FORM “A“ नमुना ' अ '

TRADE UNIONS ACT,1926

(See Regulation 3)
मक संघ अधनयम, १९२६
Appliction for Regitration of Trade Unions
मक संघांया नदणीसाठ करावयाचा अज

U.T.N. / यु.ट.एन. :

Status / ःथती :

Registration Number / नदणी बमांक :

Dated on / दनांक
Name of Trade Union /
ौिमक संघाचे नाव
Address /
पा

State / राय

District / ज!हा

City / Village / शहर / गाव

Pincode / %पनक ोड

Phone Number / दरू )वनी बमांक

1 This application is made by the persons whose names are subscribed at the foot hereof.
या अजा+खाली या .य/0ंची नावे दे 1यात आली आहे त 3या .य/0ंनी हा अज+ के ला आहे .
2 The name under which it is proposed that the Trade Union on behalf of which this application is made shall be
registered is
या ौिमक सं
घा4या वतीने हा अज+ के ला आहे 3या ौिमक सं
घाची नदणी या नावाने क र1याचे योजले आहे ते नाव िनयम ब
as set forth i.n Rule No 1
म)ये द!याूमाणे असे आहे .

Communication Address / संपक ा+चा पा

The address of the Head Office of the Union to
which all communications and notices may be
addressed is
3
सं
घा4या मु6य क ाया+लया4या सव+ पऽ.यवहाराचा व सूचना
पाठव1याचा पा हा सं
घ

State / राय

District / ज!हा

City / Village / शहर / गाव

Pincode / %पनक ोड

Phone Number / दरू )वनी बमांक

Name of the Union /

4
सं
घाचे नांव

Union came into existence on /

हा सं
घ अःत3वात आ!याची तारख

The Union is a union of /

5
हा सं
घ क ोणाचा आहे

Industry Type / ूक ार

No of members /
सदःय सं
6या

6 The particulars required by section 5 (1) (c) of the Trade Unions Act, 1926, are given in Schedule I.
ौिमक संघ अिधिनयम, १९२६ 4या क लम ५ (१) (क ) अ?वये आवँयक असलेला तपशील अनुसच
ू ी १ म)ये दला आहे .
7 The particulars given in Schedule II show the provision made in the rules for the matters detailed in section 6 ofthe Trade
Union Act, 1926.
ौिमक संघ अिधिनयम, १९२६ 4या क लम ६ म)ये दले!या बाबींसब
ं ंधी िनयमात के लेली तरतूद अनुसच
ू ी २ म)ये दले!या तपिशलात दश+%व1यात
आली आहे .
8 (To be struck out in the case of unions which have not been in existence for one year before the date 0: application). The
particulars required by section 5 (2) ofthe Trade Unions Act, 1926, are given in Schedule III
(अजा+4या तारखेपासून एक वष+ अःत3वात नसले!या सं
घा4या बाबतीत खोडू न टाक ावे.)ौिमक संघ अिधिनयम, १९२६ 4या क लम ५ (२) अ?वये
आवँयक असलेला तपशील अनुसच
ू ी ३ म)ये दे 1यात आला आहे .
9 One copy of the Rules of the Union is attached to this application
सं
घा4या िनयमांची एक ूत या अजा+स जोडली आहे .
10 We have been duly authorized by the Trade Union to make this application on its behalf, such authorization consisting of *
ौिमक संघाने 3यां4या वतीने हा अज+ क र1यास आDहाला याथोचीतर3या ूािधक ृ त के ले आहे . असा ूािधक ार * या नुसार दे 1यात आलेला आहे .

State here whether the authority to make this application was made by ' a resolution of a general meeting of a Trade Union' or
not in what other way it was given
अज+ क र1यासंबंधीचा हा ूािधक ार 'ौिमक सं
घा4या सव+साधारण सभे4या ठरावानुसार' दे 1या आला आहे कंवा क ाय अथवा तँयाूक ारे दला नस!यास
इतर क ोण3या ूक ारे तो दे 1यात आला ते तेथे नमूद क रावे.

Signature Occupation Address

To,
The Registrar of Trade Unions, Maharashtra State,
Bombay. ूित,
िनबंधक ,
ौिमक संघ, महाराH राय, मुंबई.

SCHEDULE I / अनस
ु च
ू ी१
TRADE UNIONS ACT,1926 / मक संघ अधनयम, १९२६
List of Officers / अधका!यांची सच
ू ी

Name of Trade Union /

ौिमक संघाचे नाव

Office held in Union Name Age Address Occupation

SCHEDULE II / अनस
ु च
ू ी२
Reference to Rules / नयमांचा नदे श
The number of the rules making provision for the several matters detailed in column 1 are given in column 2 below
$तंभ १ म'ये (दले*या +व+वध बाबीसंबंधी तरतद
ू करणा!या नयमांचा -मांक खाल/ल $तंब २ म'ये (दला आहे .
Matter (1) Rule No. (2)
बाब (१) नयम -. (२)

Matter /(1) Rule No / (2)

Name of the TU
The whole of the objects for which the has been established
The whole of the purposes for which the general funds of the shall be applicable.
The maintenance of the list of members
The facilities for the inspection of the account books by officers and members
The admission of ordinary members
The admission of honorary or temporary members
The conditions under which members are entitled to benefits assured by the rules
The conditions under which fines or forfeiture can be imposed or varied
The manner in which the rules shall be amended varied or rescinded
The Manner in which the members of the utive and the other officers of the shall be appointed and removed
The safe custody of the funds
The annual audit of the account
The facilities for the inspection of the account books by officers and members
The manner in which the may be dissolved

SCHEDULE III
अनस ु च
ू ी३
This need not be filled in. if the Union came into existence less than one year before the date of application for registration
नदणीसाठJ के लेKया अजा+4या तारे खेपुवL एक वषा+हून क मी क ालावधीत संघ अःत3वात आला अस!यास, ह माहती भर1याची आवँयक ता नाह.
Statement of Liabilities and Assets on the
दाय3वे व म3तायां चे +ववरण प5

Liabilities Rs. / . P Assets Rs. /. P. /

Amount of general fund -Cash -
Amount of political fund -In hands of Treasurer -
Loans from -In hands of Secretary -
 Liabilities Rs. / . P Assets Rs. /. P. /
Debts due to -In hands of -
Other Liabilities -Bank Details -
- -Securities as per list attached -
- -Unpaid subscription due -
- -Loans to- -
- -Immovable Property -
- -Goods and Furniture -
- -Other assets -
Total Liabilities -Total Assets -

List of Securities attached / रो7यांची सच

ू ी
Particulars Face Value Cost Price Market Value In Hands Of

(Signed) / (सह) 1 / १

2/२

3/३

4/४

5/५

6/६

7/७

8/८