[To be printed on official Letter Head]

Date: 14-10-2022

To

The Secretary,
Tamil Nadu Labour Welfare Board,
DMS Compound,
Teynampet, Chennai - 600 006

Dear Sir,

Sub: Unpaid accumulations under the Tamil Nadu Labour Welfare Fund Act, 1972 & Rules, 1973

We are sending the “Nil Report” in Form C – required to be maintained under the Tamil Nadu Labour
Welfare Fund Act, 1972 & Rules, 1973, informed that there are no unpaid accumulations pending in M/s.
AMG Anesthesia Management Pvt Ltd”, New no 24, Old no 10, 1st Floor, 4th Avenue, Ashok Nagar,
Chennai – 600083. at the quarter end of 30th Sep 2022.

Kindly acknowledge receipt of the same.

Thanking you,

Yours faithfully,
For AMG Anesthesia Management Pvt Ltd

Authorised Signatory

Encl:
 Form C