Govt. of India, Ministry of Labour & Employment

FORMS UNDER MWACT, 1948

 

FORM I

(Rule 21 (4)

Register of Fines

 

…………………………………………Employer………………………………………….

 

Sl. No.

Name

Father’s/ Husband’s Name

Sex

Department

Nature and Date of the offence for which fine imposed

1

2

3

4

5

6

 

 

 

 

 

 

 

 

 

 

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

7

8

9

10

11

 

 

 

 

 

 

 

 

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………………………………………….....

 

Sl No.

Name

Father’s Husband’s Name

Sex

Department

Damage or loss caused with date.

Whether workmen showed cause against deduction, if so enter date

1

2

3

4

5

6

7

 

 

 

 

 

 

 

 

 

 

Date and amount of deduction imposed

Number of installments, if any

Date on which total amount realized

Remarks

8

9

10

11

 

 

 

 

 

 

 

 

 

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 :

           

 

 

No. of cases

Total amount

(a)

Fines

 

Rs.

P.

(b)

Deductions for damage or loss

 

 

 

(c)

Deductions for breach of contract

 

 

 

 

8. Disbursement from fines :

 

 

Purpose

Amount

Rs

P

(a)

 

 

(b)

 

 

(c)

 

 

(d)

 

 

 

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

 

           

Dated :                                                                                                           Signature

 

                                                                                                                        Designation

 

 

*

This is the aggregate number of attendances 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.

 

 

 

FORM IV

Rule 25 (2)

Overtime Register for Workers

 

Month ending …………………………………………20…………

 

Sl. No.

Name

Father’s Husband’s 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

1

2

3

4

5

6

7

8

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Normal hours

 

 

Normal Rate

Over time Rate

Normal earnings

Overtime earnings

Total earnings

Dates on which over time payment made

 

9

10

11

12

13

14

15

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FORM V

Rule 26 (5)

Muster Roll

 

Name of Establishment…………………………………Place……………

 

 

Sl. No.

Name

Father’s/ Husband’s name

Sex

Nature of Work

For the period ending ….

1

2

3

4

5

6

7

1

2

3

4

5

6

7

8

9

10

11

12

 

 

 

 

 

 

 

 

 

 

 

 

                       

 

 

 

Total attendance

Remarks

8

9

10

11

12

13

14

15

16

13

14

15

16

17

18

19

20

21

22

23

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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 :-

 

(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.

 

(2)

The opponents is / are the employers within the meaning of section 2(e) of the Minimum Wages Act.

 

(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……………………………

 

 

b.

The applicant has not been paid wages at Rs…………………………per day for the weekly days of rest from…………………………….to…………………………

 

 

c.

The applicant has not been paid wages at the overtime rate for the period from

 

(4)

The applicant estimates the value of relief sought by him on each account as under:-

 

(*a)

Rs………………………………………

 

(b)

Rs………………………………………

 

(c)

Rs………………………………………

 

 

Total……………………

(5)

The applicant, therefore, prays that a direction may be issued under section 20(3) of the Act for:

 

(a)

Payment of the difference between the wages payable under Minimum Wages Act and the wages actually paid.

 

(b)

Payment of remuneration for the days of rest.

 

(c)

Payment of wages at the overtime rate.

 

(d)

Compensation amounting to Rs……………………………………………………...

(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.

(7)

The applicant does solemnly declare that the facts stated in this application are true to the best of his knowledge, belief and information.

       

 

 

 

 

 



Dated …………………………………

 

 

 

 

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 :-

 

(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.

(2)

The opponents (s) is / are the employers within the meaning of section 2(e) of the Minimum Wages Act.

(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………………………………...

 

b.

The applicants has not been paid wages at Rs…………………………per day for the weekly days of rest from…………………………….to…………………………

(4)

The applicants estimate the value of relief sought by them on each account as under:-

 

(a)

Rs………………………………………

 

(b)

Rs………………………………………

 

(c)

Rs………………………………………

 

 

Total……………………………

(5)

The applicants, therefore, pray that a direction may be issued under section 20(3) of Act for :-

 

*a.

Payment of the difference between the wages payable under Minimum Wages Act and the wages actually paid.

 

*b.

Payment of remuneration for the days of rest.

 

*c.

Payment of wages at the overtime rate(s).

 

*d.

Compensation amounting to Rs……………………………………………………...

(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.

(7)

The applicants do solemnly declare that the facts stated in this application are true to the best of their knowledge, belief and information.

 

 



Dated …………………………………

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 ……………

 

Sl. No.

Name of employee

Father’s/ husband’s name

Designation

Minimum rates of wages payable

Rates of wages actually paid

Basic

D.A.

Basic

D.A.

1

2

3

4

5

6

7

8

 

 

 

 

 

 

 

 

 

Total attendance units of work done

Overtime worked

Gross wages payable

Deductions

Employee’s contribution to PF

H.R.

Other deductions

Total deductions

9

10

11

12

13

14

15

 

 

 

 

 

 

 

 

Wage Period

Date of payment

Signature / Thumb impression of employee

16

17

18