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  • Form III Annual Returns

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    Balakrishna H
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    This document is an annual return form that collects information from establishments on employment statistics over the past year. It requests: [1] contact information for the establishment owner/contractor and managing director; [2] the number of days worked and man-days employed; [3] the average daily employee count; [4] total cash wages paid and wages paid in kind; [5] deductions for fines, damages, and breaches; and [6] the balance of any fine funds at year's end. Footnotes provide clarification on calculating man-days worked, average daily employee count, and cash value of wages paid in kind.

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    This document is an annual return form that collects information from establishments on employment statistics over the past year. It requests: [1] contact information for the establishment owner/contractor and managing director; [2] the number of days worked and man-days employed; [3] the average daily employee count; [4] total cash wages paid and wages paid in kind; [5] deductions for fines, damages, and breaches; and [6] the balance of any fine funds at year's end. Footnotes provide clarification on calculating man-days worked, average daily employee count, and cash value of wages paid in kind.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    Download as docx, pdf, or txt
    37 views2 pages

    Form III Annual Returns

    Uploaded by

    Balakrishna H
    This document is an annual return form that collects information from establishments on employment statistics over the past year. It requests: [1] contact information for the establishment owner/contractor and managing director; [2] the number of days worked and man-days employed; [3] the average daily employee count; [4] total cash wages paid and wages paid in kind; [5] deductions for fines, damages, and breaches; and [6] the balance of any fine funds at year's end. Footnotes provide clarification on calculating man-days worked, average daily employee count, and cash value of wages paid in kind.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 2

    FORM III

    [See Rule 22(4)]


    Annual Return

    Return for the year ending 31st December…………………………………………………..

    1. (a) Name of establishment and postal address


    ……………………………………………………………………….
    ……………………………………………………………………………………………………………………………………
    ………….
    (b) Name and residential address of the owner/contractor
    …………………………………………………..
    (c) Name and residential address of the managing Agent/ Director/ Partner in-charge
    of the day-to-day affairs of the establishment owned by a company, body corporate
    or Association…………………………………………………
    (d) Name and residential address of the manager/ agent, if any.

    2. Number of days worked during the year.


    *3. Number of man days worked during the year.
    **4. Average daily number of persons employed during the year …………………………………….
    (i) Adults …………………………………..
    (ii) Children …………………………………..

    5. Total wages paid in cash


    …………………………………………………………………………………………………………
    ***6. Total cash value of wages paid in kind …………………………………………………………..
    7. Deductions :-
    No. of cases Total Amount.

    (a) Fines
    (b) Deductions for damage or loss
    (c) Deductions for breach of contract
    8. Disbursement from fines
    Purpose Total
    Amount
    Rs. Np.

    (a)
    (b)
    (c)
    (d)

    9. Balance of fine fund in hand at the end of the year…………………………………

    Signature ……………………………….
    Dated ………………… Designation
    …………………………..

    *This is the aggregate number of attendance during the year.


    **The average daily number of persons employed during the year is obtained by dividing
    the aggregate number of attendances during the year by the number of working days.
    ***Cash value of the wages paid in kind should be obtained by taking the difference
    between the cost price paid by the employer and the actual price paid by the employees for
    supplies of essential commodities given at concessional rates.

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