Kerala Gazette No. 9 dated 26th February, 2008

PART I

GOVERNMENT OF KERALA

Labour and Rehabilitation (E) Department

NOTIFICATION *

G. O. (P) No. 1/2004/LBR.

Dated, Thiruvananthapuram, 3rd January, 2004.

KERALA LAUNDRY WORKERS’ WELFARE SCHEME—2004

Preamble.—To implement a welfare scheme for providing certain benefits to

the Laundry Workers working in the State of Kerala.

Short title,extent and commencement.—(1)

This Scheme may be called

the Laundry Workers’ Welfare Scheme, 2004.

(2)

It extends to the whole of the State of Kerala.

(3)

It shall come into force at once.

Definitions.—(1)

In this scheme, unless the context otherwise

requires,—

(a)

‘worker’ means a person working in the laundry sector (ie. Laundry,

Ironing work, Dry cleaning work);

(b)

‘Government’ means the Government of Kerala;

(c)

‘member’ means a member of the scheme;

(d)

‘Scheme’ means the Kerala Laundry Workers’ Welfare Scheme

constituted under para 3;

(e)

‘Governing body’ means the committee having the responsibility of

administration over the Kerala Laundry Workers’ Welfare Scheme;

*English Translation of the Notification No. G.O. (P) 1/2004 /LBR, dated 31-1-2004.

G. 390/07 (a)

(f)

‘Chief Executive Officer’ means the Chief Executive Officer appointed

under para 16;

(g)

‘Convener’ means the convener of the Governing body appointed

under para 20;

(h)

‘Family’ means the husband, wife and their minor children, unmarried

daughters and parents solely depend upon the members;

(i)

‘Legal heir’ means a person included in para ‘h’ and is nominated by

the member;

(j)

‘Contribution’ means the sum of money payable to the scheme under

para 9;

(k)

‘Year’ means the financial year in respect of financial matters and

calendar year in relation to the period of membership.

The Kerala Laundry Workers’ Welfare Scheme.—This scheme is framed

for the welfare of the laundry workers in Kerala and it shall be under the Kerala

Labour Welfare Fund Board and shall be administered by the employees of the

Board.

CHAPTER 2

Membership.—The Laundry Workers who are in between the age of 18

years and 50 years and specified in sub-para 3 of para 1 shall be eligible to

become a member in this Scheme.

Registration.—(1)

Every worker eligible to become a member shall

submit an application in Form No. 1 of the annexure to the Chief Executive

Officer or an officer authorised by him in this behalf and register his name to

become a beneficiary of the scheme. Along with the application a copy of the

school certificate or certificate as per Mammodeesa Register or certificate

obtained from the Registrar of Birth and Death shall be produced as the basic

document for proving the age. In the circumstance, when it is not possible to

produce any of these, a certificate issued by a Doctor who is a Civil Surgeon in

Government service, not below Grade-II be sufficient. Two recent passport size

photographs shall also be produced by the applicant.

(2)

On the receipt of the application, Part C of the application and order

of the District Executive Officer shall be passed.

(3)

A Copy of the order passed under sub-para 2 and identity card in

Form No. 3 shall be issued to the applicant and to the branch of the concerned

Bank.

(4)

The works in the laundry sector who have acquired membership in

the Kerala Artisans and Skilled Workers’ Welfare Scheme at present, may

continue their membership in the new scheme with retrospective effect and shall

pay contribution to the new scheme in the allotted number, if they are of 50

years of age or below on the date of commencement of the scheme.

Cancellation of membership.—The Chief Executive Officer or an officer

authorised by him in this behalf shall have the power to cancel the membership

at any time if it is understood that the membership has been obtained by

furinishing false information.

Transfer of membership.—After obtaining membership if the residence is

shifted permanently from one District to another or the nature of employment is

permanently changed, his membership may be transferred accordingly to other

districts. For this, application shall be given to the concerned District Executive

Officer and the District Executive Officer shall pass orders in Form Number 4 and

shall intimate it to the concerned.

Identity Card.—The District Executive Officer shall issue identity card

affixing photograph to every worker in Form No. 3. For this Rs. 5 shall be

collected as service charge for identity card and its outer cover. On loss of

identity card duplicate shall be issued on realisation of Rs. 5 as fine.

CHAPTER 3

Contribution to the Scheme.—(1) After obtaining membership every

worker shall contribute Rs. 20 per month to the Fund. After obtaining

membership, a member shall be deemed to be admitted in the scheme, only from

the date on which the first subscription and the amount due is paid in the Bank.

(2)

The Government shall pay Rs. 12 as grant for each Rs. 20 paid by

the members per month to the scheme, Rs. 10 out of Rs. 20 together with Rs. 2

out of Rs. 12 obtained from the Government shall be kept for giving benefits

including the retirement benefits to the members and the remaining Rs. 10 in the

contribution together with the balance Rs. 10 from the Government grant (Rs. 20)

shall be kept in a separate account for the pension purpose of this scheme,

and monthly pension shall be given on the retirement of members from this

Fund.

10.

Payment of contribution.—(1)

On the receipt of membership order

and identity card, the member shall remit Rs. 20 towards subscription, as

directed in the order, in the branch of the Bank in Form No. 5. For this purpose

the nearest branch of the Bank where the place of residence of the member may

be selected.

(2)

The contribution shall be remitted in the said bank before the 10th

day of every month.

(3)

The contribution may be paid in lumpsum by a member for one year

or for 6 months in advance.

(4)

Before receiving the contribution the bank authorities shall verify the

order and the identity card issued by the District Executive Officer and ensure

the identity of the member.

CHAPTER 4

11.

Death-cum-retirement Benefits.—(1)

A member who has completed

42 years in the scheme shall receive an amount of Rs. 62,750 as retirement

benefit including the contribution from Government. Members shall get the

retirement benefit proportionate to the period of their membership as shown in

appendix I of the scheme. Ten per cent of the amount paid by the member upto

annexure slab one to five or the amount as per the slab which ever is higher,

shall be paid. In the event of a death of a member, while he is a member,

financial assistance of Rs. 10,500 in addition to the retirement benefit shall be

paid to the legal heirs. Membership of a member shall be cancelled suo motu on

completion of 60 years of age.

(2)

The member who has completed 60 years of age or the legal heir of

deceased member shall submit an application along with the necessary

documents for obtaining financial assistance to the concerned District Executive

Officer within three months from the said date.

If there is any delay in

submitting such application, the Chief Executive Officer shall have the discretion

either to accept or to reject the same.

The District Executive Officer shall

conduct a detailed enquiry on this and shall submit the report to the Chief

Executive Officer within two weeks.

Further the Chief Executive Officer shall

pass an order on it within one month.

If there is any objection on the decision

of the Chief Executive Officer, the member or the legal heir may file an appeal

before the Governing body within 90 days from the date of receipt of the order.

(3)

If there is any delay in filing appeal due to any reason the

Governing body shall have the discretion to admit the same.

The decision of

the Governing body shall be final.

(4)

If the nominated legal heir has not attained majority the death benefit

shall be deposited in the District Co-operative Bank till the legal heir attains

majority or may be paid to the guardian on whom the heir is dependant.

For

this purpose certificate from the revenue authorities showing the relation

between the heir and guardian shall be produced.

(5)

If a member accepts any other employment or goes out of Kerala for

employment or relinquishes his membership for some other reasons, the amount

deposited by him in the scheme, after deducting 5 per cent of the amount or

Rs. 5 which ever is higher shall be refunded to him on his demand.

For this

purpose the member shall submit the application along with necessary

documents to the concerned officials.

But this may not include the contribution

from the Government.

CHAPTER 5

12.

Utilization of the Scheme Fund.—The Scheme Fund shall be utilised

for all the purposes mentioned below:

(1)

If a member of the scheme produces a certificate from a recognized

Medical Officer to the effect that he is suffering from permanent disablement and

is unfit to continue his work, an amount, upto the maximum of Rs. 1,000 may be

sanctioned subject to the decision of the Governing body as financial assistance

and the minimum pension may also be sanctioned based on the decision of the

Governing body.

For this purpose a member shall have completed two years of

membership.

(2)

‘Permanent disability’ means loss of hands or legs, loss of vision in

both the eyes, paralysis, stroke etc.

(3)

Scholarship will be arranged for the education of the children of

members.

The amount of scholarship shall be as follows:—

The number of scholarships to be distributed every year shall be subject

to the decision of Governing body and is in proportionate to the number of

members in the District.

Plus Two

V. H. S. C.

T. T. C.

Rs. 500

Pre-Degree

Sanitary Course

Computer Courses after S. S. L. C.

(only in Government Recognized

institutions)

B. A.

B. Sc.

B. Com

Rs. 750

P. G. D. C. A. after Plus Two

B. Ed. etc.

Post Graduation

Rs. 1,500

Professional Courses such as Polytechnic,

Engineering, Medicine, Agriculture, Veterinary

and for Post Professional courses such as

Rs. 1,500

M.Phil, MCA etc.

(4)

The persons who study for regular courses in the institutions affiliated

to the recognized University alone shall be eligible to apply for scholarship.

obtain scholarship, the members shall have membership in the Scheme for two

years.

The application for the scholarship shall be submitted to the concerned

District Executive Officer in the prescribed form within 60 days after getting

admission to the course and the District Executive Officer shall forward it along

with necessary report, within 15 days of receipt of the application, to the Chief

Executive Officer.

The eligibility for scholarship shall be only for the first year

of getting the admission to each course.

(5)

An amount of Rs. 1,000 shall be given for the funeral expenses of the

deceased members.

This shall be given along with the financial assistance on

death as specified in sub para (1) of para 11.

(6)

The Chief Executive Officer may after considering the application

submitted by the member for purchasing tools, sanction seventy five percent of

the amount remitted to the scheme by the member or Rs. 2,000 which ever is

less. No interest shall be realised for this. The sanctioned amount shall be

refunded in monthly instalments as fixed by the Chief Executive Officer. The

remaining unpaid amount shall be deducted from the beneficial amounts such as

death-cum-retirement, refund etc. of the member.

(7)

Maternity benefit of Rs. 1,000 shall be given to each female member of

the fund. This benefit shall be eligible to be received only for two times.

(8)

A member shall be given Rs. 2,000 to meet the expenses in connection

with the marriage of daughters.

(9)

To receive the benefits under sub-para 7 and 8 of para 12 there shall

be membership for at least one year.

CHAPTER 6

13.

Nomination.—Each member who obtains membership in the Scheme

shall record in Part B of Form 1 the details such as the name, age, date of birth,

full address, the relationship with the member etc. of the persons nominated by

him. The applicant shall nominate only those family members as defined in para

2(h). But if circumstances may arise that the applicant does not have any of the

family members defined in para 2(h), any of the following family members may be

nominated.

(1)

major sons

(2)

married daughters

(3)

sisters and brothers

Provided that though the unmarried members on getting married do not

furnish revised nomination, the right for benefits is limited to the wife, husband

and the children.

14.

Duty of the Bank.—For the collection of fund to the Scheme the Bank

as determined by the Governing body shall open a separate account for each

member. The complete account of the subscription received in various branches

of the Bank shall be kept by the Bank and the same shall be given as and when

the Government or the Chief Executive Officer requires. There shall a Centralised

Account for the Fund. The amount collected by the various branches shall be

centralised in the above account and the details of the total amount collected by

the Bank shall be informed to the Chief Executive Officer on the first working

day of each week and an annual statement regarding the deposit of the

members shall be given to the Chief Executive Officer in the month of April in

each financial year. In addition to this, branch wise statement of accounts of

the amount remitted by the members as subscription shall also be given to the

Chief Executive Officer. The Bank shall bear all the expenses in connection with

the collection of Fund. It shall be deposited in the Banks which provides

higher rate of interest on the recommendation of the Chief Executive Officer, and

with the sanction of the Governing Body.

15.

Default in the payment of contribution may cause the lose of

membership.—If default is committed in the payment of monthly subscription as

per this Scheme continuously for a period of one year, his membership shall lose

suo motu :

Provided that Chief Executive Officer is satisfied that the default committed

as such, is on reasonable grounds, on payment of the defaulted amount with

8% interest, the membership may be restored. In the circumstances that the

membership could not be continued due to sufficient grounds, the amount

remitted by the member alone will be refunded.

16.

As per this Scheme, the complete supervision of the Scheme shall be

vested with the Chief Executive Officer of the Kerala Labour Welfare Fund

Board. The headquarters of the Scheme shall be along with the headquarters of

the Kerala Labour Welfare Fund Board. Other concerned officers and employees

that may be deemed to be necessary for the management of the Scheme may

be appointed by the Kerala Labour Welfare Fund Board with the approval of the

Government. They shall be employees under the Kerala Labour Welfare Fund

Board and shall deal with the welfare matters of the Laundry workers.

17.

Power of the Chief Executive Officer.—The Chief Executive Officer shall

have full responsibility for the management of the Scheme.

18.

Management of the Scheme.—The management of the Scheme and the

supervision of the functions regarding the payment of financial assistance from

the Scheme shall be vested with the Labour Welfare Fund Board.

19.

Power to issue orders for inquiry.—(1)

The Government may, at any

time, appoint an officer not below the rank of a Joint Secretary to Government to

inquire into the functions of the Welfare Scheme and to submit a report to the

Government.

(2)

The Scheme shall provide all facilities to the persons appointed

under sub-para 1 and furnish such documents, accounts and information in the

possession of the Scheme as he may require to conduct proper enquiry.

20.

Governing body.—Chairman of the Kerala Labour Welfare Fund Board

shall be the Chairman of this Scheme. This Governing body consists of three

representatives of the Laundry workers and two Government representatives from

the Labour Welfare Fund Board (from Labour Department and Finance

Department). The Chief Executive Officer of the Kerala Labour Welfare Fund

Board shall be the convener of this Governing body. The period of the

committee and the period of the Labour Welfare Fund Board shall be equal.

21. Power to supersede the committee.—(1)

After considering the report

under para 19 or otherwise, if the Government are of the opinion that the

committee has committed default continuously in discharging the duties imposed

on it by or under the provisions of this Scheme, the committee can be

superseded for a period not exceeding six months from the exercise of its

functions under this Scheme.

(2)

All the powers and duties which may be exercised or discharged by

the Committee, during the period of supersession, be exercised or discharged by

such officer or officers specifically mentioned in the Government order. In

continuation of expiry of the period of supersession, the management of the

Scheme shall be vested with the committee again or alternate arrangement may

be made.

22.

Audit of Accounts.—(1)

The audit of the accounts of the Scheme

shall be entrusted to an agency as decided by the Government.

(2)

Accounts shall be inspected and audited once in every year by such

agency.

(3)

An annual report regarding the functions of the Scheme shall be

prepared and after approval by the Governing body, the same together with the

audit report shall be submitted to the Government before the end of March.

23.

Loss of benefit due to the members.—(1)

The Chief Executive Officer

shall have power to cancel the benefits as per this Scheme by furnishing false

informations. But, a member/legal heir may prefer appeal before the Governing

body within thirty days of the receipt of the order upon this and the decision of

the Governing body shall be final.

(2)

The unclaimed amounts in all the Heads of Account of the Scheme

shall be deemed to be public property of the Scheme.

24.

The Laundry workers existing in the Kerala Artisans and Skilled

Workers Welfare Scheme and whose age is 50 years or less, their contribution

till date shall be transferred under this Scheme and the amount shall be

collected to the fund under the Scheme. Along with the same the said records

shall also be brought under the new Scheme.

25.

Power to remove difficulties.—If any difficulty arises in giving effect

to the provisions of this Scheme, Government may, by order, make provisions or

directions suitably, to remove the doubts and difficulties not inconsistent with

the provisions of this Scheme and appears to be necessary and such orders

shall be final.

CHAPTER 7

PENSION

26.

The provision regarding the payment of pension to the Laundry

workers who were members in the Kerala Artisans and skilled workers welfare

Scheme, on the commencement of the Kerala Laundry Workers’ Welfare

Scheme.—(1)

All the Laundry workers who were members of the Kerala

Artisans and Skilled Workers’ Welfare Scheme before the commencement of the

Kerala Laundry Workers’ Welfare Scheme and received retirement benefit on

completion of 60 years shall be eligible for pension as per this chapter if they are

not getting any other welfare pension.

(2)

The application for pension shall be submitted to the concerned

District Executive Officer in Form No. 5 within 3 months from the commencement

of the Scheme.

(3)

The provisions stated in this Chapter shall be applicable to all the

Laundry Workers who attain the age of 60 years within 10 years from the

commencement of this Scheme shall be eligible for pension accordingly.

(4)

The number of persons eligible for pension at present under sub

paras (1) and (3) and the number of persons who may retire within the next ten

years and the financial liability thereon is appended in appendix 2.

(5)

The pension amount shall be Rs. 100 per month. The financial

assistance to implement pension, mentioned in this chapter shall be given as

grant by the Government, annually.

(6)

The provisions specified in chapter 9 shall be applicable to all

workers who are entitled to get pension as mentioned in this chapter.

CHAPTER 8

27.

Pension Scheme applicable to the workers who join as new members

in the Kerala Laundry Workers’ Welfare Scheme.—(1)

A member who retires at

the age of sixty years after getting the retirement benefits and paid contribution

to the Kerala Laundry Worker’s Welfare Scheme at least for a period of ten years

without default alone is eligible for pension as specified in this chapter.

(2)

The worker who is eligible for pension as per para (1) above may

get a monthly pension of Rs. 100 at the minimum and an increase of Rs. 10 for

each two years after ten years shall be given as pension up to the maximum of

Rs. 250.

(3)

The governing body shall have the power to modify the

implementation of the scheme on the basis of the financial capacity.

(4)

The sum of Rs. 10 transferred to the Pension Scheme from the

monthly contribution of each member and Rs. 10 given as grant by the

Government for each member per month to the Scheme and the interest on

deposit of amount shall be utilised for payment of pension. (The financial

assistance due from the Government shall be given per year).

Chapter 9 shall

be applicable to the workers who are entitled to get pension as mentioned in

this chapter.

CHAPTER 9

28.

General principles to be followed by those applying for pension

under chapter 7 and 8.—(1)

The application for pension shall be submitted to

the concerned District Executive Officer in Form No. 5.

Two passport size

photograph of the applicant shall also be produced along with the application.

Besides that the copy of the order sanctioning the retirement benefit to the

applicant shall also be produced. If the applicant is found eligible for pension,

the identity card issued in Form No. 6 by the District Officer shall be received

from the District Executive Officer along with the first instalment of the pension.

(2)

The application for pension as per chapters 7 and 8, shall be

submitted within 90 days. Applications submitted thereafter shall not be

considered. But if it is found that there is sufficient reason, the Chief Executive

Officer can consider the same separately. If the Chief Executive Officer rejects

the application appeal may be preferred before the governing body within 90

days. The copy of the order against which the appeal is filed shall also be

produced along with the appeal.

(3)

If the applicant is a person who receives pension from Government/

Semi Government institutions he shall not be eligible for pension under this

Scheme. But the member who lose the eligibility like this shall get twice the

amount received by an ordinary member as retirement amount by treating the

monthly payment of Rs. 10 remitted towards the pension fund as

contribution.

(This benefit shall not be applicable to those under para 26 of

Chapter 7.)

(4)

Nobody shall be eligible to get pension on the death of the worker

who receives pension.

(5)

On the death of the pensioner any arrear amount of pension due to

him shall be obtained by his legal heir.

CHAPTER 10

29.

Procedure to be followed by District Officers.—(1)

Acknowledgement

of the receipt of application shall be given in Form No. (7), appended

herewith.

All applications received in District Executive Office shall be serially

entered in the application Register (Form No. 9). Serial number shall be allotted

on yearly basis. If the applicant is found to be eligible for pension, the

application shall be forwarded to the Chief Executive Officer with necessary

recommendations.

(2)

Along with the 1st instalment of pension, an identity card in

form No. 6 affixed with a photo shall be issued to the applicant. One photo

furnished by the pensioner shall be pasted and kept in the pension register

(Form No. 9). The responsibility for the disbursement of pension amount shall be

with the respective District Executive Officers.

Pension shall be disbursed on a

trimonthly basis.

The Chief Executive Officer shall entrust the amount required

for this in advance to the respective District Executive Officer. Those who are

eligible for pension, shall receive pension from the concerned District Executive

Officer, on specified dates on production of the identity card issued to them.

(3)

Those who are unable to receive pension, personally at the place of

disbursement due to physical disability or disease shall submit an application to

the concerned pension disbursement officer, showing their physical disabilities or

disease. The application submitted as such shall be recommended by the

doctor who attends or any of the persons such as the concerned Panchayat

President/Executive Officer/Member/Municipal Chairman/Commissioner/Councillor/

Gazetted Officer etc. After considering the application the pension amount shall

be sent to them by money order at their expense.

CHAPTER 11

30.

Procedures at the Chief Executive Office.—(1)

The application for

pension received along with necessary recommendation letter from the District

Executive Officer shall be registered in the order of receipt at the Office of the

Chief Executive Officer. The Chief Executive Officer shall have the full

responsibility for sanctioning or rejecting the pension. Appeal against the order

of the Chief Executive Officer may be filed before the Governing body within 90

days. The copy of the order against which the appeal is preferred shall be

produced along with the appeal.

The decision of the Governing body shall be

final.

(2)

The Chief Executive Officer shall send the order, sanctioning/

rejecting, pension to the applicant and to the concerned District Executive

Officer and the said information shall be recorded in the concerned registers in

the office.

(3)

The full responsibility for the disbursement of pension is vested

with the Chief Executive Officer.

The Chief Executive Officer shall provide the

amount required for the disbursement of pension to the respective District

Executive Officer in due course.

If a person-receiving pension is found to be

in eligible for pension for any reason, the power to cancel or stop his pension

temporarily/permanently is vested with the Chief Executive Officer.

(4)

Applications received for pension shall be kept permanently and the

accounts relating to the disbursement of pension shall be subject to audit in the

manner as fixed by the Board.

The registers and records subjected to audit

shall be kept at least for one year after completing the audit procedures.

(5)

After the implementation of this Scheme with the prior approval of

the Government, the Governing body of the Kerala Laundry Workers’ Welfare

Scheme shall have the power to make periodical changes in the provisions of the

Scheme.

By order of the Governor,

ELIAS GEORGE,

Government Secretary.

Completed

years

Contribution

Amount of

Members

Amount of

benefit to be

given to the

members

Years

Completed

Amount of

contribution

remitted by

members

Amount of

benefit to be

given to the

members

(1)

(2)

(3)

(4)

(5)

(6)

ANNEXURE 1

Retirement Benefit

2,520

6,860

240

600

2,640

7,667

360

600

2,760

8,554

480

600

2,880

9,532

600

641

3,000

10,610

720

811

3,120

11,798

840

998

3,240

13,107

960

1,204

3,360

14,550

1,080

1,432

3,480

16,140

1,200

1,682

3,600

17,892

1,320

1,959

3,720

19,822

1,440

2,263

3,840

21,950

1,560

2,599

3,960

24,294

1,680

2,969

4,080

26,878

1,800

3,376

4,200

29,725

1,920

3,826

4,320

32,861

2,040

4,321

4,440

36,318

2,160

4,866

4,560

40,126

2,280

5,468

4,680

44,322

2,400

6,131

4,800

50,000

Year

Number of

workers

retired on

pension

Number of

persons

newly retiring

per year

Total

Pension

amount to be

given annually

(No.×12×100)

(1)

(2)

(3)

(4)

(5)

ANNEXURE 2

[See Para 26 (4)]

The Schedule regarding the number of workers who had retired on

completion of 60 years up to the year 2001 and those who are to complete 60

years from 2002 to 2011 (10 years) from the Laundry workers who are members

of the Kerala Artisans and Skilled Workers’ Welfare Scheme 1991, and the

amount required for pension.

Retired after completing 60 years/to be retired

1989-2001

780

9,36,000

2002

136

916

10,99,200

2003

1,012

12,14,400

2004

1,101

13,21,200

2005

109

1,210

14,52,000

2006

1,303

15,63,600

2007

128

1,431

17,17,200

2008

100

1,531

18,37,200

2009

126

1,657

19,88,400

2010

126

1,783

21,39,600

2011

117

1,900

22,80,000

FORM No. 1

(See Para 5)

APPLICATION FORM FOR ADMISSION TO WORKERS’ WELFARE

SCHEME, 2004

PART A

Name of the Applicant

Address

Educational Qualification

(if any)

(a)

Nature of work and place

of work of the applicant

(b)

For how long period you are

doing the above said job

(c)

(1) Whether worker or self

employed person

(2) If worker, the name and

address of the employer

Date of Birth

Name of father

The name of the branch of State

Bank of Travancore in which you

intend to remit money

DECLARATION

The facts stated above are true to the best of my knowledge and belief.

I hereby assure that I am fully healthy and I have no disease of any type.

(Signature of applicant/Thump impression)

Place:

Date:

PART B

I do hereby nominate the following person/persons to receive the death/

retirement benefits on the event of my death.

Age and

Relationship

If nominee is

Whether

Date of

with applicant

minor relation-

whole or

Name

Address

Birth

ship with

part, if it

applicant

is a share,

how much

is the

share

(1)

(2)

(3)

(4)

(5)

(6)

(7)

Note:—Nominate only member/members of the family. Otherwise nomination shall

be treated as invalid.

Place :

Signature /Thumb impression of the applicant.

Date :

PART C

(To be filled in by the District Executive Officer)

Application is Accepted/Rejected*.

Identity Card No. :

Code No. :

Date :

Signature of District Executive Officer.

Office Seal :

* Score off which are unnecessary.

* If application is rejecting state the reasons for it.

FORM No. 2

PROCEEDINGS OF THE DISTRICT EXECUTIVE OFFICER

Present:

Sub:—Order giving membership in the Kerala Laundry Workers’ Welfare Scheme

......................................................

Ref:—Application of Shri/Smt............................................................dated........................

Order No....................................................Date..............................................

On the preliminary enquiry conducted by me on your application reffered

above, you are found eligible for the membership in the above Scheme.

Hence

you are admitted as a member of the Kerala Laundry Workers’ Welfare Scheme,

2004 as per this Order.

Your membership Number is .........................This number

should be shown in all future correspondence.

First subscription shall be paid

in the bank within 15 days from the date of this order.

The membership shall be

deemed to have come into force only from the date of remittance.

District Executive Officer.

Sri/Smt......................................................

..................................................................

.................................................................

Copy to:

To Manager,

.....................................Branch,

State Bank of Travancore.

G. 390/07 (a)

FORM No. 3

(See Para 8)

IDENTITY CARD

Membership Number

Name

Age

Address

Male/Female

Recognised Branch of

State Bank of Travancore

Date of issue of the Card

Name and Official Address of the

Officer issuing the Identity Card.

Signature /Thump impression

of the applicant.

Attested

District Executive Officer,

Kerala Artisans and Skilled

Workers Welfare Scheme,

......................................................

Photo

FORM No. 4

(See Para 7)

PROCEEDINGS OF THE DISTRICT EXECUTIVE OFFICER OF THE KERALA

LAUNDRY WORKERS’ WELFARE SCHEME

Sub:—The Kerala Laundry Worker (Death-cum-Retirement) Benefit Scheme, 2004,

Change of State Bank of Travancore Branch where subscription is paid—

Reg.

Ref:—1.

Circular No...................dated........................of the Chief Executive Officer.

Application dated.........................of Shri/Smt..................................................

Order No..............................................date...........................................................

Sri/Smt........................................................who is a member of the above Welfare

Scheme has became member as code No..................................................and selected to

be eligible to remit subscription in the....................................................... Branch of

State Bank of Travancore. The accounts of the subscription remitted by the

above member till the month of..................................., 20....................is given below.

................................................month.....................................Amount

But, as per the application in Ref. 2 as the above said member has changed

the residence place/work place from ..........................................District

to...................................................District it is requested to allow to select the State

Bank of Travancore Branch of ..............................................District in order to remit

the subscription conveniently.

Hence, the order of membership number of the above said applicant of this

District is cancelled from the month of .................................of 20...................

The above said applicant shall contact the Executive Officer

of.............................................................District, for new membership.

District Executive Officer.

Sri/Smt.....................................................

Manager, State Bank of Travancore

Chief Executive Officer

District Executive Officer.

FORM No. 5

(See para 26 and 27)

The Kerala Laundry Workers’ Welfare Scheme

APPLICATION FORM FOR PENSION

Name and full address of the applicant

Membership No. of the applicant in the

Welfare Fund Board

Date of birth and completed age

Date of last payment of contribution

after completing 60 years

Number and date of the order sanctioning

retirement benefit (copy of the order should

be enclosed)

Period of membership of the applicant in the

Welfare Fund Board

State the No. of years for which retirement

benefit received from the Welfare Fund

Board by the Applicant

Whether the applicant applying for pension

is a person who has received financial

assistance from the scheme due to physical

disablement.

If so, date and Order of the

Chief Executive Officer

(Copy of the order should be enclosed):

Whether pension or other benefits is being

received from Government or any other

Semi-Government Institutions now? If so

give details?

The details mentioned above are true to the best of my knowledge and

belief.

(Signature of the Applicant)

Place:

Date:

Note:—Two passport size photograph should be enclosed with the

application.

FORM NO. 8

(See Para 9)

ORIGINAL

State Bank of Travancore

.....................................Branch.

Workers’ Welfare Fund

Date

:......................................................................

.......................................................................

Branch Code

:......................................................................

......................................................................

Membership number

:......................................................................

......................................................................

Monthly instalment

:......................................................................

......................................................................

From the month of .....................To......................................

Arrear amount (if any)

:..............................................................................

Fine for arrear

:..............................................................................

Total

:..............................................................................

Total Amount in words

:..............................................................................

(Seal)

Signature of the Member

Signature of the

Bank Authority.

* Only affix photos to whom pension is sanctioned.

Serial

No.

Name and

address

of the applicant

Date of

application

Registration

No. of the

Welfare Fund

Order No. and

date of sanction

of Retirement

Benefit

Date of

Retire-

ment

(1)

(2)

(3)

(4)

(5)

(6)

FORM

[See Para

PENSION APPLICATION REGISTER TO BE

NO. 9

29 (2)]

MAINTAINED IN DISTRICT EXECUTIVE OFFICE

Whether applied

due to physical

disability, Order

sanctioning

financial

assistance

File No. and

date on which

application

forwarded to

Chief Executive

Officer

Order No.and

date by which

Pension

sanctioned/

rejected

Remarks

Photo*

(7)

(8)

(9)

(10)

(11)

G. 390 (07) a.

Original

Duplicate

State Bank of Travancore

........................................Branch

Kerala Laundry Workers’ Welfare

Fund

Date..............................................

.......................................................

Branch Code...............................

.......................................................

Membership No..........................

.......................................................

Monthly instalment, from the

month of ....................to.............

Arrear amount, if any................

.......................................................

Fine for arrear..............................

........................................................

Total..............................................

.......................................................

Total amount in words..............

.......................................................

(Seal)

Signature of the

Member Bank Authority

Member

Bank Authority

Triplicate

Quadruplicate

State Bank of Travancore

........................................Branch

Kerala Laundry Workers’ Welfare

Fund

Date..............................................

.......................................................

Branch Code...............................

.......................................................

Membership No..........................

.......................................................

Monthly instalment, from the

month of ....................to.............

Arrear amount, if any................

.......................................................

Fine for arrear..............................

........................................................

Total..............................................

.......................................................

Total amount in words..............

.......................................................

(Seal)

Signature of the

Member Bank Authority

Member

Bank Authority