Karnataka Social Security Rules (Draft): full text and citation

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మాస్టర్ క్రూస్

ప్రస్తుతం అధ్యాపకులు ప్రస్తుతం అధ్యాపకులు ప్రస్తుతం అధ్యాపకులు ప్రస్తుతం అధ్యాపకులు ప్రస్తుతం అధ్యాపకులు ప్రస్తుతం అధ్యాపకులు ప్రస్తుతం అధ్యాపకులు ప్రస్తుతం అధ్యాపకులు ప్రస్తుతం అధ్యాపకులు ప్రస్తుతం అధ్యాపకులు ప్రస్తుతం అధ్యాపకులు ప్రస్తుతం అధ్యాపకులు | ಭಾಗ - ೪ಎ Part - IVA | ಬೆಂಗಳೂರು, ಗುರುವಾರ, ೨೯, ಜನವರಿ, ೨೦೨೬ ( ಮಾಘ , ೦೯, ಶಕವರ್ಷ, ೧೯೪೭) BENGALURU, THURSDAY, 29, JANUARY, 2026 ( MAGHA , 09, SHAKAVARSHA, 1947) | ನಂ. ೧೦೩ No. 103 | | --- | --- | --- |

GOVERNMENT OF KARNATAKA

No: LD 285 LET 2021 Karnataka Government Secretariat, Vikasa Soudha, Dr. B.R. Ambedkar Veedhi, Bangalore, dated:29/01/2026.

Notification

Whereas, the draft of the Code on Social Security Karnataka Rules, 2021 which the Government of Karnataka proposed to make in exercise of the powers conferred by Section 154 and 156 of the Code on Social Security, 2020 (Central Act No.36 of 2020) was published as required by sub-section (1) of the said section for the information of all the persons likely to be effected in Notification No: E-LD 285 LET 2021 dated, 18/04/2022 in Part- IV- A of Karnataka Gazette dated 04/04/2022, inviting objections and suggestions from all the persons likely to be effected thereby within the period of thirty days from the date of publication of the said Notification in the Gazette. And whereas, the said Gazette was made available to the public dated 04/04/2022. And whereas, the objections and suggestion received on the said draft rules was considered. Now therefore, in exercise of powers conferred by Section 154 and 156 of the Code on Social Security, 2020 (Central Act No.36 of 2020), the draft of the Code on Wages (Karnataka) Rules, 2026 is hereby published as required by sub-section (1) of the said section for the information of all the persons likely to be effected thereby and notice is hereby given that the said draft will be taken into consideration after the expiry of forty five days from the date of its publication in the Official Gazette. Any objection or suggestion which may be received by the State Government from any person with respect to the said draft before the expiry of the period specified above will be considered by the

State Government. Objections and suggestions may be addressed to the Secretary to Government, Labour Department, Vikasa Soudha, Dr. B.R. Ambedkar Veedhi, Bengaluru.

CHAPTER - I

PRELIMINARY

Title and commencement.- (1) These rules may be called the Code on Social Security (Karnataka) Rules, 2026.
Definitions.- (1) In these rules, unless the subject or context otherwise requires,-

a) “Board” means the Karnataka Unorganized Workers Social Security Board or the Karnataka Building and Other Construction Workers Welfare Board, as the case may be;
b) “Chairperson” means the Chairperson of the Karnataka Unorganized Workers’ Social Security Board or the Karnataka Building and Other Construction Workers Welfare Board, as the case may be;
c) “Cess collector” means an officer appointed by the State Government for collection of cess under the Code ;
d) “Code” means the Code on Social Security 2020 (Central Act 36 of 2020);
e) ‘contribution’ means the amount of contribution payable by the unorganized worker, the self-employed person or other beneficiary, as a member of the scheme or the aggregators as provided under clause (c),(d),(e) and (f) of sub-section(3)of section 114 and includes the amount given by the Central and the State Government from time to time as per the scheme notified under sub-section(1 )of section 114
f) “Form” means a form appended to these rules;
g) “Government” means the Government of Karnataka;
h) “Scheduled Bank” means a bank included in the Second Schedule of the Reserve Bank of India Act, 1934 (Central Act 2 of 1934); and
i) “Section” means a section of the code.

CHAPTER - II

SOCIAL SECURITY ORGANISATIONS

PART-A: KARNATAKA UNORGANISED WORKERS’ SOCIAL SECURITY BOARD

(1) The Karnataka 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 this code.
(2) The State Government shall nominate seven representatives from unorganised workers and seven representatives from employers of unorganised workers, under sub clauses (i) and (ii) of clause (d) of sub-section (10) of Section 6 in such manner, as decided by the State Government.
(4) Five members representing eminent persons from civil society as under sub-clause (iv) of clause (d) of sub-section (10) of Section 6.
(4) A member nominated under sub-clause (iii) of clause (d) of subsection (10) of section 6 shall cease to be a member of the Board if he ceases to be a member of Legislative Assembly.

5. Resignation of member of the Board under sub-section (12) of section 6:

(1) A member of the Board, not being an ex-officio member, may resign from office by a letter in writing addressed to the Government.
(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 Government, and on accepting the resignation, the Chairperson shall report to the Board at its next meeting.

6. Reconstitution of the Board.—

(1) The State Government shall initiate the process for reconstitution of the Karnataka Unorganised Workers’ Social Security Board, prior to six months of expiry of the term of the Board.
(2) If the new Board is not re-constituted after completion of the term of the Board, such arrangements may be made for discharging the functions of the Board as may be decided by the State Government, by notification, for the period till the new Board is constituted.

Manner of filling up vacancies under sub-section (12) of section 6: When a vacancy occurs or is likely to occur on completion of the term of a member in the Board, the Chairperson shall submit a report to the Government and on receipt of such report, the Government may, by notification, nominate a person to fill the vacancy:

(1) The travelling allowance of an official member of the Board shall be governed by the rules applicable to him/her for journey performed by him/her on official duty shall be paid by the Authority paying his or her salary.
(2) The non-official member of the Board shall be paid travelling allowances for attending the meetings of the Board at such rates as are admissible to Class-I officer of the Government and daily allowances shall be calculated at the maximum rate admissible to Class-I officers of the Government in their respective places.
(2) The Board shall meet at least once in four months and as and when required with a notice to all members within a period of seven days.
(4) The Chairperson shall preside over every meeting of the Board in which he or she is present and in his or her absence, the Vice Chairperson shall preside over such a meeting at his or her place. Provided further that any member of the State Board may request that the question referred to members for written opinion be considered at a meeting of the State Board and thereupon the Chairperson may, if the request is made by not less than three members, direct that it be so considered
(7) The Chairperson may debar any member, other than ex-officio members, from taking part in the Meetings of the Board if,-
(i) he or she absents himself or herself from three consecutive meetings of the Board without written information to and consent of the Chairperson; or
(ii) in the view of the Government such member ceased to represent the interest which he or she purports to represent in the Board.

10. Constitution of the Karnataka Building and other Construction Workers' Welfare

Board under sub-section (1) and members under (3) of section 7.- (1) The Karnataka Building and other Construction Workers’ Welfare Board shall be constituted by notification in the official Gazette under sub-section (1) of section 7 of the Code.

(2) The Board shall consist of following members, namely:-
(ii) A member nominated by the Central Government;
(iii) Not more than four persons representing the building and other construction workers nominated by the Government;

(v) The Additional Chief Secretary/Principal Secretary/ Secretary to Government, Labour Department, Government of Karnataka, ex-officio Member;
(vii) Not more than two Official Members from among the following Departments as notified by the Government;
(a) The Director of the Department of Factories, Boilers, Industrial Safety and Health, ex-officio Member;
(c) The Principal Secretary/Secretary, Rural Development and Panchayat Raj or his nominee, ex-officio Member;

Reconstitution of the Board.- The Government shall initiate the process for reconstitution of the Board, six months prior to the expiry of the term of the Board.

(1) If the new Board is not re-constituted after completion of the term of the Board, such arrangements may be made for discharging the function of the Board as may be decided by the State Government for the period till the new Board is constituted, through a notification.
(2) Consequent upon institution of such arrangement, all actions taken shall have the same effect as if it has been carried out by the Board itself.

Procedure for meetings of the Board.- (1) Subject to any rules made by the Central Government in this regard, the Board shall meet at least once in four months or earlier as may be necessary at such place as may be determined by the Chairperson.

(c) All matters coming before the meeting of the Board shall be decided by majority of the members present and voting shall be held only if required at the meeting. In case of equality of votes, the Chairperson shall have the casting vote.
(d) Votes shall be taken by show of hands and the names of persons voting in favour and against any proposition shall be recorded only if any member requests the Chairperson to do so.
(e) The Board shall keep minutes of the proceedings of each meeting of the Board, and shall include therein the names of the members present.
(f) A copy of such minutes shall be submitted by the Board to the State Government as soon as they are confirmed by the Board.

Resignations and manner of filling vacancies.- (1) Any member of the Board may at any time resign by writing under his hand addressed to the Government and his seat shall become vacant on acceptance of resignation. (2) In the event of any vacancy occurring on account of death, resignation, disqualification or removal or otherwise, the Board shall forthwith communicate the occurrence to the State Government, and the vacancy shall be filled in not later than ninety days from the date of occurrence of the vacancy. The Chairperson or member so nominated shall hold the office for the remainder of the term of office of the Chairperson or member, as the case may be, in whose place he is nominated.

(i) The Chief Executive Officer shall be an IAS officer in the senior scale or an officer from the Central Services Group—‘A’ Senior Scale and the term of such deputation shall not exceed more than three years;
(iii) The salaries and allowances payable to the Member Secretary, Secretary or other officers and employees of the Board shall not be higher than those admissible to the State Government employees of equivalent cadre and rank; and; (2) The Chief Executive Officer or the Member Secretary, as the case may be, of the respective Board shall have the power to conduct the day to day administration of the Board subject to the provisions of the Code, Rules and directions
(5) The official place of business of the Board shall be at Bengaluru.
(7) The Board shall be responsible for executing its projects and schemes.

CHAPTER – III

EMPLOYEES STATE INSURANCE COURT

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(1) The State Government, by notification, shall constitute an Employees' Insurance Court under section 48, for such local area as may be specified in the notification.
(a) Name of the Court in which Application is brought.
(b) Name including age and occupation
(d) The fact constituting the cause of action and the date when it arose.
(e) The facts showing that court has jurisdiction.
(f) The relief which the applicant claims.
(5) All applications shall be entered in a register in Form-III to be maintained by the Court.
(9) The fee payable on an application in respect of any matter referred to in Section 49 shall be Rs. 100/- (rupees one hundred), however, the State Government may enhance the fees by notification, from time to time.
(10) The fee and costs payable in respect of any other matters shall be such as is prescribed by the relevant laws for the time being in force.

19. Manner of commencement of proceedings before the Employees' Insurance Court, fees and procedure thereof under sub-section (1) of Section 51:

(1) The proceeding before an Employees' Insurance Court shall be commenced by application by the Corporation, aggrieved person or the employer of an establishment as the case may be.

Bank or other financial institution in which the gratuity shall be invested for the benefit of minor under the third proviso to sub-section (1) of Section 53.- The competent authority shall invest the Gratuity amount for the benefit of minor under the third proviso to sub-section (1) of section 53 of the code, in term deposit with the State Bank of India or any Nationalised Bank. 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 a 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 by him or his authorised representative and the other copy shall be maintained in the establishment.
(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 of the Code in duplicate in Form IV to the Employer, and thereafter the provisions of sub-rule (2), shall apply mutatis mutandis as if it was made under sub-rule (1).
(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 nomination, as the case may be.

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Provided further that a nominee may give application in plain paper with relevant particulars which shall be accepted

(2) A legal heir of an employee who is eligible for payment of gratuity under the third proviso to sub-section (1) of section 53 of the Code shall apply ordinarily within one year from the date the gratuity became payable to him in Form –V to the employer.
(3) 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 the claim, and no claim for gratuity under the Code shall be invalid merely because the claimant failed to present the his application within the specified period. Any dispute in this regard shall be referred to the Competent Authority of the area for his decision.
(i) if the claim is found admissible on verification, issue a notice in Form- VI 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
(8) 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.

23. Form of Application to competent authority for direction under clause (b) of subsection (5) of section 56.-

(1) If an employer,-
(i) refuses to accept a nomination under rule 21, or Provided that, the competent authority may accept any application on sufficient cause being shown by the applicant, after the expiry of the specified period either by himself or through his authorised representative together with all relevant documents and witnesses, if any.
1. A party appearing by an authorised representative shall be bound by the acts of the representative.
1. 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 shall dismiss the application:
1. 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-VIII either to give evidence or to produce documents or for both purposes on a specified date, time and place.
1. Service of summons or notice:
1. Maintenance of records of cases by the competent authority:
(i) The competent authority shall record the particulars of each case under section 56 of the Code and at the time of passing orders shall sign and date the particulars so recorded.
(iii) Any record, other than a record of any order or direction, which is required by these 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. the competent authority either through delivery in person or under registered post acknowledgement due or electronically.
(iv) On receipt of the copy of Memorandum of appeal, the competent authority shall forward records of the case to the appellate authority.
1. The composition of the Board of Trustees of the approved gratuity fund shall be notified by State Government.

28. Competent Authority and Appellate Authority.-

(1) Appointment of Competent Authority: The competent authority shall be appointed by the State Government by notification as required under sub-section (1) of Section 58 of the code.
(2) When a complaint referred to in section 72 is received by an Inspector-cum-Facilitator, he shall examine the relevant records 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 90 days from the date of filing of complaint. In case of non-appearance by either of parties, a maximum of three opportunities may be given before disposal of the complaint.

30. Authority to whom an appeal may be preferred under Section 72:

(1) An appeal against the decision of the Inspector-cum-Facilitator under sub-section (2) of section 72 shall lie to the Competent Authority to be notified.
(2) The aggrieved person shall prefer an appeal in writing to the competent Authority in Form- XIII and file other supporting documents.

Amount towards funeral expenses if the injury results in death of the employee: The Employer shall deposit a sum not less than rupees twenty five thousand with the competent Authority towards the expenditure of the funeral of the deceased employee which shall be paid to the eldest of the surviving dependant or where the employee did not have a dependant or was not living with his dependant at the time of his death, to a person who actually incurred such expenditure. Provided that, the State Government may, by notification from time to time, enhance the amount specified above.
Conditions when application for review is made without certificate of a medical practitioner under sub-section (1) of section 79.- Application for review of a half monthly payment under section 79 may be made without being accompanied with a medical certificate,-

(a) by the employer, on the ground that’s since the right to compensation was determined the workman’s wages have increased;
(f) either by the employer or by the workman, on the ground that the determination of compensation, there is a mistake or error apparent on the face of the record.

Class of employers and the form of notice-book under sub-section (4) of section 82-
A notice book in Form XIV shall be maintained in all establishment where in 500 work men or more
are employed as required under sub-section (4) of section 82 of the Code.
Form of statement of fatal accidents to be submitted by the employer under sub- section (1) of section 88.- The notice under section 88 of the Code shall be in Form XV.
Procedure of Competent Authority.- Save as otherwise provided in these rules, procedure to be followed by Competent Authority in the disposal of cases under the Code or these rules and by the parties in such cases shall be regulated in the following manner, namely:-

(i) Any application of the nature referred to in section 93 of the Code may be sent to the Competent Authority by registered post or may be presented to him or to any of his subordinates authorised by him in this behalf and, if so sent or presented, shall, unless the Competent Authority otherwise directs, be made in duplicate in Form XVII-A or XVII-B as the case may be and shall be signed by the applicant.
(ii) There shall be appended to every such application a certificate, which shall be signed by the applicant to the effect that the statement of facts contained in the application is to the best of his knowledge and belief accurate.

(2)Production of documents.-

(i) When the application for relief is based upon a document, the document shall be appended to the application.
(ii) Any other document which any party desires to tender in evidence shall be produced at or before the first hearing.
(i) On receiving such application, the Competent Authority may examine the applicant on oath, or may send the application to any officer authorised by Government in this behalf and direct such officer to examine the applicant and his witnesses and forward the record thereof to the Competent Authority.
(ii) The dismissal of the application under sub-clause (i) shall not preclude the applicant from presenting a fresh application.
(7) Notice to opposite party.- If the Competent Authority does not dismiss the application under sub rule (5) or (6), he shall send to the party from whom the applicant claims relief (hereinafter referred to as the opposite party) a copy of the application, together with a notice of the date on which he will dispose of the application, and may call upon the parties to produce on that date any evidence which they may wish to render.
(i) The opposite party may, and if so, required by the Competent Authority, shall at of before the first hearing or within such time as the Competent Authority may permit, file a written statement dealing with claim raised in the application, an any such written statement shall form part of the record. (9)Framing of Issues.- (13) Judgment.-
(i) The Competent Authority, in passing orders, shall record concisely in a judgment his finding on each of the issues framed and his reasons for such findings.
(14) Summoning of witnesses.- If an application is presented by any party to the proceedings for the citation of witnesses the Competent Authority shall, on payment of the prescribed fees and issue summons for the appearance of such witnesses unless he considers that their appearance is not necessary for the just decision of the case.
(15) Exemption from payment of costs.- If the Competent Authority is satisfied that the applicant is unable, by reason of poverty, to pay the specified fees, he may remit any or all of such fees.
(17) Right of entry for local inspection.- The Competent Authority before whom any proceeding relating to an injury by accident is pending may at any time for the purpose of making a local examination enter the place where workman was injured, or where the workman ordinarily performed his work, or for examining any persons likely to be able to give information relevant to the proceedings:
(i) If the Competent Authority proposes to conduct a local inspection with a view to examining on the spot the circumstances in which an accident took place he shall give the parties or their representatives notice of his intention to conduct such inspection, unless in his opinion the urgency of the case renders the giving of such notice impracticable.
(iii) Any party or the representative of any party, may accompany the Competent Authority at a local inspection.
(iv) The Competent Authority after making a local inspection, shall note briefly in a memorandum any facts observed, and shall show the memorandum to any party who desires to see the same, and on payment of the prescribed fee shall supply any party with a copy thereof.
(v) The memorandum shall form part of the record.

(19)Power of summary examination.-

(iv) If a witness who has been examined under sub- clause (i) makes in evidence any material statement contradicting any statement made by him in such examination and reduce to writing, the Competent Authority may call his attention to such statement, and shall in that case direct that the parties be furnished with the relevant part of such statement, for the purpose of examining or cross-examining the witnesses.
(vi) Where a case is settled by agreement between the parties the Competent Authority may incorporate in the record any statement made under sub- clause (i) and may utilise such statement for the purpose of justifying his statement or refusal to accept, the agreement reached.
(i) Where the opposite party claims that if compensation is recovered against him,
he will be entitled under sub-section (2) of Section 85 to be indemnified by a
person not being a party to the case, he shall when first called upon to answer

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(v) In any proceeding in which a notice has been served on any person under sub-clause (i) or sub-clause (iii), the Competent Authority shall, if he awards compensation, record in his judgment a finding in respect of each of such persons whether he is or is not liable to indemnify any of the opposite parties, and shall specify the party, if any, whom he is liable to indemnify.

Provided That,-

(a) for the purpose of facilitating the application of the said provisions, the

Competent Authority may construe them with such alterations not affecting

the substance as may be necessary or proper to adopt them to the matter before

him;

(b) the Competent Authority may, for sufficient reasons proceed otherwise than in accordance with the said provisions, if he is satisfied that the interests of the parties will not thereby be prejudiced.
(25) Every application made to the Competent Authority under section 93 of the code shall be disposed off by the Competent within six months from the date it is presented to the Competent Authority: Provided that, if the Competent Authority is unable to dispose off the application within the stipulated period of six months, he shall at the time of final disposal of the application state the reasons therefore in the Dairy Maintained under sub-rule (11) of this rule.

CHAPTER- VII

CESS IN RESPECT OF BUILDING AND OTHER CONSTRUCTION WORKERS

Time limit for payment of cess under section 101.- Every employer shall pay cess payable within thirty days from the date of receipt of the assessment order.
Fees for appeal under sub-section (2) of Section 105.— An employer aggrieved by any order of the assessment may file an appeal against such order, to the Appellate Authority as notified by the State Government in this regard with a non-refundable fee equivalent to one-half percent, but

(1) The income and expenditure of the Social Security Organisation shall be maintained in such forms and registers as required by the Karnataka Financial Code,1958 and the Rules and Notifications made there under.
(2) Approval of the Budget:- The budget estimates for every financial year shall be prepared and laid before the Board on or before the 31st day of January of the previous financial year and after it is approved by the Board the same shall be forwarded to the State Government for approval on or before the 10th February. The State Government shall approve the Budget before the 28th February, after making such amendments and alterations as it considers necessary.
(5) The Board shall submit to the State Government and Central Government as soon as may be after the 1st of April every year and not later than 31st day of October an Annual Report in Form XIX on the working of the Board during the preceding year ending on 31st March of the year along with audited copy of Accounts together with an Auditor’s report.
(6) The Boards may from time to time invest any moneys vested in it which are not immediately required for expenses of the Board in any Nationalised Bank, scheduled Banks or Government Securities as the Board thinks it fit and proper.
(8) All accounts of the Board shall be held in the name of the Chief Executive officer or Member Secretary, as the case may be, and he shall be the drawing and disbursing officer.
(9) All expenses for the administration of the Fund, fees and allowances of the Members of the Board, salaries, leave salaries, joining time pay, travelling allowance, compensatory
(ii) Leave, leave wages, wages for overtime work and attendance;
(vi) Register for Number of hours of work performed by the employees in Form XXI;
(vii) Register for Total number of employees in Form XXI;
(viii) Register for Persons recruited for a particular period in Form XXII;

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Provided that, during inspection, the Inspector-cum-Facilitator may require the production of accounts, book, register and other documents maintained in electronic form or otherwise.

47. Inspection Scheme.-

Compounding of offences: The State Government may by notification in the official Gazette appoint an officer to compound the offences as required under sub-section (1) of section 138 of the State Labour Department for such area 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 State Government is the appropriate Government.

1. If prosecution is pending before the Judicial First Class Magistrate Court under sub section (3) of Section 136 the compounding officer shall sent an intimation of the receipt of application for composition to the court concerned.
1. The Compounding officer, after due enquiry, found that the offence is compoundable, issue an order of composition directing to deposit the amount within fifteen days from the date of receipt of order.
1. On receipt of the amount of composition, the compounding officer shall issue intimation in writing to the Judicial First Class Magistrate Court where the prosecution is pending to discharge the accused.

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(ii) a Government company as defined in clause (45) of Section 2 of the Companies Act, 2013 ( No. 18 of 2013);

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(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 Government; and
(a) The following vacancies, namely.-
(i) All vacancies in posts of Technical and Scientific nature carrying a minimum pay or pay level or both as notified by the State Government, occurring in establishments in respect of which the State Government is the appropriate Government under the Code; and
(ii) Vacancies which an employer may desire to be circulated to the Career Centres outside the State or Union Territory in which the establishment is situated shall be reported to such Career Centre as may be specified by the State Government by notification.

(v) Approximate number of vacancies likely to occur during the next financial year.
(b) State Government 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

MISCELLANEOUS

51. Such other sources of funding and the manner of administering and expending of the fund under sub-section (5) of section 141.—

(vii) Funds received under sub-section (1) Section 115 of the Occupation Safety, Health and Working Conditions Code, 2020 relating to the State Government.
1. The State Government shall identify other sources for funding or replenishing the Social Security Fund, from time to time.
1. The fund shall be administered by the State Government through Karnataka Unorganised Workers’ Social Security Board. By order and in the name of Governor of Karnataka,

FORM-I

A copy of the order of ...........................................................................................................................................in this behalf is enclosed. Date .................................. Signature or thumb impression of the Aggrieved person [See rule 18 (2)] In the Employees, Insurance Court at Applicant (Name, address and cause of action)

FORM III

REGISTER OF APPLICATIONS

Table of Proceedings

| No of Proceedings | Name | Application description | | Appearance | | Appeal | | Execution | | | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | | | | Applicant | Opposite party | Applicant | Opposite party | Date of application | Judgement in appeal | Appeal against whom | Reasons and amount of money | | 1 | Date of presentation of application | Applicant | Opposite party | Applicant | Opposite party | Date of application | Judgement in appeal | Appeal against whom | Reasons and amount of money | | 2 | Place of residence | Applicant | Opposite party | Applicant | Opposite party | Date of application | Judgement in appeal | Appeal against whom | Reasons and amount of money | | 3 | Application description | Applicant | Opposite party | Applicant | Opposite party | Date of application | Judgement in appeal | Appeal against whom | Reasons and amount of money | | 4 | Particulars | Applicant | Opposite party | Applicant | Opposite party | Date of application | Judgement in appeal | Appeal against whom | Reasons and amount of money | | 5 | Claim amount if any | Applicant | Opposite party | Applicant | Opposite party | Date of application | Judgement in appeal | Appeal against whom | Reasons and amount of money | | 6 | When the cause of action occurred | Applicant | Opposite party | Applicant | Opposite party | Date of application | Judgement in appeal | Appeal against whom | Reasons and amount of money | | 7 | Days for the parties to appear | Applicant | Opposite party | Applicant | Opposite party | Date of application | Judgement in appeal | Appeal against whom | Reasons and amount of money | | 8 | Appellant | Applicant | Opposite party | Applicant | Opposite party | Date of application | Judgement in appeal | Appeal against whom | Reasons and amount of money | | 9 | Opposite party | Applicant | Opposite party | Applicant | Opposite party | Date of application | Judgement in appeal | Appeal against whom | Reasons and amount of money | | 10 | Date of decision | Applicant | Opposite party | Applicant | Opposite party | Date of application | Judgement in appeal | Appeal against whom | Reasons and amount of money | | 11 | Judgement in appeal | Applicant | Opposite party | Applicant | Opposite party | Date of application | Judgement in appeal | Appeal against whom | Reasons and amount of money | | 12 | Date of application | Applicant | Opposite party | Applicant | Opposite party | Date of application | Judgement in appeal | Appeal against whom | Reasons and amount of money | | 13 | Appeal | Applicant | Opposite party | Applicant | Opposite party | Date of application | Judgement in appeal | Appeal against whom | Reasons and amount of money | | 14 | Opposite party | Applicant | Opposite party | Applicant | Opposite party | Date of application | Judgement in appeal | Appeal against whom | Reasons and amount of money | | 15 | Date of decision | Applicant | Opposite party | Applicant | Opposite party | Date of application | Judgement in appeal | Appeal against whom | Reasons and amount of money | | 16 | Judgement in appeal | Applicant | Opposite party | Applicant | Opposite party | Date of application | Judgement in appeal | Appeal against whom | Reasons and amount of money | | 17 | Date of application | Applicant | Opposite party | Applicant | Opposite party | Date of application | Judgement in appeal | Appeal against whom | Reasons and amount of money | | 18 | Appeal against whom | Applicant | Opposite party | Applicant | Opposite party | Date of application | Judgement in appeal | Appeal against whom | Reasons and amount of money | | 19 | Reasons and amount of money | Applicant | Opposite party | Applicant | Opposite party | Date of application | Judgement in appeal | Appeal against whom | Reasons and amount of money | | 20 | Cost | Applicant | Opposite party | Applicant | Opposite party | Date of application | Judgement in appeal | Appeal against whom | Reasons and amount of money | | 21 | Date of order transferring to another | Applicant | Opposite party | Applicant | Opposite party | Date of application | Judgement in appeal | Appeal against whom | Reasons and amount of money | | 22 | Remarks, if any | Applicant | Opposite party | Applicant | Opposite party | Date of application | Judgement in appeal | Appeal against whom | Reasons and amount of money |

FORM-IV

(Strike out the words not applicable) I, Shri/Shrimati/Kumari…………………………….(Name in full here) whose particulars are given inthe statement below, hereby give notice that the nomination filled by me on date….. and Strike out unnecessary portion.

3. I hereby declare that I have no family within the meaning of clause (33) of section 2 of the said Code. | Sl. No. | Name in full with full address of nominee(s) | Relationship with the employee | Age of nominee | Proportion by which the gratuity will be shared | | --- | --- | --- | --- | --- | | 1. | | | | | | 2. | | | | | | 3. | | | | | | So on | | | | | (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

1. Religion
1. Whether unmarried/married/widow/widower

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 Date: Name and address of the establishment or rubber stamp thereof. [See rule 22(1) and (3)]

APPLICATION FOR GRATUITY BY AN EMPLOYEE/NOMINEE/LEGAL HEIR

(Strike out the words not applicable) I, ....................................................................................... (Name of employee/nominee/legal heir) / Nominee of late....................................................................................... (Name of the employee)/ as a legal heir of late.......................................................................................(Name of the employee), want 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 disability due to accident/total disability due to disease/ termination of contract period under fixed term employment with effect from the or;
(c) death of aforesaid employee of your establishment while in 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)
b. Address in full of employee or
1. 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
1. Payment may please be made by crossed bank cheque/credit in my Bank AccountNo...... [See rule 33]

NOTICE FOR PAYMENT/REJECTING CLAIM OF GRATUITY

(a) as required under clause (i) of sub-rule (4) of rule 22 of the Karnataka Social Security Rules, 2022 that a sum of Rs. ……………… (Rupees……………………………) is payable to you as gratuity/as your share of gratuity in terms of nomination made by ………………on ……………… and……………………………recorded in this ……………………as a legal heir of………………………………………………… an employee of this establishment.
(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 legalheir:
(f) Amount payable: strike out para, if, not applicable Place:

APPLICATION FOR DIRECTION

Application No.

2. The applicant submitted an application under Rule.………………… of the Karnataka Social Security Rules, 2022 on the………………………… but the above-mentioned employer refused to entertain it/issued a notice dated the……………… under clause …………… of sub-rule of rule ………………… offering an amount of gratuity which is less than my due/issued a notice dated the ………………… under clause……………… of sub- rule……………… of rule……………… rejecting my eligibility to payment of gratuity. The duplicated copy of the said notice is enclosed.
1. The applicant submits that there is a dispute on the matter (specify the dispute).
1. 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.
1. The applicant declares that the particulars furnished in the annexure hereto are true and correct to the best of his knowledge and belief. Date:

Signature/Thumb impression of the applicant

ANNEXURE

1. Name in full of applicant with full address
1. Post held by the employee with Ticket or Sl. No., if any (if known)
1. Date of appointment of the employee (if known)
1. Date and cause of termination of service of the employee (Superannuation / retirement / resignation/disability / death/Completion of contract period under Fixed Term Employment)
1. Total period of service by the employee
1. Wages last drawn by the employee
1. If the employee is dead, date and cause thereof Signature / Thumb-impression of the applicant (Name and address of the employer/applicant) Whereas your attendance is required to give evidence/you are required to produce the documents mentioned in this list below, on behalf of.................................................................................................................... in the case arising out of the claim for gratuity by........... Form................... 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.
1. so on Given under my hand and seal, this ...................day of ...................20.......

Competent Authority

under the Code on Social Security, 2020

Note: 1. Strike out the words and paragraphs not applicable.
1. The portion not applicable to be deleted.
1. The summons shall be issued in duplicate. The duplicate is to be signed and returned by the persons served before the date fixed.

FORM-IX

To, (Strike out the words not applicable)

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; or 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 under the Code on Social Security, 2020. Now, therefore, I hereby direct you to pay the said sum of Rs.....................................................to Shri/Smt./Kumari.....................................................within thirty days of the receipt of this notice with an intimation thereof to me. Given under my hand and seal, this ...................day of.....................20.....................

Competent Authority

under the Code on Social Security, 2020 Copy to:

APPLICATION FOR RECOVERY OF GRATUITY

Application No. Date BETWEEN (Name in full of the applicant with full address)

1. 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...................................................an employee of the above-mentioned employer, and you were pleased to direct the said employer in your notice dated the ...........................................under sub-rule (11) or sub-rule (12) of rule 35 of the Karnataka Social Security Rules, 2022 for payment of a sum of Rs... as gratuity payable under the Code on Social Security, 2020.
1. The applicant submits that the said employer failed to pay the said amount of gratuity tome as directed by you although I approached him for payment.
1. The applicant therefore prays that a certificate may be issued under section 129 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.

APPLICATION FOR REGISTRATION OF AN ESTABLISHMENT UNDER

SUB-SECTION (3) OF SECTION 57

A. Establishment Details.

1. Location and Address of the 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:
1. Activity as per National Industrial Classification (NIC):
1. Email Address, Telephone& Mobile No:

C. Manager/ Agent Details

1. Address of Manager/ Agent:

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:-

COMPLAINT TO THE INSPECTOR-CUM-FACILITATOR

To,

The Inspector-cum-Facilitator

(Under The Code on Social Security, 2020) Sir, I......(Name of woman) employed in......(name and full address of the establishment) or I......................., (name), a person nominated under section 62 by or a legal representative of.........................(name of woman) 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, am entitled to Rs.........................being maternity benefit and/ 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 VI 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 the Woman/nominee/legal representative To, The Authority (Appointed under the Code) Sir/Madam, I.…………… the undersigned, woman employee of (name and full address of the establishment) I prefer this appeal under sub-section (3) of section 72 . In view of the facts mentioned in the memorandum attached hereto and the documents filed herewith it is submitted that the women 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. Date: Signature/Thumb impression of the women/aggrived person Signature of an attester in case the woman is not able to sign and affixes thumb impression Full address of the nominee/ legal representative

FORM – XIV

[See rule 37]

NOTICE BOOK UNDER SECTION 82(4)

Name of the Establishment................................................................................................................................................................................................................................................................ Nature of business................................................................................................................................................................................................................................................................ Date of opening................................................................................................................................................................................................................................................................ Registration no (if any)................................................................................................................................................................................................................................................................ Details of Accidents and Compensation

| Date and time of accident | Name of the injured person | Nature of injury | Whether the accident took place | Whether accident resulted in death/total disablement/partial disablement/temporary disablement | Amount of Compensation paid to employee or his dependent | Amount of Compensation deposited to competent authority | Date of deposit of compensation | Remarks | | --- | --- | --- | --- | --- | --- | --- | --- | --- | | | | | i n c o u r s e o f d u t y | | | | | | | | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |

FORM XV

Sir,

a. Time of accident.
b. Place where the accident occurred.
a. Name of the employee .................................. (Signature and designation of person making the statement)

FORM-XVI-A

[See rule 23 (1)]

MEMORANDUM OF AGREEMENT 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. In respect of all disablement of a temporary nature arising out of the said accident whether now or hereafter to become manifest, it is therefore requested that this memorandum be duly recorded. Witness.................. Note:- An application to register an 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.

Date................20 Note:- This form may be varied to suit special case, e.g., injury by occupational disease, agreement when employee is under legal disability etc.

FORM XVI-B

It is hereby submitted that on the …………… day at ……….20, personal injury was caused to …….. residing at …… by accident arising out of and in the course of his employment in …………. The said injury has resulted in permanent disablement to the said workman of the following nature, namely ….. The said employee’s monthly wages are estimated at Rs……… The employee is over the age of 15 years/will reach the age of 15 years on ………. The said employee has, prior to the date of this 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 Employees Compensation Code. In respect of the disablement stated above and all disablement now manifest. It is therefore requested that this memorandum be duly recorded. Signature of employer................ Witness.................. Signature of employee................ Witness.................................................................. Note.-An application to register an agreement can be presentedunder the signature of one party provided that the other partyhas agreed to the terms. But both signatures should beappended, whenever possible. Receipt (to be filled in when the money has actuallybeen paid) In accordance with above agreement, I have this day received the sum of Rs........................................................................... Date .................................. The money has been paid and this receipt signed in my presence. Note.- This form may be varied to suit special cases, e.g., injury by occupational disease, agreement when workman is under legal disability, etc.

FORM XVI-C

[See rule 36 (1)] It is hereby submitted that on the ..... day of ......20, personal injury was caused to ......... residing at ...... by accident arising out of and in the course of employment in ...... The said injury has resulted in temporary disablement of the workman, who is at present in receipt of ......wages amounting to Rs... per month/on wages. 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 ...... This agreement is subject to the conditions that the amount of half-monthly payment may be varied in accordance with the provisions of the Employees Compensation Code on account of an alteration in the earning of the said employee during disablement. It is further stipulated that all rights of commutation under Section 89 of the said Code are unaffected by this agreement. It is therefore requested that this memorandum be duly recorded. Signature of employer................ Witness.................................................................. Note.-An application to register an agreement can be presentedunder the signature of one party provided that the other partyhas agreed to terms. Receipt (to be filled in when the money as actually been paid) In accordance with the above agreement, I have this day received the sum of Rs ................................................................................................................................................................................................................................................................................................................................................................................................................................................................ Witness........................................................................ Note.- This form may be varied to suit special cases, e.g. injury by occupational disease, etc.

FORM XVI-D

REGISTER OF MEMORANDUM

| Sl.No | Date of agreement | Date of registration | Employer | Workman | Initial of competent authority | References to orders rectifying the register | | --- | --- | --- | --- | --- | --- | --- | | 1 | 2 | 3 | 4 | 5 | 6 | 7 |

FORM XVII-A

[See rule 38 (1) (i)]

APPLICATION FOR COMPENSATION BY WORKMAN

It is hereby submitted that-

(1) The Applicant, a workman employed by the opposite party on the ………………day of ………………19…………………received personal injury by accident arising out of and in the course of his employment. The cause of the injury was (here insert briefly in ordinary language the cause of the injury)..................................................
(2) The applicant sustained the following injuries, namely......................
(3) The monthly wages of the applicant amounted to Rs...... the applicant is over/under the age of 15 years......
(4) * (a) Notice of the accident was served on the ....................day of ...........................................................................
(c) Notice of the accident was not served (in due time by reason of) ...................................
(a) half monthly payment of Rs. ………………………… from the …………………………day of…………………….19………………………
(b) a lump sum payment of Rs...................
(6) The applicant has taken the following steps to secure a settlement by agreement, namely................... But it was proved impossible to settle the questions in dispute because..................... *You are therefore requested to determine thefollowing questions in dispute namely:-
(a) Whether the applicant is a workman within the meaning of the Act.

FORM XVII-B

[See rule 38 (1) (i)] Versus

(b) Notice was served as soon as practicable.
(c) Notice of the accident was not served (in due time ) by reason of ............................................................................
1. The deceased before his death received as compensation the total sum of Rs.………………………………………………
(c) Whether the amount of compensation claimed is due, or any part of the amount.
(d) Whether the opposite party is liable to pay such compensation as is due.
(e) Whether the applicant(s) is/are dependant(s) of the deceased.
(f) How the compensation, when deposited shouldbe distributed. Applicant

FORM XVIII-A

[See rule 38 (20) (i)]

NOTICE

and the said has claimed that you are liable under Section 85 (2) of the Code to indemnify him against any compensation which he may be liable to pay in respect of the aforesaid claim, you are hereby informed that you may appear before me on and contest the claim for compensation made by the said applicant or the claim for indemnity made by the opposite party. In default of your appearance, you will be deemed to admit the validity of any award made against the opposite party and your liability to indemnify the opposite party for any compensation recovered from him. Dated: Competent Authority Whereas a claim for compensation has been made by..............................................applicant,against..............................................and the said __has claimed that ______________is liable under Section 85 (2) of the Code, to indemnify him against any claim and where as the said ______________on notice served has claimed that you __stand to him in the relation of a contractor from whom the applicant __could have recovered compensation you are hereby informed that you may appear before me on __________and contest the claim for compensation made by the said applicant or the claim for indemnity made by the opposite party __. In default of your appearance you will be deemed to admit the validity of any award made against the opposite party __your liability to indemnify the opposite party _____________for any compensation recovered from him. Date Competent Authority

FORM-XIX

[See rule 41(5)]

Annual Report

Karnataka Building and Other Construction Workers Welfare Board/

1. Name of Chairperson:
1. Member of the Board:
1. Regional offices with address (if any):
(i) No. of beneficiaries registered with the Board:
(ii) No. of registered employers:
IV. Audit:
(i) Date of the last audit:
(ii) Have any irregularities been mentioned in the previous audit? If so, state the position regarding compliance thereof.
V. Internal audit:
(c) Who had done the internal audit?
(d) State whether there is proper co-ordination between the Government auditor and the internal auditor;
(e) Whether recommendations made by the internal auditor have been complied withby the Board, if no, specify them:
VI. Bank balance and securities:
(a) Does the bank balance shown in bank Statements/pass book tally with the bank book? If not, whether any reconciliation statement is prepared? Attach statement
(b) Whether confirmation of balance are obtained From all the banks?
(g)
(a) Are relevant registers maintained upto date?
(c) In case of immovable properties including land, Verify title deeds and see whether they are min the Name of the Board If so, give details.
(ii) State the rates of depreciation charged on various assets.
IX. Receipts during the year under report:
(1) Amount of grants/loans received from the Central Govt.
(2) Amount of contribution received from the beneficiaries
(3) Amount of cess received
(4) Amount of registration fees received from the beneficiaries
(5) Any other source
(1) Financial assistance provided to the beneficiaries
(2) Administrative expenditure including salary
(3)
XII. General:
1. Litigations:
(a) No. of court cases against Board:
1. Inspections:
(a) Whether any inspection has been carried Out by the any Central/State Govt. authority [See rules 43 (1)]

REGISTER OF WAGES AND DEDUCTION

| Employee cod e | Employee name | Na me of father | Se x | Date of Birth | Address | Photo | Identification Mark | Designation | Cat egory (H | Designation code/ grade as in Government | Date of joining | Education Qualification | Date of Exit | Rea son for Exit | | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | | | | | | | | | | | | | | | | | | Mo bile Number | E- | Ban k Na me | IFS C Cod e | Ban k Account Number | Day s of attendance | Los s of pay day s | Number of weekly off grant | Number of Leave granted | Basic | DA | HR A | City Compensation allowances | Gross Monthly Wages | Overtime wages | | 16 | 17 | 18 | 19 | 20 | 21 | 22 | 23 | 24 | 25 | 26 | 27 | 28 | 29 | 30 | | | | | | | | | | | | | | | | | | Leave Wages | National and Festival holidays | Arrear Paid | Bonus | Maternity Benefit | Other Allowances | Advance | Total Amount | EPF | ESI | Welfare Fund | Professional Tax | Tax Deduction Source | Deduction of Fine | Deduction for | | 31 | 32 | 33 | 34 | 35 | 36 | 37 | 38 | 39 | 40 | 41 | 42 | 43 | 44 | 45 | | | | | | | | | | | | | | | | | | Other Deduction | Total Deduction | Net wages paid | Date of payment | Re marks | EPF No | ESI No | Elect ion ID | Aadhar No | Loan Payment | Loan Recovery | Signature/ Thumb | | 46 | 47 | 48 | 49 | 50 | 51 | 52 | 53 | 54 | 55 | 56 | 57 | | | | | | | | | | | | | |

MUSTER ROLL

Name of establishment........................................................................... Place ........................................ | Sl. No | Name | Father's/ Husband's Name | Sex | Date of entry in service | Designation/ Category | Total Number of hours work performed | Total number of days work performed | Total number of workers | | --- | --- | --- | --- | --- | --- | --- | --- | --- | | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | | | | | | | | | | |

FORM XXII

| Branch (IFSC) | Present Address | Permanent | Date of Exit | Reason for Exit | Mark of Identificat | Photo | Specimen Signature/ Thumb | Remarks | | --- | --- | --- | --- | --- | --- | --- | --- | --- | | 21 | 22 | 23 | 24 | 25 | 26 | 27 | 28 | 29 | [See rule 43(1)(x)] Name and address of the Establishment: | Sl No. | Date & time of accident | Date of information to authorities | Name of employee injured/ deceased | Nature of injury permanent / temporary | Amount of compensation and monthly wages Lump sum / half monthly | Date of disposal & mode of payment: By cheque /Demand Draft/Bank transfer | Remarks | | --- | --- | --- | --- | --- | --- | --- | --- | | | | | | | | | |

FORM XXIV

[See rule 43(1)(xi)]

REGISTER OF CESS

| Sl No . | Date of commencemen t of construction | Type of construction Residential/ Commercial | Date of proposed completio n of constructi on | Estimated cost of construction | Advan ce cess am oun t pai d | Mode and date of payme nt | Balance cess amoun tto be paid | Tot al ces s pai d | Fil e No | | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |

FORM XXV

REGISTER OF VACANCIES

Name and address of the Establishment: | Sl. No | Total Number of employees | | | Persons recruited up to 31st March. ..... year | Occupation al details of employees recruited | Number of unfilled vacancies/ posts | | | | --- | --- | --- | --- | --- | --- | --- | --- | --- | | | Regular | Contractual | Fixed term employment | | | Skill/ Qualification/ technical/ experience prescribed | Essential | Desirable |

[See rule 44(1)]

1. Serial Number.
1. Name of woman and her father's (or, if married, husband's) name.
1. Date of appointment.
1. Nature of work.
1. 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. of days not employed | Remark | | --- | --- | --- | --- | --- | | | | | | | | | | | | |
1. Date on which the woman gives notice under section62.
1. Date of production of proof of pregnancy under section 62.
1. Date of production of proof of delivery/miscarriage Medical Termination of pregnancy / tubectomy operation/death/adoption of child.
1. Date with the amount of maternity benefit paid in advance of expected delivery.
1. Date with the amount of subsequent payment of maternity benefit.
1. Date with the amount of bon us, if paid, under section64.
1. Date with the amount of wages paid on account of leave under section 66(1) & 6b (3).
1. Date with the amount of wages paid on account of leave under Section66(2) and period of leave granted.
1. Name of the person nominated by the woman under section62.
1. 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.
1. 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. Address of the establishment: House No./Flat No. ...........................................................................Street No./Plot No........................................................................... (b) Name of the employer ........................................................... House No./Flat No. ................................................... Street No./Plot No. ................................................... Town.....................District.....................State..................... pin code..................... E-mail ID...........................................................................Telephone Number........................................................................... (c) Name of the manager or person responsible for supervision and control of establishment ................................................................................................................................................................................................................................................................................................................................................................................................................................................................ Town.....................District.....................State..................... pin code..................... E-mail ID...........................................................................Telephone Number........................................................................... Mobile number................................................................................

B. Employer’s Registration/Licence number under the Codes mentioned in column (2) of the table below:

| Sl. No. | Name | Registration | | If yes (Registration No.) | | --- | --- | --- | --- | --- | | 1 | 2 | 3 | | 4 | | 01 | The Code on Occupational Safety Health and working condition code 2020. | | | | | 02 | The Code on Social Security 2020. | | | | | 03 | Any other Law for the time being in force. | | | |

C. Details of Employer, Contractor and Contract Labour:

| 01 | Name of the employer in the case of a contractor's establishment. | | | --- | --- | --- | | 02 | Date of commencement of the establishment. | | | 03 | Number of Contractors engaged in the establishment during the year. | | | 04 | Total Number of days during the year on which Contract Labour was employed. | | | 05 | Total number of man-days worked by Contract Labour during the year. | | | 06 | Name of the Manager or Agent (in case of mines). | | | 07 | Address E-mail ID Telephone Number Mobile Number | | | 01 | Number of days worked during the year. | | | --- | --- | --- | | 02 | Number of maydays worked during the year. | | | 03 | Daily hours of work. | | | 04 | Weekly day of rest. | |

E. Maximum number of persons employed in any day during the year:

| 01 | Males | Females | Adolescents (between the age of 14 to 18 years.) | Children (below 14 years of age) | Total | | --- | --- | --- | --- | --- | --- | | 02 | | | | | |

F. Wage rates (Category Wise):

| Category | Rates of Wages | No. of Workers | | | | | | | | | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | | | | Regular | | | | Contract | | | | | | | Male | Female | Children | Adolescent | Male | Female | Children | Adolescent | | Highly Skilled | | | | | | | | | | | Skilled | | | | | | | | | | | Semi-skilled | | | | | | | | | | | Unskilled | | | | | | | | | |

G. (a) Details of Payments:

| Gross wages paid | | Deductions | | | Net wages paid | | | --- | --- | --- | --- | --- | --- | --- | | In cash | In kind | Fines | Deductions | Others | In cash | In kind | | | | | for damage or loss | | | | | | | | | | | |

(b) Number of workers who were granted leave with wages during the year:

| Sl. No. | During the year | Number of workers | Granted leave with wages | | --- | --- | --- | --- | | | | | |

H. Details of various welfare amenities provided under the statutory schemes:

| Sl. No. | Nature of various welfare amenities provided | Statutory (specify the statute) | | --- | --- | --- | | | | |

(a) Details of establishment, medical and para-medical staff:

| 01 | Date of opening of establishment | | | | --- | --- | --- | --- | | 02 | Date of closing, if closed | | | | 03 | Name of Medical Officer | | | | 03 (i) | Qualification of Medical Officer | | | | 03 (ii) | Is Medical Officer at (the mines or circus) ? | | | | 03 (iii) | If a part time, how often does he/she pay visit to establishment? | | | | 03 (iv) | Is there any Hospital? | | | | 03 (v) | If so, how many beds are provided? | | | | 03 (vi) | Is there a lady Doctor? | | | | 03 (vii) | If so, what is her qualification? | | | | 03 (viii) | Is there a qualified mid-wife? | | | | 03 (ix) | Has any crèche been provided? | | | | 01 | Total number of female employees in the establishment | | | --- | --- | --- | | 02 | Total number days of leave granted | | | 03 | Number of employees granted maternity leave/benefited by ESI | |

Declaration

It is to certify that the above information is true and correct and also I certify that I have compliedwith the all provisions of Labour Codes applicable to my establishment. Place Date [See rule 49(1)]

APPLICATION FOR COMPOUNDING OF OFFENCES

1. Name of applicant ................................................................................................................................................................................................................................................................
1. Mobile number/email
1. whether any case pending before any authority or Court in the same matter
Maximum fine provided for the offence under the Code.
Whether the offence is first offence or the applicant had committed any other offence prior to the offence, if had committed, then, full detail of the offence
Any other information which the applicant desires to provide I, pray for the compounding of offences as stated above. Dated: Applicant (Name and signature) [See rule 50(3)(B)]

FORM FOR REPORTING VACANCIES TO CAREER CENTRES

| 1 | Particulars of the employer: Name: Address with pin code: Telephone No. : Mobile No.: Email address : Name &Type of Establishment: (Central Government, State Government, PSU,Autonomous, Private, etc) Registration No of establishment under Code:Economic activity details: | | | | --- | --- | --- | --- | | 2 | Particulars of the indenting Officer: Name: Designation: Telephone No. :Mobile No.: Email address : | | | | 3 | Particulars of vacancy(ies): (a) Designation/nomenclature of the vacancy(ies) to be filled (b) Description of duties of the post (job role/functional role) | | | | | (c) Qualifications/Skills required (educational, technical, experience) | Essential | Desirable/Preferable | | | (i) Educational Qualifications (ii) Technical Qualifications (iii) Skills (iv) Experience | | | | | (d) Age Limits, if any ( Age as on last date of application) | | | | --- | --- | --- | --- | | | (e) Preferences (such as Ex-servicemen, persons with disabilities, women, etc) if any | | | | | (f) duration of employment (i) 3-6 months | Number of Posts | | | | (ii) 6-12 months (iii) 12 months and more | | | | 4 | Whether there is any obligation for arrangement for giving reservation/ preference to any category of persons such as Scheduled Caste(SC), Scheduled Tribe(ST), Economically Weaker Sections(EWS), Other Backward Classes(OBC), Ex- serviceman and persons with disabilities (pwd) , etc, in filling up the vacancies: Yes/No ( if yes, give the number of vacancies to be filled by such categories of persons as detailed below) | | | | 5 | Category | Number of vacancies to be filled | | | | (a) Scheduled Caste (b) Scheduled Tribe (c) OBC (d) EWS (e) Ex-Serviceman (f) Persons with disabilities (pwd) (g) women (h) Others(specify) | Tota l | *By Priority candidates *(Applicable for Central Government vacancies) | | 6 | Pay and Allowances: For Government vacancies: Mentionpay level/pay scale of the post with basic pay/pay per month with otherdetails if any For others: Mention minimum totalemoluments per month with other details, if any. | | | | 7 | Place of work (Name of the town/village and district, pin code etc. in which it is situated) | | | | 8 | Mode of Application(email, online, inwriting, etc) and Last date for receipt of applications. | | |

| 9 | Particulars of officer to whom the applications be sent/candidates shouldapproach(Mention Name, designation,email id, address , telephone No., website address in case of online) | | | --- | --- | --- | | 10 | Mode of Recruitment {Through Career Centre, Placement Agency , self-management, any other mode(specify) } | | | 11 | Would like to prefer submission of list of eligible candidates registered with Career Centre | | | 12 | Any other relevant information | | | 13 | Name, address, email id of the Career Centre | | | 14 | Date of receipt of Vacancies | | | 15 | NIC Code of the establishment/ | | | 16 | NCO Code of the post | | | 17 | Unique Vacancy ID(number) | | Signature, Name& Designation of Authorised Signatory of Career Centre with seal & date NOTE:

1. 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 3 working days from the date of receipt of reporting of vacancies.
1. An employer, if advertises that vacancy in any media or makes recruitment through any agency or any other mode, may invariably quote that unique vacancy reporting number in that advertisement or recruitment process.
1. Any change in the particulars already furnished to the Career Centre, shall be reported in writing or through valid official email or digitally (including through a portal) as the case may be, to the appropriate Career Centre.

FORM-XXX

[See rule 51(6)]

FORM EIR (EMPLOYMENT INFORMATION RETURN)

| Name & Address of the Employer | | | | --- | --- | --- | | Whether – Head Office | | | | Branch Office | | | | Type of Establishment (Public/ Private Sector) | | | | Nature of business/ Principal activity | | | | Establishment Registration No. under the Code | | | | 1. (a) EMPLOYMENT Total number of manpower of establishment including working proprietors/partners//contingent paid and contractual workers, out-sourced workers excluding part-time workers and apprentices. (The figures should include every person whose wage or salary is paid). | | | | Category | On the last working day of the previous Year | On the last working day of the Year under report | | MEN WOMEN Other (Transgender) TOTAL : PWD (persons with disabilities) out of above total | | | | 2. Number of vacancies* occurred and reported to Career Centre during the year and the number of vacancies filled during the year | | | | | | --- | --- | --- | --- | --- | | Occurred | Reported | | Filled | Source (Career Centre/ NCS Portal/ Govt. Recruiting Agencies/ Private Placement Organisations/ others) | | | Career Centre (Regional) | Central Centre (Central) | | | | 1 | 2 | 3 | 4 | 5 | | | | | | | [^As per provisions of Code on Social Security, 2020(Chapter XIII) and Rules made there under,]

R.N.I. No. KARBIL/2001/47147 POSTAL REGN. No. RNP/KA/BGS/2202/2017-19 Licensed to post without prepayment WPP No. 297

| 3. MANPOWER SHORTAGES: | | | | | --- | --- | --- | --- | | Vacancies/posts remained unfilled because of shortage of suitable applicants. | | | | | Name of the occupation or designation of the post | Number of unfilled vacancies/posts | | | | | Skill/ qualifications (educational / technical/ experience) prescribed | Essential | Desirable | | 1 | 2 | 3 | 4 | | | | | | | 4. Estimated Manpower Requirement by Occupational Classification during the next calendar year (Please give below the number of employees in each occupation separately). | | | | | | | --- | --- | --- | --- | --- | --- | | Occupation | Number of employees Please give as far as possible approximate number of vacancies in eachoccupation you are likely to fill during the next financial year due to retirement/ expansion or re-organization. | | | | | | Description | Men | Women | Others (transgender) | Total | PWD (persons with disabilities out of total) | | 1 | 2 | 3 | 4 | 5 | 6 | | | | | | | | | | | | | | | | | | | | | | | Total | | | | | | Note:- 1. This return is to be rendered to the Career Centre (Regional) within 30 days after the end of the financial year concerned by establishments/employers vide their obligation under the Code on Social Security, 2020 (Chapter XIII-Employment Information and Monitoring). 2. The main purpose in obtaining the information from employers is to know (i) the vacancies/employment opportunities available; (ii) type of personnel who are in short supply; and (iii) future job opportunities for providing vocational guidance to the jobseekers and connecting them with the employers. This is helpful in ascertaining the skill needs also. Employers too will be able to call on the Career Centres for getting suitable candidates as pertheir requirements.

Additional Details

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Karnataka Code on Social Security Draft Rules, 2026

Full rule text

Text

Style and Appearance

Table Version

మాస్టర్ క్రూస్

GOVERNMENT OF KARNATAKA

Notification

CHAPTER - I

CHAPTER - II

PART-A: KARNATAKA UNORGANISED WORKERS’ SOCIAL SECURITY BOARD

5. Resignation of member of the Board under sub-section (12) of section 6:

6. Reconstitution of the Board.—

10. Constitution of the Karnataka Building and other Construction Workers' Welfare

CHAPTER – III

19. Manner of commencement of proceedings before the Employees' Insurance Court, fees and procedure thereof under sub-section (1) of Section 51:

23. Form of Application to competent authority for direction under clause (b) of subsection (5) of section 56.-

28. Competent Authority and Appellate Authority.-

30. Authority to whom an appeal may be preferred under Section 72:

(2)Production of documents.-

(19)Power of summary examination.-

CHAPTER- VII

CESS IN RESPECT OF BUILDING AND OTHER CONSTRUCTION WORKERS

47. Inspection Scheme.-

MISCELLANEOUS

51. Such other sources of funding and the manner of administering and expending of the fund under sub-section (5) of section 141.—

FORM-I

FORM III

REGISTER OF APPLICATIONS

FORM-IV

Statement

Certificate by the Employer

Signature of the employer/Officer authorized

APPLICATION FOR GRATUITY BY AN EMPLOYEE/NOMINEE/LEGAL HEIR

NOTICE FOR PAYMENT/REJECTING CLAIM OF GRATUITY

APPLICATION FOR DIRECTION

Signature/Thumb impression of the applicant

ANNEXURE

Competent Authority

FORM-IX

Competent Authority

APPLICATION FOR RECOVERY OF GRATUITY

APPLICATION FOR REGISTRATION OF AN ESTABLISHMENT UNDER

A. Establishment Details.

C. Manager/ Agent Details

D. Details of Approved Gratuity Fund/Insurance obtained for liability of payment

E. Others Details:-

COMPLAINT TO THE INSPECTOR-CUM-FACILITATOR

The Inspector-cum-Facilitator

FORM – XIV

NOTICE BOOK UNDER SECTION 82(4)

FORM XV

FORM-XVI-A

[See rule 23 (1)]

FORM XVI-B

FORM XVI-C

FORM XVI-D

REGISTER OF MEMORANDUM

FORM XVII-A

APPLICATION FOR COMPENSATION BY WORKMAN

It is hereby submitted that-

FORM XVII-B

FORM XVIII-A

NOTICE

FORM-XIX

Annual Report

Karnataka Building and Other Construction Workers Welfare Board/

REGISTER OF WAGES AND DEDUCTION

MUSTER ROLL

FORM XXII

FORM XXIV

REGISTER OF CESS

FORM XXV

REGISTER OF VACANCIES

[See rule 44(1)]

B. Employer’s Registration/Licence number under the Codes mentioned in column (2) of the table below:

C. Details of Employer, Contractor and Contract Labour:

E. Maximum number of persons employed in any day during the year:

F. Wage rates (Category Wise):

G. (a) Details of Payments: