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1[FORM D
(See rule 5)

Annual Return-Bonus paid to employees for the accounting year ending on the………  
1. Name of the establishment and its complete postal Addresses……………
2. Nature of the Industry………………………….
3. Name of the Employer………………………….
4. Total Number employees………………….
5. Number of employees benefited by bonus payments………………..


1.

2.

3.

4.

5.

6.

7.

Total amount payable as bonus under sec. 10 or 11 of the Payment of Bonus Act, 1965 as the case may be

Settlement, if any reached under sec. 18(1) or 12(3) of the Industrial Disputes Act, 1947 with date.

Percentage of bonus declared to be paid

Total amount of bonus actually paid

Date on which payment made.

Whether bonus has been paid to all the employees. If not, reasons for non-payment.

Remarks

 

 

 

 

 

 

 

Signature of the Employer or his agent.]
1. Ins. by S.O. 251, dated 6th January, 1984, published in the Gazette of India, Pt. II, Sec. 3 (ii) dated 21st January, 1984.

 



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