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Bare acts > Payment of Bonus Rules, 1975 > Form D
 
  


 

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 beSettlement, if any, reached under section 18(1) of 12(3) of the Industrial Disputes Act, 1947 with datePercentage of bonus declared to be paidTotal amount of bonus actually paidDate on which payment madeWhether bonus has been paid to all the employees, if not, reasons for non-paymentRemarks
(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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