rs.
(a) Fines.
(b) Deduction for damage or loss.
(c) Deduction for breach of contract
9. Balance of fine fund inhand at the end of the year ...... ......... .. .
Dated .. .. ..... ... ... . Signature .. . ... ........ .. .
Dc>ignalton • Thi, i' the asgregate number of attendance during the yenr •• The average daily number of pc"on.' employed during the year is obtained by d1viding the aggregate number of attendance during the year by the number of working days.
• • Ca.h 'alue of the "ages paid 1t1 kind should be obUlined by tak.ing the difference bei\Hen the cost price p.1id by the employer and the actual price paid b) the emplo)ees for .upplic. of e-<>entiul comm~ d11tes gi,en at conce~sional rates.
18 FORM IV Rule 25 (2) OVERTIME REGISTER FOR WORKER : MONTH ENDING 19 SL. Name NO.
J 2 Path.er'!l Husbanb's name 3 Sex De;sigruulon :md Oepl\J'trocnt s Dc:te on wbicb overtime worked 6 EJctent of overtime Total ovulimc Normal hours Normal rate on each occasion worked or production 1 Overtime rate II Normal earn ins 12 Name of establishments_ SL. NO. Namt 2 2 3 iu case Of piece workers 8 9 Overtime earning TotaJ earning I ' 14 FORM V "Rill<: 26 (6) Muster Roll Fathcr"s/ Sex Jlusband's Name 3 4 Fo· the p:riod eodina 4 5 6 10 Date on which ovenJme payment mado IS Place ••• Nature or work:
5 Total Remarks auandaoce 31 19 FORM VI (FORM OF APPLICATIO:-J llY \N I·MPLOYI:.I• UNDER SECTION 20(2) In the Coun of the Authorit~ appomte.J under the Minimum Wages A,t. JIJ48 lor .. . .• ... area \ppiiCJ\Iun :-.u ... . .. ... .... . ol 19 (I)
(2)
(3) Appli,utionh) (I hrough .................. .. . ... ....... a lcx:al practll ioner . . oflic>al of .. .. . . Unn>n "hich rogJ>IorciJ under the Trade U01on, Act. 1926.
(I) (21
(3) Addre" Opponent..
T he above named applicant(s) beg(s) rcsp.:ctfully to submll "' follows:- (I) that
(2) tha t ............................. . .
The applicant(\) ha> (hale) been pa1d wage' at les; than the muum um rate> of wages.
The dpphcant(>l c'tlmatc(S) the 1alue of the relie f ,ought by him (them) at the '"m of R The applicant(\) pray(s) that u dire,tion may be i"ued under sul>-,ection 01 of the Sect1on for:- (nl Pa\ment of the difT<rcnce between the wage> due accord10g the mmimum rate, of wage, fixed by the Government and tu the l'&gc, nctuall} paid. und
(b) Compcn>allon amnunlln!l to Rs. ....... .. . .. .. ................ ..
fbe applicant(s) beg(>) lea\e to amend or made ahcma~ion in the appli· calion, if any and " hen necessary.
Signature or thumb impres,ion uf the employees. legal practitioner or offic1al of a registered trade '" 'on duly autho rised.
20 The applicant(S) do (es) solemnly declare that what is stated abo\•c is true to the best of his (their) knowledge. belief and information.
This verification is signet! at . .................... on .................. day of .................. 19 Signature or thumb impres>ion of the employee(s) or legal practitioner or official of a registered trade union duly authorised.
* When the application is by a group of employees, the thumb impression or signature of two of the applicants needs be put to the application and a full li>t of applications should be attached to tbe applications.
FORM VII FORM OF APPLICATION BY AN INSPECTOR OR PERSON ACTING WITH THE PERMlSSION OF THE AUTHORITY UNDER SECTION 20(2).
ln the Court of the Authority appointed under the Minimum Wages Act, 1948 for ......................................................................... area.
Application No. ............ ..................................... ........ of 19
(1) ........... . ........ ............... ................ ................... , ....... .... ... applicant.
Address Versus
(l) ................................................................................... Opponent.
Address ......................................................... .. . . ................ ..
The above named applicant begs respectfully to submit as follows:- (1> that .................................. ..
(2J that ................................... .
The opponem is bound to pay wages at the minimum rates of wages lixcd by Gov"rnment but he bas paid less wages to the following employees at lhe sum of R~ ........................................................................... .
The applicant prays that a direction may be issued under sub-section
(3) of Section 20 for:-
(a) Payment of the ct.f[erence between the wages due according to the minimum rates or wages fixed by Government and tbe wages actually paid. and 21 (bl Comp<:nsation amounting to R, .............. .. .. .. .... .... ... ...... . .
The applicant begs lca~c to amend or add to or make alteration; in lhe applicauon if and when ncce~sary.
Signature .. ..... ...... .. .. .
rllc applicanl do(' solemnly declare that \>hat i> ' tated abo\C i, true 10 the besl of h1s knowledae. belief and information.
1 his \aificarion signed at ... ... .. . . .. .. ... . on . .. ..... ... ... ...... .. .. day ....... ................ 19 FORM VIII Form of Authority in favour of a Legal Practitioner or any official of a rcgi$tcred trade union referred to m Section 20(2).
In the Coun of the Authority appoin led under the Minimum Wages Act, 1948, for ...... ............. ...... .. ... ... . ...... ... ... ..... . .. arca.
Application No . ... .. ............. .. .... ..... .............. of 19 (I ) " . "" .... .. ......... .
(2) " .. """" .... " ............. ..
Applicant(s) Versus.
(I) ....... .. ....... .. .... .. ......... .. .
(2) ............................. .. Opponent(s)
(3) .. .............. ..... .... ... ....... .
hereby aurhorise Mr ....... .... .... .... ........... . a legal practitioner, an official of the registered trade union of ... .... ... ..... to appear and act on my behalf m rhe above de>cribed proceedtng and to do a ll things incidental to such appearing and acting.
FORM IX Signature or thumb-impression of the employee.
FORM OF SU~!MONS TO THE OPPONENT TO APPEAR BEFORE 1HE AUTHORITY WHEN AN APPLICATION UNDER SUB-SECTION
(2) OF SECTION 20 O R UNDER SECTION 21 IS ENTERTAINED.
(Title of the application) To (Name, description and place of residence) WHEREAS ... ... .. .... .. . .. ... .. bas made the above said applica tion to me under the ".finimum \\'ages Act. 1948. you are hereby summoned 22 to appear before me in per..OI'l or by a dul) authorbed agent. and able to an, \\er aU material que,uon' relating to the application. or '>'hO 'hall be dceompanied b) 'ome pen on able to an,.,er aU >Uch quC\UOn>. on the . ... . ... dd> . ......... dt • . . • o'clock in the noon, to appoint lor the final dispo,al ol the apphcallnn. )OU must be prepared to pnx.luce on that day aU the \\llnc,<C> upon whn>< e'idence and aU the d<>cumcnh upon "hich )OU intend 10 rply in <upport of )'OUr defence Take notice thai 111 ddauh of )uur appearance on the day before men· lioneu. the applicallnn w11l be hcurd and determined in your uhwn~c.
Dol" ... .... .. . . .. .
FORM X Rcgimr of Wages (R ule 26(1) Wage p.:nod from to ame or Establishment .
I. Serial J\o.
2. ~arne of 1he employee.
3. Father's/Husband's nJme
4. Designation.
5.
6.
Basic / D. A.
I 7. Basic
8. D.A.
Minimum rate of wage< payable.
Rate> of wage;, actually paid
9. Total attendance/ una!\ ot work done
10. Overtime worked.
I I Gro.s "age> pa)able 12 Employee'• contnbut1on to P.F.
13. H. R.
14. Other deduction>.
15. Total deductions
16. Wage> paid
17. Date of payment
18. Signature or thumb-lmprcs;ion of emJ>Ioyec.
Place Deduction' Inserted by NoriJication No. 87(53)-LAB/MW / 80 Dt. M ay, 1980 published tn the Tripura Guette, Extra-ordinary, issue uated 17-6-1980.
23 rORM XI WAGF. SLll' CRuk 16(2) 'arne •>I the "'t•bli,hment Place ....
I. l\ame nf cmpiO)« wuh Fathcr',/ Hu;band\ name
2. Dcsi~;narion
1. Wage pcnod 4 Rare nf wages pa)able
(il) Ba>IC
(b) D A.
5 l'otal illlcmlonce /unil> of work done.
6. 0\ertime wage>.
7. Gros; wage' payable.
8. t'otal decJuwon,
9. Ncr wages paid.
p3) in charge Employee'> signarure/rhumh tmpre,<ion ln:.crtecJ by "olificarion '\u. F. 87(53)-LAB/MW /79 Or. Mdy. 1980 published 1n the Tripura Gazelle, Extrll ordinary issue dated 17-6-1980.