FORM A

See rule 4 (a)

Set-on and set-off allocable surplus under Sec. 2(4)

Name of the establishment.................. Accounting year ending on the......................

Sums deducted from gross profits

Gross Depreciation Development Director Further Total of Available Amount of
profit for under rebate or taxes sums as sums surplus for surplus167
the (Sec. 6(a)] Development [Sec. 6. are deducted the per cent267
accountin allowance (c)] specified (cols. accounting per cent of
g years [Sec. 6(b)] under the 2,3,4, and year (col.1 col.7
(Rs.) Third 5) minus col.6)
Schedule
of the Act
1. 2. 3. 4. 5. 6. 7. 8.

1. Section 2(4) (a).

2. Section 2(4) (b).

FORM B
 [SEE RULE 4 (B)]
SET-ON AND SET-OFF ALLOCABLE SURPLUS UNDER SEC. 15

Account year Amount allocable Amount payable Amount of set0on Total set-on or set-
as bonus (in Rs.) as bonus (in Rs.) or set-off (in Rs.) on or set-off
carried forward
1. 2. 3. 4. 5.

FORM C
 [SEE RULE 4 (C)]
Bonus paid to employees for the accounting year ending on the ……………..

Name of the establishment…………………………..

No, of working days in the year………………………

Sl. Name of Father’s Whether he Designation No. of Total salary Amount of
No. the name has days or wage in Bonus
employee completed worked in respect of payable
15 years of the year the under Sec.
age at the accounting 10 or Sec.
beginning of year 11 as the
the case may
accounting be.
year
1. 2. 3. 4. 5. 6. 7. 8.

Dedications
Net Amount Date on Signature/Thumb
amount actually which impression of the
payable paid paid employee
(col. 8
minus
col.12).
Puja Interim Deduction Total sum
bonus or bonus or account of deducted
other bonus financial under
customary paid in loss, if any, Cols. 9,10
bonus paid advance caused by and 11)
during the misconduct
accounting of the
year employee
9. 10. 11. 12. 13. 14. 15. 16.

1[FORM D
(See rule 5)
 1. Ins. by S.O. 251, dated 6th January, 1984, published in the Gazette of India,
Pt. II, Sec. 3 (ii) dated 21st January, 1984.

Annual Return-Bonus paid to employees for the accounting year ending on the………

1. Name of the establishment and its complete postal Addresses……………

2. Nature of the Industry………………………….

3. Name of the Employer………………………….

4. Total Number employees………………….

5. Number of employees benefited by bonus payments………………..

1. 2. 3. 4. 5. 6. 7.
Total Settlement, if Percentage Total amount Date on Whether Remarks
amount any reached of bonus of bonus which bonus has
payable as under sec. declared to actually paid payment been paid to
bonus 18(1) or be paid made. all the
under sec. 12(3) of the employees.
10 or 11 of Industrial If not,
the Disputes Act, reasons for
Payment 1947 with non-
of Bonus date. payment.
Act, 1965
as the case
may be

Signature of the Employer or his agent.]