FORM D See rule 5 ANNUAL RETURN-BONUS PAID TO EMPLOYEES FOR THE ACCOUTING YEAR ENDING ON THE ……… 1. Name of the establishment and its complete postal address: 2. Name of industry: 3. Name of the employer: 4. Total number of employees: 5. Number of employees benefited by bonus payments: | | | | | | | Total amount payable as bonus under section 10 or 11 of the Payment of Bonus Act, 1965 as the case may be | Settlement, if any, reached under section 18(1) of 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) | | | | | | | |
Signature of the employer or his agent. 1. | Inserted by the Payment of bonus (Amendment) Rules, 1983, w.e.f. 21-1-1984, vide S.O. No. 251 dt. 7-1-1984. |
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