FORMS UNDER PB ACT, 1965
Form A
[Rule 4(a)]
COMPUTATION OF THE ALLOCABLE SURPLUS UNDER SECTION 2(4)
Name of the establishment . Accounting Year ending on ..
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Gross profit for the accounting year (Rs.) |
Sums deducted from gross profit |
Direct taxes Sec 6(c) |
Further sums as specified under the Third Schedule to the Act |
Total of sums deducted under Column 2,3,4 & 5 (*60% of Column 7) |
Available surplus for the year (Column 1 minus Column 6) |
Amount of allocable surplus, #67% |
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Description under Sec 6(a) |
Development rebate or Development allowance Sec 6(b) |
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1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
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*Section 2(4) (b) #Section 2(4) (a)
Form B
[Rule 4(b)]
SET ON AND SET OFF OF ALLOCABLE SURPLUS UNDER SECTION 15
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Accounting year |
Amount allocable as bonus (in Rs.) |
Amount payable as bonus (in Rs.) |
Amount of set on or set off (in Rs.) |
Total set on or set off carried forward |
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1 |
2 |
3 |
4 |
5 |
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Form C
[Rule 4(c)]
BONUS PAID TO EMPLOYEES FOR THE ACCOUNTING YEAR ENDING ON THE ..
Name of the establishment ..
No. of working days in the year .
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Sl. No. |
Name of the employee |
Fathers name |
Whether he has completed 15 years of age at the beginning of the accounting year |
Designation |
No. of days worked in the year |
Total salary or wage in respect of the accounting year |
Amount of bonus payable under Sec 10 or Sec 11 as the case may be |
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1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
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Deductions |
Net amount payable (Column 8 minus Column 12) |
Amount actually paid |
Date on which paid |
Signature/ Thumb impression of the employee |
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Puja bonus or other customary bonus paid during the accounting year |
Interim bonus or bonus paid in advance |
Amount of Income Tax deducted |
Deduction on account of financial loss, if any, caused by misconduct of the employee |
**Total sum deducted under Sec 9, 10, 10A and 11 |
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9 |
10 |
10A |
11 |
12 |
13 |
14 |
15 |
16 |
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FORM D
[Rule 5]
ANNUAL RETURN
BONUS PAID TO THE EMPLOYEES FOR THE ACCOUNTING YEAR ENDING ON
1. Name of the establishment and its complete postal address:
2. Name of the industry:
3. Name of the employer:
4. Total number of employees:
5. Number of employees benefitted by bonus payments:
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Total amount payable as bonus under Sec. 10 or Sec. 11 of the Payment of Bonus Act, 1965, as the case may be |
Settlement, if any, reached under sec. 18(1) or 12(3) of the Industrial Disputes Act, 1947, with date |
Percentage of bonus declared to be paid |
Total amount of bonus actually paid |
Date on which payment made |
Whether bonus has been paid to all the employees, if not, reasons for non- payment |
Remarks |
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2 |
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5 |
6 |
7 |
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..
(Siganture of employer or his agent)
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