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    ggjk0412
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    This document is a form used to report fines, unpaid wages, and deductions from wages for an establishment over the course of a year. It includes fields to provide details of fines realized each quarter as well as totals for unpaid amounts owed to workers for basic wages, overtime, allowances, bonus, gratuity, and other items. Employers must also disclose any deductions made under standing orders or the Payment of Wages Act each quarter. The completed form is signed and sealed by the employer.

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    FORM C

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    This document is a form used to report fines, unpaid wages, and deductions from wages for an establishment over the course of a year. It includes fields to provide details of fines realized each quarter as well as totals for unpaid amounts owed to workers for basic wages, overtime, allowances, bonus, gratuity, and other items. Employers must also disclose any deductions made under standing orders or the Payment of Wages Act each quarter. The completed form is signed and sealed by the employer.

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    © All Rights Reserved
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    7 views1 page

    Form C

    Uploaded by

    ggjk0412
    This document is a form used to report fines, unpaid wages, and deductions from wages for an establishment over the course of a year. It includes fields to provide details of fines realized each quarter as well as totals for unpaid amounts owed to workers for basic wages, overtime, allowances, bonus, gratuity, and other items. Employers must also disclose any deductions made under standing orders or the Payment of Wages Act each quarter. The completed form is signed and sealed by the employer.

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    of 1

    FORM – C

    (See rule 29)

    Register of Fines, Unpaid Accumulations and Deduction under Payment of


    Wages for the year ………..
    Establishment ID :
    Name & Address of the Establishment :

    Details of Fines Quarter Quarter Quarter Quarter


    and ending ending ending ending
    Unpaid Accumulations 31st March 30th June th st
    30 September 31 December
    1 2 3 4 5
    1.Total Realisation under
    Fines

    2. Total amount being unpaid


    accumulations of *
    (i) Basic Wages

    (ii) Overtime
    (iii) Dearness allowance and
    other allowance
    (iv) Bonus
    (v) Gratuity
    (vi) Any other item of unpaid
    accumulations
    3. Deductions under Standing
    Orders
    4. Deductions under Payment
    of Wages Act

    Seal of the Establishment Signature of the Employer.

    *See definition “Unpaid accumulation” under Section 2(i) of the Tamil Nadu Labour Welfare Fund
    Act, 1972.

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