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

सत्यमेव जयते राजस्थान राजपत्र विशेषांक RAJASTHAN GAZETTE Extraordinary
साधिकार प्रकाशित Published by Authority
पौष 23, मंगलवार, शाके 1947- जनवरी 13, 2026 Pausa 23, Tuesday, Saka 1947- January 13, 2026 भाग 4 (ग) उप-खण्ड(II) राज्य सरकार तथा अन्य राज्य प्राधिकारियों द्वारा जारी किये गये कानूनी आदेश तथा अधिसूचनाएं।

LABOUR DEPARTMENT

NOTIFICATION Jaipur, January 12, 2026 S.O.151 .-Whereas, the draft of the Rajasthan Code on Social Security Rules, 2023 was published in Rajasthan Gazette Extraordinary Part 4 (ga) dated 11.05.2023 inviting objections and suggestions from persons likely to be effected thereby; And whereas,it is decided by the State Government to publish revised following draft rules for information of all persons likely to be affected thereby; Now therefore, the following draft of the Rajasthan Code on Social Security Rules, 2026, which the State Government proposes to make in exercise of the powers conferred by section 154, 156 and 158 of the Code on Social Security, 2020 (Central Act No.36 of 2020) are hereby published, as required by said sections for information of all persons likely to be affected thereby and the notice is hereby given that the said draft rules will be taken into consideration after the expiry of a period of forty-five days from the date on which the copies of the Official Gazette in which the draft rules are published are made available to the public; Any objections and suggestions, if any, may be addressed to the Labour Commissioner, ShramBhawan, Shanti Nagar, Hasanpura, Jaipur-302006 or by email- lab- comm-rj@nic.in. The objections and suggestions, which may be received from any person with respectto the said draft rules before expiry of the period specified above, will be considered by the State Government.

DRAFT RULES

PART-I

PRELIMINARY

1. Short title, extent and commencement.- (1) These rules may be called the Rajasthan Code on Social Security (Draft) Rules, 2026.
(2) They extend to the whole of Rajasthan.
(3) They shall come into force on the date of their final publication in the Official Gazette.
1. Definitions.- (1) In these rules, unless the subject or context otherwise requires,-

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(a)“appeal” means an appeal preferred under clause (b) of sub-section (7) of section 37 or sub-section (8) of section 56or sub-section (3) of section 72 or sub-section (1) of section 99 or sub-section (1) of section 105;
(b) "Appellate authority" means,-
(i) the State Government or the authority specified by the State Government for the purpose of the Code; and
(ii) ESI Court constituted by the State Government for the purpose of sub-section 7 of section 37;
(c)“authority” means the State Government or the authority specified by the State Government under sub-section (3) of section 72;
(d) “average daily wages during a contribution period” under Chapter IV of the Code in respect of an employee, means the aggregate amount of wages payable to him during that period divided by the number of days for which such wages were payable;
(e)“average daily wages during a wage period” under chapter IV of the Code means,-
(i) in respect of an employee who is employed on time-rate basis, the amount of wage which would have been payable to him for the complete wage period had he worked on all the working days in that wage period, divided by 26 if he is monthly rated, 13 if he is fortnightly rated, 6 if he is weekly rated and 1 if he is daily rated;
(ii) in respect of an employee employed on any other basis, the amount of wages earned during the complete wage period in the Contribution period divided by the number of days in full or part for which he has worked for wages in that wage period: Provided that where an employee receives wages without working on any day during such wage period, he shall be deemed to have worked for 26, 13, 6 or 1 days or day if the wage period be a month, a fortnight, a week or a day respectively. Explanation: Where any night shift continues beyond midnight, the period of the night shift after midnight shall be counted for reckoning the day worked as part of the day preceding;
(f) “benefit period” means the period not exceeding six consecutive months corresponding to the contribution period, as may be specified in the Regulations;
(g) “Board” means,-
(i) the Rajasthan Unorganised Workers Social Security Board constituted under section 6, and
(ii) the Rajasthan Building and Other Construction Workers’ Welfare Board constituted under section 7, as the case may be;

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(h) “chairperson” means the Chairperson of the Rajasthan Building and Other Constructions workers' Welfare Board, the Rajasthan Unorganised Workers Social Security Board, the Standing Committee, the Medical Benefit Committee or the Executive Committee, as the case may be;
(i) “Code” means the Code on Social Security, 2020 (Central Act No. 36 of 2020);
(j) “Court” means the Employee Insurance Court constituted under section 48 of the Code;
(k) “electronically” means any information submitted by email or uploading on the designated portal or digital payment in any mode for the purpose of Code;
(1) “form” means a form appended to these rules;
(m) “fund” means the Building and Other Construction Workers Welfare Fund as specified in section 108 and Social Security Fund, as specified in section 141, as the case may be;
(n) “Government” means Government of Rajasthan;
(o) “Government Securities” means Government Securities as defined in the Government Securities Act, 2006 (Central Act No. 38 of 2006);
(p) “immovable property” includes land, benefits to arise out of land, things attached to the earth, or permanently fastened to anything attached to the earth;
(q) “movable property” means property of every description except immovable property;
(r) “nomination” means nomination made under section 55 of the Code;
(s)“portal” mean official web portal of the Labour Department, Government of Rajasthan, called by any name;
(t)“Registered Medical Practitioner” means a medical practitioner whose name has been enrolled in a register maintained under any law for the time being in force regulating the registration of practitioners of medicine;
(v) “schedule” means the schedule of the Code;
(w) “section” means a section of the Code; and

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Term of office of nominated members.- (1) A member, other than an ex-officio member, shall, unless he resigns his office or dies or otherwise vacate his office at an earlier date, hold office for a period not exceeding three years from the date of his nomination. (2) A member nominated under sub-clause (i), (ii) and (iv) of clause (d) of sub-section (10) of section 6 shall cease to be a member of the Board if he ceases to represent the category of interest from which he was so nominated: Provided that out of seven members nominated under sub-clause (i), one member each from the Scheduled Caste, Scheduled Tribe, Minorities and Women shall be represented. (3) A member nominated under sub-clause (iii) of clause (d) of sub-section (10) of section 6 shall cease to be a member of the Board if he ceases to be a member of the Legislative Assembly by which he was elected. 4.Resignation.- (1) A member of the Board, not being an ex-officio member, may resign his office by a letter in writing addressed to the Chairperson. (2) The seat of such 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 electronically or otherwise, whichever is earlier. (3) The power to accept the resignation of a member shall vest in the Chairperson who, on accepting the resignation, shall report to the Board at its next meeting.
Vacation of office.- A member appointed under sub-clause (i), (ii) and (iv) of clause (d) of sub-section (10) of section 6 shall be deemed to have vacated his office, if,-

(a) he is or has become disqualified as per sub-section (1) or sub-section (4) of section 8 of the Code;
(c) he is removed from the office by the State Government.

Manner of filling vacancies.- When a vacancy occurs or is likely to occur in the membership of the Board, the Member Secretary shall submit a report to the State Government and on receipt of such report, the State Government may, by notification, nominate a person to fill the vacancy and the person so nominated shall hold office for the remaining period of the term of office of the member in whose place he is nominated.
Allowances of members.- (1) The travelling allowance of an official or ex-officio member of the Board shall be governed by the rules applicable to him for journey performed by him on official duties and shall be paid by the authority paying his salary. (2) The non-official members of the Board shall be paid travelling allowance for attending the meetings of the Board at such rates as are admissible to a Category ‘A’ officer of the State Government and daily allowance shall be calculated at the maximum rate admissible to a Category ‘A’ officer of the State Government.
Meetings of the Board.- (1) The Board shall meet at such place and at such time as may be decided by the Chairperson and it shall ordinarily meet at least once in a quarter.

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(2)The Chairperson shall preside over every meeting of the Board in which he is present and in his absence he may nominate a member of the Board to preside over such meeting in his place and in the absence of such nomination by the Chairperson, the members of the Board present in such meeting may choose from amongst themselves a member to preside over the meeting. 9.Quorum.- No business shall be transacted at any meeting of the Board unless six members are present in that meeting which shall include at least one member of State Legislative Assembly: Provided that if at a meeting, less than six members are present, the Chairman may adjourn the meeting to another date informing the members present and giving notice to the other members that he proposes to dispose of the business at the adjourned meeting whether there is required quorum or not, and it shall thereupon be lawful for him to dispose of the business at the adjourned meeting irrespective of the number of members attending. (3) No business other than for which the meeting of the Board has been convened shall be considered at the meeting except with the permission of the Chairperson of the meeting. 12. Minutes of meeting.- (1) The minutes of each meeting showing inter-alia the names of the member present there, shall be forwarded to each member of the Board as soon as possible and in any case not later than four weeks after the meeting. (2)The records of the minutes of each meeting of the Board shall be signed by the Member Secretary with the approval of theChairperson. (3) The minutes of the meeting shall be confirmed with such modification considered necessary at the next meeting. (4) The minutes of a meeting of the Board shall be kept in a Minute Book and shall be signed by the Chairperson of the meeting at which the proceedings are confirmed. (4) No work shall be performed at a meeting of the sub-committee unless at least one-third of its members are present, of which there shall be one representing the members and at least one unorganized worker.

CHAPTER-II

RAJASTHAN BUILDING AND OTHER CONSTRUCTION WORKERS WELFARE BOARD 14. Constitution of the Board.- (1) The Board shall consist of,-

(i) The Minister in-charge of the Labour Department, Rajasthan shall be the ex-officio Chairperson,
(ii) not more than three persons representing building and other construction workers appointed by the State Government,
(iii) not more than three persons from among the employers of building and other construction appointed by the State Government,
(iv) not more than three members representing the State Government to be appointed by the State Government representing Government Departments of whom one shall be the Labour Commissioner and one shall be representative of Finance Department and one shall be representative of Department engaged in building or other construction work, and
(v) a member nominated by the Central Government. (2) At least one member of the Board among the members appointed under clauses (ii), (iii) and (iv) of sub-rule (1) shall be a woman and the number of members appointed under clauses (ii), (iii) and (iv) of sub-rule (1) shall be equal.

Term of office.- (1) The term of appointment of the Chairperson and other ex-officio members of the Board shall be three years. Provided that an outgoing member may continue in office till their successors are appointed but in no case the members shall continue in office beyond a period of four years from the date of their appointment.
Filling up of casual vacancy.- A non-official member appointed to fill a casual vacancy shall hold office for the remaining period of the term of the member in whose place he is appointed.
Resignation.- (1) A member appointed under clause (ii) and (iii) of sub-rule (1) of rule 14 may resign his office by writing under his hand addressed to the State Government. (2) The resignation shall take effect from the date of its acceptance by the State Government.

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Vacation of office.- A member appointed under clauses (ii) and (iii) of sub-rule (1) of rule 14shall be deemed to have vacated his office, if, –

(a) he is declared to be of unsound mind or an undercharged insolvent by a competent court, or
(b) he is convicted of an offence which, in the opinion of the State Government, involves moral turpitude; or
(c) he is absent from three consecutive meetings of the Board without leave of absence from the Chairperson; or
(d) he ceases to represent the interest for representing which he was appointed; or
(e) he removed by the State Government.

Meeting of the Board.- The Board shall ordinarily meet once in three month: Provided that the Chairperson shall, within fifteen days of the receipt of a requisition in writing from not less than one third of the members of the Board, call a special meeting thereof.
Notice of meeting and list of business.- Notice intimating the date, time and venue of every meeting together with a list of business to be transacted at the meeting shall be sent by email or by registered post or by special messenger, to each member fifteen days before the meeting: Provided that when the Chairperson, calls a meeting for considering any matter which in his opinion is of urgent nature, notice of not less than three days shall be deemed sufficient.
Chairperson to preside at meetings.- (1) The Chairperson shall preside over all the meetings of the Board in which he is present, and if, for any reason the Chairperson is unable to attend the meeting any member nominated by the Chairperson in this behalf shall preside over the meeting. (2) When the Chairperson is absent and no member has been nominated the Chairperson under sub-rule (1), the members present in such meting shall choose from amongst themselves a member to preside over the meeting and the member so chosen shall exercise all the powers of the Chairperson in conducting the meeting. (3) No business shall be transacted at any meeting of the Board unless at least six members are present.
Transaction of Business.- Every question considered at a meeting of the Board shall be decided by a majority of the votes of the members present and voting and in the event of equal votes, the Chairperson shall have and exercise a casting vote.
Minutes of the meeting.- (1) The minutes of each meeting showing inter-alia the names of the member present there, shall be forwarded to each member of the Board as soon as possible and in any case not later than four weeks after the meeting. (2) The records of the minutes of each meeting of the Board shall be signed by the Member Secretary with the approval of the Chairperson. (2) The Chairperson shall be paid honorarium of four thousand rupees per mensem.

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(3) The travelling allowance of an official or ex-officio member of the Board shall be governed by the rules applicable to him for journey performed by him on official duties and shall be paid by the authority paying his salary. (4) The non-official members of the Board shall be paid travelling allowance for attending the meetings of the Board at such rates as are admissible to a Category ‘A’ officer of the State Government and daily allowance shall be calculated at the maximum rate admissible to a Category ‘A’ officer of the State Government. 25. Sub-committees of the Board.- (1) The Board may constitute such sub-committees, as it may deem fit for the proper discharge of its duties. (2) A sub-committee shall consist of the following persons, namely:-

(i) Chairperson of the Board, (4) The Chairperson of the Board shall be the Chairperson of the sub-committee also. If the Chairperson is absent at any meeting the members, present in such meeting choose from amongst themselves a member to preside over the meeting. Provided that the sub-committee shall continue in office until a new sub-committee is constituted.
(iii) submission of annual budget to Government for sanction,
(iv) submission of annual report on the activities of the Board to the Government,
(vi) annual audit of account of the Board in accordance with the provision of the Code,
(vii) collection of the contribution to the fund and other charges,
(x) proper and timely recovery of any amount due to the Board, and

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(xi) ensure the timely payment of contribution of ESI and PF, as the case may be; (2) The Board shall furnish information to Government on such matters as the Government may refer to it, from time to time. (3) The Board shall formulate scheme which provided in the Code and these rules, laying down the procedure, formats and all other residual matters regarding each benefit or group of benefits, inter alia specifying following, and with prior approval of the State Government, notify the scheme;
(i) Rates at which various benefits will granted,
(ii) Eligibility criteria for admissibility of benefit,
(iii) Application Procedure and Format,
(iv) Procedure for sanctioning and competent authority to grant approval,
(vi) Any other incidental matters.

Appointment of Secretary, other officers and employees.- (1) The Board may, with the prior approval of the State Government, appoint an officer of the State Government not below the rank of a Additional Labour Commissioner of the Labour Department as Secretary of the Board. (2) The Board may, with the prior approval of the State Government, appoint as many officers and employees, as it consider necessary to assist the Board in the efficient discharge of its function under the Code.
Administrative and financial powers of the Secretary.- (1) The Secretary of the Board shall be the Chief Executive Officer of the Board. (2) The Secretary shall, with the approval of the Chairperson, issue notice to convene meetings of the Board and keep the record of minutes and shall take necessary steps for carrying out the decision of the Board. (3) The Secretary of the Board may, without reference to the Board, sanction expenditure and contingencies, supplies and services and purchase of articles, refund for administering the fund subject to the limit up to which he may be authorised to sanction expenditure on any single item from time to time, by the Board. (5) The Board may, from time to time delegate, subject to such conditions as it may deem fit, administrative and financial powers to any other officer under its control and supervision to the extent considered necessary for its effective functioning.
Recruitment procedure and service conditions of officers and employees of the Board.- (1) Classification, salary, pay scale, allowances, recruitment procedure and terms and conditions of service of officers and employees of the Board may, with the prior approval of the State Government, be determined by the Board. (2) If in any case, any difficulty arises regarding interpretation or implementation, the matter shall be referred to the State Government, whose decision shall be final thereon.
Amount in connection with premium for welfare schemes.- Notwithstanding the welfare schemes mentioned in sub-section (6) of section 7 of the Code, the Board, with prior approval of the State Government, shall also formulate following scheme(s) for the beneficiaries, or such dependent,-

(i) to pay such amount in connection with premium for Group Insurance Scheme of the beneficiaries;
(ii) educational schemes for the benefit of children of the beneficiaries; and

PART-III

EMPLOYEE INSURANCE COURT 32. Manner and time within which appeal may be filed.- The Insured Person or the Corporation may file appeal under sub-section (7) of section 37 of the Code to the Employees’ Insurance Court by presenting an application within ninety days of the date of communication of the decision of the Medical Board or of the Medical Appeal Tribunal to the Insured Person or the Corporation, as the case may be: Provided that the Employees’ Insurance Court may entertain an application after the period of ninety days, if it is satisfied that the appellant had sufficient reasons for not presenting the application within the said period. 33. Composition of the Court and place of sitting.- (1) A court shall ordinarily consist of one judge: Provided that the Government may by notification in the official gazette appoint two or more judges to a court for any particular proceedings of class of proceedings and for such period as may be specified in the notification. (2) Subject to the provision of rule 35, a court shall sit at such place or places and at such time as the government may specify. 34. Distribution of business where there are more Courts than one.- Where more than one Court is constituted for the same local area the Government may, by a general or special order, distribute business among them. 35. Fixing of time of sitting etc.- Where there is one Court for two or more local areas,-

(i) where one Court is constituted for two or more local areas the Court shall, subject to the approval of the Government, appoint the time at which the court shall sit in respect of each local area or in respect of any class of proceedings under the Code.
(ii) a notice of the time appointed under clause (i) shall be published in such manner as the Government may, from time to time, direct. (2)The senior Judge for the time being shall, from time to time, make such arrangements, as he thinks fit, for the distribution of business of the Court among the Judges thereof. (3) When two or more Judges sitting together, differ on any question the opinion of the majority of such Judges shall prevail, where there is no majority, the opinion of the senior most Judge shall, unless the Government otherwise directs, prevail.

Appointment, salaries, allowances, etc.- (1) The Government may appoint a person qualified under section 48 of the Code to be judge of the court. (2)A judge shall receive such salary and allowances as the Government may from time to time determine. (3) A judge shall receive dearness allowance, Compensatory city allowance, house rent allowance and other allowances at such rate and conditions as are applicable to officer of the Government of a corresponding rank stationed at the same place.

(2) The ministerial officers and the subordinate staff of a Court shall exercise such powers and discharge such duties as the Judge, or, if there are more judges than one, the senior judge, may, subject to any order of the State Government, from time to time, direct.

CHAPTER-III

ADMINISTRATIVE CONTROL AND SEAL 40. Administrative control.- All Courts shall be subject to the administrative control and superintendence of the High Court, and shall,-

(ii) comply with such requisitions as may be made by the High Court or the State Government for submission of service records, returns and statements in such forms and in such manner as the authority making the requisition directs.

Seal.- A Court shall keep a seal of such size, dimensions and design as the State Government may direct.

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Application.- (1) Every proceeding under section 49 shall be instituted by presenting an application to the Court. (2) Every such application shall be verified in the same manner as a pleading in a Civil Court and shall be accompanied by two copies thereof.

(i) the name of the Court in which the application is brought;
(ii) the full name including the father's name, description including age, occupation and place of residence of the applicant;
(iii) the full name including the father's name, description including age, occupation and place of residence of the opposite party so far as they can be ascertained;
(iv) where the applicant or the opposite party is a minor or a person of unsound mind, a statement to that effect and the full name, age, occupation and address of his or her next friend or guardian;
(v) the facts constituting the cause of action and the date when it arose;
(vi) the facts showing that the court has jurisdiction;
(vii) particulars giving the address within the jurisdiction of the Court at which notice or summons may be served on the applicant; and
(viii) the relief which the applicant claims. (4) The application may be rejected if it is not in accordance with sub-rule (3).

Production of documents.- (1) when any application is based upon a documents, the document shall be appended to the application. (2) Any other document which any party desires to tender in evidence shall be produced at or before the first hearing. (3) Any document which is not produced at or within the time specified in sub-rule (1) or (2), as the case may be, shall not, without the permission of the Court, be admissible in evidence on behalf of the party who should have produced it. (4) All such documents shall be accompanied by an accurate list thereof prepared in the in Form-II. Nothing in this rule shall apply to any documents which is produced for the purpose of cross-examining witness or is handed to a witness to refresh his memory.
Register of proceedings.- All applications shall be entered in a Register in Form-III called the register of proceedings. Such entries shall be serially numbered for every calendar year according to the order in which the applications are presented.
Place of suing:- In cases not falling under rule 34, a proceeding against any person shall be instituted in the Court within the local limits of whose jurisdiction,-

(i) the opposite party or each of the opposite parties where there are more than one, at the time of commencement of the proceedings actually and ordinarily resides, or carries on business, or personally works for gain, or
(ii) any of the opposite parties, where there are more than one, at the time of the commencement of the proceeding, actually and voluntarily resides, or carries on business, or personally works for gain provided that in such case either the leave of the court is given, or the opposite parties who do not reside, or carry on business or personally work for gain as aforesaid, acquiesce in such institution; or
(iii) the cause of action, wholly or in part, arose.

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Application presented to wrong Court.- (1) If on receiving an application it appears to the Court that it should be presented to another Court, it shall return it to the applicant after endorsing upon it the dates of the presentation and return, the reasons for returning it and the designation of the Court to whom it should be presented. (2) If it appears to the court at any stage subsequent to the presentation of an application, that the application should have been presented to another Court, in the same State, it shall send the application to the Court empowered to deal with it and shall inform the applicant and the opposite party, if he has received a copy the application under rule 42. (3) The Court to whom an application is transferred under sub-rule (2) may continue the proceeding as if the previous proceeding or any part of it had been taken before it, if it is satisfied that the interests of the parties will not thereby be prejudiced. Provided that no such summons shall be issued when the opposite party has appeared at the presentation of the application and admitted the applicant's claim.
Service of summons or notice.- (1) A summon or notice may, on payment of the required fee, be sent by the Court by whom it is issued either by registered post or in such other manner as the Court thinks fit. (3) Where a summons or notice is served under sub-rule (2), the Court shall fix such time for the appearance of the opposite party as the circumstances of the case may require.
Proceedings involving disablement question.- If in any proceeding before the Court is disablement questions, as defined in the section 37 of the Code, arises and the decisions of a Medical Board or a Medical Appeal Tribunal has not been obtained on the same and the decision of such questions is necessary for determination of the claim or question before the court that court shall direct the Corporation to have the question decided as laid down in section 37 and shall thereafter proceed with the determination of the claim or question before it in accordance with section 49.
Written statement.- (1) The opposite party may, and, if so required by the Court, shall, at or before the first hearing or within such time as the Court may permit, present a written statement of his defence along with the documents on which he relies and an accurate list thereof in Form-II.

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(2)Every such written statement shall be verified in the same manner as a pleading in a Civil Court and shall be accompanied by two copies thereof. (3) In any written statement submitted under sub-rule (1) the opposite party shall deal specifically with each allegation of fact alleged by the applicant, of which he admits or does not admit or denied the truth. The written statement must also contain all matters which show that the application is not maintainable and all such grounds of defence as, if not raised, would be likely to take the application as for instance, fraud, undue influence or coercion release, payment, performance of facts showing illegality of the transaction. 52. Failure to present written statement called for by the Court.- Where any party from whom a written statement is required fails to present the same within the time prescribed by the Court may, pronounce judgment against him or make such order in relation to the proceeding as it thinks fit. 53. Framing of issues.- (1) at the first hearing of the application, after the summons has been issued, the Court shall, after considering the application and the written statement, if any, or after such examination of the parties or any person or any document as may appear necessary, ascertain upon what material proposition of fact or of law the parties are at variance, and shall thereupon proceed to frame and record the issues upon which the right decision appears to depend. (2) In recording the issues, the Court shall distinguish between those issue which in its opinion concern points of fact and those which concern points of law. (3) The Court may, in like manner, at any time before passing its final order add to, strike out, from, or in any way amend, the issues on such terms as it may think fit. 54. Order where parties are not at issue.- Where at any hearing of the case it appears that the parties are not at issue on any question of law or of fact the Court may at once pronounce its final order. 55. Appearance of parties and consequences of non-appearance.- (1) On the day fixed in the summons for the opposite party to appear and answer the parties shall be in attendance at the Court in person or by their respective legal practitioners or any other person authorised under section 51 and the application shall then be heard unless the hearing is adjourned by the Court. (3) Where the opposite party appears and the applicant does not appear when the application is called on for hearing, the Court shall make an order that the application be dismissed unless the opposite party admits the claim or part thereof in which case the court shall make an order against the opposite party upon such admission and where party only of the claim has been admitted it shall dismiss the case so far as it relates to the remainder.

(5) Where the application is wholly or partly dismissed under sub-rule (2) or (3), the applicant may within thirty days of such dismissal apply in Form-VI for an order to set the dismissal aside and the Court shall, if it is satisfied that he was prevented from appearing when the proceeding was called on for hearing due to any sufficient cause make an order setting aside the dismissal upon such terms as to costs or otherwise as it thinks fit and may proceed with the case or appoint a day for proceeding with the same:

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Provided that no order under this sub-rule shall be made in respect of an application which is dismissed under sub-rule (3) unless notice of the application has been served in Form-VII on the opposite party. (6) In any application in which an ex-parte order has been passed against the opposite party, he may within thirty days from the date of such order apply in Form-VI to the Court which passed the order, to set it aside and, if the Court is satisfied that he was prevented from appearing when the proceedings was called on for hearing due to any sufficient cause, it may after serving notice thereof to the applicant in Form-VII make an order setting aside the order upon such terms as to costs or otherwise as it thinks fit and may proceed with the hearing of the case or appoint a day for proceeding with the same. 56. Summoning of witness.- (1) At any time after framing of the issues the Court may call upon the parties to produce their evidence in support of the issues. (3) The Court may, before summoning any witness on application under sub-rule (2), require that his reasonable expenses to be incurred in attending the Court be deposited with it. 57. Grant of time and adjournment of hearing.- (1) The Court may, if sufficient cause is shown, at any stage of the application, grant time to the parties or to any of them, and may, from time to time, adjourn the hearing of the application. (2) In every such adjournment the Court shall fix a day not exceeding fifteen days from the date on which such such adjournment is made for the further hearing of the application and may make such order as it thinks fit with respect to the costs occasioned by the adjournment: Provided that when the hearing of the evidence has once begun the hearing of the application shall be continued from day to day until all the witnesses in attendance have been examined, unless the Court finds the adjournment of the hearing beyond the following day to be necessary for reasons to be recorded. 58. Right to begin proceeding.- The applicant has the rights to begin unless the opposite party admits the facts alleged by the applicant and contends that either in point of law or on some additional facts alleged by the opposite party, the application is not entitled to the relief which he seeks, in which case the opposite party has the right to begin. 59. Statement and production of evidence.- (1) On the day fixed for the hearing of the application or on any other day to which the hearing is adjourned the party having the right to begin shall state his case and produce his case and produce his evidence in support of the issues which he is bound to prove. (2) The other party shall then state his case and produce his evidence, if any, and may then address the Court generally on the whole case.

(3) The Party beginning may then reply generally on the whole case. (4) Notwithstanding anything contained in this rule the Court may order that the production of evidence or the address to the Court may be in any order which it may deem fit.

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Recall of a witness.- The Court may at any stage of a proceeding recall any witness who has been examined and may subject to the law of evidence for the time being in force put such question to him as the Court thinks fit.
Inspection by Court.- The Court may at any stage of a proceeding inspect any property or thing concerning which any question may arise.
Pronouncement of order.- The Court, after the application has been heard, shall pronounce its final order in open Court, either at once or on some future day, of which due notice shall be given to the parties.
Signing of order.- The final order shall be dated and signed in open Court at the time of pronouncing it and, when once signed, shall not afterwards be altered or added to, save in the case of clerical or arithmetical mistake arising from accidental slip or omission.
Statement of decision on each issue.- In cases in which issues have been framed the Court shall state its finding or decision, with the reason there for, upon each separate issue, unless the finding upon any one or more of the issues is sufficient for the decision of the case.
Compromise of suit.- Where it is proved to the satisfaction of the Court that a case had been adjusted wholly or in partly by any lawful agreement or compromise, or where the opposite party satisfies the applicant in respect of the whole or any part of the subject matter of the case, the Court shall order such agreement, compromise or satisfaction to be recorded, and shall pass final order in accordance therewith so far as it relates to the case.
Finality of Order.- Save as provided in section 52 the order of a Court shall be final and binding upon the parties.
Costs.- (1) The costs and incidental to the application shall be in the discretion of the Court, and the Court shall have full power to determine by whom or out of what property and to what extent such costs are to be paid, and to give all necessary direction for the purposes aforesaid. The fact that the Court has no jurisdiction to try the case shall be no bar to the exercise of such powers. (2) Where the Court directs that any cost shall not follow the event, the Court shall state its reasons in writing.
Contents of the decree.- (1) A decree in Form-IX shall be prepared in conformity with the order made by the Court it shall contain the number of the application, the names and descriptions of the parties, and particulars of the claim, and shall specify clearly the relief granted or other determination of the proceeding. (2) The decree shall also state the amount of costs incurred in the proceeding and by whom and in what proportion such costs are to be paid.

(3) The Court may direct that the cost payable to one party by the other shall be set off against any sum which is admitted or found to be due from the former to the latter. 70. Certified copies of order, decree etc. to be furnished.- (1) Certified copies of the final order, decree or any other order or matter on record shall be furnished to the parties on application to the Court and at their expenses. (2) If any party requires copies of any order, decree or any other matter on record made by or furnished to the Court, as the case may be, to be supplied to him within forty-eight hours of the submission of an application thereof to the Court, he shall pay an additional fee of two rupees for each such copy. (3) If any party applied for copies of any order, decree or any other matter on record made by of furnished to the court, as the case may be, after the expire of twelve months from the date

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of such making or furnishing as the case may be, he shall pay an additional searching fee of two rupees. 71. Execution.- (1) Any person in whose favour an order has been passed shall, within one year from the date of the order, apply in Form-X to the Court which made the order for its execution. (2) On such, application being made, the court shall send the same together with the necessary record to a Civil Court, of competent jurisdiction, for its execution and such civil court shall have the same power in executing such order as, if it had been passed by it. 72. Communication of fact of execution or otherwise.- The Civil Court to which a decree is sent for execution shall certify to the Court which passed it the fact of such execution or where that Court fails to execute the same and the circumstances attending such failure. 73. Fees.- (1) The fee payable on an application in respect of any matter referred to in section 49 shall be tenrupees. (2) The fee payable in respect of any other application except a written statement called for by the Court under these rules shall be five rupees: Provided that the fee for an application for obtaining a copy or translation of any document on record or statement, order to decree presented to or made before or by the Court, as the case may be, shall be two rupees. (3)The fee for copies of any document on record, or statement or order or decree shall be such as may, from time to time be determined by the Government. (4) The fee for any authorisation for the appearance of any person under section 51 on behalf of any of the parties in a case shall be ten rupees. (5)The fee for filling certified copies of any document in a Court shall be five rupees. (6)All fees referred to in this rule shall be collected by means of Court-fee stamps used in ordinary Courts and no document which ought to bear stamps under these rules shall be of any validity unless and unless and until it is properly stamped: Provided that where any such document is through mistake or inadvertence received, filed or used in a Court without being properly stamped, the Court may, if it thinks fit, order that such document be stamped as it may direct and on such document being stamped accordingly the same and every proceeding relating thereto shall be as valid as it had been properly stamped in the first instance. (7) No document requiring a stamp under this rule shall be acted upon in any proceeding in a Court until the stamp has been cancelled.

Payment of Costs of services of summons, etc.- (1) The cost of service of summons or notices or the expenses of the witnesses in any case or the fee payable in respect of any matter not referred to in the preceding rule shall be such amount as may be specified in each case by the Court and such amount or any other sum of money payable under these rules shall be paid in such manner and within such time as it may specify therefore. (2) Any amount which is left over after meeting the expenses, if any, for which it was intended shall be returned by the Court to the party by whom or on whose behalf the amount was originally paid into the Court. (3) The Court shall maintain proper accounts of the amount received and disbursed under sub-rule (1).

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(2) Subject to the provisions of Chapter IV of the Code and any rules made by the Government, all proceedings before the Employees’ Insurance Court shall be instituted in the Court appointed for the local area in which the insured person was working at the time the question or dispute arose.

PART-IV

GRATUITY 77. 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.- In the case of nominee, or an heir, who is minor, the competent authority shall invest the gratuity amount deposited with him for the benefit of such minor in term deposit with the State Bank of India or a Nationalised Bank. Explanation: "Nationalised Bank" means a corresponding new bank specified in the First Schedule to the Banking Companies (Acquisition and Transfer of Undertakings) Act, 1970 (Central Act No. 5 of 1970) or a corresponding new bank specified in the First Schedule of the Banking Companies (Acquisition and Transfer of Undertakings) Act, 1980 (Central Act No. 40 of 1980). 78. Nomination.- (1) A nomination shall be in Form-XI and submitted in duplicate by the employee either by personal service, after taking proper receipt or by registered post acknowledgement due or electronically to the employer,-

(b) in the case of an employee who completes one year of service after the date of commencement of these rules, ordinarily within thirty days of the completion of one year of service: Provided that nomination in Form-XI 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.

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(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, duplicate in Form-XI 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 and shall be submitted by the employee electronically or by registered post acknowledgement due.
(6) A nomination, fresh nomination or notice of modification of nomination shall take effect from the date of receipt thereof by the employer.

Application for Gratuity.- (1)An employee who is eligible for payment of gratuity under the Code, or any person authorised, in writing, to act on his behalf, shall apply, ordinarily within thirty days from the date the gratuity became payable, in Form-XII to the employer: Provided that where the date of superannuation or retirement of an employee is known, the employee may apply to the employer before thirty days of the date of superannuation or retirement. Provided further that an employee on fixed term employment shall be eligible for gratuity, if he renders service under the contract for a period of one year and he shall be paid gratuity at the rate of fifteen days’ wages, based on the rate of wages last drawn by him, for every completed year of service or part thereof in excess of six months.

(2) A nominee of an employee who is eligible for payment of gratuity under the second proviso to sub-section (1) of section 53 shall apply, ordinarily within thirty days from the date of gratuity became payable to him, in Form-XII to the employer: Provided that an application in plain paper with relevant particulars shall also be accepted. The employer may obtain such other particulars as may be deemed necessary by him.
(3) A legal heir of an employee who is eligible for payment of gratuity under the second proviso to sub-section (1) of section 53 shall apply, ordinarily within one year from the date of gratuity became payable to him, in Form-XII to the employer.
(4) Where gratuity becomes payable under the Code before the commencement of these rules, the periods of limitation specified in sub-rule (1), (2) and (3)shall be deemed to be operative from the date of such commencement.
(5) An application for payment of gratuity filed after the expiry of the periods specified in this rule shall also be entertained by the employer, if the applicant adduces sufficient cause for the delay in preferring his claim, and no claim for gratuity under the Code shall be invalid merely because the claimant failed to present his application within the specified period. Any dispute in this regard shall be referred to the competent authority for his decision.
(6) An application under this rule shall be presented to the employer either by electronically or personal service or by registered post acknowledgement due.

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Notice for payment of gratuity.- (1) Within fifteen days of the receipt of an application under rule 79 for payment of gratuity, the employer shall,-

(i) if the claim is found admissible on verification, issue a notice in Form-XIII to the applicant employee, nominee or legal heir, as the case may be, specifying the amount of gratuity payable and fixing a date, not being later than the thirtieth day after the date of receipt of the application, for payment thereof; or
(ii) if the claim for gratuity is not found admissible, issue a notice in Form-XIII to the applicant employee, nominee or legal heir, as the case may be, specifying the reasons why the claim for gratuity is not considered admissible; or
(iii) in the case of denial of gratuity a copy of the notice shall be endorsed to the competent authority. (2) In case payment of gratuity is due to be made in the employer's office, the date fixed for the purpose in the notice in Form-XIII under clause (i) of sub-rule (1) shall be re-fixed by the employer, if a written application in this behalf is made by the payee explaining why it is not possible for him to be present in person on the date specified. (3) If the claimant for gratuity is a nominee or a legal heir, the employer may ask for such witness or evidence as may be deemed relevant for establishing his identity or maintainability of his claim, (as the case may be). In that case, the time limit specified for issuance of notices under sub-rule (1) shall be operative with effect from the date such witness or evidence, as the case may be, called for by the employer is furnished to the employer. (4) A notice in Form-XIII shall be served on the applicant either by personal service after taking receipt or by registered post with acknowledgement due or electronically.

Mode of payment of gratuity.- The gratuity payable under the Code shall be paid through Demand Draft or by crediting in the bank account of the eligible employee, nominee or legal heir, as the case may be: Provided that intimation about the details of payment shall also be given by the employer to the competent authority of the area.
Application to competent authority for direction under clause (b) of sub- section (5) of section 56.- (1) If an employer,-

(ii) issues a notice under clause (1) of sub-rule (1) of rule 80 either specifying an amount of gratuity which is considered by the applicant less than what is payable or rejecting eligibility to payment of gratuity, or
(iii) having received an application under rule 79 fails to issue notice as required under rule 80 within the time specified therein, the claimant employee, nominee or legal heir, as the case may be, may, within one hundred eighty days of the occurrence of the cause for the application, apply in Form-XIV to the competent authority for issuing a direction under sub-section (5) of section 56 with as many extra copies as are the opposite party: Provided that the competent authority may accept any application under this sub-rule, on sufficient cause being shown by the applicant, after the expiry of the specified period. (2) Application under clause (i) of sub-rule (1) rule 82 and other documents relevant to such an application shall be presented in person to the competent authority or shall be sent by registered post acknowledgement due or electronically.

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Procedure for dealing with application for direction.- (1) On receipt of an application under rule 82 the competent authority shall, by issuing a notice in Form-XV, by electronically or registered post acknowledgment due or in person call upon the applicant as well as the employer to appear before him on a specified date, time and place, either by himself or through his authorised representative together with all relevant documents and witnesses, if any. (2) Any person desiring to act on behalf of an employer or employee, nominee or legal heir, as the case may be, shall present to the competent authority a letter of authority from the employer or the person concerned, as the case may be, on whose behalf he seeks to act, together with a written statement explaining his interest in the matter and praying for permission so to act. The competent authority shall record thereon an order either according his approval or specifying, in the case of refusal to grant the permission prayed for, the reasons for the refusal.
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-XV either to give evidence or to produce documents or for both purposes on a specified date, time and place. (3) 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.
Direction for payment of gratuity.- If a finding is recorded under sub-rule (4) of rule 83 that the applicant is entitled to payment of gratuity under the Code, the competent authority shall issue a notice to the employer concerned in Form-XVI electronically or registered post acknowledgment due or in person specifying the amount payable and directing payment thereof to the applicant under intimation to the competent authority within thirty days from the date of the receipt of the notice by the employer. A copy of the notice shall be endorsed to the applicant employee, nominee or legal heir, as the case may be. (2) The Memorandum of appeal shall contain the facts of the case, the decision of the competent authority, the grounds of appeal and the relief sought. (3) There shall be appended to the Memorandum of appeal a certified copy of the finding of the competent authority and direction for payment of gratuity. (5) Within fourteen days of the receipt of the copy of the Memorandum of appeal, the opposite party shall submit his comments of each paragraph of the memorandum with additional pleas, if any, to the appellate authority with a copy to the appellant.

(7) The competent authority shall, on receipt of the decision of the appellate authority, make necessary entry in the records of the case maintained by him. (8) On receipt of the decision of the appellate authority, the competent authority shall, if required under that decision, modify his direction for payment of gratuity and issue a notice to the employer concerned in Form-XVI specifying the modified amount payable and directing payment thereof to the applicant, under intimation to the competent authority within fifteen days of the receipt of the notice by the employer. A copy of the notice be endorsed to the appellant employee, nominee or legal heir, as the case may be, and to the appellate authority.

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PART-V

MATERNITY BENEFIT 93. Complaint and Appeal under section 72.- (1)A complaint under sub-section (1) of section 72 shall be made in writing in Form-XVIII. (3)An appeal against the decision of the Inspector-cum-Facilitator under sub-section (2) of section 72 shall lie to the Competent Authority, as may be notified by the State Government, from time to time. (4) The aggrieved person shall prefer an appeal in writing to the Competent Authority in Form-XIX and file other supporting documents. (5) When an appeal is received, the Competent Authority shall call from the Inspector-cum-Facilitator, before a fixed date, the record of the case. The Competent Authority shall, if necessary, also record the statements of the aggrieved person and of the Inspector-cum-Facilitator and seek clarification if any is required. 94. Duties and powers of the Competent Authority and Inspector-cum-Facilitator under Chapter VI of the Code.- (1) The Competent Authority shall be responsible for the administration of these rules their respective areas notified. (3) Every Inspector-cum-Facilitator shall at each inspection of an establishmentensure,-

(ii) whether the Register of women employees prescribed under rule 122 is correctlymaintained;
(iii) whether there have been any cases of discharge or dismissal or notices of discharge or dismissal in contravention of the provisions of section 68 since the last inspection;
(iv) whether the provisions of sub-section (1) of section 59, sub-sections (5) and (6) of section 62, section 64, sub-sections (1), (2) and (3) of section 65, sections 66, 67, 69 and 71 have been complied with and whether amounts due have been paid within the prescribed time;
(v) whether there have been any cases of deprival of maternity benefit or medical bonus in contravention of sub-section (2) of section 68;and irregularities within a specified period and to report compliance to the Inspector-cum-Facilitator.

Abstract.- The abstract of the provisions of the Chapter V of the Code and the rules frame thereunder required to be exhibited under section 71 in such manner as the Competent Authority may require.

PART-VI

EMPLOYEE’S COMPENSATION 96. The amount to be deposited towards the expenditure of the funeral of the employee with the competent authority by the employer under sub-section (7) of section 76.- If the injury of the employee result in his death, the employer shall, in addition to the compensation under sub-section (1), deposit with the competent authority a sum of fifteen thousand rupees, or such higher amount as may be notified by the State Government or the Central Government from time to time, for the payment of the same to the eldest surviving dependent of the employee towards the expenditure of the funeral of such employee or where the employee did not have a dependent or was not living with his dependent at the time of his death, to the person who actually incurred such expenditure. 98. Procedure for review.- If, on examining an application for review by an employer in which the reduction or discontinuance of half-monthly payments is sought it appears to the Competent Authority that there is reasonable grounds for believing that the employer has a right to such reduction to discontinuance, he may at any time issue an order after giving the employee likely to be affected thereby an opportunity of being heard on the withholding the half monthly payments in whole or in part pending his decision on the application. (2) When, in any case to which sub-rule (1) applies, the Competent Authority is unable to form an approximate estimate of the probable duration of the disablement, he may from time to lime postpone a decision on the application for a period not exceeding two months at any one time.

(i) send the medical practitioner to the place where the employee is residing for the time being, in which case the workman shall submit himself for medical examination on being requested to do so by the medical practitioner; or
(ii) send an offer to the employee in writing to have him examined free of charge by a medical practitioner, in which case the employee shall submit himself for medical examination at the employer's premises or at such other place in the vicinity as is specified in such offer and at such time as is so specified: Provided that,-
(a) the time so specified shall not, save with the express consent of the employee, be between the hours of 7 p.m. and 7 a.m.; and (5)If a workman whose right to compensation has been suspended under sub-section (2) or sub-section (3) of section 84 of the Code subsequently offers himself for medical examination, his examination shall take place on the employer's premises or at such other place in the vicinity as may be fixed by the employer, and at a time to be fixed by the employer not being, save with the express consent of the employee more than 72 hours after the workman has so offered himself.

(6) No woman shall without her consent be medically examined by a male practitioner, save in the presence of another woman and no woman shall be required to be medically examined by a male practitioner if she deposits a sum sufficient to cover the expenses of examination by a female practitioner. 102. The statement to be submitted by the employer.- The statements, required to be submitted under sub-section (1) of section 88, shall be,-

(i) the notice to be sent by a Competent Authority under sub-section (1) of section 88 of the Code shall be in Form-XXI and shall be accompanied by a blank copy of Form-XXI;
(ii) the statement to be submitted by an employer under section 88 shall be inForm-XXII; and
(iii) the report in respect of an accident under sub-section (1) of section 88 may be sent to the authority to which the notice of such accident is required to be given.

Form of Memorandum.- Memorandum of an agreement to be sent to the Competent Authority under sub-section (1) of section 89 shall, unless the Competent Authority otherwise directs, be in duplicate and shall be in as close conformity as the circumstances of the case admit with Form-XXIII or Form-XXIV or Form-XXV, as the case may be.
Procedure where Competent Authority does not consider that he should refuse to record memorandum.- (1) On receiving a memorandum of agreement, the Competent Authority shall, unless he considers that there are grounds for refusing to record the memorandum, fix a date for recording the same, and shall issue a notice in writing in Form- XXVI to the parties concerned that in default of objections he proposes to record the memorandum on the date so fixed: Provided that the notice may be communicated orally to any parties who are present at the time when notice in writing would otherwise issue. (2) On the date so fixed, the Competent Authority shall record the memorandum unless, after hearing any of the parties who appear and desire to be heard, he considers that it ought not to be recorded: Provided that the issue of a notice under sub-rule (1) shall not be deemed to prevent the Competent Authority from refusing to record the memorandum on the date so fixed even if no objection be made by any party concerned. (3) If on such date, the Competent Authority decides that the memorandum ought not to be recorded, he shall inform the parties present of his decision and of the reasons therefore, and if any party desiring the memorandum to be recorded is not present, he shall send information to that party in Form-XXVII.
Procedure where Competent Authority considers he should refuse to record memorandum.- (1) If, on receiving a memorandum of agreement, the Competent Authority considers that there are grounds for refusing to record the same, he shall fix a date for hearing the party or parties desiring the memorandum to be recorded, and shall inform such party or parties and, if he thinks fit, any other party concerned, of the date so fixed and of the grounds on which he considers that the memorandum should not be recorded. (2) If the parties to be informed are not present, a written notice shall he sent to them in Form- XXVIII or Form-XXIX, as the case may be, and the date fixed in such notice shall be not less than seven days after the date of the issue of the same. (3) If, on the date fixed under sub-rule (1) the party or parties desiring the memorandum to be recorded show adequate cause for proceeding to the record of the same, the Competent Authority may, if information has already been given to all the parties concerned, recorded the agreement. If information has not been given to all such parties, he shall proceed in accordance with rule 103.

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(4)If, on the date so fixed, the Competent Authority refuses to record the memorandum, he shall send notice in Form-XXVII to any party who did not receive information under sub-rule (1). (5) If, in any case, the Competent Authority refuses to record a memorandum of agreement, he shall briefly record his reasons for such refusal. (6) If, the Competent Authority refuses to record a memorandum of agreement, he shall not pass any order directing the payment of any sum or amount over and above the sum specified in the agreement, unless opportunity has been given to the party liable to pay such sum to show-cause why it should not be paid. (7) Where the agreement is for the redemption of half monthly payments by the payment of lump-sum, and the Competent Authority considers that the memorandum of agreement should not be recorded by reason of the inadequacy of the amount of such sum as fixed in the agreement, he shall record his estimate of the probable duration of the disablement of the workman. Signature of Competent Authority" 107. Appointment of Competent Authority.- The State Government may, by notification, appoint any person as a Competent Authority, having qualifications referred to in sub-section (1) of section 91. 108. Manner of the notice under sub-section (1) and the manner of transmitting money under sub-section (3) of section 92.- (1) A Competent Authority transferring any matter to another Competent Authority for report in accordance with sub-section (2) of section 92 shall, along with the documents referred to in that sub-section, transmit to such other Competent Authority a concise statement, in the form of questions for answer, of the matter on which report is required. (2) A Competent Authority to whom a case is so transferred for report shall not be required to report on any question of law. (3) Money transmitted by one Competent Authority to another in accordance with sub-section (2) of section 92 shall be transmitted either by remittance transfer receipt, or by money order, or by messenger, as the Competent Authority transmitting the money may direct. 109. Manner in which matters of claim or settlement may be dealt with by or before a competent authority.- (1) Save as otherwise provided in these rules, the procedure to be followed by Competent Authorities in the disposal of cases under the Act or these rules, and by the parties in such cases shall be regulated in accordance with the rules contained in this part. (2) Any application of the nature referred to in section 93 may be sent to the Competent Authority by registered post or may be presented to him or to any of his subordinate authorised by him in this behalf and, if so sent or presented, shall unless the Competent Authority otherwise directs, be made in duplicate from-XXXI, From-XXXII or From-XXXIII, as the casemaybeand shall be signed and verified by the applicant in the manner prescribed by Order VI Rule 15 of the Code of Civil Procedure 1908 (Central Act No. V of 1908).

(3) When the application for relief is based upon a document, the document shall be appended to the application and any other document which the applicant desires to tender in

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evidence shall be produced at or before the first hearing. Any document which is not produced along with application or before the first hearing shall not, without the sanction of the Competent Authority, be received in evidence on behalf of the applicant. Nothing in this rule applies to any document which is produced for the purposes of cross-examining a witness or is handed to a witness to refresh his memory. (4)If it appears to the Competent Authority on receiving the application that it should be presented to another Competent Authority, he shall return it to the applicant after endorsing upon it the date of the presentation and return, the reason for returning it and the designation of the Competent Authority to whom it should be presented and it appears to the Competent Authority at any subsequent stage that an application should have been presented to another Competent Authority, he shall send the application to the Competent Authority empowered to deal with it and shall inform the applicant and the opposite party, if he has received a copy of the application under sub-rule (10), accordingly. (5) The Competent Authority to whom an application is transferred under sub-rule (4) may continue the proceedings as if the previous proceedings or any part of them had been taken before him, if he is satisfied that the interest of the parties will not thereby be prejudiced. (6) On receiving the application of the nature referred to in section 92 or section 93, the Competent Authority may examine the applicant and his witness, if any, on oath and the substance of any examination made shall be recorded in the manner provided for the recording of evidence in section 97. (10) If the Competent Authority does not dismiss the application under the sub-rule (7) or (9), 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 date on which he will dispose of the application and may call upon the parties to produce upon that date any evidence which they may wish to tender. (13) When issues both of law and of fact arise in the same case, and the Competent Authority is of opinion that the case may be disposed of on the issues of law only, he may try those issues first, and for that purpose may, if he thinks fit, postpone the settlement of the issues of fact until after the issues of law have been determined. (14)The Competent Authority shall maintain under his hand a brief diary of the proceedings on an application. (15) If the Competent Authority finds it impossible to dispose of an application at one hearing he shall record the reasons which necessitates a postponement.

(16)The Competent Authority in passing orders, shall record concisely a judgment, and his finding on each of the issues framed and his reasons for such finding. The Competent Authority, at the time of signing and dating his judgment, shall pronounce his decision, and thereafter no addition or alteration shall be made to the judgment other than the correction of a clerical or arithmetical mistake arising from any accidental slip or omission. (17) If an application is presented by any party to the proceedings for the citation of witnesses, the Competent Authority shall on payment of expenses and fees, issue summons for their appearance of such witnesses, unless he considers that their appearance is not necessary for the just decision of the case. 110. Local Inspection.- (1) A Competent Authority before whom any proceeding relating to an injury by accident is pending may at any lime enter the place where the workman was injured, or where the workman ordinarily performed his work, for the purpose of making a local inspection or of examining any persons likely to be able to give information relevant to the proceedings: Provided that the Competent Authority shall not enter any premises of any industrial establishment except during the ordinary working hours of that establishment save with the permission of the employer or of some person directly responsible to him for the management of the establishment. (2) 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 representative notice of his intention to conduct such inspection, unless in his opinion the urgency of the case renders the giving of such notice impracticable. Such notice may be given orally or in writing, and, in the case of an employer may be given to any person upon whom notice of a claim can be served under sub-section (2) of section 88, or to the representatives of any such person. Any party, or the representative of any party, may accompany the Competent Authority at a local inspection.

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(6) If a witness who has been examined under sub-rule (4), makes in evidence any material statement contradicting any statement made by him in such examination and reduced 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 witness. (7) Any statement or part of a statement which is furnished to the parties under sub-rule (6) shall be incorporated in the record. 111. Settlement by Agreement.- Where a case is settled by agreement between the parties, the Competent Authority may incorporate in the record any statement made under sub-rule (4) of rule 110 and may utilize such statement for the purpose of justifying his acceptance of, or refusal to accept, the agreement reached. 112. Agreement to abide by Competent Authority's decision.- If a party states in writing his willingness to abide by the decision of the Competent Authority, the Competent Authority shall inquire whether the other party is willing to abide by his decision and if the other party agrees to abide by the Competent Authority's decision, the fact of his agreement shall be recorded in writing and signed by him but if the other party does not agree to abide by the Competent Authority's decision, the first party shall not remain under an obligation so to abide. (2) If any person served with a notice under sub-rule (1), desires to contest the applicant's claim for compensation, or the opposite party's claim to be indemnified, he shall appear before the Competent Authority on the date fixed for the hearing of the case or on any date to which the case may be adjourned and if he so appears, shall have all the rights of a party to the proceedings; and in default of so appearing he shall be deemed to admit the validity of any award made against the opposite party and to admit its own liability to indemnify the opposite party for any compensation recovered from him: Provided that, if any person, so served appears subsequently and satisfies the Competent Authority that he was prevented by any sufficient cause from appearing, the Competent Authority shall, after giving notice to all parties on the record, hear such person, and may set-aside or vary any award made against such person under this rule upon such terms as may be just. (5) In any proceeding in which a notice has been served on any person under sub-rule (1) or sub-rule (3), 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.

Procedure in connected cases.- (1)Where two or more cases pending before a Competent Authority arise out of the same accident, and any issue involved is common to two or more such cases, such cases may, so far as the evidence bearing on such issue is concerned, be heard simultaneously. (2) Where action is taken under sub-rule (1), the evidence bearing on the common issue or issues shall be recorded on the record of one case, and the Competent Authority shall certify under his hand on the records of any such other case, the extent to which the evidence so recorded applies to such other case, and the fact that the parties to such other case had the opportunity of being present, and, if they were present of cross-examining the witnesses.
Certain provisions of Code of Civil Procedure, 1908 to apply.- Save as otherwise expressly provided in the Code or these rules, the following provisions of the First Schedule to the Code of Civil Procedure, 1908 namely, those contained in Order V rule 9 to 13 and 15 to 30, Order IX. Order XII rule 3 to 10, Order XVI rule 2 to 21, Order XVII, Order XVIII rule 1 and 2 shall apply to proceedings before Competent Authorities, in so far they may be applicable thereto: 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 substantive as may be necessary or proper to adopt them to the matter before him;

Provisions regarding signature of forms.- Any form, other than a receipt for compensation, which is by these rules required to be signed by a Competent Authority may be signed under his direction and on his behalf by any officer subordinate to him appointed by him in writing for this purpose.
Apportionment of compensation among dependents.- The provisions of this part except those contained in sub-rule (10) and (11) of rule 109 and rule 113 shall, as far as may be, apply in the case of any proceedings relating to the apportionment of compensation among dependents of a deceased workman.
The manner of authentication of memorandum under section 97.- The competent authority shall make a brief memorandum of the substance of the evidence of every witness as the examination of the witness proceeds, and such memorandum shall be authenticated under the hand of the competent authority.

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PART-VII

Conditions to acquire, hold, sell or otherwise transfer any movable or immovable property under sub-section (1), conditions to invest moneys, re-invest or realise investments under sub-section (2) terms to raise loans and take measures for discharging such loans under sub-section (3) and terms to constitute for the benefit of officers and staff or any class of them, provident or other benefit funds under sub-section (4) of section 120.- (1) Subject to the provisions of sub-rule (3) and such conditions as may, from time to time, be laid down by the Board, the Member Secretary or the Secretary, as the case may be, may, for the purposes of the Code, acquire on behalf of the Board movable or immovable property: Provided that sanction of the State Government shall be required for the exchange of any immovable property, for the taking of any property on lease for a term exceeding thirty sixmonths, or for the acceptance of any gift or be quest of property burdened an obligation. (2) Subject to the provisions of sub-rule (3) and such conditions as may be laid down by the Board from time to time, the Member Secretary or the Secretary, as the case may be, may,-

(i) dispose of, by sale or exchange, any movable property belonging to the Board, the value of which does not exceed rupees ten lakh in each case, or grant for any term not exceeding twelve months a lease of any immovable property belonging to the Board.
(ii) with the sanction of the State Government, lease, sell or otherwise dispose of any movable or immovable property belonging to the Corporation. (3)The Board may enter into and perform all such contracts as it may consider necessary or expedient for carrying out its duties under theCode. Every contract made under or for any purpose of the Code shall be made on behalf of the Board by the Member Secretary or the Secretary, as the case may be: Provided that the sanction of the State Government shall be obtained in respect of any contract involving an expenditure exceeding rupees fifty lakh. (4) Every contract entered into by any person as provided in sub-rule (3) shall be entered into in such manner and form as would bind him if it were made on his own behalf and may in like manner and form be varied or discharged: Provided that the common or official seal, as the case may be, of the Board shall be affixed to every contract for amounts exceeding rupees five lakh.
(i) for the acquisition of land and/or the raising of buildings thereon;or
(ii) to repay a loan raised under this sub-rule;or
(i) from the State Government on such rates of interest and such terms as to the time and method of repayment as the State Government may specify;or
(ii) with the approval of the State Government from such bank or banks specified in sub-rule (8),-
(a) where a loan is obtained from such bank or banks the Board may, with the approval of the State Government, grant mortgages of all or any of the property vested in it for securing the repayment of the sums so advanced, withinterest.

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(d) the Corporation shall submit to the State Government an annual statement by the thirtieth of April each year showing the loans raised and repayments made during the precedingyear. (7) The Board may, as soon as, after the coming into force of these rules constitute a fund to be called the Rajasthan Social Security Fund in accordance with the provisions of the Code and these rules. The fund shall vest in and be administered by the Board. (8)All moneys belonging to the Board may be invested in Nationalised Bank(s) or in securities referred to in clause (a) to (d) of section 20 of the Indian Trust Act, 1882 (Central Act No. 2 of 1882) (9) In pursuance of sub-section (3) of section 120 of the Code, the Board may raise loan or receive fund in advance form the State Government and shall repay such loan or return such advance, as the case may be, in accordance with terms and condition as may be specified by the State Government.
(i) establishment has been closed for more than five years and the whereabouts of the employer cannot be ascertained, despite all possible efforts;
(ii) decree obtained by the Board could not be executed successfully for want of sufficient assets of the defaulting employer; or
(iii) claim for amount due is not fully met by,-
(a) the Official Liquidator in the event of factory/establishment having gone into liquidation; or

Other powers of Inspector cum-facilitator under clause (e) of sub-section (6) of section 122.- The Inspector cum-facilitator may exercise powers referred to in rule 94 and such others powers which may be specified by the State Government for efficient discharge of duties by Inspector cum-facilitator, from time to time.
Form and manner for maintenance of records and registers and other particulars and details under clause (a), manner and form for display of notices at the work places of the employees under clause (b) and the manner and period of filing returns to the officers or authority under clause (d) of section 123.- (1) The employer of every establishment in which women are employed shall prepare and maintain a register of

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women employees in Form-XXXVIelectronically or in hard copy and shall enter therein particulars of all women workers in the establishment. Further, it shall always be available for inspection under notified inspection scheme for the Inspector-cum-Facilitator. Provided that during inspection, the Inspector-cum-Facilitator may require the production of accounts, books, register and other documents maintained in electronic form or otherwise. Explanation: For the purposes of this sub-rule, the expression “electronic form” shall have the same meaning as assigned to it in clause (r) of section 2 of the Information Technology Act, 2000 (Central Act No. 21 of 2000). (5) If the employer to which the Code applies sells, abandons or discontinues the working of the establishment, then, he shall, within one month of the date of such sale or abandonment or four months of the date of such discontinuance, as the case may be, upload online, on the web portal of the State Government in the Labour Department, a further unified return in Form-XXXVII referred to in sub-rule (4) in respect of the period between the end of the preceding year and the date of the sale, abandonment or discontinuance.

PART-IX

COMPOUNDING OF OFFEENCES 123. Compounding of offences.- (1) The officer authorised by the StateGovernment by notification, for the purposes of compounding of offences under subsection (1) of section 138 shall issue electronically a compounding notice in Form-XXXVIII for the offences which are compoundable under section 138. (4) If a person so noticed fails to deposit the composition amount within the time specified by the Compounding Officer, the prosecution shall be instituted before the Competent Court against such person for the offences in respect of which the compounding notice was issued.

PART-X

MISCELLANEOUS 124. Such other sources of funding and the manner of administering and expending of the Fund under sub-section (5) of section 141:- (1)All the following funds received shall be credited to separate account(s) and called State Social Security Fund and all

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expenses towards the scheme(s) under sub-section (2) of section 109 for the unorganised workers shall be met out of this fund,-

(a) under sub-section (1) of section 110 of the Code on Social Security, 2020 (Central Act No. 36 of 2020),
(b) under sub-section (5) of section 141 of the Code on Social Security, 2020 (Central Act No.36 of 2020),
(c) under sub-section (1) of section 115 of the Occupational Safety, Health and Working Conditions Code, 2020 (Central Act No.37 of 2020),
(d) corporate social responsibility fund within the meaning of the Companies Act, 2013 (Central Act No.18 of 2013), and
(e) any other source as may be specified in the scheme(s) by the State Government, from time to time.
(2) The State Government may identify the source(s) for initial funding or replenishing of State Social Security Fund, from time to time.
(3) The fund shall be administered by the State Government through a department designated by the State Government in the manner, as notified by the State Government.
(4) Directions of the State Government, if any, shall be complied by the agency designated by the State Government.
(i) The Rajasthan Employees’ Insurance Court Rules, 1959;
(ii) The Rajasthan Employees’ State Insurance (Medical Benefit Services System) Rules, 1955;
(iii) The Rajasthan Workmen’s Compensation Rules, 1960;
(iv) The Rajasthan Workmen’s Compensation (Occupational Diseases) Rules, 1965;
(v) Rajasthan Maternity Benefit Rules, 1967;
(vii) The Rajasthan Un-organised Workers’ Social Security Rules, 2011, are hereby repealed. (2) The repeal of the rules specified in sub-rule (1) shall not,-
(i) revive anything not in force or existing at the time of such repeal; or punishment may be levied or imposed as if these rules had not been so repealed; or
(v) affect any proceedings including that relating to an appeal, revision, review or reference, instituted before, on or after the commencement of these rules and such proceedings shall be continued under the said repealed rules as if these rules had not come into force and the said rules had not been repealed. C D (add description and residence)……………………………………… Opposite party, Other particulars of the application specified in rule........... Signature of the applicant

(Verification by the Applicant)

Form-II

(Seesub-rule (4) of rule 43 and sub-rule (1) of rule 51) List of document produced by applicant/Opposite party (Title) e.g., Description, Subject, Name of the Court, No. etc. | S. No. | Description of Document(s) | Date, if any, which the document bears | Signature of party or pleader or any authorized representative. | | --- | --- | --- | --- | | (1) | (2) | (3) | (4) | | | | | |

Form-III

Employees’ Insurance Court at ................... Register of Proceedings in the year 20.......... | Date of presentation of application | No. of Proceedings | Name | Description | Place of residence | | --- | --- | --- | --- | --- | | 1 | 2 | 3 | 4 | 5 | | | | | | | | Name | Opposite party Description | Place of residence | Particulars | Claim Amount or value if any | When the cause of action accrued | | --- | --- | --- | --- | --- | --- | | 6 | 7 | 8 | 9 | 10 | 11 | | | | | | | | | Day for the parties to appear | Appearance Applicant | Opposite party | Date | Final Order For whom | For what, of amount | | --- | --- | --- | --- | --- | --- | | 12 | 13 | 14 | 15 | 16 | 17 | | | | | | | | | Appeal Execution | | | | | | | Other | | --- | --- | --- | --- | --- | --- | --- | --- | | Date of decision of appeal, If any | Judgment of appeal | Date of applica- tion | Againts whom | For what & amount of money | Amount of cost | Date of order trans- fering to another Civil Court of .....at | Re mark if any | | 18 | 19 | 20 | 21 | 22 | 23 | 24 | 25 | | | | | | | | | |

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(Title)

To ............................................................................... (Name, description and place of residence). Whereas ……………………has instituted proceeding against you for ……………………You are hereby summoned to appear in this Court in person or by authorized agents duty instructed and able to answer all material questions relating to the case, or who shall be accompanied by some person able to answer all such questions at ………. O’clock in the ……………………noon on the ……………………Day of ……………………20…, to answer the claim, and the day fixed for your appearance is appointed for the final disposal of the proceedings, you must be prepared to produce on that day all the witnesses, upon whose evidence and all the documents upon which you intend to rely in support of your defence. Take notice, that, in default of your appearance on the before mentioned the case will be heard and determined in your absence. Given under my hand and the seal of the Court, this ............... Day of ...............20... Court

2. If you admit the claim, you should pay the money into Court together with the cost of the proceedings, to avoid execution of the, which may be passed against your person or property or both.

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Form-V

(See sub-rule (1) of rule 47) Summons for Settlement of issues To (Name, description and place of residence). Whereas …………………… has instituted proceeding against you for …………………… You are hereby summoned to appear in this Court in person or by authorized agents duly instructed and able to answer all material questions relating to the proceedings, or who shall be accompanied by some person able to answer such questions at ………. O’clock in the ………. noon on the …………… day of ………………19, to answer the claim, and you are directed to produce on that day all the documents upon which you intend to rely in support of your defense. Take notice that, in default of your appearance on the day before mentioned the case will be heard and determined in your absence. Given under my hand and the seal of the Court, this ............... day of ...............20. Court

Notice-

1. If you admit the claim, you should pay the money into the Court together with the cost of the suit, to avoid execution of the decree, which may be passed against your person or property or both.

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Form-VI

(See sub-rule (5) and (6) of rule 55) (Title) Subject-Application for setting aside the Ex parte order The .................................. above named states as follows:-
(The ground of application should be stated)
Date ..................................... Date .................. Place .................. Signature To Given under my hand and the seal of the Court this ............. day of ........20.....

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Form-VIII

(See sub-rule (2) of rule 56) Summons to witness (Title) Whereas your attendance is required to...........on behalf of the .................in the above proceedings, you are hear by required (personally) to appear before this Court o the ............. Day of ............. 20 at O’clock in the ............. Noon, and to bring will you (or) to send to this ............. Court)............. A sum of Rs.................. Being your travelling and the other expenses and subsistence allowance for one day, is deposited with this Court and will be tendered to you on the day you appear before the Court. If you fail to comply with this order without lawful excuse, you will be subject to the consequence of non-attendance laid down in rule 12 of order XVI of the Code of Civil Procedure, 1908 (Central Act No. V of 1908). Given under my hand and the deal of the Court, this day of 20............ COURT Notice-

1. If you are summoned only to produce a document and not to give evidence, you shall be deemed to have complied with the summons if you cause such document to be produced in this Court on the day and hour aforesaid.
1. If you are detained beyond the day aforesaid, a sum of Rs ………will be tendered to you for each day’s attendance beyond the day specified.

Form-IX

(See sub-rule (1) of rule 69) Decree in case Claim for (Title) This case coming on this day of final disposal before ………… in the presence of ……………for the applicant and of ……………for the opposite party, it is ordered and decreed that the ……………and that the sum of Rs …………be paid by the ……………to the ……………on account of the costs of this suit, with interest thereon at the rate of …………percent. per annum from this date to the date of realisation. Given under my hand and the deal of the Court, this ............ day of ............ 20.... COURT

Costs of Suit

| Rs. | Rs. | | --- | --- | | Stamp for application | Stamp for power | | Stamp for power | Stamp for written statement | | Stamp for exhibits | Pleader’s fee | | Pleader’s fee | Subsistence for witness | | Subsistence for witnesses | Service of summons and Notices | | Competent Authority’s fee | Competent Authority’s fee | | Service of summons and Notices | | | Total ........................ | Total ........................ |

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Form-X

(See sub-rule (1) of rule 71) Application for the Execution of Decree In the Court of ...................................................decree holder, hereby applies for execution of the decree herein below set forth. | Number of Proceedings | Name of Parties | Date of decree | Whether any appeal preferred from decree | Payment of adjustment made, if any | | --- | --- | --- | --- | --- | | 1 | 2 | 3 | 4 | 5 | | | | | | | | Pervious application, if any, with date and result | Amount with interest due upon the decree or other relief granted thereby together with particulars of any cross decree | Amount of costs, if any, awarded | Against whom to be executed | | --- | --- | --- | --- | | 6 | 7 | 8 | 9 | | | | | | | Mode in which the assistance of the Court is required | | --- | | 10 | | (When attachment and sale of movable property is sought) I pray that the total amount of Rs........... (together with interest on the principal sum up to the date of payment) and the cost of taking out this execution be realized by attachment and sale of the opposite party’s movable property as per annexed list and paid to me. (When attachment and sale of immovable property is sought) I pray that the total amount of Rs........... (together with interest on principal sum up to date of payment) and the cost of taking out this execution be realised by attachment and sale of the opposite party’s immovable property specified at the foot of this application and paid to me | I ................declare that what it stated herein is true to the best of my knowledge and belief. Date, the .................. day of 20.. Signature ....................... Decree holder

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Form-XI

(See sub-rule(1), (2), (3) and (4) of rule 78) Nomination/Fresh Nomination/Modification of Nomination To................................................................................................................................................................................................................................................................ Or I, Shri/Shrimati/Kumari…………………………….(Name in full here) whose particulars are given in the statement below, hereby give notice that the nomination filled by me on date …………… and recorded under your reference No……………….dated………………… shall stand modified in the following manner- Strike out unnecessary portion.

2. I hereby certify that the person(s) mentioned is/are a member(s) of my family within the meaning of clause (33) of section 2 of the Code on Social Security, 2020.
1. I hereby declare that I have no family within the meaning of clause (33) of section 2 of the said Code.
4 (a) My father/mother/parents is/are not dependent on me.

Nominee(s)

| S.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 | | | | |

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Manner of acquiring a Family

1. Name of employee in full
1. Sex
1. Religion
1. Whether unmarried/married/widow/widower
1. Post held with Ticket No. or Serial No., if any
1. Date of appointment
1. Permanent address: Village............................. Thana............................. Sub-division....................... Post-Office......................... Pin-Code....................... District....................... State............................... E-mail ID......................... Mobile Number............................. Place: Date: Signature/Thumb-impression of the Employee

Certificate by the Employer

Certified that the particulars of the above nomination have been verified and recorded in this establishment. Date Signature of the employer/Officer authorised Designation Name and address of the establishment or rubber stamp thereof.

Acknowledgement by the Employee

Received the duplicate copy of nomination in Form-XI filed by me and duly certified by the employer. Date: .................................................................. Signature of the Employee

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Form-XII

(See sub-rule (1), (2) and (3) of rule 79) Application for Gratuity by an Employee/Nominee/Legal Heir (Strike out the words not applicable) To,................................................................................................................................................................................................................................................................ Sir/Madam, I, ...........................................(name of employee/nominee/legal heir) /nominee of late...........................................(Name of the employee)/ as a legal heir of late...........................................(Name of the employee), beg to apply for payment of gratuity to which I am entitled under sub-section (1) of section 53 of the Code on Social Security, 2020 on account of-

(a) my superannuation/retirement/resignation after completion of not less than five years of continuous service/total disablement due to accident/total disablement due to disease/ on termination of contract period under fixed term employment with effect from the...................or;
(b) death of the aforesaid employee while in service/superannuation on...................after completion of...................years of service/total disablement of the aforesaid employee due to accident or disease while in service 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....................
1. Name of employee in full, (if, the gratuity is claimed by an employee) a. Marital status of employee(unmarried/married/widow/widower) b. Address in full of employee 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

f. Reference No. of recorded nomination, if available

3. Department/Branch/Section where last employed
1. Post held by employee.
1. Date and cause of termination of service
1. Date of Death

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1. Total period of service of the employee
1. Total wages last drawn by the employee.
1. Total gratuity payable to the employee/ share of gratuity claimed by a nominee/legal heir. Place: Date:

Form-XIII

(See sub-rule (1), (2), (4) and (5) of rule 80) Notice for Payment/Rejecting claim of Gratuity (Strike out the words not applicable) To,................................................................................................................................................................................................................................................................ You are hereby informed that

(a) *as required under sub-clause (ii) of sub-rule (1) of rule 80 that your claim for payments of gratuity as indicated on your application in Form-XII under the said rules is not admissible for the reasons stated below:

Reasons(Here specify the reasons); or

(b) as required under sub-clause (i) of sub-rule (1) of rule 80that 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.
2.*Please call at ...........................................on........................................... (Here specify place)...........................................(date) at...........................................(time) for collecting your payment of gratuity crossed cheque.
1. Amount payable shall be sent to you through demand draft or shall be credited in your bank account as desired by you.
1. Brief statement of calculation
(a) Date of appointment.
(b) Date of termination/superannuation/resignation/ disablement/death.

भाग 4(ग) राजस्थान राज-पत्र, जनवरी 13, 2026 451

(c) Total period of service of the employee concerned: ........................years........................months.
(d) Wages last drawn:
(e) Proportion of the admissible gratuity payable in terms of nomination/as a legal heir:
(f) Amount payable: *strike out paragraph, if not applicable Place: Date: Signature of the Employer/authorised officer Name or description of establishment or Rubber stamp thereof. Copy to: The Competent Authority in case of denial of gratuity. Copy also to: Office of DG Labour Bureau, Ministry of Labour and Employment, Chandigarh.

Form-XIV

(See sub- rule (1) of rule 82 ) Application for Direction Before the Competent Authority for Chapter V under the Code on Social Security, 2020 Application No. Date BETWEEN (Name in full of the applicant with full address) AND (Name in full of the employer concerned with full address) The applicant is an employee of the above-mentioned employer/a nominee of late........................................................................... an employee of the above-mentioned employer/a legal heir of late........................................................................... and employee of the above-mentioned employer, and is entitled to payment of gratuity under section 53 of the Code on Social Security, 2020 on account of his own/aforesaid employee's superannuation on...........................................................................(date)/his own retirement/aforesaid employees' resignation on...........................................................................(date) completion of...........................................................................years of continuous service/his own/aforesaid employees' total disablement with effect from ...........................................................................(date)due to accident/disease death of aforesaid employee on........................................................................... 2. The applicant submitted an application under Rule…………………… of the Rajasthan Code on Social Security Rules, 2021 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-

452 राजस्थान राज-पत्र, जनवरी 13, 2026 भाग 4(ग)

rule................of rule..................... rejecting my eligibility to payment of gratuity. The duplicate copy of the said notice is enclosed.

4. The applicant furnishes the necessary particulars in the annexure hereto and prays that the Competent Authority may be pleased to determine the amount of gratuity payable to the petitioner and direct the above-mentioned employer to pay the same to the petitioner. Date:
1. Basis of claim (Death/Superannuation/Retirement/Resignation/Disablement of Employee/Completion of contract period under Fixed Term Employment)
1. Name and address in full of the employee
1. Marital status of the employee (unmarried/married/widow/widower)
1. Post held by the employee with Ticket or Sl. No., if any (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
1. Evidence/witness in support of death of the employee
1. If a nominee, No. and date of recording of nomination with the employer
1. Evidence/witness in support of being a legal heir if a legal heir
1. Total gratuity payable to the employee (if known)
1. Percentage of gratuity payable to the applicant as nominee/legal heir
1. Amount of gratuity claimed by the applicant Place: Date: Signature/Thumb-impression of the applicant

भाग 4(ग) राजस्थान राज-पत्र, जनवरी 13, 2026 453

Form-XV

(See rule 86) Notice for Appearance before the Competent Authority/Summon (Strike out the words not applicable) To, (Name and address of the employer/applicant) Whereas Shri ...........................................an employee under you/a nominee(s)/legal heir(s) of Shri ...........................................an employee under the above-mentioned employer, has/have filed an application under sub-rule (1) of rule 83alleging that--- (A copy of the said application is enclosed, if, summon is issued then copy of application is not required) Now, therefore, you are hereby called upon/summoned to appear before the Competent Authority at ……………………(place)either personally or through a person duly authorized in this behalf for the purpose of answering all material questions relating to the application on the ….. day of ……………20….. at ………………O’clock in the forenoon/afternoon in support of/to answer the allegation; and as the day fixed for your appearance is appointed for final disposal of the application, you must be prepared to produce on that day all the witnesses upon whose evidence, and the documents upon which you intend to rely in support of your allegation/ defense. Take notice that in default of your appearance on the day before-mentioned, the application will be dismissed/heard and determined in your absence. 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.

List of documents-

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 person served before the date fixed.
1. In case the summons is issued only for producing a document and not to give evidence it will be sufficient compliance to the summons if the documents are caused to be produced before the Competent Authority on the day and hour fixed for the purpose.

454 राजस्थान राज-पत्र, जनवरी 13, 2026 भाग 4(ग)

Form-XVI

(See rule 89 and sub-rule (8) of 90) Notice for Payment of Gratuity as Determined by Competent/Appellate Authority (Strike out the words not applicable) To, (Name and address of employer)

1. Whereas Shri/Smt./Kumari……………………………………… of and employee…………………………………………………………… (address)under you/a nominee(s)/legal heir(s) of late …………………………………………an employee under you, filed an application under section 56 of the Code on Social Security, 2020, before me; or Whereas a notice was given to you on ............................................requiring you to make payment of Rs............................................ to Shri/Smt./Kumari............................................as gratuity under the Code on Social Security, 2020.
1. 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 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. Competent Authority under the Code on Social Security, 2020
1. The Applicant- He is advised to contact the employer for collecting payment.
1. The Appellate Authority if applicable. Note.- (Strike out paragraphs, if not applicable)

भाग 4(ग) राजस्थान राज-पत्र, जनवरी 13, 2026 455

Application No. BETWEEN (Name in full of the applicant with full address) AND (Name in full of the employer/Trust/Insurer concerned with full address)

2. The applicant submits that the said employer failed to pay the said amount of gratuity to me as directed by you although I approached him for payment. Signature/Thumb-impression of applicant. To, The Inspector-cum-Facilitator (Under The Code on Social Security, 2020) I...... (Name of woman) employed in...... (name and full address of the establishment) or I......, (name), a person nominated under section 72 of the Code on Social Security, 2020 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 thereunder, 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 Chapter VI of the 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. Signature or thumb impression of the Woman/ nominee/ legal representative Date................

भाग 4(ग) राजस्थान राज-पत्र, जनवरी 13, 2026 457

Form-XIX

(See sub-rule (4) of 93) Appeal To, (Appointed under the Code on Social Security, 2020) ...................................................................................(Address) I..........., the undersigned, woman employee of........... (name and full address of the establishment) *Feel aggrieved by the order of Inspector-cum-Facilitator under sub section (2) of section 72 for the reasons attached hereto, prefer this appeal under sub-section (2) of section 68 and request that the said employer be ordered to pay the above mentioned amount to me. A copy of the order of Inspector-cum-Facilitator cum Facilitator in this behalf is enclosed; or *Shri……., Inspector-cum-Facilitator, having directed under sub-section (2) of section 72 to pay the maternity benefit or other amount being………. (Nature of amount) to which………. (Name of woman) is said to be entitled/to set aside my discharger dismissal during or on account of absence from work in accordance with the provisions of this Chapter V of the Code on Social Security, 2020 (Strike out unnecessary portion). Signature of an Attester in case the woman is not able to sign and affixes thumb impression. Full address of the nominee/legal representative [To be filled up by or on behalf of workman] Date and time of accident ................................................................................................................................................................................................................................................................ Date and time of notice ................................................................................................................................................................................................................................................................ Name of person injured ................................................................................................................................................................................................................................................................ Address................................................................................................................................................................................................................................................................ Mobile No................................................................................................................................................................................................................................................................ Cause of injury................................................................................................................................................................................................................................................................ Signature or thumb-impression of person giving notice Mobile No........................................................................ Rate of wages of injured employee ................................................................................................................................................................................................................................................................ Nature of injuries................................................................................................................................................................................................................................................................ Names of eye-witnesses. (See clause (i) of sub-rule (1) of 102)

भाग 4(ग) राजस्थान राज-पत्र, जनवरी 13, 2026 459

Form-XXII

(See clause (ii) of sub-rule (1) of 102)

1. In reply to your notice, dated the…………………20….., which was received by me on the…………………20….., it is submitted that (1) ….. residing at/workmen over/under 15 years of age and I employed in (2)……………met with an accident on the…………………20….., as a result of which he died on the…………………20…..The monthly wages of the deceased amounted to Rs…………………
(2) Insert name of establishment.................. Signature of Employer or his agent ....................................

Form-XXIII

(See rule 103)

Memorandum of Agreement

Date................20... Signature of employer Witness ........................................................................ Signature of Workman Witness........................................................................ Note - An application to register an agreement can be presented under signature of one party, provided that the other party has agreed to the terms. But both signatures should be appended, whenever possible (Receipt to be filled in when the money has actually been paid) The money has been paid and this receipt is signed in my presence. Witness................

भाग 4(ग) राजस्थान राज-पत्र, जनवरी 13, 2026 461

Form-XXIV

(See rule 103) Memorandum of Agreement 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 his employment in ............... The said injury has resulted in permanent disablement to the said workman of the following nature, namely,.............................. The said workman's monthly wages are estimated at Rs............ 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.

Receipt

[To be filled in when the money has actually been paid] In accordance with the above agreement, I have this day received the sum of Rs............... Date........20... The money has been paid and this receipt is signed in my presence. …… Witness

462 राजस्थान राज-पत्र, जनवरी 13, 2026 भाग 4(ग)

Form-XXV

(See rule 103) Memorandum of Agreement Date-................20... Signature of employer........ Witness................... Signature of Workman............. 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.

Receipt

[To be filled in when the money has actually been paid] In accordance with the above agreement, I have this day received the sum of Rs............. Date..................20..... Workman Witness

Form-XXVI

(See sun-rule (1) of rule 104) Whereas an agreement to pay compensation is said to have been reached between ………… and ……………… whereas ……………… has/have applied for registration of the agreement under Section 89(1) of the , 2020, notice is hereby given that the said agreement will be taken into consideration on ………… 20… and that any objections to the registration of the said agreement should be made on that date. In the absence of valid objections it is my intention lo proceed to the registration of the agreement. ............................................................................. Competent Authority.

Whereas an agreement to pay compensation is said to have been reached between..............and..............and whereas..............has/have applied for registration of the agreement under sub-section (1) of section 89 of theCode on Social Security, 2020, and whereas it appears to me that the said agreement ought not to be registered for the following reasons, namely :-

Date................20... ............................................................................... Competent Authority

464 राजस्थान राज-पत्र, जनवरी 13, 2026 भाग 4(ग)

an opportunity will be afforded to the said............for showing cause on.................20.............why the said agreement should be registered. Any representation which you have to make with regard to the said agreement should be made on that date. If adequate cause is then shown, the agreement may be registered. Date...........20..... ............ Competent Authority

Form-XXX

(See rule 106) Register of Agreements for the Years, 20..... | Serial No. | | Date of agreement | | Date of registration | | --- | --- | --- | --- | --- | | | | | | | | Employer | Workman | Initials of Competent Authority | Reference to orders rectifying the register | | | | | | | | To, The Competent Authority for Workmen's Compensation Residing at................ versus Applicant Residing at............. Opposite party. It is hereby submitted that :- The cause of the injury was (here insert briefly in ordinary languages the cause of the injury).............

(2) The applicant sustained the following injuries, namely :-
(3) The monthly wages of the applicant amount to Rs.... the applicant is over/under the age of 15 years.
(4) (a) Notice of the accident was served on the .................... day of........*
(b) Notice was served as soon as practicable..................
(c) Notice of the accident was not served (on due time) by reason of..........
(5) The applicant is accordingly entitled to receive-
(a) Hall-monthly payments of Rs................... from the...................day of 20.... to...................
(b) A lump-sum payment of Rs..................
(6) The applicant has taken the following steps to secure a settlement by agreement, namely …………… but it has proved impossible to settle the question in dispute because………… *Your are therefore, requested to determine the following questions in dispute, namely :-
(a) Whether the applicant is a workman within the meaning of the Code..................
(b) Whether the accident arose out of or in the course of the applicant's employment..................
(c) Whether the amount of compensation claimed in due, or any part of that amount..................
(d) Whether the opposite party is liable to pay such compensation as is due................
(e) etc., (as required)........... Date................20........ Applicant [^Strike out of the clauses which are not applicable.] To, The Competent Authority for Workmen's Compensation

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Residing at.
Applicant
Opposite party.
- (2) The applicant(s) is/are dependent(s) of the deceased workman being his........
- (3) The majority wages of the deceased amount to Rs..................
- (4) (a) Notice of the accident was served on the............day of....
Date................20...............
Applicant
[^]
The Competent Authority for Workmen's Compensation
•••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••
versus
................Residing at................
Opposite party.

- (1) The applicant/opposite party has been in receipt of half-monthly payments from..............to..............in respect of temporary disablement by accident arising out of and in the course of his employment.
- (2) The applicant is desirous that the right to receive half-monthly payments should be redeemed.
- (3) (a) The opposite party is unwilling to agree to the redemption of the right to receive half-monthly payments.
.............
Applicant

## Form-XXXIV
(See sub-rule (1) of rule 113)
Notice
Whereas a claim for compensation has been made by..............applicant, against..............and the said ...........has claim that you are liable under sub-section (3) and (4) of section 93 of the , Code on Social Security, 2020, 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 would be deemed to admit the validity of any award made against the opposite party and your liability to indemnity the opposite party for any compensation recovered from him.
date................20..................
Competent Authority

468
राजस्थान राज-पत्र, जनवरी 13, 2026
भाग 4(ग)

## Form-XXXV
(See sub-rule(3)and (4) of rule 113)
## Notice
Whereas a claim for compensation has been made by.............applicant, against and the said..............has claimed, that.......is liable under Section 93 (3) (4)of the , 2020, to indemnity him against any compensation which he may be liable to pay in respect of the aforesaid claim, and whereas the said...........on notice served has claimed that you...........stated 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. ...........and your liability to indemnity the opposite party.............for any compensation recovered from him:-
Date................20....

## REGISTER OF WOMEN EMPLOYEES
Name of establishment
- 1. Serial Number.
- 2. Name of woman and her father's (or, if married, husband's) name.
| Month | No. of days employed | No. of days laid off | No. of days not employed | Remark |
| --- | --- | --- | --- | --- |
| 1 | 2 | 3 | 4 | 5 |
|  |  |  |  |  |
- 6. Date on which the woman gives notice under section 62.
- 8. Date of production of proof of pregnancy under section 62.
- 10. Date of production of proof of delivery/miscarriage/Medical Termination of pregnancy/tubectomy operation/death/adoption of child.
- 11. Date of production of proof of illness referred to in section 65.

भाग 4(ग) राजस्थान राज-पत्र, जनवरी 13, 2026 469

- 12. Date with the amount of maternity benefit paid in advance of expected delivery.
- 13. Date with the amount of subsequent payment of maternity benefit.
- 14. Date with the amount of bonus, if paid, under section 64.
- 15. Date with the amount of wages paid on account of leave under section 65(1) & 65(3).
- 16. Date with the amount of wages paid on account of leave under section 65(2) and period of leave granted.
- 17. Name of the person nominated by the woman under section 62.
- 18. 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.
- 20. Signature of the employer of the establishment authenticating the entries in the register of women employees.
- 21. Remarks column for the use of the Inspector-cum-Facilitator.

## FORM-XXXVII
(See sub-rule(4) and (5) of rule 122)
Unified Annual Return
(a) Name of the establishment................................................................................................................................................................................................................................................................
Address of the establishment:
Address:
Town................District................State................pin code...........

470
राजस्थान राज-पत्र, जनवरी 13, 2026
भाग 4(ग)

| S.   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. |  |  |
| 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 House No./Flat No. Street/Plot No. Town     District State Pin Code     E-mail ID Telephone Number Moblie Number | |
D. Working hours and weekly rest day:
| 01. | Number of days worked during the year. |  |
| --- | --- | --- |
| 02. | Number of mandays 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:
| Sl. No. | Males | Females | Adolescents (between the age of 14 to 18 years.) | Children (below 14 years of age.) | Total |
| --- | --- | --- | --- | --- | --- |
|  |  |  |  |  |  |

भाग 4(ग) राजस्थान राज-पत्र, जनवरी 13, 2026 471

## F. Wage rates (Category Wise):
| Category | Rates   of   Wages | No. of workers | | | | | | | |
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
|  |  | Regular | | | | Contract | | | |
|  |  | Male | Female | Children | Adolescent | Male | Female | Children | Adolescent |
| HighlySkilled |  |  |  |  |  |  |  |  |  |
| Skilled |  |  |  |  |  |  |  |  |  |
| Semiskilled |  |  |  |  |  |  |  |  |  |
| Unskilled |  |  |  |  |  |  |  |  |  |
| Gross wages paid | | Deductions | | | Net wages paid | |
| --- | --- | --- | --- | --- | --- | --- |
| In cash | In kind | Fines | Deductions for damage or loss | Others | In cash | In kind |
|  |  |  |  |  |  |  |
(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) |
| --- | --- | --- |
|  |  |  |

## I. Maternity Benefit under the Code on Social Security , 2020:
(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? |  |  |

## (b) Leave Granted

472 राजस्थान राज-पत्र, जनवरी 13, 2026 भाग 4(ग)

| 01. | Total number of female employees in the establishment |  |
| --- | --- | --- |
| 02. | Total number of days of leave granted |  |
| 03. | Number of employees granted maternity leave/benefited by ESI |  |

## Declaration
## FORM-XXXVIII
(See sub-rule(1),(2) and (3) of rule 123)

## Notice to the Employer who committed an offence for the first time for compounding of offence under sub-section (1) of section 138 of the Code on Social Security, 2020
Notice No..................
Date:
On the basis of records and documents produced before me, the undersigned has reasons to believe that you, being the employer of the establishment………………. (Registration No……………), have committed offence for the violation of provision of the Code or the Schemes or the Rules or the Regulations framed thereunder as per the details given below:-

## PART-I
- 1. Name of the Person:
- 4. Particulars of the offence:
- 6. Compounding amount required to be paid towards composition of the offence:
In view of the above, you have an option to pay the above-mentioned amount within fifteen days from the date of issue of this notice and return the application duly filled in Part – III of this notice.
(Signature of the Compounding Officer)
Date:
Place:

भाग 4(ग) राजस्थान राज-पत्र, जनवरी 13, 2026 473

## PART-III
[See sub-rule (2) of rule 123]
Ref: Notice No..................
Date:
The undersigned has deposited the entire amount as specified in Column 6 of Part-I and the details of payment are given below with a request to compound the offences mentioned in Part-I.
- 1. Details of the compounding amount deposited (Copy of electronically generated receipt to be attached):
- 3. Whether the offence is first offence or the applicant had committed any other offence prior to this offence, if committed, then, full details of the offence:
Signature of the applicant
(Name and Designation)
Dated:
Place:

474
राजस्थान राज-पत्र, जनवरी 13, 2026
भाग 4(ग)

## PART-IV

# Composition Certificate
[See sub-rule (3) of rule 123]
Ref: Notice No..................
Date:
This is to certify that the offence under sub-section ............of section 133 of the Code in respect of which Notice No.................. Dated.............was issued to Sh. ...............(Applicant), the employer of ............... (Name and Registration Number of establishment), has been compounded on account of remission of full amount of Rs ...............(Rupees ______________) towards the composition of offences to the satisfaction of the said notice.
Date:
Place:
(Signature)
Name and Designation of the Officer
[F(14)(13)(42)S.S.Code/shram/vidhi/2021/00011]
By order of the Governor,
Om Prakash Saharan,
Joint Secretary to the Government.
Government Central Press, Jaipur.

Rajasthan Code on Social Security Rules, 2026

Full rule text

LABOUR DEPARTMENT

DRAFT RULES

PART-I

CHAPTER-II

PART-III

CHAPTER-III

PART-IV

PART-V

PART-VI

PART-VII

PART-IX

PART-X

(Verification by the Applicant)

Form-II

Form-III

(Title)

Form-V

Notice-

Form-VI

Form-VIII

Form-IX

Costs of Suit

Form-X

Form-XI

Nominee(s)

Manner of acquiring a Family

Certificate by the Employer

Acknowledgement by the Employee

Form-XII

Form-XIII

Form-XIV

Form-XV

List of documents-

Form-XVI

Form-XIX

Form-XXII

Form-XXIII

Memorandum of Agreement

Form-XXIV

Receipt

Form-XXV

Receipt

Form-XXVI

Form-XXX

Official gazette PDF