Following Statutory Compliances have to be done within time.

Name of Whom Date & Month Present

S.No. the Act Form No. Name of Return / Compliance Responsible of Completion Authrity Status Non Compliance
1 Factory
A Board should be displayed at Gate having the Name of
Act,
SR.Asstt. Director (IS&H), Lab. Officer, Lab. Inspector, Factory Manager /
1948
Display Board Certifying Surgeon & Factory Manager with Imp Tel. Nos. HR Manager Always LO/LI/FI OK
Application for permission to construct, Factory Manager /
### Form No. 01 extend, or take into use any building as a factory. HR Manager AWR CIF, Chandigarh OK
Factory Manager /
### Form No.1-A Particulars of Rooms in the Factory HR Manager AWR CIF, Chandigarh OK
Factory Manager /
### Form No.1-B Application
Certificate offorstability
Registration and grant
of a factory or renewal
or part of licence,
of a factory. HR Manager AWR CIF, Chandigarh OK
a notice of occuplation specified in sections 6 & 7 of Factory Manager /
### Form No. 02 Factory Act, 1948 HR Manager Upto 30th Nov. CIF, Chandigarh OK
Factory Manager /
### Form No. 2-A Notice of Change of Manager HR Manager AWR CIF, Chandigarh OK
Factory Manager /
### Form No. 04 Licence to work a Factory HR Manager AWR CIF, Chandigarh OK

### Form No. 05 Certificate of Fitness N.A. N.A. N.A.

Factory Manager /
### Form No. 06 Humidity Register (Readings of Hygrometer) HR Manager Three times in a day
Factory Manager /
### Form No. 07 Record of Lime, Washing, Painting, etc. HR Manager Monthly F.I. OK
Factory Manager /
### Form No. 08 Report of Examination of Pressure Vessel or plant. HR Manager Every six months F.I. OK
Factory Manager /
### Form No. 09 Register of Compensatory Holidys HR Manager Monthly F.I. OK
Factory Manager /
### Form No. 10 Overtime Muster Roll for exempted workers HR Manager Continuous F.I. OK
Factory Manager /
### Form No. 11 Notice of Period of work for Adult Workers HR Manager AWR F.I. OK
Factory Manager / At the time of
### Form No. 12 Register of Adult / Child Workers HR Manager Appointment F.I. OK
Factory Manager /
### Form No. 13 Notice of period of work for Child Workers HR Manager N.A. F.I.
Factory Manager / At the time of
### Form No. 15 Register of Leave with Wages HR Manager Appointment F.I. OK
Factory Manager /
### Form No. 17 Certificate of Fitness HR Manager AWR F.I. OK
Factory Manager /
### Form No. 17-A Health Register (Sch. VI. R 102) HR Manager Continuous F.I. OK
Notice of Accident and Dangerous Occurrence Factory Manager /
### Form No. 18 resulting in bodily injury HR Manager On Occurance F.I. OK
Factory Manager / At the time of
### Form No. 18-A Notice of Dangerous Occurrence HR Manager Accident F.I. OK
Factory Manager /
### Form No. 19 Notice of poisoning or disease HR Manager AWR F.I. OK
Abstract of the Factories Act, 1948 and the Punjab Factory Manager /
### Form No. 20 Factories Rules, 1952 HR Manager Display at Gate F.I. OK
Factory Manager /
### Form No. 21 Annual Returns HR Manager 31st Jan F.I. OK
Factory Manager /
### Form No. 22 Half Yearly return period ending 30th June. HR Manager 15th July F.I. OK
Factory Manager /
### Form No. 25 Muster Roll / Compensatory Holiday HR Manager Continuous F.I. OK
Factory Manager /
### Form No. 26 Register of Accidents and Dangerous Occurances HR Manager On Occurance F.I. OK
 Name of Whom Date & Month Present
S.No. the Act Form No. Name of Return / Compliance Responsible of Completion Authrity Status Non Compliance
Factory Manager /
### Form No. 27 Special Certificate of Fitness HR Manager AWR F.I.
 Name of Whom Date & Month Present
S.No. the Act Form No. Name of Return / Compliance Responsible of Completion Authrity Status Non Compliance
Factory Manager /
### Form No. 31 Accidents - Annual Return HR Manager AWR F.I.
Factory Manager /
### Form No. 32 Certificate of fitness for Dangerous Operations HR Manager AWR F.I.
Factory Manager /
### Form No. 33 Register of Water Sealed Gas Holder HR Manager AWR F.I.
Factory Manager /
### Form No. 33-A Report of Examination of Water-Sealed Gas Holder HR Manager AWR F.I.
Factory Manager /
### Form No. 34 Return for the month ending on …. HR Manager AWR F.I. OK
Factory Manager /
### Form No. 35 Attendance, Leave with Wages/Adult workers
Inspection Book HR Manager AWR F.I. OK
registers and notices of periods of work for Adults Factory Manager /
### Form No. 36 Workers etc. HR Manager AWR F.I. OK
Factory Manager /
### Form No. 37 Report of Examination of Hoist or Lift HR Manager AWR F.I. OK
Factory Manager /
### Form No. 38 Test Report (Dust Extraction System) HR Manager AWR F.I. OK
Factory Manager /
### Form No. 39 Certificate of Fitness (Sch.-DVII R.102) HR Manager AWR F.I. OK
Factory Manager /
### Form No. 40 Health Register (Sch. XVII R. 102) HR Manager AWR F.I. OK
 Name of Whom Date & Month Present
S.No. the Act Form No. Name of Return / Compliance Responsible of Completion Authrity Status Non Compliance
2 Application for Registeration of Establishments
### Form No. I
The Haryana Employing Contract Labour Principal Employer AWR LO/LI OK
Contract
Labour (R&A)
### Form No. II Certificate of Registration Registering Officer AWR LO/LI OK
Rules, 1975
### Form No. IIII Register of Establishments Principal Employer AWR LO/LI

### Form No. IV Application for Licence By Contractor AWR LO/LI

### Form No. V Form of Certificate by Principal Employer Principal Employer AWR LO/LI OK

### Form No. VI Granting Licence Registering Officer AWR LO/LI

### Form No. VI-A Notice of commencement/completion of contract work By Contractor AWR LO/LI

### Form No. VI-B Notice of commencement/completion of contract work Principal Employer AWR LO/LI

Form No. VI-C Application for adjustment of Security Deposit By Contractor AWR LO/LI

### Form No. VII Application for Renewal of Licence By Contractor AWR LO/LI OK

### Form No. VIII Register of Particulars of Contractors Principal Employer AWR LO/LI OK

### Form No. IX Register of Workmen Employed by Contractor Principal Employer AWR LO/LI

### Form No. X Employment Card By Contractor AWR LO/LI

### Form No. XI Service Certificate By Contractor AWR LO/LI

### Form No. XII Muster Roll By Contractor AWR LO/LI

### Form No. XIII Register of Wages By Contractor AWR LO/LI

### Form No. XIV Form of Register of Wages-cum-Muster Roll By Contractor AWR LO/LI

### Form No. XV Wage Slip By Contractor AWR LO/LI Not providing

### Form No. XVI Register of Deductions for Damage or Loss By Contractor AWR LO/LI OK

### Form No. XVII Register of Fines By Contractor AWR LO/LI OK

### Form No. XVIII Register of Advances By Contractor AWR LO/LI OK

### Form No. XIX Register of Overtime By Contractor AWR LO/LI Not giving Double
Return to be sent by the Contractor to licensing officer
### Form No. XX for the half year ending By Contractor AWR LO/LI
Annual Return to be sent by the Principal Employer
### Form No. XXI to the Licensing Officer Principal Employer AWR LO/LI OK
 Name of Whom Date & Month Present
S.No. the Act Form No. Name of Return / Compliance Responsible of Completion Authrity Status Non Compliance
3 Payment of
Gratuity Act,
1972 ### Form No. A Notice of Opening Employer Within 30 days LO/LI OK

### Form No. B Notice of Change Employer Within 30 days LO/LI

### Form No. C Notice of Closure Employer Within 60 days LO/LI

### Form No. D Notice for Excluding Husband from Family Employees At the time of App. LO/LI
Notice of Withdrawl of Notice for excluding
### Form No. E Husband from family Employees At the time of App. LO/LI

### Form No. F Nomination Employees At the time of App. LO/LI OK

### Form No. G Fresh Nomination Employees AWR LO/LI

### Form No. H Modification of Nomination Employees AWR LO/LI

### Form No. I Application for Gratuity by an Employee Employees AWR LO/LI

### Form No. J Application for Gratuity by a Nominee Nominee of Employee AWR LO/LI

### Form No. K Application for Gratuity by a Legal Heir Legal Heir of Emp. AWR LO/LI

### Form No. L Notice for Payment of Gratuity Employer AWR LO/LI

### Form No. M Notice Rejecting Claim for Payment of Gratuity Employer AWR LO/LI

### Form No. N Application for Direction Applicant/Employee AWR LO/LI

### Form No. O Notice for Appearance before the Controlling Authority Controlling Authority AWR LO/LI

### Form No. P Summons Controlling Authority AWR LO/LI

### Form No. Q Particulars of Application under Section 7 Controlling Authority AWR LO/LI

### Form No. R Notice for Payment of Gratuity Controlling Authority AWR LO/LI
Notice for Payment of Gratuity as Determined by
### Form No. S Appellate Authority Controlling Authority AWR LO/LI

### Form No. T Application for Recovery of Gratuity Applicant/Employee AWR LO/LI

### Form No. U Abstract of the Act and Rules Employer Continuous LO/LI
Name of the Officer with Designation authorised by the At the time
### Nodal Officer Employer to receive Notices on his behalf Employer of person change LO/LI OK
No Form
Prescribed Intimation when Gratuity is paid to an employee Employer No time stipulated LO/LI
 Name of Whom Date & Month Present
S.No. the Act Form No. Name of Return / Compliance Responsible of Completion Authrity Status Non Compliance
4 Employees By 15th of
Provident Challan Monthly challan of EPF must be deposit in SBI HR Manager every month SBI OK
Fund & Monthly by 25th of Regional
Pension Return Monthly Return to be submited to Regional Commissioner HR Manager every month Commissioner OK
Scheme Annual Regional
1995 Return Annual Return to be submitted to Regional Commissioner HR Manager by 30th April Commissioner OK

Form No. 2 Nomination and Declaration Form HR Manager At the time of App. R.C. OK
Form No. 3A
(Revised) Contribution Card for currency period HR Manager by 30th April R.C. OK

Form No. 5 Return of Employees qualifying for membership HR Manager By 20th of every month R.C. OK

Form No. 5A Return of Ownership to be sent to the RC (in duplicate) HR Manager AWR R.C.

Form No. 6A Annual Statement of contribution for currency period HR Manager by 30th April R.C. OK
Application for review filed under sub-section (1) of Section
Form No. 9 7B of the Employees' Provident Funds & P.S. 1995 HR Manager AWR R.C.

Form No. 10 Return of Members leaving service during the month HR Manager By 20th of every month R.C. OK

Form No. 13 Application for transfer of EPF Account HR Manager AWR R.C.

Form No. 19 For claiming EPF HR Manager AWR R.C.

Form No. 10-B For claiming Pension Fund HR Manager AWR R.C.

Form No. 31 Application for Advance from the Fund HR Manager AWR R.C.

Form No. 7 (IF) Monthly EDLIS return to be submitted HR Manager By 20th of every month R.C. OK
Employee
Statement Annual Return of EDLIS of Covered Employees HR Manager BY 1st Nov. LIC OK
5 Employees' ESI Contribution to be deposited in Bank by 20th of By 20th of
State Monthly Challan every month HR Manager every month R. D. ESIC OK
Insurance
Act, 1948 Form No. 06 Half Yearly return should be deposited within time. HR Manager 12th May/Nov. Local Office OK

Form No. 07 Register of Employees HR Manager Monthly Employer OK

Form No. 15 Accident Register HR Manager AWR Employer

Form No. 16 Accident Report to Local Office in ordinary accident HR Manager within 48 hrs. Local Office OK

Form No. 16 Accident Report to Local Office in Death Case HR Manager Immediately Local Office OK

Form No. 01 Employer's Registration HR Manager One Time R. D. ESIC OK

Form No. I Declaration Form to be submitted through Computer HR Manager At the time of App. Local Office OK

Form No. 1-B Change in Family Declaration Form HR Manager AWR Local Office OK
 Name of Whom Date & Month Present
S.No. the Act Form No. Name of Return / Compliance Responsible of Completion Authrity Status Non Compliance
6 Minimum
Wages Form No. III Annual Return under Minimum Wages Act, 1948 HR Manager by 31st Jan. CIF, Chandigarh OK
Act, 1948
ABSTRACT Abstract should be displayed at Gate HR Manager OK

Wage Slips HR Manager Every Month Labour Inspector OK

7 Payment of
Wages Form No. IV Annual Return under Payment of Wages Act, 1936 HR Manager by 31st Jan. CIF, Chandigarh OK
Act, 1936
ABSTRACT Abstract should be displayed at Gate OK

Register of wages, fines, deductions & advances HR Manager Every Month Labour Inspector OK
8 Payment of
Bonus Form No. D Annual Return under Payment of Bonus Act, 1965 HR Manager By 31st Jan. CIF, Chandigarh OK
Act, 1965
ABSTRACT Abstract should be displayed at Gate HR Manager Continous Labour Inspector OK

Form - A Computation of Allocable Surplus HR Manager Labour Inspector OK

Form - B Set-on & Set-off of allocable Surplus HR Manager Labour Inspector OK

Form - C Bonus paid to the Employee HR Manager Labour Inspector OK

9 Punjab
Labour
Welfare
Fund, 1965 On Letter Head Particulars of unclaimed / unpaid amount of the workers HR Manager Every Quarter Welfare Comm. OK
10 National
Holidays & CIF, Chandigarh/
Festival Factory Inspector/
Rules, 1966 On Letter Head Statement of National & Festival Holidays HR Manager By 30th Nov. Labour Inspector OK
11 Employment Last day of
Exchange Every Quarter Employment
Compulsory
Notification of
ER - I Quarterly return (Notification of vacancies) HR Manager (April, July, Oct., Jan.) Officer OK
Vacancies Act, Qccupational return to be submitted to the local
1959 employment Employment
ER - II exchange once in a two years HR Manager Officer OK
12 Workmen's
Compen- DLC/Commissioner
sation Act, within 7 days of of Workmen'
1923 EE Report of serious bodily injuries / fatal accident. HR Manager Accident Compensation OK
Annual Return to be submitted to Concerned Authority
(Part of Form No. 21) HR Manager By 31st Jan. CIF, Chandigarh OK
13 The
Maternity
Benefit Annual Return to be submitted to Concerned Authority
Act, 1961 L,M,N,O (Part of Form No. 21) HR Manager By 31st Jan. CIF, Chandigarh OK
 Name of Whom Date & Month Present
S.No. the Act Form No. Name of Return / Compliance Responsible of Completion Authrity Status Non Compliance
14 The
Apprenticeshi
p RD/Apprenticeship
Act, 1961 APP - 2 Half yearly return march ending HR Manager By 15th Apr Advisor OK
Dy.Apprenticeship
APP - 2 Half yearly return Sept. ending HR Manager By 15th Oct. Advisor OK
15 Superannuati
on
Scheme On Letter Head Quarterly amount to be deposited with statement HR Manager LIC OK
 DT. OF
LICENCE
START VALID CONTACT
S.NO. ADDRESS LOCALADDRESS H.O. PARTICULARS W.E.F. UPTO PERSONS

Haryana State Haryana State

Pollution Pollution
Control Board Control Board
(Blb region) Plot No.C-11, Sec -
Sector - 16A, 6 1) Water Pollution
1 FBD. Panchkula CHD. 2) Air Pollution 01.04.05 31.03.05

Chief Inspection
of Factories SCO :
82-83 Sec-17C Renewal of Factory
2 CHD Licence 01.01.05 31.12.2005

Amar Scales
& Engineers
P.No.8, Industrial Weight & Measure-
3 Area, NIT FBD ment

4 Health & Safety

The LC & RO
(under CL (R&A)
Act, 1970, 30 bays
building Sec-17,
5 CHD. 01.02.05 31.12.2006
STATUS HISTORY

Certificate is Applied on 16/3/05 with two

pending DDs each of Rs.15,000/-
To be taken from again follow up letter sent on
the Deptt. dt. 18/7/05.

Maximum no. of workers

Certificate Recd. proposed for the yr. 2005 -
FBD/V-023/11742 140 only

Not App. At 13/1

Last Inspection
on 29/6/2005 by
Certifying Surgeon

Applied for but

registration
certificate not
received
S.No. Documents/Approval Authority
1 Factory Licence CIF
2 Registration under Contract Labour Act LC, Haryana
3 Air Consent Haryana State PCB
4 Water Consent Haryana State PCB
5 NOC from Haryana Fire Services Fire Stattion, Palwal
6 Electrical Inspection of HT Installation EE, Electrical Inspectorate, Hr.
7 License for HSD Storage & Import Chief Inspection of Explosive
8 Permission to Construct Approach Road N.H.A.I
9 Registration of Tubewell Central Ground Water Authority
Ref. No. Validity Due for Renewal
FBD/S 11742 31-Dec-04 Applied for 26.11.04
CLA/FBD/02/56 31-Jan-05 Applied for 17.03.05
HSPCB/C-1/2004/27 31-Mar-05 Applied for 16.03.05
HSPCB/C-1/2004/27 31-Mar-05 Applied for 16.03.05
HFS-24 31-Mar-06 1-Apr-06
88/13.01.2005 31-Dec-05 1-Jan-06
HN-1529 31-Dec-06 1-Jan-07
11024/3/2000/TECH/gm(wb)695 Permanent N/A
HR/FBD/CT-1045 Permanent N/A