Govt. of India, Ministry of Labour & Employment

FORMS UNDER CL(R&A) ACT, 1970

(For Principal Employers)

 

FORM I

 (See Rule 17(1)]

Application for Registration of Establishments Employing Contract Labour

 

1.     Name and location of the Establishment.

 

2.     Postal address of the Establishment.

                                

3.     Full name and address of the Principal Employer (furnish father's name in the case of individuals).

 

4.     Full name and address of the manager or person responsible for the supervision and control of the Establishment.

 

5.     Nature of work carried on in the Establishment.

 

6.     Particulars of Contractors and Contract Labour :

 

(a)   Names and Addresses of Contractors.

 

(b)    Nature of work in which contract labour is employed or is to be employed.

 

(c)   Maximum number of contract labour to be employed on any day through each contractor.

 

(cc) Estimated date of commencement of each contract work under each contractor.

 

(d)   Estimated date of termination of employment of contract labour under each contractor.

 

7.     Particulars of Demand Draft enclosed ……………………………… (Name of the Union Bank, Amount, Demand Draft No. and Date).

 

            I hereby declare that the particulars given above are true to the best of my knowledge and belief.

 

 

Principal Employer.

Seal and Stamp

 

 

                                    Office of the Registering Officer

Form V

[See Rule 21(2)]

 

Form of Certificate by Principal Employer

 

Certified that I have engaged the applicant (name of the contractor) as a contractor in my establishment. I undertake to be bound by all the provisions of the Contract Labour (Regulation & Abolition) Act, 1970 and the Contract Labour (Regulation & Abolition) Central Rules, 1971, in so far as the provisions are applicable to me in respect of the employment of contract labour by the applicant in my establishment.

 

 

Place:                                                                            Signature of Principal Employer

Date:                                                                        Name and address of the establishment

 

 

FORM VI-B

[See Rule 81(3)]

Notice of commencement/completion of contract work

 

(1)   Name of the principal employer and address …………………………………..

 

(2)   No. and date of Certificate of Registration…………………………………………………

 

(3)   I/We hereby intimate that the contract work (Name of work) given to (name and address of the contractor) having licence No ……………… dated …………………. has been commenced / completed with effect from (date)/on (date).

 

 

 

                                                                                                Signature of the Principal Employer

 

To

            The Inspector,

            ………………………

            ………………………

 

FORM XII

[See Rule 74]

Register of Contractors

 

 

1.     Name and address of the Principal Employer ………………….……………………………………...

 

2.     Name and address of the establishment …………………………………………………………………

 

 

 

 

 

Period of contract

 

Sl. No.

Name and address of contractor

Nature of work on contract

Location of contract work

From

To

Maximum No. of workmen employed by contractor

 

 

 

 

 

 

 

 

 

 

 

 

 

FORM XXV

[See Rule 82(2)]

Annual Return of Principal Employer to be sent to the Registering Officer

                                   

Year ending 31st December ....      

1.     Full name and address of the Principal Employer.

 

2.     Name of Establishment:

(a)   District

(b)   Postal Address

(c)   Nature of operation/industry/work carried on.

 

3.     Full name of the manager or person responsible for supervision and control of the establishment.

 

4.     Number of Contractors who worked in the establishment during the year (Give details in Annexure).

 

5.     Nature of work/operation on which contract labour was employed.

 

6.     Total number of days during the year on which contract labour was employed.

 

7.     Total number of man-days worked by contract labour during the year.

 

8.     Maximum number of workmen employed directly on any day during the year.

 

9.     Total number of days during the year on which direct labour was employed.

 

10.  Total number of man-days worked by directly employed workmen.

 

11.  Change, if any, in the management of the establishment, its location, or any other particulars furnished to the Registering Officer in the application for registration indicating also the dates.

 

 

 

                                                           

                                                                                                                        Principal Employer

Place ……………………….

 

Date ………………………...

 

ANNEXURE TO FORM

 

Name and Address of the Contractor

Period of contract

 From-To

Nature of work

Maximum number of workers employed by each contractor

No. of days worked

No. of man-days worked

1

2

3

4

5

6

 

 

 

 

 

 

 

 

 

 

(For Contractors)

 

FORM IV

[See Rule 21 (1)]

Application for Licence

 

1.     Name and address of the contractor (including his father's name in case of individuals).

 

2.     Date of birth and age (in case of individuals).

 

3.     Particulars of Establishment where Contract Labour is to be employed-

 

(a)   Name and address of the Establishment ;

(b)   Type of business, trade, industry, manufacture or occupation, which is carried on in the Establishment ;

(c)   Number and date of Certificate of Registration of the Establishment under the Act ;

(d)    Name and address of the Principal Employer.

 

4.     Particulars of Contract Labour-

 

(a)    Nature of work in which Contract Labour is employed or is to be employed in the Establishment ;

(b)   Duration of the proposed contract work (give particulars of proposed date of commencing and ending) ;

(c)    Name and address of the Agent or Manager of Contractor at the work-site ;

(d)    Maximum number of Contract Labour proposed to be employed  on the Establishment on any date;

 

5.     Whether the contractor was convicted of any offence within the preceding five years. If so, give details.

 

6.     Whether there was any order against the contractor revoking or suspending licence or forfeiting security deposits in respect of an earlier contract. If so, the date of such order.

 

7.      Whether the contractor has worked in any other establishment within the past five years. If so, give details of the Principal Employer, Establishment, and nature of work.

 

8.     Whether a certificate by the Principal Employer, in Form V is enclosed.

 

*9. Amount of licence fee , name of the Union Bank , demand draft No. and date.

 

10. Amount of security deposit, name of the Union Bank, demand draft No. and date

 

 

*Note:-  The application shall be accompanied by demand draft and the challan for the appropriate amount and a certificate in Form V from the principal employer ………………dated of the receipt of the application with ‘demand draft’ and the challan for fees/security deposit.

 

Declaration.- I hereby declare that the details given above are correct to the best of my knowledge and belief.

 

Signature of the Applicant(Contractor)

Place ………………….

Date……………………

 

Note.-The application should be accompanied by a Treasury Receipt for the appropriate amount and a certificate in Form V from the Principal Employer.

                                                                                                                                               

(To be filled in the office of the Licensing Officer)

Date of receipt of the application with challan for fees/Security Deposit

 

Signature of the Licensing Officer.

 

FORM V-A

[See Rule 24(1-A)]

Application for Adjustment of Security Deposit

                                                                                                                                   

Name and address of the Contractor

No. and date of licence

Date of expiry of previous licence

Whether the licence of the contractor was suspended or revoked

(1)

(2)

(3)

(4)

 

 

 

 

 

 

No. and date of the demand draft of security deposit in respect of the previous licence

Amount of previous security deposit

No. and date of the demand draft of the balance security deposit, if any, required on the fresh contract

No. and date of certificate of registration of the establishment in relation to which the new licence is applied for

(5)

(6)

(7)

(8)

 

 

 

 

 

 

Name and address of the principal employer

Particulars of fresh contract

Remarks

(9)

(10)

(11)

 

 

 

 

 

 

Place:

Date:                                       

Signature of the Applicant.

  

 

 

 

FORM VI-A

[See Rule 25(2)(viii)]

Notice of commencement/completion of contract work

 

 

 

 

            I/We Shri/M/s……………………………………………………………………..  (Name and address of the contractor) hereby intimate that the contract work.

            ……………………………………………………………….. (Name of work) in establishment of ……………………………………………………………………………(Name and address of principal employer) for which licence No ………, dated ……….. has been issued to me/us by the licencing officer (name of the headquarter), has been commenced/completed with effect from (date)/on (date).

 

 

 

 

 

                                                                                                            Signature of Contractor

To

            The Inspector,

            …………………………..

            …………………………..

FORM VII

[See Rule 29(2)]

 

Application for Renewal of Licence

 

1.     Name and address of the contractor.

 

2.     Number and date of the licence.

 

3.     Date of expiry of the previous licence.

 

4.     Whether the licence of the contractor was suspended or revoked.

 

5.   Name of the Bank number and date of the demand draft enclosed. Date of receipt of the application with demand draft number and date.

 

Place…………………………...

                                                                                                           

Signature of the Applicant

Date……………………………

 

                                                                                                                                               

(To be filled in the Office of the Licensing Officer)

 

 

 

 

Date of receipt of the application with

Treasury Receipt No. and date.                                                  Signature of the Licensing Officer

 

 

FORM XIII

[See Rule 75]

 

Register of Workmen Employed by Contractor

 

Name and address of Contractor ……………………

Name and address of establishment in/ under which

…………………………………………………………...

contract is carried on …………………………………..

 

……………………………………………………………

 

 

Nature and location of work ………………………….

Name and address of Principal Employer …………..

…………………………………………………………...

……………………………………………………………

 

Sl. No.

Name and surname of workmen

Age and Sex

Father's/
Husband's name

Nature of Employment/ Designation

Permanent home address of workmen (Village and Tahsil/ Taluk and District)

1

2

3

4

5

6

 

 

 

 

 

 

 

 

 

 

 

 

 

  

Local address

Date of Commencement of employment

Signature or thumb-impression of workmen

Date of termination of employment

Reasons for termination

Remarks

7

8

9

10

11

12

 

 

 

 

 

 

 

 

 

 

 

 

 

 

  

 

FORM XIV

[See Rule 76]

Employment Card

 

Name and address of Contractor …………………

Name and address of Establishment in / under which

………………………………………………………...

contract is carried on ……………………………………

 

……………………………………………………………..

 

Nature of work and location of work ………………

 

Name and address of Principal Employer …………….

………………………………………………………...

……………………………………………………………..

1.

Name of workmen

..

 

..

……………………………………………………………..

2.

Sl. No. in the register of workmen

 

 

employed            ..

..

 

..

……………………………………………………………..

3.

Nature of employment/Designation

..

……………………………………………………………..

4.

Wages rate (with particular of unit, in case

 

 

of piece-work)

..

 

..

……………………………………………………………..

5.

Wage period       .

..

 

..

……………………………………………………………..

6.

Tenure of employment

..

 

..

……………………………………………………………..

7.

Remarks             .

..

 

..

……………………………………………………………..

 

 

 

 

 

Signature of Contractor

 

FORM XV

[See Rule 77]

 

Service Certificate

 

Name and address of contractor

………………….….

Name and address of establishment in/

 

 

under which contract is carried on …………

 

 

 

 

 

 

 

…………………………………………………

Nature and location of work

..

………………….….

 

Name and address of the wor-

 

Name and address of Principal Employer

man

..

 

..

 

..

………………….….

…………………...…………………...………..

 

 

…………………...…………………...………..

Age or Date of Birth

..

………………….….

 

Identification Marks

 

………………….….

 

Father's / Husband's name

..

………………….….

 

  

 

Sl. No.

Total period for which employed

Nature of work done

Rate of wages (with particulars of unit in case of piece work)

Remarks

From

To

1

2

3

4

5

6

 

 

 

 

 

 

 

 

 

 

 

 

 

                                                                                                           

FORM XVI

 

[See Rule 78(1) (a)(i)]

 

Muster Roll

 

Name and address of contractor

………………….….

Name and address of establishment in/

 

 

under which contract is carried on …………

 

 

…………………………………………………

Nature and location of work

..

………………….….

Name and address of Principal Employer…

 

 

…………………………………………………

 

………………….….

For the month of …………...………………..

 

…………………………………………………

       

 

 Sl. No.

 Name of workman

 Father's / Husband's name

 Sex

Dates

 Remarks

1   2   3   4   5

1

2

3

4

5

6

 

 

 

 

 

 

 

 

 

  

 

FORM XVII

[See Rule 78(1) (a)(i)]

Register of Wages

 

Name and Address of Contractor

Name and address of Establishment in / under

…………………………………………………………...

which contract is carried on ………………………….

Nature and location of works

…………………………………………………………...

 

 

…………………………………………………………...

Name and address of Principal

 

Employer ……………………………………………

…………………………………………………………

 

Wage period: Monthly ………………………………...

 

 

Sl. No.

Name of workman

Serial No. in the register of workman

Designation / nature of work done

No. of days worked

Units of works done

1

2

3

4

5

6

 

 

 

 

 

 

 

 

 

 Daily-rate of wages/piece rate

Amount of wages earned

Basic wages

Dearness Allowances

Overtime

Other cash payments (Nature of payment to be indicated)

Total

7

8

9

10

11

12

 

 

 

 

 

 

 

 

Deductions, if any, (indicate nature)

Net amount paid

Signature / Thumb impression of workman

Initial of contractor or his representative

13

14

15

16

 

 

 

 

 

  

 

 

FORM XVIII

[See Rule 78(1)(a)(i)]

 

Form of Register of Wages-cum-Muster Roll

 

Name and address of Contractor

Name and address of establishment in/under which

…………………………………………………………...

contract is carried on ………………………………….

 

Name and address of Principal Employer ………….

 

…………………………………………………………...

 

Wage period: Weekly/Fortnightly ……………………

Nature and location of work

From …………………… to …………………………...

…………………………………………………………...

 

 

Sl. No.

Sl. No. in Register of workmen

Name of employee

Designation/ nature of work

Daily attendance/ units worked

 

Total attendance / units of work done

1

2

3

4

5

6

 

 

 

 

 

 

 

 

 

 Daily-rate of wages/piece-rate

Amount of wages earned

Basic Wages

Dearness allowance

Overtime

Other cash payment (nature of payments to be indicated)

Total

7

8

9

10

11

12

 

 

 

 

 

 

 

 

 

Deduction, if any, (indicate nature)

Net amount paid

Signature / Thumb impression of workman

Initials of contractor or his representative

13

14

15

16

 

 

 

 

 

 

  

 

FORM XIX

[See Rule 78(1) (b)]

Wage Slip

 

Name and address of Contractor …………………

Name and Father's / Husband's name of the

………………………………………………………...

workman ………………………………………………….

 

……………………………………………………………..

Nature of work and location of work ………………

For the Week/Fortnight/Month ending ………………...

………………………………………………………...

……………………………………………………………..

………………………………………………………...

……………………………………………………………..

1.

No. of days worked

..

 

..

…………………………………………………………….

2.

No. of units worked in case of piece

 

 

rate workers        ..

..

 

..

……………………………………………………………..

3.

Rate of daily wages/piece-rate

..

……………………………………………………………..

4.

Amount of overtime wages

 

..

……………………………………………………………..

5.

Gross wages payable

..

 

..

……………………………………………………………..

6.

Deductions, if any

..

 

..

……………………………………………………………..

7.

Net amount of wages paid

..

 

..

 

……………………………………………………………..

 

 

 

 

 

 

 

 

Initials of the Contractor or his
Representative

 

 

 

 

FORM XX

[See Rule 78(1) (a) (ii)]

Register of Deductions for Damage or Loss

 

Name and address of Contractor ……………………

Name and address of Establishment in / under

…………………………………………………………..

which contract is carried on ………………………….

 

…………………………………………………………...

Name and location of work ………………………….

Name and address of Principal Employer

…………………………………………………………...

…………………………………………………………...

 

Sl. No.

Name of workman

Father's / Husband's name

Designation/ Nature of Employment

Particulars of damage or loss

Date of Damage or loss

Whether workman showed cause against deduction

1

2

3

4

5

6

7

 

 

 

 

 

 

 

 

 

 Name of person in whose presence employee's explanation was heard

 Amount of deduction imposed

 No. of installments

Date of recovery

 

First installment

Last installment

Remarks

8

9

10

11

12

13

 

 

 

 

 

 

 

 

 

 

FORM XXI

[See Rule 78(1) (a) (ii)]

Register of Fines

 

Name and address of Contractor ……………………

Name and address of Establishment in / under

…………………………………………………………..

which contract is carried on ………………………….

 

…………………………………………………………...

Name and location of work ………………………….

Name and address of Principal Employer

…………………………………………………………...

…………………………………………………………...

 

Sl.

Name of workman

Father's/ Husband name

Designation / nature for employment

Act/ Omission for which fine imposed

Date of offence

1

2

3

4

5

6

 

 

 

 

 

 

 

 

 

Whether workman showed cause against fine

Name of person in whose presence employee's explanation was heard

Wage periods and wages payable

Amount of fine imposed

Date on which fine realised

Remarks

7

8

9

10

11

12

 

 

 

 

 

 

 

 

 

 

 

FORM XXII

[See Rule 78(1) (a) (ii)]

Register of Advances

 

Name and address of Contractor ……………………

Name and address of establishment in / under

…………………………………………………………..

which contract is carried on ………………………….

 

…………………………………………………………...

Name and location of work ………………………….

Name and address of Principal Employer

…………………………………………………………...

…………………………………………………………...

 

Sl.

Name of workman

Father's/ Husband name

Nature of employment/ Designation

Wage period and wages payable

Date & amount of advance given

1

2

3

4

5

6

 

 

 

 

 

 

 

  

Purpose(s) for which advance made

No. of installments by which advance to be repaid

Date & amount of each installment repaid

Date on which last installment was repaid

Remarks

7

8

9

10

11

 

 

 

 

 

 

  

 

 

FORM XXIII

 

[See Rule 78(1) (a) (iii)]

 

Register of Overtime

 

Name and address of Contractor ……………………

Name and address of establishment in / under

…………………………………………………………..

which contract is carried on ………………………….

 

…………………………………………………………...

Name and location of work ………………………….

Name and address of Principal Employer

…………………………………………………………...

…………………………………………………………...

 

Sl. No.

Name of workman

Father's / Husband's name

Sex

Designation/ nature of employment

Date on which overtime worked

1

2

3

4

5

6

 

 

 

 

 

 

 

 

Total overtime worked or production in case of piece-rated

Normal rate of wages

Overtime rate of wages

Overtime earnings

Date on which overtime wages paid

Remarks

7

8

9

10

11

12

 

 

 

 

 

 

 

 

 

FORM XXIV

[See Rule 82(1)]

Return to be sent by the Contractor to the Licensing Officer

 

                                    Half-Year-Ending ……………………………………..

1.

Name and address of the Contractor

..

 

 

2.

Name and address of the establish-

 

 

 

ment

..

 

..

 

..

 

 

3.

Name and address of the Principal

 

 

 

employer

..

 

..

 

..

 

 

4.

Duration of Contract: From ……..to…….

 

 

 

 

5.

No. of days during half year on which-

 

(a)

the establishment of the Principal

 

employer had worked

(b)

the contractor's establishment had

 

worked..                ..                      ..

6.

Maximum number of contract labour emp-

 

 

loyed on any day during the half year:

 

 

Men

Women

 

Children

 

Total

 

 

7.

(i) Daily hours of work and spread over-

 

 

(ii)

(a)

whether weekly holiday

 

 

 

 

observed and on what day-

 

 

 

(b)

If so, whether it was paid for-

 

 

(iii)

No. of man-hours of overtime worked

 

 

8.

Number of man-days worked by-

 

 

Men

Women

 

Children

 

Total

 

 

9.

Amount of wages paid-

 

 

Men

Women

 

Children

 

Total

 

 

10.

Amount of deduction from wages, if any-

 

 

Men

Women

 

Children

 

Total

 

 

11.

Whether the following have been  provided-

 

 

(i)

Canteen

..

 

..

..

 

 

(ii)

Rest-Room

 

 

..

..

 

 

(iii)

Drinking water

 

 

..

..

 

 

(iv)

Creches

..

 

..

..

 

 

(v)

First-Aid

..

 

..

..

 

 

 

(If the answer is 'yes' state briefly standards provided)

 

 

 

 

 

 

 

Place ……………………

 

Signature of Contractor

 

Date ……………………..

                               

 

 Where an establishment is also covered under the MW Act, 1948 or the PW Act, 1936,  or the Rules made thereunder, the following registers and records maintained under these Acts or Rules made thereunder will be deemed to be the registers and records maintained under the CL(R&A) Act, 1970 and Rules made there under also (vide Rule 78(1)(d) of the CL(R&A) Central Rules, 1971):-

a)     Muster Roll,

b)     Register of Wages,

c)     Register of Deductions,

d)     Register of Overtime,

e)     Register of Fines,

f)      Register of Advances,

g)     Wage Slip