The Bombay Labour Welfare Fund Rules 1953 - FORM A-1

Bombay Labour Welfare Fund Act - Bombay Labour Welfare Fund Rules , 1953

FORM A1-  Section 3B : Statement of employees and employers contribution on 30th June and 31st Dec respectively

The Bombay Labour Welfare Fund Rules

FORM A-1

Rule 3(A)

Statement of employees’ and employers’ contribution on  30^th June and  31^st December, respectively.

1.     Name of the establishment                                                                                                 

2.     Name of the employer                                                                                                         

3.  Class of establishment (i.e., whether a factory or a motor omnibus service, a shop, commercial establishment, residential hotel, restaurant, eating house, theatre or other place of public amusement or entertainment)                                                                             

4.     Address of the establishment                                                                                            

5.     Total number of employees whose names stand on the establishment register on 30^th June/the 31^st December.                                                                                                    

6.     (a) Employees’ contribution payable at the rate of _______ per employee                 

      (b) Employees’ contribution payable at the rate of _______ per employee                

7.     Total of sub-entries (a) and (b) of entry 6 _________________________________

8   Whether the contribution has already been paid to the Welfare Commissioner, if so, whether by cheque, money order or cash and details thereof.                                                                                                                       

Date        

 Signature of the employer