7iz} %o 3to UcTo (7)04/0007/2003-_14
notifications · Year unknown · State unknown
Parent: AMENDING ACT (267abd4462bfa8eca0a3a07276088eacf5b6e2ed)
Text
Rule TOC
5 · 4 4 f477 9r3 TiCA &i vat & fRN} f5 48 3TrT roal7 95 F9 4 7ut * 7Fo5
51 · of 1988.
11 · of 1948.
63 · of 1948. of 1951.
2 · Name and postal address of the employer
3 · Name and address of principal employer; if the employer is a contractor
5 · Employer'$ number under ESIEPF/Welfare Fund/PAN No., if any 6. Maximum number of workers employed on any day during the yearto which this return relates to:
7 · Average number of workers employed during the year: 8. Total number of mandays worked during the year: 9. Number of workers during- the year:
10 · Retrenchment compensation and terminal benefits paid (provide information completely in respect of each worker)_
11 · Mandays lost during the year on account of Strike
12 · Reasons for strike or lockout
13 · Total wages paid wages and overtime t0 be shown separately): 14. Total amount of deductions from wages made
15 · Number of accidents during the years
16 · Compensation paid under the Workmen's Compensation Act, 1923 (8 of 1923) during the year
17 · Bonus*
1 · Name of workman/employee_ 2 Father' s/Husband s name
3 · Address:
4 · Name and address of the nomineelnext of kin
5 · Designation/Category 6. Date of Birth/Age_ 7. Educational qualifications_ 8 Date of entry 9. Worker s ID No /ESIEPFIL.WF: No_
10 · If the employed person is below 14 years, whether is maintained
11 · Sex: Male or Female_ 12 Nationality_ 13. Date of termination of employment with reason
14 · Signaturelthumb impression of workerlemployee 15. Signature of the employer/Authorised officer with designation_