FORM FOR INTEGRATED ANNUAL RETURN TO BE SUBMITTED BY THE EMPLOYER FOR COMPLIANCE OF LABOUR LAWS UNDER THE COMMISSIONERATE OF LABOUR, ASSAM

UBIN Details

Note: In case, UBIN is not available,kindly apply for it in the Common Application Form first.

UBIN *

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Mobile Number *

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Select where you want to submit your application *

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Assistant Commissioner of Labour

Office of the Labour Officer

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Assistant Commissioner of Labour

Office of the Labour Officer

Applicant Details for SMS notification

Name of the Applicant *

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Applicant Mobile Number *

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Details

I, Mr./Mrs/Miss *

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Employer/Proprietor /Contractor of/in the establishment hereby certify the complete compliance of the provision under the labour laws and the State Rules framed thereunder. The detailed annual information of my enterprise during

the year *

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is as under.

Details

Name and address of establishment:

Name of establishment *

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Address Line 1 *

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Address Line 2 *

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Address Line 3 *

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Country *

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State *

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District

Pin Code *

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Telephone No.

Mobile Number

Section

1. Name and Residential address of the employer/occupier/contractor:

Name of the employer/occupier/contractor *

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Address Line 1 *

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Address Line 2

Address Line 3

Country *

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State *

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District

Postal / Zip Code *

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Telephone No.

Mobile Number

Section

2. Name and Residential address of the Manager/Person/ responsible for supervision or control of the establishment.

Name of the Manager/Person/ responsible for supervision or control of the establishment. *

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Address Line 1 *

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Address Line 2

Address Line 3

Country *

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State *

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District

Postal / Zip Code *

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Telephone No.

Mobile Number

Section

Registration no./license no. *

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Year of commencement of business *

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Nature of business activity carried on in the establishment *

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Details of employees employed by the establishment

Type of worker

Direct

Unskilled

Semiskilled

Skilled

Total

Male

Female

Casual/Temporary

Unskilled

Semiskilled

Skilled

Total

Male

Female

Through Contractor

Unskilled

Semiskilled

Skilled

Total

Male

Female

Total

Unskilled

Semiskilled

Skilled

Total

Male

Female

Section

Maximum number of employees employed on any day during the year *

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Exceed 5 (Five) but not more than 9 (Nine)

More than 9 (nine)

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Part A [The Part A and Part B information to be furnished if the maximum number of employees employed on any day during the year under report exceed 5 (Five).]

My establishment covered under the Payment of Wages Act, 1936, Minimum Wages Act, 1948, Assam Shops & Establishment Act, 1971 and the State Rules made thereunder and all workers/office staff are paid wages/overtime wages as admissible and prescribed by the Government of Assam. I have maintained all the registers and records as required under the law.

Section

No. of days the Shop/Establishment worked in the year *

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No. of mandays work in the year *

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Normal Hours worker per day:

Male

Female

What rest intervals were given?

Male

Female

Hours of Overtime

Payment of overtime

Overtime Slip provided

Yes

No. of workers who are entitled to annual leave with wages during the calendar year to which this return relates:

Male

Female

No. of Workers were granted leave during the year:

Male

Female

Maximum no. of employees employed in any day in the year *

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No. of Average employees employed in the year

No. of Average employees employed daily:

Male

Female

No. of service cards issued for applicable

Appointment letters issued to all employees *

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Yes

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Total wages paid category wise:

Male

Female

Total fine imposed (if any)

Total deduction (if any)

No. of Canteens and situations

Medical Facilities:

No. of doctors

No. of dispensaries and situations

No. nurses

Rest Rooms:

No. of rest rooms

Details of accommodation, furniture and other equipment provided

Part B

My Establishment is covered under the Payment of Bonus Act, 1965 and workers are paid Bonus. I have maintained records and registers as per the Act.

Percentage of Bonus paid

No. of eligible beneficiaries

Total amount of Bonus paid

Date of payment

If Bonus not paid (Reasons thereof)

Part C [Part A, B and C are to be furnished if the Establishment has employed more than 9 (nine) no. of contract labour on any day during the year under report. (Details to be provided by the Principal Employer)]

My Establishment is covered under the Contract Labour (Regulation & Abolition) Act, 1970 and Inter State Migrant Workmen Act the State Rules made thereunder and the workers are paid wages and overtime wages as prescribed by Govt. of Assam. I have maintained the records and registers as per the Act.

Section

Name and postal address of the contractor:

Name of the contractor *

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Address Line 1 *

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Address Line 2

Address Line 3

Country *

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State *

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District

Postal / Zip Code *

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Full name of the Manager or person responsible for supervision and control of the establishment *

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No. of contractors who worked in the establishment during the year.(in case of Principal Employer) (Give details in Annexure)

Nature of work/operation of the contractor

Maximum no. of workmen employed directly on any day during the year

Total No. of mandays worked during the year by the contract labour/migrant workman during the year

Total No. days during the year in which direct labour was employed

Total No. mandays worked by the direct labour/Migrant workman during the year

Total No. of days during the year on which contract labour was employed

Total No. of mandays worked during the year by the contract labour

Total No. days during the year in which direct labour was employed

Total No. mandays worked by the direct labour

Change if any in the management of establishment, its location or any particulars furnished to the Registering Officer in the application for the registration (Details may be furnished with date of changes)

Explanatory Note:-

1. The average no. of workers employed daily should be calculated by dividing the figures of mandays worked by no. of days work in the year. For seasonal establishment the average no. of workers employed during the working season and off season should be given separately.
2. Mandays work should be the aggregate no. of attendance of the workers covered under the Act, in all working days in reckoning attendance by the temporary as well as permanent workers employed should be counted and all employees should be included whether they are employed direct or under contractors.

UBIN Details

Applicant Details for SMS notification

Details

Details

Section

Section

Section

Details of employees employed by the establishment

Section

Part A [The Part A and Part B information to be furnished if the maximum number of employees employed on any day during the year under report exceed 5 (Five).]

Section

Part B

Part C [Part A, B and C are to be furnished if the Establishment has employed more than 9 (nine) no. of contract labour on any day during the year under report. (Details to be provided by the Principal Employer)]

Section

Annual Return to be submitted by the Contractor(s) Employing more than 9 (Nine) workers