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THE ANDHRA PRADESH GAZETTE
PART IV-B EXTRAORDINARY
PUBLISHED BY AUTHORITY
No. 18] HYDERABAD, THURSDAY, OCTOBER 8, 2015.
ANDHRA PRADESH ACTS,
ORDINANCES AND REGULATIONS Ete.,
The following Act of the Andhra Pradesh Legislature received
the assent of the Governor on the 3™ October, 2015 and the said
assent is hereby first published on the 8" October, 2015 in the Andhra
Pradesh Gazette for general information:-
ACT NO. 18 OF 2015.
AN ACT TO AMEND THE ANDHRA PRDESH (ISSUANCE OF
INTEGRATED REGISTRATION AND FURNISHING OF COMBINED
RETURNS UNDER VARIOUS LABOUR LAWS BY CERTAIN
ESTABLISHMENTS) ACT, 2015
Be it enacted by the Legislature of the State of Andhra Pradesh in
the Sixty-sixth Year of the Republic of India, as follows:
1. (1) This Act may be called the Andhra Pradesh (Issuance of Integrated Short title and
Registration and Furnishing of Combined Returns under Various Labour ~ S°mmencement.
Laws by Certain Establishments) (Amendment) Act, 2015;
(2) It shall be deemed to have come into force on the 23" April, 2015.
A-18 . [1]
2 ANDHRA PRADESH GAZETTE EXTRAORDINARY [PART IV-B
slnshefldioln of new 2. In the Andhra Pradesh (Issuance of Integrated Registration and Furnishing
cheduie,
Act No.10 of 2015. of Combined Returns under various Labour Laws by Certain Establishments)
Act, 2015, after the “FIRST SCHEDULE", the following Schedule shall be added,
namely,-
OCTOBER 8, 2015
ANDHRA PRADESH GAZETTE EXTRAORDINARY
“SECOND SCHEDULE
(See sections 2(d) and 4)
[Form A [Sec.4(1)], Form B [Sec.4(6)] and Form C [Sec.4(2)].
FORM-A
APPLICATION FOR INTEGRATED REGISTRATION OF ESTABLISHMENT UNDER LABOUR
LAWS
(SECOND SCHEDULE [See Sec. 2 (d) and Sec.4(1)])
REGISTRATION / LICENSE REQUIRED UNDER
(Tick the appropriate applicable Acts basing on the parameters furnished
below
1. AP SHOPS &
ESTABLISHMENTS ACT,
1988
4. CONTRACT LABOUR (R&A)
ACT, 1970
--- Principal Employer
5. INTER STATE MIGRANT
WORKMEN(RECS) ACT, 1979
--- Principal Employer
2. MOTOR TRANSPORT
WORKERS ACT, 1961
6. BUILDING & OTHER
CONSTRUCTION WORKERS
(RE&CS)ACT, 1996
3. PAYMENT OF
GRATUITY ACT
Employer Photo
*On selecting the Act / Acts applicable, screen with relevant fields specified for the Act/Acts shall be
populated to enable the applicant to fill the data. Selection shall be on the following parameters:
Parameter
Registration
Required Under
Without Employee or With employees in the Shop or Establishment
A.P. Shops &
Estts. Act, 1988.
If there is a Transport Vehicle for the Establishment employing a Driver or any other Motor
Transport Worker
Motor Transport
Workers Act,
1961
5 or more workers employed through a contractor
Contract Labour
(R&A) Act, 1970
Inter State
5 or more Other State workers employed through a contractor Migrant Workmen
Act, 1979
Building and
10 and above direct or contract employees in Construction Work of the Establishment. In | other
case of Residential Construction of an individual, the cost of construction should be above | Construction
Rs.10 Lacs. Workers (R.E. &
C.S.) Act, 1996
Payment of
10 or more workers employed and the Establishment existed for 5 years and above. Gratuity Act,
1972
ESTABLISHMENT DETAILS | 1\ "o (ncome EPFO No. EBIC ol
ax) NO. No.
Service
VAT 0. Tax No.
ANDHRA PRADESH GAZETTE EXTRAORDINARY
CLASSIFICATION OF ESTABLISHMENT
THE CLASSIFICATION SPECIFIED BELOW SHALL
BE SHOWN IN THE DROP MENU FOR SELECTION
BY THE APPLICANT FOR ALL ACTS:-
1. PROPRIETOR FIRM,
2. PARTNERSHIP FIRM,
3. PRIVATE Ltd. Co.,
4. PUBLIC Ltd. Co.
CATEGORY OF ESTABLISHMENT
THE CATEGORIES SPECIFIED BELOW SHALL BE
SHOWN IN DROP MENU FOR SELECTION BY THE
APPLICANT (One or More)
SHOP / COMMERCIAL ESTT /HOTEL /
RESTAURENT / CATERING HOUSE / LODGING &
CAFE / THEATRE /CINEMA/IT & ITES
Establishment, PUBLIC MOTOR TRANSPORT
UNDERTAKING / PRIVATE MOTOR TRANSPORT
UNDERTAKING / PRINCIPAL EMPLOYER UNDER
CONTRACT LABOUR ACT / PRINCIPAL EMPLOYER
UNDER INTER STATE MIGRANT WORKERS ACT /
BUILDING OR OTHER CONSTRUCTION ESTT.
ESTABLISHMENT ADDRESS:
DOOR NO. STREET / LOCALITY
VILLAGE OR TOWN MANDAL
DISTRICT PIN CODE
m No. E-MAIL
EMPLOYER DETAILS :
STATE
EMPLOYERS AADHAR NO. MANDAL
EMPLOYER'S NAME MOBILE NO.
FATHER / HUSBAND NAME PIN CODE
DOOR No. DESIGNATION
STREET/LOCALITY E Mail Address:
VILLAGE/ TOWN
MANAGER / AGENT IF ANY (WITH RESIDENTIAL ADDRESS):
STATE
AADHAR NO
_ FATHER / HUSBAND NAME
MOBILE NO. DESIGNATION
TOTAL NO. OF WORKERS EMPLOYED OR PROPOSED TO BE EMPLOYED
MALE
FEMALE TOTAL
NO. OF DIRECT WORKERS
NO. OF CONTRACT WORKERS
NO. OF OTHER STATE WORKERS
NO. OF BUILDING OR OTHER
CONSTRUCTION WORKERS
NO. OF MOTOR TRANSPORT
WORKERS
TOTAL
[PART IV-B
OCTOBER 8, 2015 ANDHRA PRADESH GAZETTE EXTRAORDINARY 5
[—BUSINESS ACTIVITY DETAILS:
Date of Commencement
In Case of Construction Activity, Nature of of Business / Estimated cost of
Consiedion: Construction: and construction and
¥ probable date of Basis for Estimate
{Name and Location where Building completion
or Other construction is proposed or
undertaken}
Contractor | Contractor
NaCo mnetra&aAdordrNeosjs No.2 Name No.3 Name & ही न -
DETAILS OF CONTRACTORS / & Address Address
WORKS
DETAILS OF WORK ENTRUSTED TO THE CONTRACTOR
DATE OF COMMENCEMENT OF
CONTRACT WORK
Probable Date of Completion of
Contract Work
No. of Contract Labour proposed to
be employed
Out of the above, No. of Inter State
Migrant Workers proposed
DETAILS OF MOTOR TRANSPORT
VEHICLES
DETAILS OF EMPLOYEES ALREADY WORKING (ENCLOSE SOFT COPY IN EXCEL IF MORE THAN 5
EMPLOYEES)
E WORKIN AADHAR | MOBILE BANK BANK | BRANCH | IFSC
NO. m DESIGNATION | comce | NO. NO. | ACNO. | NAME | NAME |CODE
employed
Other material information, if any, relevant to the workers
| hereby declare that the above information is true to the best of my knowledge and belief. | have not
suppressed any material information. If any of the above information is found to be not correct or any
material information is not furnished, | am liable for other legal consequences besides the cancellation
of the certificate of registration without any notice.
Signature:
Designation:
APPLICANT DETAILS
APPLICANTS AADHAR NO.
FATHER / HUSBAND
APPLICANTS NAME NAME
DISTRICT MANDAL
VILLAGE PIN CODE
ANDHRA PRADESH GAZETTE EXTRAORDINARY [PART IV-B
(EMalL, ] MOBILE |
RELATIONSHIP
FEE DETAILS ( As applicable)
REGISTRATION FEE USER CHARGES
(Treasury) (Bank Account)
DEPOSIT AMOUNT AMWEOLUFNTARE FUND
(Treasury) Bank Account
COMPOUNDING FEE
(Treasury)
PENALTY AMOUNT
(Treasury)
TOTAL AMOUNT
_
1. FRESH REGISTRATION - APPLICATION
2. APPLICATION ALONG WITH COPY OF REGISTRATION / LICENCE IN CASE OF RENEWAL
3. COPY OF AADHAR, Bank Pass Book 1st page (for accuracy of number) to be returned after data entry
4. MOTOR TRANSPORT VEHICLES REG. NOS.
returned after data ent
(WITH R.C XEROX COPIES) (for accuracy of number) to be
5. APPROVED PLAN OR ESTIMATE SUBMITTED TO THE BANK OR OTHER FINANCIAL AGENCY
OCTOBER 8, 2015 ANDHRA PRADESH GAZETTE EXTRAORDINARY
FORM-B
COMBINED RETURN UNDER LABOUR LAWS - as on 31st March, 20
(SECOND SCHEDULE [See Sec. 2 (d) and Sec. 4 (6)] )
1 Name of the establishment and address
! Unique Registration No. of the Establishment:
No. of employees working as on 31-3-20
(total under the categories of) Male / Female / total
Direct Employees
A Contract Employees
Other State Employees
Motor Transport Workers
o कह: हल हे
Building and Other Construction Workers
Details of workers (Name, Designation, Working since,
No. of Days worked during the year including
authorised absence, whether wages paid through
Bank Account, Bonus amount paid, remarks if any)
3-B
4 Total Wages Paid to the above categories of workers
during the year
H Average No.of employees worked during the year:
(Male/Female/Home workers)
n Normal working hours (Timings — From / To)
7 | No.of days worked during the year
n Nature of Leave allowed
n No.of National and other festival Holidays allowed
ANDHRA PRADESH GAZETTE EXTRAORDINARY
[PART IV-B
10
No. of employees left during the year:
i. Termination
ii. Resignations
iii .Retrenchment
iv. Superannuation
v. Transferred to other Units
(Details employee wise - Name, Designation, Reason
for leaving - Amounts paid with details - Remarks if
any)
I
Whether there were (1) Strikes (2) Lockouts (3) Lay
Offs during the year and if so, brief report about No. of
Workers involved, man days lost, reasons,
compensation paid etc.
12
Any instances of Accidents under Employee
Compensation Act with brief details as required under
the Act
13
Details of payment of Bonus (Amount paid, % of
Bonus, Whether ABC Registers, Computation of
Gross Profit maintained)
14
Details of payment of Gratuity (Employee wise -
Name, Designation - Reason for leaving - Gratuity
paid - whether direct payment or through Insurer
15
Details of Gratuity Insurance
16
Whether all workers paid wages through Bank
Accounts? If any of them are not paid, their number
and reasons
I hereby declare that the above information is true to the best of my knowledge and belief. |
have not suppressed any material information. If any of the above information is found to be
not correct or any material is not furnished, | am liable for other legal consequences besides
the cancellation of the certificate of registration.
Signature:
Designation:
OCTOBER 8, 2015 ANDHRA PRADESH GAZETTE EXTRAO\_\RDINARY 9
FORM-C
CERTIFICATE OF REGISTRATION OF ESTABLISHMENT
(SECOND SCHEDULE [See Sec.2 (d) and Sec. 4 (2)]
The Andhra Pradesh (Issuance of Integrated Registration and Furnishing of Combined
Returns under various Labour Laws by certain Establishments) Act, 2015
1. REGISTRATION NUMBER (LIN)
2. NAME OF THE ESTABLISHMENT
3. ADDRESS OF THE ESTABLISHMENT
4. EMPLOYER NAME
5. EMPLOYER ADDRESS
6. CATEGORY OF ESTABLISHMENT Against this column the category of Establishment
i.e., Shop/Commercial Estt., Hotel, Public Motor
Transport Undertaking / Principal Employer Estt.
under Contractor Labour Act/ Principal Employer
Estt. under Inter St. Mig. Workers Act / Building or
Other Construction Estt. as the case may be should
be captured from the relevant field in the application
and populated.
7. BUSINESS DETAILS:
i) Business / Trade / Work Activity Details
ii) Date of commencement
iif) Probable date of completion of work (for
contract labour Act, Interstate Migrant
Workmen Act and Building Workers Act)
8. NO. OF WORKERS EMPLOYED / PROPOSED TO BE EMPLOYED
Male Female Total
i) Direct Workers
ii) Contract Workers
iif) Other State Workers.
iv) Motor Transport Workers.
v) Building or other construction Workers
9. DATE OF ISSUE
10. REGISTRATION VALID TILL
10
ANDHRA PRADESH GAZETTE EXTRAORDINARY [PART IV-B
IT IS HERE BY CERTIFIED THAT THE ESTABLISHMENT HAS BEEN REGISTERED UNDER the Andhra
Pradesh (Issuance of Integrated Registration and Furnishing of Combined Returns under various Labour
Laws by Certain Establishments) Act, 2015 AS... (populate the category of establishment specified at
column. 6 above) ON THIS (capture data from column 9 above)
REGISTERING OFFICER (Assistant Labour Officer of the Area)
NOTE:
1. The Registration is valid from the date of registration to 31st March in the next year. The
Certificate of Registration shall be renewed for the next three years before 31st March, within the
time specified.
2. The certificate is generated electronically, based on the information furnished by the employer.
If, it is subsequently found that any of the particulars are wrong or essential information is
suppressed or mis-represented, the certificate is liable for cancellation without any notice and
the employer will be liable for penal action as per Law.”
C.S.S.V. DURGA PRASAD,
Secretary to Government,
Law Department.
Printed by the Commissioner of Printing, at A.P. Legislative Assembly
Printing Press, Hyderabad.