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असाधारण

EXTRAORDINARY

प्राधिकार से प्रकाशित

PUBLISHED BY AUTHORITY

Part II - Section 3

केन्द्र-शासित प्रदेश लद्दाख प्रशािन

ADMINISTRATION OF UNION TERRITORY OF LADAKH

DEPARTMENT OF LABOUR

NOTIFICATION

Ladakh, the 20^THof JULY 2026

S.O.224- Whereas, the draft Code on Social Security (Ladakh) Rules, 2026, which the

Administration of the Union Territory of Ladakh proposed to make in exercise of the

powers conferred by sections 154 and 156 of the Code on Social Security, 2020 (36 of

2020), read with section 24 of the General Clauses Act, 1897 (10 of 1897), and in

supersession of the Jammu and Kashmir Workmen's Compensation Rules, 1972, the

Jammu and Kashmir Payment of Gratuity Rules, 1973, the Jammu and Kashmir

Maternity Benefit Rules, 1974, the Jammu and Kashmir Building and Other

Construction Workers (Regulation of Employment and Conditions of Service) Rules,

2006 and the Jammu and Kashmir Unorganised Workers' Social Security Rules, 2010,

respectively, which stands repealed under section 164 of the Code on Social Security,

लद्दाख, 10 अगस्त, 2026

LADAKH, MONDAY, AUGUST, 10, 2026

भारत सरकार

GOVERNMENT OF INDIA

एस.जी.-एल.डी.-अ.-10082026-1798

SG-LD-E-10082026-1798

2020, save as respects things done or omitted to be done before such repeal, were

published, as required by sub-section (1) of section 156 of the said Code, vide

Notification S.O. 183 dated the 29^th of April, 2026, inviting objections and

suggestions from all persons likely to be affected thereby before the expiry of a period

of forty-five days from the date on which copies of the Official Gazette containing the

said notification were made available to the public;

And whereas, no objections or suggestions have been received from any person or

stakeholder by the Labour and Employment Department, Administration of Union

Territory of Ladakh, within the stipulated period;

Now, therefore, in exercise of the powers conferred by sections 154 and 156 of the

Code on Social Security, 2020 (36 of 2020), read with section 24 of the General

Clauses Act, 1897 (10 of 1897), the Administration of the Union Territory of Ladakh

hereby makes the following rules, namely:—

CHAPTER-I PRELIMINARY

1. Short title, extent and commencement. — (1) These rules may be called the Code on

Social Security (Ladakh) Rules, 2026.

(2)

They shall extend to whole of the Union Territory of Ladakh.

(3)

They shall come into force after the date of their final publication in the

Official Gazette.

2. Definitions. -(1) In these rules, unless the context otherwise requires:—

(a) “Administration” means the “Administration of the Union Territory of Ladakh”.

(b) “Board” means the Ladakh Unorganized Workers Social Security Board and the

Ladakh Building and Other Construction Workers Welfare Board constituted under

sub-section (9) of section 6 of the Code and under sub- section (1) of section 7 of

the Code, respectively.

Territory

of Ladakh for collection of cess under the Code.

(d) “Chairperson” means the Chairperson of the Board;

(e) “Code” means the Code on Social Security, 2020(Act No. 36 of 2020);

(f) “Form” means a form appended to these rules;

(g) “Member” means a member of the Board;

(h) “Nominations” means nominations made under section 55;

(i) “Section” means a section of the Code; and

(j) “Specified” means specified by the Administration by an order published in the

Official Gazette.

(2) All other words and expressions used in these rules which are not defined herein,

but are defined in the Code shall have their respective meanings assigned to them in

the Code.

CHAPTER–II

SOCIAL SECURITY ORGANISATIONS

A. LADAKH UNORGANIZED WORKERS SOCIAL SECURITY BOARD

3. Constitution of the Ladakh Unorganised Workers’ Social Security Board:—

(1) Ladakh Unorganised Workers’ Social Security Board shall be constituted under

sub-section (9) of Section 6 of the Code by Notification in the Official Gazette to

exercise the powers conferred on and to perform the functions assigned to it under the

Code.

(2) In nominating the members under sub-clauses (i), (ii) and (iv) of clause (d) of sub-

section (10) of Section 6 of the Code, the UT of Ladakh Administration shall

consider the nominations from the unorganized workers, employers of unorganized

workers and eminent persons from civil society.

4. Term of office of members.— (1) A member, other than an ex-officio member, shall

hold office for a period not exceeding three years from the date of his nomination.

(2) A member nominated under sub-clauses (i), (ii) and (iv) of clause (d) of sub

section (10) of section 6 shall cease to be a member of the Board if he/she ceases to

represent the category of interest from which he was so nominated:

Provided that out of seven persons nominated under sub-clause (i) of clause (d) of

sub- section (10) of section 6, one member each shall be from the Scheduled Castes,

Scheduled Tribes, Minorities and the Women.

(3) All members shall be eligible for re-nomination.

"Provided that a member, other than an ex officio member, shall not hold the office

for more than total of two terms."

5. Resignation.— (1) A member of the Board, not being an ex-officio member, may

resign from his office by a letter in writing addressed to the Chairperson.

(2) The seat of such a member shall fall vacant from the date on which his

resignation is accepted or on the expiry of thirty days from the date of receipt of

intimation of resignation, whichever is earlier.

(3) The power to accept the resignation of a member shall vest in the Chairperson,

who, on accepting the resignation, shall report to the Board at its next meeting.

6. Removal of member.— The Administration may remove from office any member of

the Board, if, in its opinion, such a member has ceased to represent the interest which

he purports to represent on the Board:

Provided that no such member shall be removed unless a reasonable opportunity

is given to him of making any representation against the proposed action.

7. Address of the members.—

(1) Every Member shall furnish his address to the Member Secretary of the Board

who shall thereupon enter his address in the official record.

(2) If a member changes his address, he shall furnish his new address to the Member

Secretary of the Board who shall thereupon enter his new address in the official

record:

Provided that if a member fails to furnish his new address, the address in the

official record shall for all purposes be deemed to be the member's correct address.

8. Manner of filling vacancies.— When a vacancy occurs or is likely to occur on

completion of the term of the Member in the membership of the Board, the

Chairperson shall submit a report to the Administration and on receipt of such

report, the Administration may, by notification, nominate a person to fill the vacancy:

Provided that when a vacancy occurs or is likely to occur due to removal or

resignation of a member, the Member Secretary shall submit a report to the

Administration and on receipt of such report, the Administration may, by notification,

nominate a person to fill the vacancy and the person so nominated shall hold office

for the remaining term of office of the member in whose place he is nominated.

9. Allowances of members.—

(1) The travelling allowance of an official member of the Board shall be governed by

the rules applicable to him for journey performed by him on official duties and shall

be paid by the authority paying his salary.

(2) The non-official members of the Board shall be entitled to the payment of

travelling and daily allowance for attending the meetings of the Board at such rates as

are admissible to Group 'A' Officers of the Administration.

10. Disposal of business.— Every matter which the Board is required to take into

consideration shall be considered at a meeting of the Board, or if the Chairperson so

directs, by sending the necessary papers to every member for opinion, and the matter

shall be disposed of in accordance with that decision of the majority:

Provided that where there is no opinion of majority on a matter and the members

of the Board are equally divided, the Chairperson shall have a second or a casting

vote.

Explanation.— The expression "Chairperson" for the purpose of the above proviso

shall include a member nominated or chosen under sub-rule (2) of rule 11 to preside

over a meeting.

11. Meetings.—

(1) The Board shall meet at such places and at such times as may be decided by the

Chairperson and it shall meet at least once in a quarter of the year.

(2) The Chairperson shall preside over every meeting of the Board in which he is

present and, in his absence, he may nominate a member of the Board to preside over

such meeting in his place and in the absence of such nomination by the Chairperson,

the members of the Board present in such meeting, may choose one member from

amongst themselves to preside over the meeting.

12. Notice of meetings and list of business. —

(1) Ordinarily, two weeks’ notice shall be given to the members of the Board of a

proposed meeting:

Provided that the Chairperson, if he is satisfied that it is expedient so to do, may

give notice of longer period not exceeding one month for such meeting.

(2) No business except which is included in the list of business for a meeting of the

Board shall be considered at the meeting without the permission of the Chairperson.

(3) The Chairperson may at any time call a special meeting of the Board in case of

urgency, after informing the members in advance about the subject matter of

discussion and the reasons of urgency.

13. Quorum.— (1) No business shall be transacted at any meeting of the Board unless

atleast 1/3^rd of total members are present in that meeting which shall include at least

one non-official member.

Provided that if at a meeting, where less than 1/3^rd of total members are present,

the Chairperson may adjourn the meeting to another date informing the members

present and giving notice to the other members that he proposes to dispose of the

business at the adjourned meeting whether there is prescribed quorum or not, and it

shall there upon be lawful for him to dispose of the business at the adjourned meeting

irrespective of the number of members attending.

(2) The Administration may prohibit any member other than ex-officio members, from

taking part in the meeting of the Board if:.—

(a) he absents himself from three consecutive meetings of the Board without written

information and consent of the Chairperson; or

(b) In view of the Administration, such member ceased to represent the interest

which he purports to represent on the Board.

LADAKH BUILDING AND OTHER CONSTRUCTION WORKERS’ WELFARE

BOARD

14.

Constitution of the Ladakh Building and Other Construction Workers’

Welfare Board:— The Ladakh Building and other Construction Workers’ Welfare

Board shall be constituted by Notification in the Official Gazette under section 7 of

the Code to exercise the powers conferred on and perform the functions assigned to it

under Section 7 and Chapter VIII of the Code.

15. Terms and conditions of appointment of the Chairperson and other members of

the Board. —

(1) The term of office of Chairperson and other members of the Board shall be three

years.

(2) The Chairperson and other members of the Board shall be paid such salary and

allowances, as may be determined by Administration in consultation with the Board.

16. Filling up of casual vacancies. —

A member, nominated to fill a casual vacancy, shall hold office for the remaining

period of the term of office of the member in whose place, he is nominated.

17. Terms and conditions of appointment of Secretary, other officers and employees

of the Board.— The Secretary, other officers and employees of the Board shall be

appointed on such terms and conditions and shall be paid such salary and allowances,

as may be determined by the Board from time to time with the approval of the

Administration.

18. Social security schemes and welfare measures under sub-section (6) of Section

7.—

(i) Board with the prior approval of “Administration” shall notify social security

schemes and welfare measures prescribed in Clause (c), (d) and (e) of sub-section (6)

of Section 7.

(ii) Board shall formulate social security schemes and welfare measures in which

eligibility limit, detail of various benefits; application form procedure, determination

of competent authority for sanction of benefit and manner of payment and other

incidental matters thereto shall be clearly mentioned.

CHAPTER - III

EMPLOYEES INSURANCE

COURT

19. Procedure and fees.— (1) The procedure for filing application to the Employee

Insurance Court: —

An application under section 49 shall be presented in triplicate in Form II

and shall contain the following particulars, namely: —

(a) The name of the Court in which an application is filed;

(b) Full name, description including age, occupation and full postal address of

applicant and the opposite party;

unsound mind, a statement to that effect and the full name, age,

occupation and full postal address of his or her guardian, next-of-kin, or

any other person authorized to act on his or her behalf;

(d) The fact constituting the cause of action and the date when it arose;

(e) The facts showing that court has jurisdiction; and

(f) The relief which the applicant claims;

ii.

Every application shall be verified in the same manner as a pleading in a Civil

Court;

iii.

All the documents on which the application is based or has desired by

applicant shall be appended to application with an accurate list thereof; and

iv.

All application shall be entered in a register in Form III to be maintained by

the Court.

(2) Proceeding of Employees Insurance Court: —

(i) Every application to the Court shall be filed within three years on which the cause

of action arose or as the case may be, the claim becomes due;

(ii) Where at any stage it appears to the Court that the application should be presented

to another Court, or should be entertained by another Court, the first Court shall send

the application or file of the case to the Court empowered to deal with it and shall

inform the applicant and the opposite party accordingly and the Court to which

application or file is transferred shall continue the proceedings as if the previous

proceedings or any part of it had been taken before it.

(iii) The Court shall follow the rules of the Code of Civil Procedure, 1908 in respect of

summoning of the parties, service of summons, procedure of hearing, framing of

issues, statement and production of evidence, method of recording evidence, cross

examination of witness and other related matters.

Explanation. — For the purpose of this sub-rule, — (a) the cause of action in respect

of a claim for benefit shall not be deemed to arise unless the insured person or in the

case of dependents’ benefit, the dependents of the insured person claims or claim that

benefit in accordance with the regulations made in that behalf within a period of

twelve months after the claim became due or within such further period as the

Employees’ Insurance Court may allow on grounds which appear to it to be

reasonable;

(b) the cause of action in respect of a claim by the Corporation for recovering

contributions (including interest and damages) from the principal employer shall be

deemed to have arisen on the date on which such claim is made by the Corporation

for the first time:

Provided that no claim shall be made by the Corporation after five years of the period

to which the claim relates;

contributions from an immediate employer shall not be deemed to arise till the date

by which the evidence of contributions having been paid is due to be received by the

Corporation under the regulations.

(3) Fees.— (i) The fee payable on an application in respect of any matter referred to in

section 49 shall be hundred rupees.

(ii) The fee and costs payable in respect of any other matter shall be such as may

be prescribed for the time being in force.

(iii) All fees referred to in this rule shall be collected by way of Court fee stamps.

20. Second Appeal to Employee’s Insurance Court under section 37 (7) (b). – When

the decision of the Medical Board with respect to cases as listed under section 37 (1)

of the Code are appealed before the Medical Appeal Tribunal under section

37(7)(a)(i), then The insured person or the Corporation may file a second appeal to

the Employees’ Insurance Court by presenting an application within ninety days from

the date of receipt of the copy of order of the Medical Appeal Tribunal and other

cases related to Insured Person;

Provided that, the Employees’ Insurance Court may entertain the appeal after the

period of ninety days, if it is satisfied that the appellant had sufficient reasons for not

presenting the appeal within the prescribed period. The applications to the

Employees’ Insurance Court, shall be in Form I.

CHAPTER-IV

GRATUITY

21. Bank or other financial institution in which the gratuity shall be invested for the

benefit of minor.— In the case of nominee, or an heir, who is minor, the competent

authority shall invest the gratuity amount deposited with him for the benefit of such

minor in term deposit with the State Bank of India or any other Nationalized Bank.

Explanation.- "Nationalized Bank" means a corresponding new bank specified in the

First Schedule to the Banking Companies (Acquisition and Transfer of Undertakings)

Act, 1970 (Central Act 5 of 1970) or a corresponding new bank specified in the First

Schedule of the Banking Companies (Acquisition and Transfer of Undertakings) Act,

1980 (Central Act 40 of 1980).

22. Time, form and manner of nomination by an employee. —

(1) A nomination shall be in Form IV and submitted in duplicate by the employee

either by personal service, after taking proper receipt or by registered post

acknowledgement due or electronically to the employer,

(a) in the case of an employee who is already in employment for a year or more on

the date of commencement of these rules but have not submitted the

nomination, ordinarily, within ninety days from such date; and

(b) in the case of an employee who completes one year of service after the date of

commencement of these rules, ordinarily within thirty days of the completion of

one year of service:

Provided that nomination in Form IV shall be accepted by the employer after the

specified period, if filed and no nomination so accepted shall be invalid merely

because it was filed after the specified period.

(2) Within thirty days of the receipt of nomination in Form IV under sub-rule (1), the

employer shall get the service particulars of the employee, as mentioned in the form

of nomination, verified with reference to the records of the establishment and return

to the employee, after obtaining a receipt thereof, the duplicate copy of the

nomination in Form IV duly attested either by the employer or an officer authorised

in this behalf by him, as a token of recording of the nomination by the employer and

the other copy of the nomination shall be recorded.

(3) An employee who has no family at the time of making a nomination shall, within

ninety days of acquiring a family submit in the manner specified in sub-rule (1), a

fresh nomination, as required under sub-section (4) of section 55, in duplicate in

Form V to the employer and thereafter the provisions of sub-rule (2) shall apply

mutatis mutandis as if it was made under sub- rule (1).

(4) A notice of modification of a nomination, including cases where a nominee

predeceases an employee, shall be submitted in duplicate in Form VI to the employer

in the manner specified in sub-rule (1), and thereafter the provisions of sub-rule (2)

shall apply mutatis mutandis.

(5) A nomination or a fresh nomination or a notice of modification of nomination

shall be, signed by the employee or, if illiterate, shall bear his thumb impression, in

the presence of two witnesses, who shall also sign a declaration to that effect in the

nomination, fresh nomination, or notice of modification of the nomination, as the case

may be.

(6) A nomination, fresh nomination or notice of modification of nomination shall take

effect from the date of receipt thereof by the employer.

23. Time within which and the form in which a written application shall be made.-

(1) Application for Gratuity. -

(a) An employee who is eligible for payment of gratuity under the Code, or any person

authorized, in writing, to act on his behalf, shall apply, ordinarily within thirty days

from the date the gratuity became payable, in Form VII to the employer:

Provided that where the date of superannuation or retirement of an employee is

known, the employee may apply to the employer before thirty days of the date of

superannuation or retirement:

Provided further that an employee on fixed term employment shall be eligible for

gratuity, if he renders service under the contract for a period of one year and he shall

be paid gratuity at the rate of fifteen days’ wages, based on the rate of wages last

drawn by him, for every completed year of service or part thereof in excess of six

months.

(b) A nominee of an employee who is eligible for payment of gratuity under the second

proviso to sub-section (1) of section 53 shall apply, ordinarily within thirty days

from the date of gratuity became payable to him, in Form VII to the employer:

Provided that an application in plain paper with relevant particulars shall also be

accepted. The employer may obtain such other particulars as may be deemed

necessary by him.

second proviso to sub-section(1) of section 53 shall apply, ordinarily within one

year from the date of gratuity became payable to him, in Form VII to the

employer.

(d) Where gratuity becomes payable under the Code before the commencement of

these rules, the periods of limitation specified in clauses (a), (b) and (c) of sub-rule

(1) shall be deemed to be operative from the date of such commencement.

(e) An application for payment of gratuity filed after the expiry of the periods

specified in this rule shall also be entertained by the employer, if the applicant

adduces sufficient cause for the delay in preferring his claim, and no claim for

gratuity under the Code shall be invalid merely because the claimant failed to present

his application within the specified period. Any dispute in this regard shall be referred

to the competent authority for his decision.

(f) An application under this rule shall be presented to the employer either

electronically, or by personal service or by registered post acknowledgement due.

(2) Notice for payment of gratuity. – (a)Within fifteen days of the receipt of an

application under sub-rule (1) for payment of gratuity, the employer shall-

(i) if the claim is found admissible on verification, issue a notice in Form VIII to the

applicant employee, nominee or legal heir, as the case may be, specifying the amount

of gratuity payable and fixing a date, not being later than the thirtieth day after the

date of receipt of the application, for payment thereof, or

(ii) if the claim for gratuity is not found admissible, issue a notice in Form VIII to the

applicant employee, nominee or legal heir, as the case may be, specifying the reasons

why the claim for gratuity is not considered admissible.

In the case of denial of gratuity, a copy of the notice shall be endorsed to the

competent authority.

(b) In case payment of gratuity is due to be made in the employer's office, the date fixed

for the purpose in the notice in Form VIII under sub-clause (i) of clause (a) of sub-rule

(2) shall be re- fixed by the employer, if a written application in this behalf is made by the

payee explaining why it is not possible for him to be present in person on the date

specified.

witness or evidence as may be deemed relevant for establishing his identity or

maintainability of his claim, as the case may be. In that case, the time limit specified for

issuance of notices under clause (a) of sub-rule (2) shall be operative with effect from the

date such witness or evidence, as the case may be, called for by the employer is furnished

to the employer.

(d) A notice in Form VIII shall be served on the applicant either by personal service after

taking receipt or by registered post with acknowledgement due or electronically.

(e)A notice under sub-section (2) of section 56 shall be in Form VIII.

(3) Mode of payment of gratuity. —The gratuity payable under the Code shall be paid

through Demand Draft or by crediting in the bank account of the eligible employee,

nominee or legal heir, as the case may be:

Provided, that intimation about the details of payment shall also be given by

the employer to the competent authority of the area.

(4) Application to competent authority for direction under clause (b) of sub-section

(5) of section 56.—

(a) if an employer-

(i) refuses to accept a nomination under sub-rule (1) of rule 19 or to entertain an

application sought to be filed under sub-rule (1), or

(ii) issues a notice under clause (a) of sub-rule (2) either specifying an amount

of gratuity which is considered by the applicant less than what is payable or

rejecting eligibility to payment of gratuity, or

(iii)

having received an application under sub-rule (1) fails to issue notice as

required under sub- rule (2)within the time specified therein, the claimant

employee, nominee or legal heir, as the case may be, may, within one hundred

eighty days of the occurrence of the cause for the application, apply in Form IX

to the competent authority for issuing a direction under sub- section (5) of

section 56 with as many extra copies as are the opposite party:

Provided, that the competent authority may accept any application under this

sub-rule, on sufficient cause being shown by the applicant, after the expiry of the

specified period.

(b) application under clause (a) of sub-rule (4) and other documents relevant to such an

application shall be presented in person to the competent authority or shall be sent by

registered post acknowledgement due or electronically.

(5) Procedure for dealing with application for direction.— (a) on receipt of an

application under sub-rule (4), the competent authority shall, by issuing a notice in

Form X, by electronically or Registered Post Acknowledgment Due (RPAD) or in

person call upon the applicant as well as the employer to appear before him on a

specified date, time and place, either by himself or through his authorized

representative together with all relevant documents and witnesses, if any.

(b) any person desiring to act on behalf of an employer or employee, nominee or legal

heir, as the case maybe, shall present to the competent authority a letter of authority

from the employer or the person concerned, as the case may be, on whose behalf he

seeks to act together with a written statement explaining his interest in the matter and

praying for permission so to act. The competent authority shall record thereon an

order either according his approval or specifying, in the case of refusal to grant the

permission prayed for, the reasons for the refusal.

representative.

(d) after completion of hearing on the date fixed under clause (a), or after such further

evidence, examination of documents, witnesses, hearing and inquiry, as may be

deemed necessary, the competent authority shall record his findings to whether any

amount is payable to the applicant under the Code. A copy of the finding shall be

given to each of the parties.

(e) if the employer concerned fails to appear on the specified date of hearing after due

service of notice without sufficient cause, the competent authority may proceed to

hear and determine the application ex-parte. If the applicant fails to appear on the

specified date of hearing without sufficient cause, the competent authority may

dismiss the application:

Provided, that an order under clause (e) of sub-rule (5) may, on good cause being

shown within thirty days of the said order, be reviewed and the application re-heard

after giving not less than fourteen days' notice to the opposite party of the date fixed

for rehearing of the application:

Provided, further that the time limit for disposal of application for direction shall

not exceed ninety days from the date of filing of the application before the Competent

Authority. In case of non-appearance by either of the parties, a maximum of three

opportunities may be given before disposal of the application.

(6) Place and time of hearing. —The sittings of the competent authority shall be held at

such times and at such places as he may fix and he shall inform the parties of the

same in such manner as he thinks fit.

(7) Administration of oath. —The competent authority may authorize a clerk of his

office to administer oaths for the purpose of making affidavits.

(8) Summoning and attendance of witnesses.—The competent authority may, at any

stage of the proceedings before him, either upon or without an application by any of

the parties involved in the proceedings before him, and on such terms as may appear

to the competent authority just, issue summons to any person in Form X either to

give evidence or to produce documents or for both purposes on a specified date, time

and place.

(9) Service of summons or notice. —

(a) subject to the provisions of clause(b), any notice, summons, process or order issued

by the competent authority may be served either personally or by registered post

acknowledgement due or electronically or in any other manner as prescribed under

the Code of Civil Procedure, 1908 (Central Act 5 of 1908).

(b) where there are numerous persons as parties to any proceeding before the

competent authority and such persons are members of any trade union or association

or are represented by an authorized person, the service of notice on the Secretary, or

where there is no Secretary, on the principal officer of the trade union or association,

or on the authorized person shall be deemed to be service on such persons.

(10) Maintenance of records of cases by the competent authority. —

(a) the competent authority shall record the particulars of each case under section 56

and at the time of passing orders shall sign and date the particulars so recorded.

(b) the competent authority shall, while passing orders in each case, also record the

findings on the merits of the case and file it together with the memoranda of evidence

with the order sheet.

rules to be signed by the competent authority, may be signed on behalf of and under

the direction of the competent authority by any subordinate officer appointed in

writing for this purpose by the competent authority.

(11) Direction for payment of gratuity.—If a finding is recorded under clause (d) of sub-

rule (5) that the applicant is entitled to payment of gratuity under the Code, the

competent authority shall issue a notice to the employer concerned in Form XI

electronically or registered post acknowledgment due or in person specifying the

amount payable (including interest due, if any, under sub-section (4) of section 56 of

the Code) and directing payment thereof to the applicant under intimation to the

competent authority within thirty days from the date of the receipt of the notice by the

employer. A copy of the notice shall be endorsed to the applicant employee, nominee

or legal heir, as the case may be.

(12) Appeal.—

(a) the Memorandum of appeal under sub-section (8) of section 56 of the Code shall

be submitted to the appellate authority with a copy thereof to the opposite party and

the competent authority either through delivery in person or under registered post

acknowledgement due or electronically.

(b) the Memorandum of appeal shall contain the facts of the case, the decision of the

competent authority, the grounds of appeal and the relief sought.

finding of the competent authority and direction for payment of gratuity.

(d) on receipt of the copy of Memorandum of appeal, the competent authority shall

forward records of the case to the appellate authority.

(e) within fourteen days of the receipt of the copy of the Memorandum of appeal, the

opposite party shall submit his comments of each paragraph of the memorandum with

additional pleas, if any, to the appellate authority with a copy to the appellant.

(f) the appellate authority shall record its decision after giving the parties to the

appeal a reasonable opportunity of being heard. A copy of the decision shall be given

to the parties to the appeal by electronically or registered post or in person and a copy

thereof shall be sent to the competent authority returning his records of the case.

(g) the competent authority shall, on receipt of the decision of the appellate authority,

make necessary entry in the records of the case maintained by him.

(h) on receipt of the decision of the appellate authority, the competent authority shall,

if required under that decision, modify his direction for payment of gratuity and issue

a notice to the employer concerned in Form XI specifying the modified amount

payable and directing payment thereof to the applicant, under intimation to the

competent authority within fifteen days of the receipt of the notice by the employer. A

copy of the notice be endorsed to the appellant employee, nominee or legal heir, as

the case may be, and to the appellate authority.

(i) the time limit for disposal of appeal shall not exceed ninety days from the date of

filing of appeal. In case of non-appearance by either of the parties, a maximum of

three opportunities may be given before disposal of the appeal.

(13) Application for recovery of gratuity.—Where an employer fails to pay the gratuity

due under the Code in accordance with the notice by the competent authority under

sub-rule (11) or sub-rule (12), as the case may be, the employee concerned, his

nominee or legal heir, as the case may be, to whom the gratuity is payable may apply

to the competent authority in duplicate in Form XII for recovery thereof under

section 129 of the Code.

24. Manner of registration.— (1) Every Employer of an establishment covered by the

Code shall get his/her establishment registered electronically with competent

authority in Form XIII within thirty days from the date of notification of the

compulsory insurance specified under sub-section (1) of section 57 of the Code.

(2) The Board of Trustees shall include an equal number of representatives of the

employer and the employees of the establishment.

(3) Any amount directed to be paid under sub-section (4) of Section 57 shall be

recoverable as an arrear of land revenue.

25. Competent authority and Appellate Authority.— (1) The Administration by

Notification appoint any officer not below the rank of the Assistant Labour

Commissioner of the Labour Department to be the Competent Authority for

implementation of any provision of Chapter V of the Code.

(2) The Administration may by notification appoint any officer above the rank of the

Competent Authority appointed under sub-rule (1) as Appellate Authority for the

purpose of Section 56 of the Code.

(3) The Memorandum of appeal under sub-section(8) of Section 56 of the Code shall

be submitted to the appellate authority with a copy thereof to the opposite party and

the competent authority either through delivery in person or under registered post

acknowledgement due or electronically.

(4) The Memorandum of Appeal shall contain the facts of the case, the decision of the

competent authority, the grounds of appeal and the relief sought.

(5) There shall be appended to the Memorandum of appeal a certified copy of the

finding of the competent authority and direction for payment of gratuity.

(6) On receipt of the copy of Memorandum of appeal, the competent authority shall

forward records of the case to the appellate authority.

(7) Within fourteen days of the receipt of the copy of the Memorandum of appeal,

the opposite party shall submit his comments of each paragraph of the memorandum

with additional pleas, if any, to the appellate authority with a copy to the appellant.

(8) The appellate authority shall record its decision after giving the parties to the

appeal a reasonable opportunity of being heard. A copy of the decision shall be given

to the parties to the appeal by electronically or registered post or in person and a copy

thereof shall e sent to the competent authority returning his records of the case.

(9) The competent authority shall, on receipt of the decision of the appellate authority,

make necessary entry in the records of the case maintained by him.

CHAPTER-V

MATERNITY

BENEFIT

26. Complaint and Appeal.— (1) Complaint, —

(a) A complaint under sub-section (1) of section 72 shall be made in writing in Form

XIV as the case may be.

(b) When a complaint referred to in sub-section (2) of Section 72 is received by an

Inspector-cum-Facilitator, he shall examine the relevant record maintained by the

employer in this behalf, examine any person employed in the establishment and take

down necessary statement for the purpose of the enquiry and if he is satisfied that the

maternity benefit or the amount has been improperly withheld, he shall direct the

employer to make the payment to the woman or to the person claiming the payment

under section 63, as the case may be, immediately or within a specified period:

Provided that the time limit for disposal of complaint shall not exceed ninety

days from the date of filing of complaint. In case of non-appearance by either of the

parties, a maximum of three opportunities may be given before disposal of the

complaint.

(2)

Appeal. —

(a)

An appeal against the decision of the Inspector-cum-Facilitator under sub-

section (2) of section 72, shall lie with the competent authority.

(b)

The aggrieved person shall prefer an appeal in writing to the prescribed

authority in Form XV and file other supporting documents.

cum- Facilitator before a fixed date, the record of the case. The prescribed authority

shall, if necessary, also record the statements of the aggrieved person and of the

Inspector-cum-Facilitator and seek clarification if any is required.

(d) Taking into account the documents, the evidence produced before him and the

facts presented to him or ascertained by him, the prescribed authority shall give his

decision within a period of ninety days from filing of the application before him. In

case of non-appearance by either of the parties, a maximum of three opportunities

may be given before disposal of the appeal.

(3) Authority to whom an appeal may be preferred: A person aggrieved by the order

of Inspector-cum Facilitator under sub-section (2) of section 72 may appeal to the

authority appointed by the Administration by way of notification for the said

purpose.

CHAPTER-VI

EMPLOYEE’S

COMPENSATION

27. Amount to be deposited towards the expenditure of the funeral of the employee

with the competent authority by the employer.— If the injury of employee results

in death, the employer shall in addition to compensation to be given under the code

shall deposit with the competent authority a sum of fifteen thousand rupees or such

amount as may be notified by the Administration through Gazette notification, for

payment of the same to the eldest surviving dependents of the employee towards the

expenditure of the funeral of such employee or where the employee does not have

any dependent or was not living with his dependent at the time of his death to the

person who actually incurred such expenditure.

Provided that the Administration may, by notification from time to time enhance

the amount specified above.

28. Conditions when application for review is made without certificate of a medical

practitioner. —

Application for review of half-monthly payment under subsection (1) of section 79,

may be made without being accompanied by a medical certificate; -

(a) by the employer, on the ground that since the right to compensation was determined,

the employee’s wages have increased;

(b) by the employee, on the ground that since the right to compensation was determined,

his wages have diminished;

compensation, has ceased to pay the same, notwithstanding the fact that there has

been no change in the employee’s condition such as to warrant such cessation;

(d) either by the employer or by the employee, on the ground that the determination of

the rate of compensation for the time being in force was obtained by fraud or undue

influence or other improper means;

(e) either by the employer or by the employee on the ground that in the determination of

compensation, there is a mistake or error apparent on the face of the record.

29. Class of employers and the form of notice book. — Every employer to which the

Code applies, shall maintain a notice book in accordance with sub- section (4) of

section 82 in Form XVI.

30. Interval for medical examination.— A employee who is in receipt of a half

monthly payment shall not be required to submit himself for medical examination

elsewhere than at the place where he is residing for the time being or more than twice

in the first month following the accident or more than once in any subsequent month.

31. Form of statement to be submitted by the employer.— The statement for fatal

accident required under sub- section (1) of section 88 shall be in Form XVII.

32. Manner of Recording Memorandum.—

(1)

Form of Memorandum-Memorandum of agreement sent to the competent

authority under sub-section (1) of section 89 shall unless the competent authority

otherwise directs, be in duplicate, and shall be in as close conformity as the

circumstances of the case admit with Form XVIII, or Form XVIII A, or Form

XVIII B as the case may be.

(2) After receiving a memorandum of agreement, the competent authority shall, for

taking decision to record memorandum or refusing to record, shall issue notice to

parties to agreement in Form XIX, fixing date and place of hearing and in default of

objections, he proposes to record the memorandum on the date so fixed. The notice

may be sent personally or through registered post or speed post or electronically:

Provided that the notice may be communicated orally to any parties who are present

at the time when notice in writing would otherwise issue.

(3) On the date so fixed, the competent authority, after hearing the parties to

agreement shall take decision to record or refuse to record the memorandum:

Provided that, the issue of a notice under sub-rule(2), shall not be deemed to prevent

the competent authority from refusing to record the memorandum on the date so fixed

even if no objection has been made by any party concerned.

(4) If on such date the competent authority decides that the memorandum ought not to

be recorded, he shall inform the parties present of his decision and of the reasons

thereof and if any party desiring the memorandum to be recorded is not present, he

shall send information to that party.

(5) Registration of memorandum accepted for record.— In recording a

memorandum of agreement, the competent authority shall cause the same to be

entered in a register in Form XX and shall cause an endorsement to be entered under

his signature on a copy of a memorandum to be retained by him in the following

terms, namely-

“ The memorandum of agreement bearing serial no. of 20

in the register has

been recorded on this

day of .

(Signature)

Competent

Authority”

33. Qualifications and experience for competent authority.— The person to be

appointed as the competent authority for the purpose of this Chapter shall be

appointed by the Administration by notification as per section 91(1) of the code.

34. Manner in which matters may be dealt with by or before the competent

authority—

(1) On receipt of the application, the competent authority shall verify the jurisdiction

as per the parameters specified in clause (a), (b) and (c) of sub-section (1) of section

92.

(2) If it appears to the competent authority on receiving the application that it should

be presented to another competent authority, he shall return it to the applicant after

endorsing upon it the date of the presentation and return, the reason for returning it

and designation of the competent authority to whom it should be presented.

(3) If at any stage of the case it appears to the competent authority the application

should be entertained by another competent authority, he shall send file of the case to

that authority who has the jurisdiction, and inform to the applicant and other parties in

accordance with the procedure defined in subsection (3) of section 93 of the Code.

(4) The competent authority to whom the case has been transferred, shall continue to

proceed as if the previous proceedings were done before him, provided he is satisfied

that it shall not cause prejudice to the concerned parties.

35. Time-limit for disposal of application and cost incidental to the proceedings. —

(1) The competent authority shall dispose the application within six months from the

date of receiving the application.

(2) Incidental Costs- (a) Any party to the dispute who desires to get certified copies of

decision, decree or other document, may get the same on payment of cost at the

following rate, namely: -

(i) The cost for the copies of any document of record or statement or order or

decree shall be rupees hundred per copy of the said documents.

(ii) The cost of service or summons or notices or expenses of witnesses or the cost

payable in respect of any of the matter not referred above shall be such amount

as may be ordered in each case by the competent authority.

(iii) The competent authority may, whenever it finds either on application of

applicant or otherwise that the applicant is unable to pay the costs, it may

exempt the applicant from the payment of cost.

(b) Any person who is not a party to dispute, may get the certified copy of decision,

decree or other documents except the confidential documents, on payment of such

fees as specified in the preceding clause.

36. Manner of authentication of memorandum. —

(1) After framing of issues, parties may submit their evidence on affidavit, on which

the opposite party shall have right to cross examination.

(2) On application by any party to the proceedings and on deposit of fees and

expenses fixed by the competent authority, the competent authority may summon any

witness whose evidence, he thinks necessary for just decision of the case.

(3) The evidence of all witnesses shall be recorded in the presence of competent

authority and shall be authenticated by his signatures and seal.

CHAPTER-VII

SOCIAL SECURITY AND CESS IN RESPECT OF BUILDING AND OTHER

CONSTRUCTION WORKERS

37. Time limit for payment of cess.—

(1) The cess levied under the sub-section (1) of section 100 shall be paid by an

employer, within thirty days of the completion of the construction project or within

thirty days of the date on which assessment of cess payable is finished; whichever is

earlier, to the Cess Collector.

(2) Notwithstanding anything contained in sub-rule (1), where the duration of the

project or construction work exceeds one year, cess shall be paid within thirty days of

completion of one year from the date of commencement of work and every year

thereafter at the notified rates on the cost of construction incurred during the relevant

period.

38. Fees for appeal.— An appeal preferred under sub-section (1) of Section 105 shall be

accompanied by non- refundable fee equivalent to half per cent, but not exceeding

rupees twenty five thousand of the amount in dispute or penalty or both, as the case

may be, under such appeal which shall be paid on portal and shall be credited to the

treasury in the head of the account as may be specified by Administration from time

to time.

CHAPTER-VIII

FINANCE

AND

ACCOUNTS

39. Conditions to acquire, hold, sell or otherwise transfer any movable or immovable

property. —

(1) Administration shall in consultation with the Ladakh Unorganised Social Security

Board and the Ladakh Building and Other Construction Workers Welfare Board

frame a detailed policy for the purposes specified in Section 120 of the Code.

(2) The conditions to acquire, hold, sell or otherwise transfer any movable or

immovable property under sub- section (1) of section 120, conditions to invest

moneys, re-invest or realize investments under sub-section (2) of section 120, terms

to raise loans and take measures for discharging such loans under sub-section (3) of

section 120 and terms to constitute to the benefit of officers and staff or any class of

them, provident or other benefits under sub-section (4) of section 120 of the Code

shall be as decided by the Board by a resolution approved by not less than 2/3^rd

majority.

40. Conditions and manner of writing off irrecoverable dues.— Where Ladakh

Unorganized Workers’ Social Security Board or the Ladakh Building and other

Construction Workers’ Welfare Board is of the opinion that the amount of

contribution, cess, interest and damages due to the Board has become irrecoverable,

the Board or any other officer authorized by it in this behalf, may sanction the writing

off of the said amount, subject to the following conditions, namely: —

(i) If the establishment has been closed for more than five years and the whereabouts

of the employer cannot be ascertained, despite all possible efforts; or

(ii) decree obtained by the Board could not be executed successfully for want of

sufficient assets of the defaulting employer; or

(iii) claim for contribution is not fully complied with by—

(a) the Official Liquidator in the event of factories or establishments having gone

into liquidation; or

(b) in the event of factories or establishment being nationalized or taken over by

the Administration.

CHAPTER - IX

AUTHORITIES ASSESSMENT COMPLIANCE AND RECOVERY

41. Other powers of Inspector-cum-Facilitator.— In addition to powers specified in

sub-section (6) of section 122, the Inspector-cum-Facilitator may exercise such other

powers as the Administration may deem fit from time to time.

42. Form and manner for maintenance of records, registers, returns etc.—

(1) The employer of every establishment in which women are employed shall prepare

and maintain a register of women employees in Form XXI electronically or in hard

copy and shall enter therein particulars of all women workers in the establishment.

(2) The register shall always be available for inspection under notified inspection

scheme by the Inspector-cum-Facilitator.

(3) The employer may enter in the register of women employees such other

particulars as may be required for any other purpose of the Code.

43. Forms, Registers etc.— Every employer to whom the Code applies shall maintain

electronically or otherwise a register of employees, register of wage period, number

of days and hours for which work performed by employees and deductions made

from wages, register of leave wages and register of employment of employees,

occupational details of employees, persons recruited during the particular period and

vacancies for which suitable candidates were not available during the period in such

forms as may be specified by the Administration by general or special order.

44. Records:— (1) The records to be maintained for the purposes of Chapter V of the

Code and the rules framed thereunder shall be preserved for a period of three years

from the date of their preparation.

45. Annual Returns:— (1) The employer to which the provisions of Chapter V of the

Code applies, on or before the 1^st day of February in each year, upload a unified

annual return in Form XXII online on the web portal of the Administration, giving

information as to the particulars specified, in respect of the preceding year:

Provided that, during inspection, the Inspector-cum-Facilitator may require the

production of accounts, books, register and other documents maintained in electronic

form or otherwise.

(2) Every employer shall file such returns electronically or otherwise to such officer or

authority as may be fixed by Administration by general or special order

Explanation. — (a)For the purposes of this sub-rule, the expression “electronic

form” shall have the same meaning as assigned to it in clause (r) of section 2 of the

Information Technology Act, 2000 (Central Act 21 of 2000).

(3) If the employer to which the Code applies, sells, abandons or discontinues the

working of the establishment, he shall, within one month of the date of such sale or

abandonment or four months of the date of such discontinuance, as the case may

be, upload online, on the web portal of the Administration a further unified return

in Form XXII in respect of the period between the end of the preceding year and

the date of the sale, abandonment or discontinuance.

46. Display of Notices.— The employer shall display conspicuously a notice at or near

the main entrance of the establishment in bold letters in English, Hindi and in a

language understood by the majority of the employees specifying the name of the

officer with designation authorised by the employer to receive, on his behalf, notices

under the Code or the rules made therein.

CHAPTER - X

OFFENCES AND

PENALTIES.

47. Competent Authority for composition of offences.— The Administration may by

notification in the Official Gazette appoint any person not below the rank of the

Assistant Labour Commissioner of the Labour Department for such areas as it thinks

fit for the purpose of compounding of offences under sub-section (1) of the Section

138 of the Code in respect of those provisions for which the Administration of Union

territory of Ladakh is the appropriate authority.

48. Form and manner of application for compounding of an offence.—

(1) The officer authorized by the Administration by notification for the purposes of

compounding of offences under sub-section (1) of section 138 shall issue

electronically a compounding notice in Form XXIII for the offences which are

compoundable under section 138.

(2) The person receiving the notice may apply in Part III of Form XXIII to the officer

electronically and deposit the entire compounding amount by electronic transfer or

otherwise, within fifteen days of the receipt of the notice.

(3) The Compounding Officer shall issue a composition certificate in Part IV of Form

XXIII within ten days of receipt of the composition amount, to such person from

whom such amount has been received in satisfaction of the composition notice.

(4) If person receiving the notice fails to deposit the composition amount within the

prescribed time, the prosecution shall be instituted before the competent court for the

offence in respect of which the compounding notice was issued, against such person.

(5) Composition after institution of prosecution.— (a) The court may compound any

compoundable offence at any time after filing of a complaint under section 138 of the

Code.

(b) The provisions of section 359 of BNSS, 2023 shall apply to such compositions.

CHAPTER - XI

EMPLOYMENT INFORMATION AND MONITORING

49. Manner and form of reporting vacancies and form of filing the return by the

employer, to the concerned career centers. —

(1) Reporting of vacancies to Career Centers:

(a) After the commencement of this Code in the Union territory of Ladakh, the

employer in every establishment in public sector, before filling up any vacancy in any

employment in that establishment, report that vacancy or cause to be reported to such

Career Centre as may be specified in the notification by the Administration.

(b) The employer in every establishment in private sector or every establishment

pertaining to any class or category of establishments in private sector shall, before

filling up any vacancy in any employment in that establishment, report that vacancy or

cause to be reported to such Career Centre from such date as may be specified in the

notification by the Administration.

vacancies reported by the employers, Career Centre to which the vacancies are

reported, would provide a unique vacancy reporting number for the vacancy reported

and convey it to the employer in writing, through email or digitally or through any

other such media immediately but in any case, not later than three working days from

the date of receipt of reporting of vacancies.

Explanation. — (1) “Establishment in public sector "means an establishment owned,

controlled or managed by —

(i)

the Administration;

(ii)

a Government company as defined in clause (45) of Section 2 of the

Companies Act, 2013 (Central Act No. 18 of 2013);

(iii)

a corporation (including a co-operative society) or an autonomous

organization or an authority or a body established by or under a Central or

State Act, which is owned, controlled or managed by the Administration; and

(iv)

a local authority.

(2) “Establishment in private sector" means an establishment which is not an

establishment in public sector and with ordinarily twenty or more employees or such

number of employees as may be notified by Administration.

(2) Type of vacancies and respective Career Centre for reporting of vacancies. —

(a) The following are the types of vacancies, namely-

(i) all vacancies in posts of Technical and Scientific nature carrying a minimum

pay or pay level or both as notified by Administration occurring in

establishments in respect of which the Administration is the appropriate

Government under the Code; and

(ii)

Vacancies which an employer may desire to be circulated to the Career

Centres outside the Union territory in which the establishment is situated shall

be reported to such Career Centre as may be specified by the Administration

by notification.

(b) Vacancies which have been reported to the Career Centre and for which recruitment

is to be made on State or Inter-State or all India basis, shall also be reported to Career

Centre (Central) or uploaded on a digital portal as specified by the Central

Government by notification.

(3) Form and manner of reporting of vacancies.—

(a) The vacancies shall be reported in writing or through valid official email or

digitally to the Career Centre specified by the Administration.

(b) The vacancies shall be reported in the format given at Form XXIV, furnishing as

many details as practicable, separately in respect of each type of vacancy.

clause (a), shall be reported in writing or through official email or digitally, as the

case may be, to the specified Career Centre.

(4) Time limit in the reporting of vacancies.— Vacancies, required to be reported to the

Career Centre, shall be reported at least fifteen days before the last date of receipt of

the applications of the prospective candidates for purpose of appointment or taking

interview or test against the vacancies reported.

(5) Maintenance of records. —

(a) After the commencement of the Code, the employers in every establishment in the

public sector shall maintain records manually or electronically or digitally about:-

(i)

total number of employees (regular, contractual or fixed term employment) on

31^st March of every year;

(ii)

persons recruited during the year ending on 31^stMarch;

(iii)

occupational details of its employees on 31st March of every year;

(iv)

vacancies for which suitable candidates were not available during the year

ending on 31^st March; and

(v)

approximate number of vacancies likely to occur during the next financial year.

(b) The Administration may by notification, require that from such date as may be

specified in the notification, the employer in every establishment in private sector or

every establishment pertaining to any class or category of establishment in private

sector shall maintain records manually or electronically or digitally about

(i)

total number of employees (regular, contractual or fixed term employment) on

31^st March of every year;

(ii)

persons recruited during the year ending on 31^st March;

(iii)

occupational details of its employees on 31^st March of every year;

(iv)

vacancies for which suitable candidates were not available during the year

ending on 31^st March; and

(v)

approximate number of vacancies likely to occur during the next financial year.

(6) Submission of returns.—An employer shall furnish to the concerned Career Centre

yearly returns in Form XXV, the yearly returns shall be furnished manually or,

electronically, or digitally, as the case may be, as specified by Administration in

notification, within thirty days of the due date i.e. 31^st March of the year.

(7) Declaration of Executive Officer.— The Director/Deputy Director of Employment or

an officer of equivalent or above rank, controlling the work of Career Centres of the

Administration, shall declare in writing an officer looking after the work of Career

Centres as Executive Officer for the purpose of enforcement and implementation of

Chapter XIII of the Code. He shall be the officer who shall exercise the rights and

perform duties referred to in section 139 of the Code, or authorize any person in

writing to exercise those rights and perform duties.

(8) Levy of penalty under the Chapter XIII of the Code.— The Director/Deputy Director

of Employment or an officer of equivalent or above rank, controlling the work of

Career Centres, of the Administration shall be the competent authority to approve

institution or sanction the institution of levy of penalty for an offence under the Code

as mentioned in section 133.

CHAPTER - XII

MISCELLANEOUS

50. Constitution of Fund.—

(1) The Fund shall be known as the Ladakh Social Security Fund and all the expenses

towards the scheme(s) notified under sub-sections (2) of section 109 for the

Unorganised Workers, shall be met out of this fund. In addition to the source of fund

mentioned in clause (i) of sub- section (5) of section 141, the amount received from

the following sources shall be credited to the Fund namely:-

(a)

amount given by Administration for the establishment of the fund;

(b)

the amount of grant given by the Government of India, Administration of

Union territory of Ladakh and other authorities and other statutory bodies;

(c)

Amount received for registration or renewal of beneficiaries and their

contribution;

(d)

Amount received for implementation of the scheme notified by the

Government of India;

(e)

amount received for implementation of the scheme notified by

Administration of Union territory of Ladakh;

(f)

contribution or donation or any other financial support from employer, their

association or from Corporate Social responsibility (CSR) Fund as

determined by the Administration of Union territory of Ladakh by general or

special order;

(g)

any other source which is approved by Administration by notification in

Official Gazette.

(2) The fund shall be administered by the Administration of Union territory of Ladakh

through an agency designated by Administration in the manner, as notified by the

Administration.

(3) The directions of Administration, if any shall be complied with by the agency

designated for the Administration of the Ladakh Social Security Fund.

(4) The statement of accounts of the Ladakh Social Security Fund shall be maintained

by the agency, in the form(s) and manner as specified by the Administration and shall

be submitted to the Administration of Union territory of Ladakh from time to time.

(5) The accounts of the Ladakh Social Security Fund shall be audited by the

Comptroller and Auditor General of India or any other agency as the Administration

may notify.

51. Conditions which the exempted establishment or the class of establishments or

an employee or class of employees, as the case may be, shall comply with after

such exemption under sub-section (2) of section 143.—

(1) The establishment to which exemption has been granted from the provision of

Chapter IV of the Code—

(a) shall maintain such records regarding the exempted employees and submit

such returns and other information to the Corporation as may be specified in

the Regulations; and

(b) in case of change of legal status of an establishment which has been granted

exemption under section 143 of the Code, due to merger, demerger,

acquisition, sale, amalgamation, formation into a subsidiary, whether wholly

owned or not, etc. the exemption shall be deemed to be cancelled and the

establishment shall be required to apply afresh for exemption, to the

appropriate Government.

(2) For the purposes of Chapter III, the establishment and/or employer, after the grant

of exemption, shall comply with all such terms and conditions as may be specified in

the Provident Fund Scheme or the Pension Scheme or the Insurance Scheme, as the

case may be, framed under section 15 of the Code.

52. Conditions for management of the trust under sub-section (5) of section 143,

which has been granted exemption under sub-section (1) of section 143.—(1) A

Board of Trustees shall be established for the management of the Provident Fund or

the Pension Fund according to such directions as may be given by the Central

Government or the Central Provident Fund Commissioner, as the case may be, from

time to time.

(2) The Board of Trustees shall consist of such equal number of representatives each

of the employers and employees as may be prescribed in the Provident Fund Scheme

or the Pension Scheme, as the case may be.

(3) The employer of such exempted establishment shall be the Chairperson of the

Board of Trustees. The Chairperson may exercise a casting vote in an event of

equality of votes. However, arm’s length principles shall be maintained by the

Chairperson in all meetings of the Board of Trustees.

(4) The Board of Trustees shall meet at least once in every three months and shall

function in the accordance with the guidelines that may be issued from time to time

by the Central Government or the Central Provident Fund Commissioner or any

officer authorized by him.

(5) The terms and conditions, including the tenure of office of the Trustees, the

procedure and manner for election or nomination of the representatives of the

employees and of employers to the Board of Trustees, disqualification and cessation

of trusteeship, re-election or re-nomination of trustees, the quorum at the meeting of

the Board, records to be kept of the transaction of business and all such other matters

and conditions for the management of the Trust shall be as provided for in the

Provident Fund Scheme or the Pension Scheme, as the case may be.

(6) In case of any dispute or doubt on any general issues within the ambit of these

terms and conditions, the matter shall be referred to the Regional Provident Fund

Commissioner in whose jurisdiction the head office of the establishment is located.

The decision of the Regional Provident Fund Commissioner in the matter shall be

final and binding.

53. Submission of a copy of the Form to the office of the Director General, Labour

Bureau .— A copy of Form VIII (notice for Payment or Rejecting claim of Gratuity)

shall be shared electronically with the designated authority of Administration of

Union territory of Ladakh and the Director General, Labour Bureau.

FORM I

[See rule 20]

Appeal to Employees' Insurance Court

Sir

The Authority,

(Appointed under the Code on Social Security, 2020)

… ....................................................... (Address)

I…………., the undersigned, employee of .......... (Name and full address of the

establishment)

*Feel aggrieved by the order of under sub section 7(a) of section 37 for the

reasons attached here to, prefer this second appeal under sub-section 7 (b) of

section 37 and request that the said

be ordered

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

A copy of the order of..........................................................................................

In this behalf is enclosed.

Date

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

Signature or thumb

impression

the

Aggrieved person

Signature of an Attester incase the

person is not able to sign and affixes

thumb impression.

Form II

[See rule 19(1) (i)]

In the Employees Insurance Court at……...................……………............……

……………………………………….................................................

Applicant

(add

description

and

residence) Against

Opposite Party

(add description and residence)

Other Particulars of Application specified in rule 6(2)

……….……....……….……………………………………..............................................

Signature of Applicant

Date

(verification by the applicant)

The statement of facts contained in this application is to the best of my

knowledge and belief, true and correct.

Date………….… …………………….

Signature

FORM III

(See Rule 20 (1) (iv))

Employee’s Insurance Court at

Register of proceedings in the year 20

Date of presentation of application

No of proceedings

Name

Applicant

Description

Place of residence

Particulars

Opposite party

Amount of value, if any

Place of residence

Claim

Particulars

Amount of value, if any

When the cause of action accrued

Day of parties to appear

Appearances

applicant

Opposite party

Date

Final

For whom

Order

Date of decision of appeal, if any

Appeal

Judgement in appeal,

Date of application

Executive

Against whom

For what and amount of money

Amount of costs

Date of ordering to transfer to another civil court

Other remarks, if any

FORM IV

[See rule 22]

NOMINATION

(Give here name or description of the establishment with

full address) (Name in full here)

I, Shri/Shrimati/Kumari

whose particulars are given

in the statement below, hereby nominate the person(s) mentioned below to

receive the gratuity payable after my death as also the gratuity standing to

my credit in the event of my death before that amount has become payable,

or having become payable has not been paid and direct that the said amount

of gratuity shall be paid in proportion indicated against the name(s) of the

nominee(s).

2. I, hereby certify that the person(s) mentioned is a/are member(s) of my family

within the meaning sub section (33) of section 2 of the code.

3. I hereby declare that I have no family within the meaning of sub-section (33) of Section 2 of

the Code.

(a) My father/mother/parents is/are not dependent on me.

(b) My husband's father/mother/parents is/are not dependent on my husband.

Nominee(s)

Name in full with full

address of nominee(s)

Relationship

with

the

Employee

Age of nominee

Proportion by which the

gratuity will be shared

So on

STATEMENT

1. Name of the employee in full.

2. Sex.

3. Religion.

4. Whether unmarried/married/widow/widower.

5. Department/branch/section where employed.

6. Post held with ticket no.,or serial no.,if any

7. Date of appointment.

8. Permanent address

Village,

Police Station,

Sub-

division,

Post office,

District,

State

Place

signature/thumb-impression

Date

of the employee

DECLARATION BY WITNESSES

Nomination signed/thumb-impressed before me

Name in full and full address of witness

signature of witness

CERTIFICATE BY THE EMPLOYER

Certified that the particulars that of the above nomination have been verified

and recorded in the establishment.

Employer’s reference no., If any.

Signature of the

employer/officer

Authorized

Designation

Date

name and the address of the

Establishment Or

rubber stamp thereof.

ACKNOWLEDGMENT BY THE EMPLOYEE

Received the duplicate copy of nomination in form ‘IV’ filed by me and

duly certified by the employer.

Date

signature of the employee.

Note- Strike out the words and paragraphs not applicable.

FORM V

[See rule 22 (3)]

FRESH

NOMINATION

Give here name or description of the establishment with full address.)

I, Sri/Srimati…………………………………………..(name in full here) whose

particulars are given in the statement below, have acquired a family within the

meaning of sub-section (33) of section 2 of the code with effect from the

....................................................... (date here)…in the matter indicated below

and therefore

nominate afresh person(s) mentioned below to receive the gratuity payable

after my death as also the gratuity standing to my credit in the event of my

death before that amount has become payable or having become payable

has not been paid. I direct that the said amount of gratuity shall be paid in

proportion indicated against the name(s) of the nominee(s).

I hereby certify the person(s) nominated is a/are member(s) of my family within the meaning

of sub-section

(33) of section 2of the code.

(a) my father/mother/parents is/are not dependent on me.

(b) my husband’s father/mother/parents is/are not dependent on my husband.

I have excluded my husband from my family by a notice, dated the ...... to the controlling

authority in terms of the proviso to sub-section (33) of section 2 of the code.

NOMINEES

S.no.

Name in full with address

of nominee (s)

Relationship

with

the

employee

Age of nominee

Proportion by

which

the

gratuity

will be shared

So on

Manner of acquiring a ‘family’

(here give details as to how a family was acquired, i.e. whether by

marriage or parents being rendered dependent or through other process like

adoption.)

STATEMENT

Name of the Employee.

Sex.

Religion

Whether unmarried/married/widow/widower

Department/branch/section where employed

Post held with ticket no., or serial no., if any.

Date of appointment

Permanent

Address

Village,

Police Station,

Sub-

division,

Post office,

District,

State

CERTIFICATE BY THE EMPLOYER

Certified that the particulars of the above nomination have been verified

and recorded in this establishment.

Employer’s reference no.,

if any.

Signature of the

employer/ Officer authorized

Designation.

Name and address of the establishment

or rubber stamp thereof.

ACKNOWLEDGMENT BY THE EMPLOYEE

Received the duplicate copy of the nomination in form's’ filed by me on…,

duly certified by the employer.

Date:

signature of the employee

Note- Strikeout the words and paragraphs not applicable.

FORM VI

[See rule 22(4)]

MODIFICATION OF

NOMINATION

To………………………………………………………

………………. [Give here name or description of the

establishment with full address]

I, Shri/Shrimati/Kumari [Name in full here] whose particulars are given in

the statement below, hereby give notice that the nomination filed by me on

[date] and recorded under your reference no………………………

Dated….. shall stand modified in the following manner.

[Here give details of modifications

intended]. STATEMENT

1. Name of employee in full.

2. Sex.

3. Religion.

4. Whether unmarried/married/widow/widower.

5. Department/Branch/Section where employed.

6. Post held with Ticket or Serial No. ifany.

7. Date of appointment.

8. Address in full.

Place

Date:

Signature/Thumb impression

of the employer

DECLARATION BY WITNESSES

Modification of nomination signed/thumb impressed before me.

Name in full and full address of witnesses

Signature of witnesses

Plac

Dat

FORMVII

[See rule 23 (1) (i) and (ii) and (iii)]

Application for gratuity by an

employee/nominee/legal heir (Strike out

the words not applicable)

To,

(Give here name or description of the establishment with

full address) Sir/Madam,

I, (name of employee/ nominee/ legal heir) /nominee of late

(Name of the employee)/ as a

legal heir of

late ......(Name of the employee), beg to apply for payment of gratuity to which I am entitled under

sub-

section (1) of section 53 of the Code on Social Security, 2020 on account of-

(a)

my superannuation/ retirement/ resignation after completion of not less than five years

of continuous service/ total disablement due to accident/ total disablement due to

disease/ on termination of contract period under fixed term employment with effect

from ......................................................the or;

(b)

death of

the aforesaid employee while in service/

superannuation on………………after completion of

years

service/ total disablement of the aforesaid employee

due to accident or disease while in service with effect from the or; death of aforesaid

employee

your

establishment

while

service/superannuation

on…………………………(date) without making any nomination after completion of

years of service/total disablement of the aforesaid employee due to accident or disease

while in service with effect from……………………

Necessary particulars relating to my appointment are given in the statement below:

1. Name of employee in full, (if, the gratuity is claimed by an employee)

a. Marital status of employee (unmarried/ married/ widow/ widower)

b. Address in full of employee.

2. Name of nominee/ legal heir, (if the gratuity is claimed by nominee/ legal heir)

a. Name of Employee

b. Marital status of nominee/legal heir(unmarried/married/widow/widower)

c. Relationship of nominee/legal heir with the employee

d. Address in full of nominee/legal heir

e. Date of death and proof of death of the

employee f.Reference No. of recorded

nomination if available

3. Department/Branch/Section where last employed

4. Post held by employee.

5. Date of appointment.

6. Date and cause of termination of service

7. Date of Death

8. Total period of service of the employee

9. Total wages last drawn by the employee.

10. Total gratuity payable to the employee/ share of gratuity claimed by a nominee/ legal heir.

FORM VIII

[(See rule 23 (2) (i) (a) and rule 23 (2)

(i) (b)] Notice for Payment/ Rejecting

claim of Gratuity (Strike out the words

not applicable)

To,………………………………………………………

………… (Name and address of the applicant

employee/nominee legal heir)

You are hereby informed that

(a)

*as required under clause (b) sub-rule (2) of rule 8 of the Code on Social

Security Rules, 2020, that your claim for payments of gratuity as indicated on your

application in Form VII under the said rules is not admissible for the reasons stated

below:

Reasons (Here specify the reasons); or

(b)

*as required under clause (a) sub-rule (2) of rule 8 of the Code on Social

Security

Rules,2020

that

sum

Rs.

(Rupees) is payable to you as gratuity/as your share of gratuity in terms of

nomination made by…………………………. on…………………and recorded

this as a legal heir of an employee of this establishment.

2. *Please call at ……………………..on………………………… (Here specify

place)…………………….. (date) at

(time) for collecting your payment of

gratuity crossed cheque.

3. Amount payable shall be sent to you through demand draft or shall be credited in

your bank account as desired by you.

4. Brief statement of calculation

(a)

Date of appointment.

(b)

Date of termination/superannuation/resignation/disablement/death.

(c)

Total period of service of the employee concerned:

years months.

(d)

Wages last drawn:

(e)

Proportion of the admissible gratuity payable in terms of nomination/as a legal heir:

(f)

Amount payable:

Place:

Signature of the Employer/

Date:

authorized officer.

Name or description of establishment or

rubber stamp thereof.

Copy to: The Competent Authority in case of denial of gratuity.

Copy also to: Office of DG Labour Bureau, Ministry of Labour and Employment,

Ladakh.

FORM IX

[(See rule 23(4)(i)(c)]

Application for direction before the Competent

Authority for Chapter V under the Code on

Social Security, 2020

Application No.

Date

BETWEEN

(Name in full of the applicant with full address)

AND

(Name in full of the employer concerned with full address)

The applicant is an employee of the above-mentioned employer/a

nominee of late an employee of the above-mentioned employer/a legal heir of

late ........................................................................................................ and

employee of

the above mentioned employer, and is entitled to payment of gratuity under

section 53 of the Code on Social Security, 2020 on account of his

own/aforesaid employee's superannuation on…….(date)/his own retirement/

aforesaid employees' resignation on…(date) completion of

years of

continuous service/his own/aforesaid employees' total disablement with

effect from (date) due to accident/disease death of aforesaid employee

on……………….

2. The applicant submitted an application under Rule of the Code

on Social Security (Ladakh) Rules, 2026 on the…………but the above-mentioned

employer refused to entertain it/issued a notice dated the under clause ...............of

sub-rule of rule ................................................................................ offering

amount of

gratuity which is less than my due/issued

notice dated the ..under

clause………….of sub-rule ............ of rule rejecting my eligibility to payment

of gratuity.

The duplicate copy of the said notice is enclosed.

3. The applicant submits that there is a dispute on the matter (specify the dispute).

4. The applicant furnishes the necessary particulars in the annexure hereto and prays

that the Competent Authority may be pleased to determine the amount of gratuity

payable to the petitioner and direct the above- mentioned employer to pay the same to

the petitioner.

5. The applicant declares that the particulars furnished in the annexure hereto are true

and correct to the best of his knowledge and belief.

Signature/Thumb impression of the applicant.

Date:

ANNEXURE

1. Name in full of applicant with full address

2. Basis

claim

(Death/Superannuation/Retirement/Resignation/Disablement

of Employee/Completion of contract period under Fixed Term

Employment)

3. Name and address in full of the employee

4. Marital status of the employee (unmarried/married/widow/widower)

5. Name and address in full of the employer

6. Department/Branch/Section where the employee was last employed (if known)

7. Post held by the employee with Ticket or Sl. No., if any(if known)

8. Date of appointment of the employee (if known)

9. Date and cause of termination of service of the employee(Superannuation/ retirement

/resignation/disablement/death/Completion

contract

period

under

Fixed Term Employment)

10.

Total period of service by the employee

11.

Wages last drawn by the employee

12.

If the employee is dead, date and cause thereof

13.

Evidence/witness in support of death of the employee

14.

If a nominee, No. and date of recording of nomination with the employer

15.

Evidence/witness in support of being a legal heir if a legal heir

16.

Total gratuity payable to the employee (if known)

17.

Percentage of gratuity payable to the applicant as nominee/legal heir

18.

Amount of gratuity claimed by the applicant

Signature/Thumb-impression of the applicant

Place:

Date:

FORM X

[(See Rule 23 (5) (a) & Rule 23 (8)]

Notice for Appearance before the Competent Authority/Summon (Strike out

the words not applicable

To,

(Name and address of the employer/applicant)

Whereas Sh./Smt.

(name of employee) employed under you or

a nominee(s)/ legal heir(s) of Shri……… an employee under the above-

mentioned

employer,

has/have

filed

application

under

sub

rule..................of rule………….of the Code on Social Security (Ladakh)

Rules, 2026 alleging that (A copy of the said application is enclosed, if,

summon is issued then copy of application is not required).

Now, therefore, you are hereby called upon/summoned to appear before the

Competent Authority at………………….. (place) either personally or

through a person duly authorized in this behalf for the purpose of answering

all material questions relating to the application on the ……………..….day

of…………20..…..at 'O'clock in the forenoon/afternoon in support of/to

answer the allegation; and as the day fixed for your appearance is appointed

for final disposal of the application, you must be prepared to produce on

that day all the witnesses upon whose evidence, and the documents upon

which you intend to rely in support of your allegation/defence.

Take notice that in default of your appearance on the day before-mentioned, the

application will be dismissed/heard and determined ex-parte in your absence.

Whereas your attendance is required to give evidence or you are required to

produce the documents mentioned

in this list

below, on behalf

of……………….in this case arising out of the claim of gratuity by Form IX and

referred to this Authority by an application under section 56 of the Code on

Social Security, 2020, you are hereby summoned to appear personally before

this Authority on the………………day of……… 20…….at ‘O’ Clock in the

forenoon/afternoon and to bring with you for to send to this Authority) the

said documents.

List of documents

3. so on

Given under my hand and seal, this…………..day of…………..20………….

Competent Authority Under the Code

on Social Security Code, 2020

Note:

1. Strike out the words and paragraphs not applicable.

2. The portion not applicable to be deleted.

3. The summons shall be issued in duplicate. The duplicate is to be signed

and returned by the persons served before the date fixed.

4. In case the summons is issued only for producing a document and not to

given evidence it will be sufficient compliance to the summons if the

documents are caused to be produced before the Competent authority

on the day and hour fixed for the purpose.

FORM XI

[(See Rule 23(11) and Rule 23(12)]

Notice for Payment of Gratuity as Determined by Competent/Appellate Authority

(Strikeout the words not applicable)

To,

(Name and address of employer)

1. Whereas Shri/Smt./Kumari of an employee……………………(address) under you/a nominee

(s)/legal heir(s) of late .............................. an employee under you, filed an application under

section 56 of the Code on Social Security, 2020, before me; or

Whereas a notice was given to you on……….requiring you to make payment of

Rs……………..Rupees to Shri/ Smt./ Kumari………………..as gratuity under the Code on

Social Security, 2020.

2. And whereas the application was heard in your presence on… and after the hearing have come

to the finding that the said Shri/Smt./Kumari………………………… is entitled to a

payment of Rs… ..................................... as gratuity under the Code on Social Security, 2020;

Whereas you/the applicant went in appeal before the appellate authority, who has decided

that an amount of Rs…. is due to be paid to Shri./Smt./Kumari as gratuity due and the amount

as interest due under the Code on Social Security, 2020.

Now,

therefore,

hereby

direct

you

pay

the

said

sum

Rs…..

Shri./Smt./Kumar……within thirty days of the receipt of this notice with intimation thereof to

me.

Given under my hand and seal, this…………….day of……………….20………...

Copy to:

Competent

Authority Under the Code on

Social Security, 2020

1. The Applicant- He is advised to contact the employer for collecting payment.

2. The Appellate Authority, if applicable.

Note-(Strike out paragraphs if not applicable)

FORM XII

[(See Rule 23 (13)]

Application for Recovery of

Gratuity

Before the Competent Authority for Chapter V under the Code of Social Security, 2020.

Application No.

Date

BETWEEN

(Name in full of the applicant with full address)

AND

(Name in full of the employer/Trust/Insurer concerned with full

address)

1. The applicant is an employee of the above-mentioned employer/a nominee of late

an employee of the abovementioned employer/a legal heir of late .................... an

employee of the above-mentioned employer, and you were pleased to direct the said

employer in your notice dated ……the of Code on Social Security(Ladakh) Rules,

2026 for payment of a sum of Rs… as gratuity payable under the Code on Social

Security, 2020.

2. The applicant submits that the said employer failed to pay the said amount of gratuity to

me as directed by you although I approached him for payment.

3. The applicant therefore prays that a certificate may be issued under section 129 of the

Code for recovery of the said sum of Rs… due to me as gratuity in terms of your

direction.

Signature/Thumb-impression

of applicant.

Place:

Date:

Note.—Strike out the words not applicable.

FORM XIII

[See Rule 24]

Application for Registration of an Establishment under sub-section (3) Of Section 57

A. Establishment Details.

1. Retrieve details of Establishment through LIN/Registration Number:

2. Name of Establishment:

3. Location and Address of the Establishment:

4. Other details of Establishment:

a. Total Number of employees engaged directly in the establishment:

b. Total Number of the contract employees engaged:

c. Total Number of Inter-State Migrant workers employed:

5. Ownership Type/Sector:

6. Activity as per National Industrial Classification (NIC):

7. Details of Selected NIC Code:

8. Identification of the establishment e-sign/digital sign of employer/ representative:

B. Details of Employer:-

Name & Address of Employer/Occupier/Owner/Agent/Chief Executive-

Designation:

Father‘s/Husband‘s name of the Employer:

Email Address, Telephone & Mobile No:

C. Manager/Agent Details

Full name & Address of Manager/ Agent or person responsible for

supervision and control of the Establishment;

Address of Manager/Agent:

Email Address, Telephone & Mobile No:

D. Details of Approved Gratuity Fund/Insurance obtained for liability of payment towards the Gratuity;

E. Others Details:-

Signature/E-

sign/ digital sign

of employer

Dated:-

Place:-

FORM XIV

[See Rule 26 (1)(a)]

Complaint to the Inspector-cum-Facilitator

The Inspector-cum-Facilitator

(Under The Code on Social

Security, 2020) Sir,

I........................ (name of the women) employed in (name and full address of

the establishment) or I, (name), a person nominated under section 62 or by a

legal representative of ………………..(name of the women) employed in

(name and full address of the establishment) having fulfilled the conditions

laid down in the Code on Social Security 2020, and the rules there under, ad

entitled to Rs………………………………being Maternity benefit / or

Rs……………….being the medical bonus and / or Rs…………being wages

for leave due under section 65 but the same has been improperly withheld by

the employer/discharged or dismissed during or on account of her absence

from work in accordance with the provisions of this chapter V of Code on

Social Security, 2020.

You are therefore requested, to direct the employer to pay the amount to

me/to set aside the discharge or dismissal done by the employer.

Date……

……

Signature or thumb

impression of

theWoman/nominee/

legal representative

Signature of an Attester in case the

woman/ nominee/legal

representative is

unable to sign and affixes thumb

impression.

Full address of the women/nominee/

legal representative.

To,

The

Authority,

FORM XV

Appeal [See Rule 26 (2) (b)

Sir,

(Appointed under the Code on Social Security, 2020)

… ................................................. (Address)

I………………….., the undersigned, women employee of ........... (name

and address of the establishment) feel aggrieved by the order of Inspector-cum-

Facilitator under sub section (2) of the section 72 for the reasons attached hereto,

prefer this appeal under sub- section 3 of section 72 and request that the said

employer be ordered to pay the abovementioned amount to me. A copy of the

order of Inspector-cum-facilitator in this behalf is enclosed; or

*Shri……., Inspector-cum- Facilitator, having directed under sub section

(2) of section 72 to pay the maternity benefit or other amount being (nature

of amount) to which………………..(name of woman) is said to be entitled/

to set aside my discharge or dismissal during or on account of absence from

work in accordance with the provisions of this Chapter V of the Code on

Social Security, 2020 (Strike out unnecessary portion).

I prefer this appeal under sub-section (3) of Section 72. In view of the facts

mentioned in the memorandum attached hereto and other documents filed

herewith it is submitted that the woman is not entitled to the maternity

benefit or the said amount and hence the order of the Inspector-cum-

Facilitator in the copy of which is enclosed, may be set aside.

*Strike out unnecessary portion.

Signature or thumb impression of the woman/

Aggrieved Person

Dated………

Signature of an Attester in case

the woman is not able to sign and fixes

thumb impression. Full Address of the

nominee/legal representative.

FORM XVI

[See rule 29]

(Notice Book of the Accidents)

Name of the Establishment……………...............................................…

Nature of Business………………..................................................….…

Date of opening………………..................................................….......…

Registration no (if any) ……………………...........................................

Name of the employer/occupier……………….................................………………….

Date of

accidents

Short

detail

acciden

Name

of the

injured

person

Whether

accident

resulted

in death

Whether

accident

resulted in

total

disablemen

Whether

accident

resulted in

partial

disablemen

Whether

accident

resulted in

temporary

disablemen

Amount

compens

atio

paid

employe

e or his

depende

Amount

compensa

tio

deposited

competen

t authority

Date of

paymen

deposit

compen

satio n

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

FORM XVII

[See rule 31]

Statement of Fatal Accidents

To,

Competent Authority,

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

Sir,

1. I have the honor to submit the following statement of an accident which occurred in (date), at

(here enter details of premises) and which resulted in the death of the employee/ employees of

whom particulars are given in the statement annexed.

2. The circumstances relating to the death of the employee/employees were as under:-

Time of accident.

Brief History of Accident

Place where the accident occurred.

Manner in which deceased was/were employed at the time.

Cause of the accident.

Accident reported at the local police station(Copy of FIR, if any) (Y/N)

Any Other relevant information

3. I am responsible for payment of compensation.

4. Details of employee

a. Name of the employee:

b. Age of the employee :

c. Wages of the employee:

5. The establishment is not responsible for payment of compensation due to

reasons mentioned below

Name

Mobile:

Address:

(Signature and

designation of person

making the statement)

FORM XVIII

[See Rule 32(1)]

Memorandum of

Agreement

It is hereby submitted that on the ............day of……. 20…….

personal injury was caused to Sri./ Smt./Ms. (name)……………residing at

............................................................................................. (address) by accident

arising

out of and in the course of his employment in ....... (Name

the

establishment with

address). The said injury has resulted in permanent disablement to the

said workman of the following nature, namely

(Disablement details to

be furnished)

The said employee’s monthly wages are estimated at Rs The employee

over the age of 15 years.

The said employee has, prior to the date of agreement, received the

following payments,

namely:-

Rs.....................................on.......................Rs...................................................on....................

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

Rs......................................on...............Rs.............................................................on.................

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

Rs......................................on...............Rs...........................................................on...................

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

It is further submitted that the employer of the said employee has

agreed to pay, and the said employee has agreed to accept, the sum of Rs…

..................................................................................................... in full settlement

of all

and every claim under the Code on Social Security, 2020 in receipt of the

disablement stated above and all disablement now manifest. It is therefore

requested that this memorandum be duly recorded.

Dated at...................on the ……….day of …….......20..........

Witness:

Signature of employer

Signature of employee

Note- Application to register an agreement can be presented under signature

of one party: provided that the other party has agreed to the terms. But both

signatures should be appended, whenever possible.

Receipt (to be filled in when the money has actually been paid)

In accordance with the above agreement, I have this day received the sum of

Rs................

Dated at............on the …….......day of………..20………......

FORM XVIII-A

[See Rule 32(1)]

Memorandum of

Agreement

hereby

submitted

that

the....................day

of………..

20…….personal injury was caused to (name) …………………residing at

.......................................................................... (address) by accident arising out

of said in

the course of employment in……………(Name of the Establishment with

address). The said injury has resulted in permanent disablement to the said

employee of the following nature, namely (Disablement

details

furnished)

The said employee’s monthly wages prior to the accident are estimated at

Rs… ................................................................................................................. The

employee is subject to a legal disability by reason of.

Itisfurthersubmittedthattheemployeroftheemployeehasagreedtopayando

nbehalf of the said employee ... has agreed

accept .............. half-monthly

paymentsattherateofRs…

fortheperiodofthesaidtemporarydisablement.Thisagreeme

ntissubjecttotheconditionthattheamount of the half-monthly payments may

be varied in accordance with provisions of the said Act on account of an

alteration in the earnings of the said employee during disablement. It is

further stipulated that all rights of commutation under Section 7of the said

Act are unaffected by this agreement it is therefore requested that this

memorandum be duly recorded.

Dated

at………..on

the

…………day

of……….............20.....

Witness:

Signature of

employer/

Authorised

signatory.

Signature of employee

Note-An application to register and agreement can be presented under

the signature of one party: provided that the other party has agreed to the

terms. But both signatures should be appended, whenever possible.

Receipt (to be filled in when the money has actually been paid)

In accordance with the above agreement, I have this day received the sum of

Rs…….........

Dated at...............on the ……………….day of……………..20……………..

Employee

The money has been paid and this receipt signed in my presence.

Witness

Note- This form may be varied to suit special cases, e.g., injury by occupational disease, etc.

FORM XVIII-B

[See

Rule

(1)]

Memorandum

Agreement

hereby

submitted

that

the................day

of………………..20…….personal

injury

was

caused

to............................................................................................... (Name

injured

employee)

residing at (address) by accident arising out of and in the course of his

employment

.................................................................................................................................. Th

said injury has resulted in death to the said workman.

The said employee’s monthly wages are estimated at Rs

The employee is

over the age of 15

years.

The said employee’s has, prior to the date of the agreement, received the

following payments, namely:-

Rs.........................on….................Rs………………………on………

………………

Rs...............................on

……………….Rs……………………….on..................................

Rs...............................on…...................Rs……………………….on...................

It is further submitted that the employer of the said employee has agreed to

pay, and dependent(s) of the said employee has agreed to accept, the sum of Rs.

In full settlement

of all and every claim under the Code on Social Security, 2020 in receipt of

death stated above. It is therefore requested that this memorandum be duly

recorded.

Dated at ……………...on the ………….day of………..20.........

Signature of Employer

Witness:

Signature or dependent(s)

Witness:

Note- Application to register an agreement can be presented under signature

of one party: provided that the other party has agreed to the terms. But both

signatures should be appended, whenever possible.

RECIEPT

(to be filled in when the money has actually been paid)

In accordance with the above agreement, I have this day

received the sum of Rs...................

Dated at………..on the ………..day of……….............20.....

Dependent(s)

The money has been paid and this receipt signed in my presence.

Witness

FORM XIX

[See Rule 32(2)]

Whereas, a Memorandum of agreement to pay compensation is said to

have been reached between (name and address of employee)…………and

.................................................................................................... (name and address

of the

employer) on .................... ;

And whereas, has/have applied for registration of the agreement under

Section 89 of the Code of Social Security, 2020;

Now, therefore, notice is hereby given that the said said Memorandum

of agreement will be taken into consideration on ………day of

……..20…and that any objections to the registration of the said

Memorandum of agreement should be made on that date. And it is hereby

conveyed that in the absence of valid objections it is my intention to proceed

to the registration of the agreement.

Dated at………..on the ………day of………20……...............

Competent Authority

FORM XX

[See Rule 32(5)]

Sr. No.

Date

Memorandum

of agreement

Date

registration

Employer

Employee

Initial

compet

ent

authorit

Referenc

orders

Rectifying

the

(1)

(2)

(3)

(4)

(5)

(6)

(7)

FORM XXI

[(See Rule 42 (1)]

REGISTER OF WOMEN EMPLOYEES

Name of establishment-

Serial Number

Name of woman and her father's (or, if married, husband's) name

Date of appointment.

Nature of work.

Dates with month and year in which she is employed, laid off and not employed.

Month

No. of days

employed

No. of days

laid

off

No.

days

not

employed

Remark

(a)

(b)

(c)

(d)

(e)

Date on which the woman gives notice under section 62

Date of discharge/dismissal, if any

Date of production of proof of pregnancy under section 62

Date of birth of child

Date of production of proof of delivery/miscarriage/Medical

Termination of pregnancy/ tubectomy operation/ death /

adoption of child

Date of production of proof of illness referred to in section 65

Date with the amount of maternity benefit paid in advance of

expected delivery.

Date with the amount of subsequent payment of maternity

benefit.

Date with the amount of bonus, if paid, under section 64.

Date with the amount of wages paid on account of leave under

section 65 (1) & 65(3).

Date with the amount of wages paid on account of leave under

section 65(2) and period of leave granted.

Name of the person nominated by the woman under section 62

If the woman dies, the date of her death, the name of the

person to whom maternity benefits and/or other amount was

paid, the amount thereof, and the

date of payment.

If the woman dies and the child survives, the name of the

person to whom the

amount of maternity benefit was paid on behalf of the child and

the period for which it was paid.

Signature of the employer of the establishment authenticating

the entries in the

Remarks column for the use of the Inspector-cum-Facilitator.

FORM XXII

[(See Rule 45(3)]

Unified Annual Return

General Part

(a)

Name

the

establishment Address of

the establishment House

No./Flat No

Street No./ Plot

No Town

District

State

Pin code

(b) Name of the

employer Address

of the employer

House No./Flat No

Street No./Plot No

Town

District

State

Pincod

E-mail

Telephone

Number

Mobile

Number

responsible for supervision and control of

establishment

Address

House No./Flat

Street

No./Plot

Town

District

State

Pincode

E-mail

Telephone

Number

Mobile

number

Employer’s Registration/ Licence number under the Codes mentioned in column (2) of the table below:

S. No.

Name

Whether

Registration

obtained

(Yes/No)

yes

(Registration

No.)

01.

The Code on Occupational Safety Health and

working Conditions Code, 2020.

The Code on Social Security 2020.

Any other Law for the time being in force.

Details of Employer, Contractor and Contract Labour

Name

of the

employer in

the

case of

contractor’s establishment

Date of commencement of the establishment

Number of Contractors engaged in the establishment

during the year

Total Number of days during the year on which

Contract Labour was employed

Total number of man-days worked by Contract

Labour during the year

Name of the Manager or Agent

Address House No./Flat No

Street/Plot No

Town

District

State

Code

Email ID

Telephone Number

Mobile Number

Working hours and weekly rest day (if, there are

more than one establishment we may provide

option in the form).

1. Number of days worked during the year

2. Number of man-days worked during the year

3. Daily hours of work

4. Weekly day of rest

Maximum number of persons employed in any day during the year:

Sl. No.

Males

Females

Adoloscents

(between the age

years.)

Total

(1)

(2)

(3)

(4)

(5)

Wages rates (Category – wise):