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[Section 9]
[Entire Act]
State of Andhra Pradesh - Subsection
Section 9(14) in Andhra Pradesh (Issuance of Integrated Registration and Furnishing of Combined Returns under various Labour Laws by certain Establishments) Act, 2015
| [Second Schedule] [Substituted by Act 18 of 2017, s. 3 (w.e.f. 30-04-2016).] | |||||||||
| [See Sections 2(d) and 4] | |||||||||
| [Form A [section 4(1)], Form B [section 4(6)]and Form C [section 4(2)] | |||||||||
| Form - A | |||||||||
| Application For Integrated Registration ofEstablishment Under Labour Laws | |||||||||
| Registration/License Required Under (Specifythe Act with tick mark) | |||||||||
| 1 | A.P. Shops & Establishments Act, 1988 | 2 | Motor Transport Workers Act, 1966 | ||||||
| 3 | Contract Labour (R&A) Act, 1970 (Principalemployer Establishment & Contractor Establishment) | 4 | Inter State Migrant Workmen (RE&CS) Act,1979 (Principal employer Establishment & contractorEstablishment) | ||||||
| 5 | Building and Other Construction Workers (RE&CS)Act, 1996 | 6 | Payment of Gratuity Act, 1972 | ||||||
| 7 | Beedi & Cigar Workers (COE) Act, 1966 | ||||||||
| Establishment Details | |||||||||
| 1 | Name of the Establishment | ||||||||
| 2 | Classification of Establishment (Proprietorfirm, Partnership firm, Pvt. Ltd, Public Ltd, Cooperative,Society etc.) | ||||||||
| 3 | Category of Establishment [Shop, Establishment,Commercial Establishment Motor Transport undertaking, Building orother construction Establishment, Contract Labour (Prl. Employer/ Contractor) Establishment] | ||||||||
| 4 | Address of establishment | ||||||||
| 5 | Nature of Business/work/construction activity | ||||||||
| 6 | Date of commencement ofbusiness/work/construction/activity | ||||||||
| 7 | Date of completion of work/construction/activity(if applicable) | ||||||||
| 8 | Date of agreement | ||||||||
| 9 | No .of transport vehicles | ||||||||
| 10 | Whether Form-V/Form-VI issued by PrincipalEmployer | ||||||||
| 11 | Agreement No/Plan approval No. | ||||||||
| 12 | Date of agreement/Plan approval | ||||||||
| 13 | Estimated cost of construction & otherDetails (in case of building or other construction work) | ||||||||
| 14 | Details of contractors (Contract LabourAct/Inter State Migrant Workmen Act) | ||||||||
| 15 | Details of contract works ( Contract LabourAct/Inter State Migrant Work men Act) | ||||||||
| 16 | Total No. of Workers | ||||||||
| 17 | Details of workers | Regular | Casual/ Badilli | In case of beedi or cigar est. | |||||
| Male | Female | Male | Female | Industrial premises workers | Home workers | ||||
| Male | Female | Male | Female | ||||||
| 18 | Workers employed in shops & Esstts. | ||||||||
| 19 | Motor Transport Workers | ||||||||
| 20 | Building & other construction workers | ||||||||
| 21 | Contract workers | ||||||||
| 22 | Inter State Migrant Workers | ||||||||
| 23 | Beedi & Cigar workers | ||||||||
| 24 | Factory workers | ||||||||
| 25 | Any other Category workers (specify the category | ||||||||
| Employer Details (Enclose Passport size photo) | |||||||||
| 26 | Employer Name | ||||||||
| 27 | Designation | ||||||||
| 28 | Father/husband Name | ||||||||
| 29 | Contact details | ||||||||
| Applicants Details | |||||||||
| 30 | Applicant Name | ||||||||
| 31 | Designation | ||||||||
| 32 | Father/husband name | ||||||||
| 33 | Contact details | ||||||||
| Declaration | |||||||||
| 34 | I/we hereby declare that i/we have compiled withall relevant provisions of the Labour Acts applicable to theestablishment. In case the information furnished above is foundto be false, misrepresented or suppressed and materialinformation or evaded to furnish the information, I/we are liablefor prosecution as per law besides cancellation of theregistration/license | ||||||||
| Date | Signature of the Employer | ||||||||
| Place | Name & Designation of the Employer |
| Annual Return for the Year Ending 31st March | ||
| 1. | Establishment Registration /License No.(LIN) | |
| 2. | Establishment Name | |
| 3. | Address | |
| 4. | Establishment details | |
| 5. | Classification of Establishment | |
| 6. | Employer details | |
| 7. | Establishment category | |
| 8. | Nature of work/ activity/business/industry of theEstablishment | |
| 9. | Total. No. of Workers (furnish details inAnnexure-1) | |
| 10 | Details of payment of wages (furnish details inAnnexure-2) | |
| 11 | No. of the workers allowed to work overtime in theyear | |
| 12 | Amount of over time wages paid in the year | |
| 13 | No.of workers covered underEDF | |
| 14 | No. of workers covered underESI | |
| 15 | Details of Gratuity | |
| 16 | Details of Bonus paid | |
| 17 | Details of Employees Compensation paid | |
| 18 | Leave eligibility | |
| 19 | Details of payment of maternity benefit | |
| 20 | Details of weekly off & other holidays allowed | |
| 21 | Details of Welfare fund contribution | |
| 22 | Details of settlements/Strikes/Lock-outs/Lay-offs/Retrenchments closures etc. | |
| 23 | Whether Works Committee constituted | |
| 24 | Details of Trade Union existing in theestablishment/industry | |
| 25 | Details of contractors under Contract Labour Act | |
| 26 | Details of contractors under Inter State MigrantWorkmen Act | |
| 27 | Whether muster roll, wages register etc, maintained | |
| 28 | Whether appointment letters/Identity cards issued | |
| 29 | Details of building or other construction work | |
| 30 | Note:- Combined Annual Return for the ending 31March shall be furnished online before 30th June of the followingyear | |
| Declaration | ||
| I/we hereby declare that /we have complied with allrelevant provisions of the Labour Act applicable to theestablishment. In the case the information furnished above isfound to be false, misrepresented or suppressed any materialinformation or evaded to furnish the information, I/we are liablefor prosecution as per law besides cancellation of theregistration /license granted. | Signature of the Employer | |
| Date | ||
| Place | Name & Designation of the Employer |
| Annexure-I | ||||||||||||||||
| Statement Showing Category Wise Details ofWorkers | ||||||||||||||||
| Establishment category/ worker category | Direct workers | Contract workers (contract labour act) | Inter State migrant workers/ (Inter Stateworkmen Act) | Casual workers | Seasonal workers | Badli Workers | Apprentice | Others (Specify the category) | ||||||||
| Male | Female | Male | Female | Male | Female | Male | Female | Male | Female | Male | Female | Male | Female | Male | Female | |
| Employees in shops (AP Shops & Estts. Act) | ||||||||||||||||
| Employees in Establishments (AP Shops &Essts Act) | ||||||||||||||||
| Employed in Factories | ||||||||||||||||
| Building and other construction Workers | ||||||||||||||||
| Sales promotion employees | ||||||||||||||||
| Plantation workers | ||||||||||||||||
| Beedi/ Cigar Workers | ||||||||||||||||
| Any other category worker/ Establishment(specify name) |
| Annexure-2 | |||||||||
| Statement of Details of Wages, Bonus Paid tothe Workers During the Year | |||||||||
| Sl. No | Name of the worker | Gender | Establishment category (as vertical column inAnnexure.1) | Worker category (as specified in horizontalcolumn in Annexure. 1) | Designation | Length of service | Staff code No/Staff No/ Token No. | EPF No. | ESIC No |
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
| Details of Wages Paid Per Month | Amount of bonus paid for the previous accountingyear | Whether covered under gratuity insurance scheme | |||||
| Basic wage | VDA | All other allowance | Total wages (gross) | Deduction | Net wages paid | ||
| 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 |
| Certificate Of Registration/license ofEstablishment - Sec. 2(d) and 4(2) | ||||
| The Andhra Pradesh(Issuance of Integrated Registration and Furnishing of CombinedReturns under various | ||||
| Labour Laws by certain Establishments) Act, 2015 | ||||
| 1. Registration / License Number (LIN): | ||||
| 2. Name of the Establishment: | ||||
| 3. Address of the Establishment: | ||||
| 4. Employer Name: | ||||
| 5. Employer Address: | ||||
| 6. Category of Establishment: | No. of workers | Nature of work/business | Date of commencement | Date of completion |
| 7. Date of issue: | ||||
| 8. Registration valid up to: | ||||
| It is hereby certified that the establishmenthas been Registered / Licensed under The Andhra Pradesh Issuanceof Integrated Registration and Furnishing of Combined Returnsunder various Labour Laws by certain Establishments) Act, 2015. | ||||
| The License is granted for doing the work of________________________ in the Establishment of | ||||
| (Principal Employer) | ||||
| Registering / Licensing Officer |