Govt. of India, Ministry of Labour & Employment

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 …………………………..

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%

Description under Sec 6(a)

Development rebate or Development allowance Sec 6(b)

1

2

3

4

5

6

7

8

 

 

 

 

 

 

 

 

 

*Section 2(4) (b)                                                                              #Section 2(4) (a)

 

Form B

[Rule 4(b)]

SET ON AND SET OFF OF ALLOCABLE SURPLUS UNDER SECTION 15

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

1

2

3

4

5

 

 

 

 

 

 

 

 

 

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 …………………………….

Sl. No.

Name of the employee

Father’s 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

1

2

3

4

5

6

7

8

 

 

 

 

 

 

 

 

 

Deductions

Net amount payable (Column 8 minus Column 12)

Amount actually paid

Date on which paid

Signature/ Thumb impression of the employee

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

9

10

10A

11

12

13

14

15

16

 

 

 

 

 

 

 

 

 

 

 

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:

 

 

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

1

2

3

4

5

6

7

 

 

 

 

 

 

 

 

 

…………………………..

(Siganture of employer or his agent)