SCHEDULE II FORM I
[ Industrial Employment (Standing Orders) Act, 1946-Section 3]
Dated..........................20
To
The Certifying Officer
[Vide Notification No. L.R. 11(98), dated 25th July, 1953].
(Area)
(Place)
Sir,
Under the provisions of Section 3 of the Industrial Employment (Standing Order) Act, 1946, I enclose five
copies of the draft Standing Orders proposed by me for adoption in
(Name)
(Place) (Postal address)
an industrial establishment owned/controlled by me, with the request that these orders may be certified under the term
of the Act. I also enclose a statement giving the particulars prescribed in Rule 5 of the Industrial Employment
(Standing Orders) Central Rules, 1946.
I am, etc.
(Signature)
Employer/Manager
FORM II
[Notice under Section 5 of the Industrial Employment (Standing Orders) Act, 1946.]
Office of the Certifying Officer for...........................................area/place...................
Dated the........................20
...............................
I..........................Certifying Officer...........................................area, forward herewith a copy of the draft
Standing Orders proposed by the employer for adoption in the ....................industrial establishment and submitted to
me for certification under the Industrial Employment (Standing Orders) Act. 1946. Any objection which the workmen
may desire to make to the draft Standing Orders should be submitted to me within fifteen days from the receipt of this
notice.
(Certifying Officer)
To
The Secretary
Union
Name
Representative elected under Rule 6 Occupation
Industrial establishment FORM III
[Industrial Employment (Standing Orders) Act, 1946-Section 8]
Register-Part I
Industrial Establishment
Serial
No.
Date of the dispatch of the copy of standing orders authenticated under Section 5 for the first time
Date of filling appeal
Date and nature of decision
Amendment make on appeal, if any Date of the dispatch of the copy of the standing orders as settled on appeal Any notice subsequently given or received of any amendment Rwsult
Part II
(Should contain the authenticated copy of the Standing Orders)
FORM IV
[See Rule 7-A (1)]
(To be furnished in respect of each clause appealed against, separately)
(1) Draft of the Standing Orders under appeal as submitted by the employers.
(2) Objection made/modification suggested, if any, to the Draft Standing Order
under appeal, by the Trade Union/Representatives of workmen. (3) Standing Order under appeal, as certified by the Certifying Officers.
(4) Grounds of appeal by the employers/trade union/workmen’s representatives.
From IV-A (See Standing Order 7-A of Schedule -I) Notice of discontinuance/restarting of a shift working to be given by the /an employer.
Name of employer........................................
Address.......................................................
Date the ......................day of ........................20.................
In accordance with Standing Order No.....................of the Standing Orders certified and approved in respect of my/our
industrial establishment, I/we hereby give notice to all concerned that it is my/our intention to discontinue/restart the shift working
specified in the Annexure with effect from..................
Signature..........................
Designation......................
Annexure
(here specify the particulars of change in the shift working proposed to be effected).
Copy forwarded to:-
(1) The Secretary of registered trade union, if any.
(2) The Assistant Labour Commissioner (Central)/Labour Employment Officer
(Here enter officer address of the Assistant Labour Commissioner (Central)/
Labour Employment Officer in the local area concerned.)
(3) The Regional Labour Commissioner (Central) Zone.
(4) The Chief Labour Commissioner (Central), New Delhi.] FORM V
(See Standing Order I, Schedule I-B)
Service Card
Name of Estt./Factory/
Ticket /Token No.
1. Register Serial No.
2. Name
3. Specimen Signature/Thumb Impression.
4. Father’s or Husband’s name
5. Sex
6. Religion
7. Date of Birth
8. Place of Birth
9. Date of Joining
10. Details of Medical certificate at the time of joining
11. Educational and other qualifications
12. Can Read
13. Can Write
14. Can Speak
15. Height
16. Identification Marks
17 Category of Workman
18. Department
19. Details of family members
20. Permanent Address
21. Local Address
22. Quarter No.
23. Life Insurance Policy No.
24. Provident Fund Account No.
25. Nominee for Gratuity
26. Nominee for pension, if any
27. Employees State Insurance No.
28. Training courses attended (details)
29. (Eligibility for higher jobs)
30. Proficiency tests passed.
31. EMPLOYMENT HISTORY
Department Token No. Designation Scale of Pay Joined Left ( Reason)
1 2 3 4 5 6
32. ABSENCE PERIODS
Form To Reason Medical reports regarding suitability
for continued employment
(i) Sick Leave
(ii) Earned Leave
(iii) Any other Leave
28 Ins. by G.S.R. 30(E), dated 17--1983.
33. Maternity Benefit
34. Workmen’s Compensation
Details of accidents :
35. Details of Disciplinary Action
36. Promotions
(i) Details
(ii) Awards
(iii) Issue of Certificate of commendation
37. Date of superannuation
38. Any other matter.
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