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La Gazette de L' État de Poudouchéry

The Gazette of Puducherry

PART - II

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| 18 {

No. 51 Poudouchéry

Mercredi

18

Novembre

2020

No.

Puducherry

Wednesday

18th

November

2020

(27 Kartika 1942)

GOVERNMENT OF PUDUCHERRY

LABOUR DEPARTMENT

(G.O. Ms. No. 08/AIL/Lab./G/2020, Puducherry, dated 12th November 2020)

NOTIFICATION

In exercise of the powers conferred by section 14 of the Unorganised

Workers’ Social Security Act, 2008 (Central Act No. 33 of 2008), read

with the Notification F.No. 11030/7/2009-UTL, dated the 28th March, 2011

of the Ministry of Home Affairs, Government of India, New Delhi,

the Lieutenant-Governor, Puducherry, hereby makes the following rules,

namely :-

458

LA GAZETTE DE L'ETAT

[PART–II

1. Short title, extent and commencement.— (1) These rules may be

called the Puducherry Unorganised Workers’ Social Security Rules, 2020.

(2) They shall extend to the whole of the Union territory of

Puducherry.

(3) They shall apply to all Unorganised Workers in the field of

(i) Taxi and Auto Drivers (ii) Workers employed in Shops and Catering

Establishments (iii) Carpenter (iv) Nathaswara Vidwans (v) Hair Dressers

(vi) Tailors (vii) Cycle Rickshaw Pullers (viii) Cobblers (ix) Washermen

(x) Goldsmith (xi) Blacksmith (xii) Brass Vessel Makers (xiii) Sculptors

(xiv) Loading and Unloading Workers (xv) Tree Climbers (xvi) Pottery

Workers (xvii) Coir Workers (xviii)Toddy Neera Tappers (xix) Bullock Cart

Drivers (xx) Thatchers (xxi) Cooks (xxii) Hawkers (xxiii) News Paper Vendors

(xxiv) Workers engaged in Bricks and Tiles manufacturing (xxv) Workers

engaged in Distribution of Liquified Petroleum Gas Cylinder,

(xxvi) Domestic Workers, (xxvii) Light Music/Orchestra Workers and

(xxviii) Motor Vehicle Mechanic and any other Unorganised Worker as

decided by the Board.

(4) They shall come into force on and from the date of their

publication in the Official Gazette of Government of Puducherry.

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

requires, -

(a) “Act” means, the Unorganised Workers’ Social Security

Act, 2008 (Central Act 33 of 2008);

(b) “Board” means, the Puducherry Unorganised Workers’

Social Security Board constituted under section 6 of the Act;

(c) “Chairperson” means, the Chairperson of the Board;

(d) “Contribution” means, the sum of money comprising the

employer’s contribution, employee’s contribution and State

Government's contribution payable to the Board in accordance

with the provisions of section 7A of the Act;

(e) “Employer” means, a person or an association of persons,

who has engaged or employed an Unorganized Worker either

directly or otherwise for remuneration;

459

PART–II]

LA GAZETTE DE L'ETAT

(f) “Establishment” means, -

(i)

a factory;

(ii)

motor omnibus service;

(iii)

any establishment including a Society registered or

deemed to be registered under the Puducherry

Unorganized Labourers Welfare Society and a

charitable or other trust, whether registered under any

law applicable to such charitable or other trust or not,

which carries on any business or trade or any work in

connection with or ancillary thereto and which

employs or on any working day during the preceding

twelve months employed more than fifty persons; -

(g) “Form” means, a Form appended to these rules;

(h) “Fund” means, the fees, contributions collected from the

employer, employee and self-employed worker;

(i) “Government” means, the Administrator of the Union

territory of Puducherry appointed under Article 239 of the

Constitution;

(j) “home-based worker” means, a person engaged in the

production of goods or services for an employer in his or her

home or other premises of his or her choice other than the

workplace of the employer, for remuneration, irrespective of

whether or not the employer provides the equipment, materials

or other inputs;

(k) “Identity Card” means, a card, document or certificate

issued to an Unorganized Worker by the District Administration

under sub-section (3) of section 10;

(l) “Self-employed worker” means, any person who is not

employed by an employer, but, engages himself or herself in any

occupation in the unorganised sector subject to a monthly earning

of an amount as may be notified by the State Government from

time to time or holds cultivable land subject to such ceiling as

may be notified by the State Government;

(m) “State Board” means, the State Social Security Board for

Unorganized Workers constituted under sub-section (1) of section 6;

460

LA GAZETTE DE L'ETAT

[PART–II

(n) “Unorganized Sector” means, an enterprise owned by

individuals or self-employed workers and engaged in the

production or sale of goods or providing service of any kind

whatsoever, and where the enterprise employs workers, the

number of such workers is less than ten;

(o) “Unorganized Worker” means, a home-based worker,

self-employed worker or a wage worker in the unorganized sector

and includes a worker in the organized sector, who is not covered

by any of the Acts mentioned under Schedule II to the

Unorganized Workers’ Social Security Act 2008;

(p) “Wage Worker” means, a person employed for remuneration

in the unorganized sector, directly by an employer or through any

contractor, irrespective of place of work, whether exclusively for

one employer or for one or more employers, whether in cash or

in kind, whether as a home-based worker, or as a temporary or

casual worker, or as a migrant worker, or workers employed by

households including domestic workers, with a monthly wage of

an amount as may be notified by the Government of Puducherry,

as the case may be.

(2) Words and expressions used and not defined in these rules

but, defined in the Act shall have the meanings respectively assigned to

them in the Act.

3. Constitution of the State Social Security Board.— (1) The State

Board shall consist of the following Members namely:-

(i) The Hon’ble Minister of Labour and

. . Chairperson-

Employment

Ex-officio

(ii) The Secretary to Government (Labour)

. . Vice-

Chairman-

Ex-officio

(iii) The Secretary to Government (Law)

. . Member

(iv) The Commissioner of Labour

. . Secretary-

Ex-officio

(v) The Director of Agriculture, Puducherry

. . Member

461

PART–II]

LA GAZETTE DE L'ETAT

(vi) The Under Secretary to Government,

. . Member

Finance Department, Puducherry.

(vii) The Director of Social Welfare, Puducherry . . Member

(viii) The Director of Health and Family Welfare . . Member

Services, Puducherry.

(ix) The Director, Women and Child Development, . . Member

Puducherry.

(x) Seven persons representing the Unorganised . . Members

Workers nominated by the Government

(xi) Seven persons representing employers of

. . Members

Unorganised Workers nominated by the

Government

(xii) Two representing Members of Legislative

. . Members

Assembly to be nominated by the Government.

(xiii) Five persons representing eminent persons . . Members

from civil society.

(2) Tenure of Members.— (i) The Members of the Board shall

be from amongst persons of eminence in the fields of labour welfare,

management, finance, law and administration.

(ii) The term of office of the nominated members of the Board

other than the official members shall be three years from the date

of their appointment:

Provided that the Members may continue in office till their

successors are appointed:

Provided further that in no case the Members shall continue

in office beyond a period of four years from the date of their

appointment.

(3) Resignation.— (i) A Member of the Board, not being an

ex-officio Member, may resign his office by a letter in writing addressed

to the Chairperson.

(ii) 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.

462

LA GAZETTE DE L'ETAT

[PART–II

(iii) The power to accept the resignation of a Member shall

vest with the Chairperson who, on accepting the resignation, shall

report to the Board at its next meeting.

(4) Change of Address by Members.— If, a Member changes his

address, he shall notify his new address to the Secretary of the Board

who shall thereupon enter his new address in the official records:

Provided that if, a Member fails to notify his new address, the

address in the official records shall for all purposes be deemed

to be the Member’s correct address.

(5) Manner of filling vacancies.— When a vacancy occurs or is

likely to occur in the membership of the Board, the Government 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.

(6) Allowances of Members.— (i) 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.

(ii) The non-official Members of the Board shall be paid

travelling allowance for attending the meetings of the Board at

such rates, as are admissible to a Group 'A' Officer of the

Government of Puducherry and daily allowances shall be

calculated at the maximum rate admissible to Group 'A' Officers

of the Government of Puducherry in their respective places by

the Board.

(7) 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 the 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.

463

PART–II]

LA GAZETTE DE L'ETAT

Explanation.— The expression “Chairperson” for the purpose

of the above proviso shall also include a Member nominated or

chosen under clause (ii) of sub-rule (8) to preside over a meeting

in the absence of “Chairperson”.

(8) Meetings.— (i) 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 three months.

(ii) 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 a 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

from amongst themselves a Member to preside over the meeting.

(9) Notice of meetings and list of business.— (i) 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 to do so, may give notice of longer period not

exceeding one month for such meeting.

(ii) 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 prior permission of the Chairperson.

(iii) The Chairperson may at any time call a special meeting

of the Board in case of urgency, after informing the Members 24

hours in advance about the subject-matter of discussion and the

reasons of urgency.

(10) Quorum.— (i) No business shall be transacted at any

meeting of the Board unless at least ten Members (1/3rd of total Members)

are present in that meeting:

Provided that if, at a meeting, less than five 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 thereupon be lawful for him to dispose of the business at

the adjourned meeting irrespective of the number of Members

attending.

464

LA GAZETTE DE L'ETAT

[PART–II

(ii) The Government of Puducherry may debar 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 to and

consent of the Chairperson, or

(b)

in the view of the Government of Puducherry, such

member has ceased to represent the interest which he

purports to represent on the Board.

4. Fund.— (1) The Board shall constitute a ‘Fund’ to be called

‘Puducherry Unorganised Workers’ Social Security Fund’.

(2) The Fund shall consist of–

(a) Grants from the State Government or the Central

Government or from any Local Authority;

(b) Fees, contributions collected from a beneficiary;

(c) Fees, contributions collected from the employer;

(d) Interest on investment in securities, deposits and rent;

(e) Donations, etc., received from an individual or an

establishment; and

(f) Any other sum as may be approved by the Government.

(3) The Fund shall vest in the Board and shall be applied for the

purpose of the Schemes. Without prejudice to the generality of powers

in this respect, the Fund may be applied by the Board consolidated under

the Scheme, in connection with the following activities; -

(a) Cost of administering the welfare scheme enumerated

under rule 14 to rule 17;

(b) Grant to a Local Authority or any other Body for the

purposes of welfare of the Unorganised workers; and

(c) Corporate activities of social nature.

(4) Contributions to Fund.— (a) In respect of every employee in

an establishment there shall be paid contribution to the Board comprising

the employee’s contribution, employer’s contribution and Government of

Puducherry’s contribution, payable respectively by the employee, the

employer and the Union territory of Government of Puducherry and the

contributions so paid shall form part of the Fund.

465

PART–II]

LA GAZETTE DE L'ETAT

(b) In respect of every employee whose name stands in the

register of an establishment on 31st December of a year, a sum

of one hundred rupees, one thousand rupees and one thousand

rupees shall be payable as contribution for that year by the

concerned employee, the employer and the Government of

Puducherry, respectively.

(c) In respect of self employed worker there shall be paid

contribution to the Board, an amount of ` 300 by the individual

and the Government of Puducherry's contribution in this regard

shall be ` 1,000 per self employed worker per year.

(d) The employer’s contribution, the employee’s contribution

in respect of a year shall be paid by the employer to the Board

and the self employed worker shall pay directly to the Board on

or before 15th January of the following year by cheque, or by

crossed Demand Draft and the expenses of remitting the

contribution shall be borne by the employer himself.

(e) Notwithstanding anything contained in any other

enactment but, subject to the provisions of this Act and any rules

made thereunder, the employer shall be entitled to recover the

employee’s contribution from the employee by deduction from

his wages and not otherwise and such deduction shall be deemed

to be a deduction authorised by or under the Payment of Wages

Act, 1936.

Provided that, no such deduction shall be made in excess of

the amount of the contribution payable by such employee, nor

shall it be made from any wages, other than the wages for the

month of December of the year to which the contribution relates:

Provided further that if, through inadvertence or otherwise,

no deduction has been made from the wages of an employee for

the month aforesaid, such deduction may be made from the wages

of such employee for any subsequent month or months with

permission in writing given by the Inspector appointed under this

Act.

(f) Any sum duly deducted by an employer from the wages

of an employee under this section shall be deemed to have been

entrusted to him by the employee, for the purpose of paying the

contribution in respect of which it was deducted.

466

LA GAZETTE DE L'ETAT

[PART–II

(5) Submission of statement of payment of contribution by the

employer.— (a) Every employer shall submit to the Labour Commissioner

on or before 15th January of every year a statement in Form-I of the

contributions by the employers and the employees paid during the

preceding year.

(b) The Commissioner of Labour shall submit to the

Government of Puducherry as soon as possible on or before 15th

February of every year a statement in Form-II of the contributions

by the employers, employees and the self employed workers

received by him from the Labour Officer, Puducherry Unorganized

Workers Social Security Board during the preceding year.

On receipt of the statement from the Labour Department. the State

Government shall pay to the Board its contribution in respect of

each category.

(6) Submission of statement of payment of contribution by the

self employed worker.—Every self employed worker shall submit to the

Labour Commissioner on or before 15th January of every year a statement

in Form-III of the contributions by them during the preceding year.

(7) Power to exempt.— Notwithstanding anything contained in

this Act, the Union Government may, by notification in the Official Gazette,

exempt any employer or class of employers in a State from the payment

of contributions payable under this Act, where such contributions is

already paid and payable under any corresponding law in force in that

State/Union Territory.

(8) Interest payable on delay in payment of contribution.— If, any

employer fails to pay any amount of contributions payable under rule 4

within the time specified under clause (d) of sub-rule (4) , such employer

shall be liable to pay interest on the amount to be paid at the rate of

one percent for every month or part of a month comprised in the period

from the date on which such payment is due till such amount is actually

paid.

(9) Penalty for non-payment of contribution within the specified

time.— If, any amount of contributions payable by any employer under

clause (b) of sub-rule (4) is not paid within the date specified, the

Secretary (Board) after making such inquiry as it deems fit, impose on

such employer to recover the said amount with a penalty not exceeding

the amount of contributions.

467

PART–II]

LA GAZETTE DE L'ETAT

Provided that, before imposing any such penalty, such

employer shall be given a reasonable opportunity of being heard

and if, after such hearing the said authority is satisfied that the

default was for any good and sufficient reason, no penalty shall

be imposed under this section.

(10) Recovery of amount due under the rule.— Any amount due

under this Act: (including any interest or penalty) from an employer may

be recovered in the same manner as an arrear of land revenue.

5. Powers, duties and functions of the Board.—

The Board shall be responsible to-

(a) maintain and administer the Puducherry Unorganised

Workers’ Social Security Fund set up under this Scheme;

(b) spend such sum as it thinks fit for the purposes of the

welfare schemes-enumerated under rule 14 to rule 17;

(c)

keep proper accounts of all receipts and expenses under

the Scheme;

(d) arrange to audit the accounts maintained under the Scheme

by a Competent Audit Firm after completion of every Accounting

year;

(e) submit annual budget for approval of the Government;

(f) submit annual report along with the Audit report on

Accounts for the last Accounting year to the Board on the

working of the Scheme;

(g) laying down policies for the deposits of the amount of the

fund;

(h) make recommendations regarding modifications of the

Scheme;

(i) The Board may formulate its own Schemes as and when

required in the interest of unorganised workers’.

468

LA GAZETTE DE L'ETAT

[PART–II

6. The Secretary to Board.— (1) The Secretary of the Board shall

be the Chief Executive Officer of the Board.

(2) The Secretary shall, with the approval of the Chairperson

shall issue notice to convene meeting of the Board and keep the record

of minutes and shall take necessary steps for carrying out the decisions

of the Board.

7. Appointment of Secretary and other Officers.— (1) The Board

may, with the prior concurrence of the Government, appoint an officer of

the Government not below the rank of a Labour Commissioner of the

Labour Department as the Secretary of the Board.

(2) The Board, shall, with the prior approval of Government,

appoint-

(i) as many officers of the Government, not below the rank of

Labour Officer in the Labour Department; and

(ii) such other officers and employees of the Government as

it considers necessary, to assist the Board in the efficient

discharge of its functions under the Act.

8. Administrative and financial powers of the Secretary.— (1) The

Secretary of the Board may, without reference to the Board, sanction

expenditure and contingencies, supplies and services and purchase of

articles, refund for administering the fund subject to the limits up to which

he may be authorized to sanction expenditure on any single item from

time to time by the Board.

(2) The Secretary may from time to time exercise such other

administrative and financial powers other than those specified in sub-rule (1)

above, as may be delegated to him from time to time by the Board.

(3) The Board may, from time to time delegate, subject to such

conditions as it may deem fit, administrative and financial powers to any

other officer under its control and supervision to the extent considered

necessary for its efficient functioning.

9. Registration of Unorganised Workers.— (1) The Labour Officers

in the Union Territory of Government of Puducherry are authorized to

function as the Registering Authority.

469

PART–II]

LA GAZETTE DE L'ETAT

(2) An Unorganised Worker willing to enrol as a member shall

contribute an amount of ` 100 per annum and self employed worker shall

contribute ` 300 per annum. The Unorganized Worker shall apply to the

Registering Authority in Form-IV for registration as a beneficiary. The

registration is valid for one year subject to renewal thereof up to the age

of 60 years.

(3) If, the Registering Authority is satisfied regarding the

submissions made in such application, he shall enrol the workers and

thereafter, issue an Identity Card in Form-V.

(4) If, the Registering Authority is of the opinion that the

application for Registration is not in order, the application shall be

rejected, and the applicant shall be informed of the rejection citing reasons

therefor.

10. Renewal of Registration as a beneficiary.— (1) The Unorganized

Worker willing to renew his/her registration as a beneficiary shall pay a

fee of rupees one hundred only within 90 days of expiry of his

membership, failing which, the membership of the workers shall be

deemed to have been ceased.

(2) A registered worker who has attained the age of sixty years

shall cease to be a beneficiary. However, entitlement of pension admissible

under this Scheme shall not be forfeited.

(3) A registered worker failing to renew his registration within

the stipulated time may be re-admitted as a beneficiary by the Registering

Authority on such conditions as may be applicable to the fresh member.

(4) Notwithstanding such re-admission, the defaulter shall not

be allowed any benefit accruing during the period of non-renewal.

11. Cancellation of registration.— (1) The Registering Authority

may, if, he has sufficient reasons to believe that the registration or the

benefit under this Scheme has been obtained by fraudulent means or

through false statements or by suppression of facts, or the worker has

contravened any provision of the Act or any Rule or Scheme framed under

the Act, may cancel such registration after holding such enquiry as he

may deem fit and proper.

470

LA GAZETTE DE L'ETAT

[PART–II

(2) No such registration shall be cancelled without giving the

worker, a reasonable opportunity of being heard.

(3) Every person whose registration has been cancelled shall

forfeit all his/her claims under the Scheme.

12. Collection of Registration/Renewal Fees.— (1) Fees in

connection with registration or renewal of registration of a worker as a

beneficiary shall be collected in cash or through Electronic mode, after

giving a receipt in Forrn-VI of such collection to the applicant.

(2) All fees collected in the Office of the Registering Authority

shall be deposited to the Fund on the following day without fail and when

the following day happen to be a holiday/days the amount shall be

remitted on the next working day.

(3) Registering Authority shall also maintain records of all

registrations and renewals in a Register of Beneficiaries in Form-VII.

13. Intimation of change.— Every registered worker who leaves or

changes his service or status of employment under an employer or

migrates from one place to another shall, within a period of thirty days

intimate the same to the Registering Authority, by a letter sent by hand

or by Registered Post.

14. Maternity Benefit.- A relief of ` 7,000 (Rupees seven thousand

only) shall be allowed to a beneficiary on successful delivery of a child

or miscarriage by such beneficiary or his wife, as the case may be, on the

basis of a Certificate from a Registered Medical Practitioner provided that

such benefit shall not be allowed more than twice. Necessary verification

will carried out, so as to avoid duplication with regard to availability of

maternity benefits. If, any duplication arises, only one benefit will be

extended to the beneficiaries. The application in Form-VIII shall be

submitted to the Board for availing this benefit.

15. Assistance on death.— (1) All the eligible enrolled workers shall

be brought under the converged Insurance Schemes of Pradhan Mantri

Jeevan Jyoti Bima Yojana (PMJJBY)/Pradhan Mantri Suraksha Bima Yojana

(PMSBY). Workers in the age group of 18 to 50 are eligible for coverage

under the Scheme. Premium payable is @ ` 342 per beneficiary/annum

and the cost of premium is shared in the ratio of 50:50 by the Central and

the State Government.

471

PART–II]

LA GAZETTE DE L'ETAT

(2) In the event of natural death of those who are covered under

PMJJBY ` 2,00,000 will be given to the legal heir of beneficiary. In case

of death due to accident ` 4,00,000 will be given to the legal heir of those

who are covered under PMSBY and in case of partial disability ` 1,00,000

will be given.

(3) A nominee who is entitled to Death Benefit under this rule

shall submit to the Secretary or any other officer authorized by him for

the purpose of an application in Form-IX.

16. Enhancement of benefits/additional benefits.— The Board may

enhance the existing and/or sanction further benefits, after due

consideration of fresh demands in this regard, subject to availability of

funds and with the approval of Government

17. Limitation Period for Financial Assistance.— All applications

for availing benefits/financial assistance should be submitted in the

prescribed format within a period of six months from the date of occurrence

of such event, failing which, such applications will not be considered

under any circumstances.

18. Administration of Claims.— (1) Officers appointed as Registering

Authorities under the Scheme are authorized to administer all claims.

(2) All payments shall be made through Crossed Cheques/ECS

only.

19. Power to remove difficulties.— If, in the opinion of the Board,

any difficulty or doubt arises as to the interpretation of any of the

provisions, the Board shall refer the matter to the Government and the

decision of the Government thereon, shall be the final and binding.

20. Power to amend Scheme.— The Government, by notification in

the Official Gazette, may frame or modify or amend or withdraw any

Scheme in consultation with the Board, for its proper implementation and

in the interest of the Unorganized Workers.

472

LA GAZETTE DE L'ETAT

[PART–II

FORM-I

[See clause (a) of sub-rule (5) of rule 4]

PUDUCHERRY UNORGANISED WORKERS’

SOCIAL SECURITY BOARD

Statement of employers and employees contribution

to be sent by the employer by 15th of January

1. Name and address of the establishment.

2. Name of the employer.

3. Total number of workers whose names stand in the establishment

registers as on 31st December.

4. Employees’ contribution @ ` 100 per employee.

5. Employers’ contribution @ ` 1,000 per employee.

6. Total of items 4 and 5.

7. Whether the contribution is sent by Cheque, Demand Draft or Cash

and the details thereof.

Signature of the employer.

————

FORM-II

[See clause (b) of sub-rule (5) of rule 4]

Statement of contribution to be sent by the self employed

worker by 15th of January

1. Name and address of the self employed worker.

2. Self employed workers' contribution @ ` 300 per worker.

3. Whether the contribution is sent by Cheque, Demand Draft or Cash

and the details thereof.

Signature of the self employed worker.

473

PART–II]

LA GAZETTE DE L'ETAT

FORM-III

[See sub-rule (6) of rule 4]

Statement of employer’s/self employed workers’ contribution received

by the Labour Commissioner for the year ending 31st December

Name of the

Amount of employer’s

Amount of self

establishment

and employees contribution

employed workers’

received by the Labour

contribution

Commissioner.

Total : ` ........................

ABSTRACT:

Signature of the Labour Commissioner.

Employees’ contribution `

Employers’ contribution `

Self employed workers’

`

Contribution

Total : ` ........................

Government contribution to be received ` ........................

Labour Commissioner.

474

LA GAZETTE DE L'ETAT

[PART–II

FORM-IV

[See sub-rule (2) of rule 9]

(Application for enrollment as member)

(Please write in BLOCK letters)

(i) Name of the Unorganized

:

Worker

(ii) Father’s/Husband’s Name

:

(iii) Date of birth

:

(iv)

Permanent Address

:

(a) Location in full

:

Present....................

(b) District

:

(c) Post Office (PIN)

:

Permanent.......................

Phone No/Cell No.

:

(v) Educational Qualification

:

(vi) Occupation and Category of :

Unorganized Worker

(vii) Family Ration Card details

:

(a) Colour

:

(b) Number

:

(viii) Dependents

:

(ix)

Aadhaar Card No.

:

(x) Name of the Bank and

:

A/c. No. with IFSC Code No.

(xi)

Particulars of Payment

:

(a) Receipt No.

:

(b) Date

:

(c) Amount

:

(Affix recent

stamp size

photograph)

475

PART–II]

LA GAZETTE DE L'ETAT

I do hereby declare that the particulars furnished above are true to

the best of my knowledge.

Station :

Date

:

Signature of Applicant.

Encl:

(i) Passport size photo - 2 Nos.

(ii) Family Ration Card - Xerox Copy

(iii) Aadhaar Card - Xerox Copy

(iv) Employee I.D Card - Xerox Copy

For office use only

(i). Verified and found that the Particulars furnished are genuine and

may be admitted as a member.

(ii) Rejected for the following reasons:-

(a)

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

(b) ..............................................................................................

Signature of the A.I.L.,/ L.O.

ANNEXURE

Family details:

Sl.

Name

Sex Age Relationship Affix recent stamp size

No.

photo of each family

member/dependant

Full signature/LTI of the applicant.

476

LA GAZETTE DE L'ETAT

[PART–II

FORM-V

[See sub-rule (3) of rule 9]

PUDUCHERRY UNORGANISED WORKERS’

SOCIAL SECURITY BOARD

Identity Card

(1) Name of the Unorganized

:

Worker

(2) Father’s/Husband’s Name

:

(3) Date of Birth

:

(4) Address

:

(5) Family Ration Card details

:

(a) Colour

:

(b) Card number

:

(6) Aadhaar Card No.

:

(7) Name of the Bank and

:

A/c No. with IFSC Code No.

(8) Telephone No./Cell No.

:

(9) Nature of Work/Occupation :

(10)

Marital Status

:

(11)

Blood Group

:

Reg.

No.

Date

Signature of the Registering Authority.

Signature/Left Thumb Impression of the Unorganized Worker.

477

PART–II]

LA GAZETTE DE L'ETAT

FORM-VI

[See sub-rule (1) of rule 12]

PUDUCHERRY UNORGANISED WORKERS’

SOCIAL SECURITY BOARD

(Receipt of Registration/Renewal Fees under PUWSSB)

Book No: ..............................

Receipt No: ..........................

Date: ....................................

Received ` ......................................./- (Rupees .....................................

...................................only) from ......................................................................

Unorganized Worker Registration No. ................................................... on

account of Registration fees/Renewal fees under the Puducherry

Unorganized Workers’ Social Security Board.

REGISTERING AUTHORITY,

Puducherry Unorganized Workers’ Social Security Board

478

LA GAZETTE DE L'ETAT

[PART–II

FORM-VII

[See sub-rule (3) of rule 12]

PUDUCHERRY UNORGANISED WORKERS’

SOCIAL SECURITY BOARD

(Register of Beneficiaries)

(1) Name of the beneficiary

:

(2) Category

:

(3) Date of Birth

:

(4) Address

:

(5) Family Ration Card details

:

(a) Colour

:

(b) Card Number

:

(6) Aadhaar Card No.

:

(7) Name of the Bank and

:

A/c No. with IFSC Code No.

(8) Telephone No./Cell No.

:

(9) Family details

:

Sl.

Name and Address

Sex

Relationship

No.

(10) Records of/Benefits granted :

Registration No.

(Affix recent

stamp size

photo)

479

PART–II]

LA GAZETTE DE L'ETAT

FORM-VIII

(See rule-14)

PUDUCHERRY UNORGANISED WORKERS’

SOCIAL SECURITY BOARD

Application for availing Maternity Benefit

(1) Name and address of

:

applicant

(2) Registration No.

:

(3) Date of registration

:

(4) Age and date of birth

:

(5) Name of Husband

:

(6) Date of delivery

:

(7) Have you applied for this

:

benefit

(8) If so, how many times and

:

give details

(9) Date of payment of

:

1st subscription

(10)

Date of payment of last

:

subscription

(11)

Name of Bank and

:

A/c No. with IFSC Code No.

(12)

List of documents submitted:-

(a) Medical Certificate in

:

original

The details furnished above are true to the best of my knowledge

and information.

Place :

Name and signature of applicant.

Date :

480

LA GAZETTE DE L'ETAT

[PART–II

FORM-IX

(See sub- rule (3) of rule 15)

PUDUCHERRY UNORGANIZED WORKERS’

SOCIAL SECURITY BOARD

Application for Grant of Financial Assistance for the Death of

Beneficiary

(In cases where death of beneficiary occurs before LIC coverage)

(1) Name of applicant

:

(2) Relationship of applicant

:

with the worker

(3) Name and address of the

:

worker

(4) Registration No.

:

(5) Age and date of birth

:

(6) Family details of the deceased :

(7) Nature of death (Give details) :

(8) Details of documents

:

submitted

(9) Amount of financial assistance:

applied for

(10)

Name of the Bank and

:

A/c No. of Nominee/Guardian.

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

Place :

Signature of the applicant.

Date :

(By order of the Lieutenant-Governor)

E. VALLAVAN, I.A.S.,

Secretary to Government (Labour).

online publication at “https://styandptg.py.gov.in”

Published by The Director, Government Press

Printed at: Government Central Press, Puducherry.

Posted at: Puducherry HPO on every Tuesday