Kerala Gazette No. 9 dated 26th February 2008.

PART I

GOVERNMENT OF KERALA

Labour and Rehabilitation (E) Department

NOTIFICATION*

G. O. (P) No. 2/2004/LBR.

Dated, Thiruvananthapuram, 3rd January 2004.

THE KERALA BARBER-BEAUTICIAN WORKERS’ WELFARE SCHEME—2004

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

the Barber-Beautician Workers working in the State of Kerala.

Short title, extent and commencement.—(1) This Scheme may be called

the Barber-Beautician Workers’ Welfare Scheme, 2004.

(2)

It extends to the whole of the State of Kerala.

(3)

It shall come into force at once.

Definitions.—In this scheme, unless the context otherwise requires,—

(a)

‘Worker’ means a person working in the Hair dressing sector (ie., hair

dressor, persons working in the beauty parlours and persons working as

beautician) ;

(b)

‘Government’ means the Government of Kerala ;

(c)

‘Member’ means a member of the scheme ;

(d)

‘Scheme’ means the Kerala Barber-Beautician Workers’ Welfare

Scheme constituted under para 3 ;

(e)

‘Governing body’ means the committee having the responsibility of

administration over the Kerala Barber-Beautician Workers’ Welfare Scheme ;

* English Translation of the Notification No. G. O. (P) 2/2004/LBR

dated 3rd January, 2004.

G. 390/07 (b)

(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 depended 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 financial year in respect of financial matters and

calendar year in relation to the period of membership.

The scheme is framed for the Welfare of the Barber-Beautician 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 Barber Workers who are in between the age of 18

and 30 years and specified in sub para 3 of para 1 shall be eligible to become

member in this scheme.

Registration.—(1) Every worker who is 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 circumstances, when it is not possible to produce any of

these, a certificate issued by doctor who is a Civil Surgeon in Government

service, not below the rank of Grade II be sufficient. Two recent passport size

photographs shall also be produced by the applicant.

(2)

On 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 the identity card in

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

Bank.

(4)

The workers in the hair dressing 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

furnishing false information.

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

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

is permanently changed, his membership may be transferred accordingly to the

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

Executive Officer and the District Executive Officer shall pass orders in Form No.

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 may 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 to 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 Benefit.—(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 percent 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 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

the 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 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 concened revenue authorities showing the relation

between the heir and the 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 percent of the amount or

Rs. 5 which ever is higher shall be refunded to him on demand. For this purpose

the member shall submit the application along with necessary documents to the

concerned officials. But this may not included the contribution from the

Government.

CHAPTER–5

12.

Utilisation 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

Medicial 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)

Scholarships will be arranged for the education of the children of

members. The amount of scholarship shall be as follows:—

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

to the decision of the Governing body and is in proportion 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. 1500

Professional Courses such as Polytechnic,

Rs. 1500

Engineering, Medicine, Agriculture, Veterinary

and for post Professional courses such as

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. To 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 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 re-

funded in monthly instalments as fixed by the Chief Executive Officer. The remain-

ing 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 I 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 member on getting married do not

furnished revised nomination, the right for benefits is limited to the wife, hus-

band 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 satified that the default committed

as such, is on reasonable grounds, on payment of 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 Barber 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.—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 person 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 Barber 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 func-

tions 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 Barber 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.

G. 390/07 (b)

CHAPTER–7

PENSION

26.

The provision regarding the payment of pension to the Barber

Workers who were members in the Kerala Artisans and Skilled Workers’ Welfare

Scheme, on the commencement of the Kerala Barber-Beautician Workers’ Welfare

Scheme.

(1)

All the Barber Workers who were members of the Kerala Artisans and

Skilled Workers’ Welfare Scheme before the commencement of the Kerala Barber-

Beautician 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

Barber 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 Barber-Beautician 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 Barber-Beautician

Workers’ 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 upto 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 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)

No body 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 applications 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 alloted 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 recommendation.

(2)

Along with the first instalment of pension, an identity card in Form

No. 6 affixed with 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 disabilities or disease shall submit an application to

the concerned pension disbursement officer showing their physical disability

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/Councilor/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 in the Chief Executive Officer.—(1)

The application for

pension received along with necessary recommendation letter from the District Ex-

ecutive 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 orders of the Chief

Executive Officer may be filed before the Governing body within 90 days. 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

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

temporarily/permanently is vested with the Chief Executive Officer.

(4)

The application 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 Barber-Beautician

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.

ANNEXURE–1

RETIREMENT BENEFITS

Amount of

Years

Contribution

benefit to

Years

contribution

benefit to be

completed

amount of

be given

completed

remitted by

given to the

members

to the

members

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

4,220

29,725

1,920

3,826

4,320

32,861

2,040

4,321

4,440

36,318

2,160

4,866

4,500

40,126

2,280

5,468

4,680

44,322

2,400

6,131

4,800

50,000

ANNEXURE–2

[See Para 26 (4)]

The Schedule regarding the number of workers who had retired on comple-

tion of 60 years upto the year 2001 and those who are to complete 60 years from

2002 to 2011 (10 years) from the Barber workers who are members of Kerala

Artisans and Skilled Workers’ Welfare Scheme 1991, and the amount required for

pension.

Retired after completing 60 years/to be retired

No. of workers

Number of persons

Pension amount

Year

retired on

newly retiring

Total

to be given

pension

per year

annually

No.×12×100

1989-2001

1455

17,46,000

2002

203

1658

19,89,600

2003

184

1842

22,10,400

2004

201

2043

24,51,600

2005

214

2257

27,08,400

2006

270

2227

30,32,400

2007

304

2831

33,97,200

2008

271

3102

37,22,400

2009

301

3403

40,83,600

2010

354

3757

45,08,400

2011

377

4134

49,60,800

FORM NO. 1

(See Para 5)

APPLICATION FORM FOR ADMISSION TO WORKERS’ WELFARE

SCHEME–2004

PART–A

Name of Applicant

Address

Educational Qualification

(If any)

(a) Nature of work and place

of work of the applicant

(b) For how long you are doing

the above said job

person

(2) If worker the name and address

of the employer

Date of birth

Name of father

The name of the branch of the

State Bank of Travancore in which

you intends to remit money

DECLARATION

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/Thumb 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 &

Relationship

If nominee

Whether whole

Date of

with

is minor

or part, if it

Name

Address

birth

applicant

relationship

is a share,

with applicant

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.

(Signature/Thumb impression of the applicant.)

Place :

Date :

PART–C

(To be filled in by the District Executive Officer)

Application is Accepted/Rejected*

Identity Card No.

Code No.

Date:

Office Seal

Signature of the District Executive Officer.

* Score off which are unnecessary.

* If application is rejecting state the reasons for it.

G. 390/07 (b)

FORM NO. 2

PROCEEDINGS OF THE DISTRICT EXECUTIVE OFFICER

Present:

Sub:—Order giving membership in the Kerala Barber-Beautician Workers’

Welfare Scheme.....................................................

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

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

On the preliminary enquiry conducted by me on your application referred

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

Hence

you are admitted as a member of the Kerala Barber-Beautician 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.

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/Thumb impression

of the Applicant

Attested

District Executive Officer,

The Kerala Artisans and Skilled

Workers’ Welfare Scheme,

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

Photo

FORM NO. 4

(See Para 7)

PROCEEDINGS OF THE DISTRICT EXECUTIVE OFFICER OF THE KERALA

BARBER-BEAUTICIAN WORKERS’ WELFARE SCHEME

Sub:—The Kerala Barber-Beautician Worker (Death-cum-Retirement) Benefit

Scheme, 2004, Change of State Bank of Travancore branch where sub-

scription is paid–Reg.

Ref:—1. Circular No. ....................dated.....................of the Chief Executive Officer.

2. 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

the State Bank, 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 Barber-Beautician Workers’ Welfare Scheme

APPLICATION FORM FOR PENSION

1. Name and full address of the applicant :

2. Membership No. of the applicant in the

Welfare Fund Board

3. Date of birth and completed age

4. Date of last payment of contribution

after completing 60 years

5. Number and date of the order

sanctioning retirement benefit (copy of

the order should be enclosed)

6. Period of membership of the applicant

in the Welfare Fund Board

7. State the number of years for which

retirement benefit received from the

Welfare Fund Board by the Applicant

8. 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) :

9. 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. 6

The Kerala Barber-Beautician Workers’ Welfare Scheme

IDENTITY CARD

1. Registration Number

2. Name of the pensioner

3. Address

4. Number and date of sanctioning

pension

5. Signature of the Applicant

(Office Seal)

District Executive Officer,

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

FORM NO. 7

The Kerala Barber-Beautician Workers’ Welfare Scheme

Office of the District Executive Officer

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

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

The application for pension submitted by

Sri................................................................................................................................................

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

(Name and address) is received on this day.

District Executive Officer.

(Office Seal)

Photo

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.

FORM

[See Para

PENSION APPLICATION REGISTER TO BE

(1)

(2)

(3)

(4)

(5)

(6)

Serial

No.

Name and

address of the

applicant

Date of

application

Registration

number of

the Welfare

Fund

Order number and

date of sanction

of Retirement

Benefit

Date of

Retire-

ment

Original

State Bank of Travancore

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

Kerala Barber-Beautician 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

Duplicate

State Bank of Travancore

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

Kerala Barber-Beautician 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

Bank Deposit

Name of the Bank

Name of the Depositor

Code Number

Occupation

Address

Manager.

Date

Particulars

of Chalan

Monthly

Subscription

amount

Penal

interest

amount

Total

Advance/

withdrawal

Signature

of the

Authority