FORMS UNDER MWACT, 1948
FORM I
(Rule 21 (4)
Register of Fines
Employer .
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Sl. No. |
Name |
Fathers/ Husbands Name |
Sex |
Department |
Nature and Date of the offence for which fine imposed |
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1 |
2 |
3 |
4 |
5 |
6 |
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Whether workmen showed cause against fine or not, if so enter date |
Rate of wages |
Date and amount of fine imposed |
Date on which fine realized |
Remarks |
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7 |
8 |
9 |
10 |
11 |
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FORM II
(Rule 21 (4)
Register of deductions for damage or loss caused to the employer, by the neglect or default of the employed persons.
Employer .....
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Sl No. |
Name |
Fathers Husbands Name |
Sex |
Department |
Damage or loss caused with date. |
Whether workmen showed cause against deduction, if so enter date |
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1 |
2 |
3 |
4 |
5 |
6 |
7 |
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Date and amount of deduction imposed |
Number of installments, if any |
Date on which total amount realized |
Remarks |
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8 |
9 |
10 |
11 |
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FORM III
(Rule 21 (4A)
ANNUAL RETURN
1. Return for the year ending the 31st December
a. Name of the 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 the wages paid in kind .
7. Deductions :
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No. of cases |
Total amount |
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(a) |
Fines |
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Rs. |
P. |
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(b) |
Deductions for damage or loss |
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(c) |
Deductions for breach of contract |
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8. Disbursement from fines :
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Purpose |
Amount |
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Rs |
P |
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(a) |
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(b) |
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(c) |
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(d) |
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9. Balance of fine fund in hand at the end of the year:
Dated : Signature
Designation
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* |
This is the aggregate number of attendances during the year. |
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** |
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. |
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*** |
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. |
FORM IV
Rule 25 (2)
Overtime Register for Workers
Month ending 20
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Sl. No. |
Name |
Fathers Husbands Name |
Sex |
Designation and Department |
Dates on which overtime worked |
Extent of over time on each occasion |
Total overtime worked or production in case of piece workers |
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1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
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Normal hours
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Normal Rate |
Over time Rate |
Normal earnings |
Overtime earnings |
Total earnings |
Dates on which over time payment made
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9 |
10 |
11 |
12 |
13 |
14 |
15 |
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FORM V
Rule 26 (5)
Muster Roll
Name of Establishment Place
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Sl. No. |
Name |
Fathers/ Husbands name |
Sex |
Nature of Work |
For the period ending . |
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1 |
2 |
3 |
4 |
5 |
6 |
7 |
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2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
11 |
12 |
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Total attendance |
Remarks |
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9 |
10 |
11 |
12 |
13 |
14 |
15 |
16 |
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13 |
14 |
15 |
16 |
17 |
18 |
19 |
20 |
21 |
22 |
23 |
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FORM VI
Form of application by an employee under Section 20(2) in the Court of Authority appointed under the Minimum Wages Act, 1948.
For . ..Area.
Application No of 20 ..
(1) .. Applicant through ... a legal practitioner / an official of .. . which is a registered trade union, Address ..
VERSUS
(1)
(2) Opponents
(3)
Address
The applicant above named submits as follows :-
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(1) |
The applicant was / has been employed from to as . category in establishment of Shri/ Messers . ..engaged in ... nature of work, which is a scheduled employment within the meaning of section 2(g) of the Minimum Wages Act.
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(2) |
The opponents is / are the employers within the meaning of section 2(e) of the Minimum Wages Act.
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(3) |
*a. |
The applicant has been paid wages at less than the minimum rates of wages fixed for his category of employment under the Act by Rs .per day for the period, from .to
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b. |
The applicant has not been paid wages at Rs per day for the weekly days of rest from .to
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c. |
The applicant has not been paid wages at the overtime rate for the period from
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(4) |
The applicant estimates the value of relief sought by him on each account as under:- |
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(*a) |
Rs |
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(b) |
Rs |
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(c) |
Rs |
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Total |
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(5) |
The applicant, therefore, prays that a direction may be issued under section 20(3) of the Act for: |
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(a) |
Payment of the difference between the wages payable under Minimum Wages Act and the wages actually paid. |
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(b) |
Payment of remuneration for the days of rest. |
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(c) |
Payment of wages at the overtime rate. |
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(d) |
Compensation amounting to Rs ... |
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(6) |
The applicant begs leave to amend or add to or make alternations in the application, if and when necessary, with the permission of the Authority. |
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(7) |
The applicant does solemnly declare that the facts stated in this application are true to the best of his knowledge, belief and information. |
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Signature or Thumb impression of employed person, or legal practitioner or official of a registered trade union duly authorised. |
* Delete the portion not required.
FORM VI - A
Form of Group Application under Section 21(1) in the Court of the Authority appointed under the Minimum Wages Act, 1948.
For Area.
Application No of 19 .
Between A.B.C. and (State the
Number)
others- Applicants through
...
a
legal Practitioner / an official of
which is a registered trade
union, Address
and
XYZ Opponent
Address
The applicants state as follows :-
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(1) |
The applicants whose names appear in the attached schedule were / have been employed from to ... .. as .engaged in ......... .(nature of work, which is /are scheduled employment(s) within the meaning of section 2 (g) of the Minimum Wages Act. |
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(2) |
The opponents (s) is / are the employers within the meaning of section 2(e) of the Minimum Wages Act. |
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(3) |
*a. |
The applicant has been paid wages at less than the minimum rates of wages fixed for their category (categories) of employments(s) under the Act by Rs .per day for the period, from .to ... |
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b. |
The applicants has not been paid wages at Rs per day for the weekly days of rest from .to |
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(4) |
The applicants estimate the value of relief sought by them on each account as under:- |
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(a) |
Rs |
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(b) |
Rs |
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(c) |
Rs |
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Total |
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(5) |
The applicants, therefore, pray that a direction may be issued under section 20(3) of Act for :- |
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*a. |
Payment of the difference between the wages payable under Minimum Wages Act and the wages actually paid. |
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*b. |
Payment of remuneration for the days of rest. |
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*c. |
Payment of wages at the overtime rate(s). |
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*d. |
Compensation amounting to Rs ... |
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(6) |
The applicants beg leave to amend or add to or make alternations in the application, if and when necessary, with the permission of the Authority. |
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(7) |
The applicants do solemnly declare that the facts stated in this application are true to the best of their knowledge, belief and information. |
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Signature or Thumb impression of employed person, or legal practitioner or official of a registered trade union duly authorised |
* Delete the portion not required.
** categories in .. establishment, of Shri/ Messers
FORM VIII
Form of Authority in favour of a Legal Practitioner or any Official of a Registered Trade Union referred to in section 20(2) in the Court of Authority appointed under the Minimum Wages Act, 1948.
For . Area
Application No .of 20 .
(1)
(2) Applicant(s)
(3)
VERSUS
(1)
(2) Opponent(s)
(3)
I hereby authorize Mr. . .a legal practitioner/ an official of the registered trade union of to appear and act on my behalf in the above described proceeding and to do all things incidental to such appearing and acting.
Date
Signature of Thumb impression of the employee
FORM X
Register of Wages
Name of establishment .
Place .
Wage period from . To
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Sl. No. |
Name of employee |
Fathers/ husbands name |
Designation |
Minimum rates of wages payable |
Rates of wages actually paid |
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Basic |
D.A. |
Basic |
D.A. |
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1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
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Total attendance units of work done |
Overtime worked |
Gross wages payable |
Deductions |
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Employees contribution to PF |
H.R. |
Other deductions |
Total deductions |
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9 |
10 |
11 |
12 |
13 |
14 |
15 |
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Wage Period |
Date of payment |
Signature / Thumb impression of employee |
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16 |
17 |
18 |
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