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FORM 15 Part-I

The document is a leave register for Tamilnadu Petroproducts Limited for the month of November 2022, detailing worker leave records. It includes information about the factory, the occupier, and the manager, as well as specific leave details for a worker named Kumar. The register tracks earned leave, medical leave, maternity benefits, and gratuity benefits for employees.

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Bhuvnesh R
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0% found this document useful (0 votes)
23 views

FORM 15 Part-I

The document is a leave register for Tamilnadu Petroproducts Limited for the month of November 2022, detailing worker leave records. It includes information about the factory, the occupier, and the manager, as well as specific leave details for a worker named Kumar. The register tracks earned leave, medical leave, maternity benefits, and gratuity benefits for employees.

Uploaded by

Bhuvnesh R
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as XLSX, PDF, TXT or read online on Scribd
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Name and Address of the Factory: Tamilnadu Petroproducts Limited - Heavy Chemicals D

Name and Address of the Occupier / Pay Master: Mr. D Senthi Kumar
Name of the Manager / In-Charge: Mr. R M Raghunathan
Registration No: TVR01568

Serial Serial Name of the Worker Worker Leave at the


Number Number in Identity Beginning
Register of No of the
Adult month
Workder and
Young
Persons

1 2 3 4 5
1 1 Kumar TPL-85
[P
RE

cts Limited - Heavy Chemicals Division, Manali Express Highway, Manali, Chennai - 600 068.
Senthi Kumar

Fo
Earned Leave Medical Leav
Leave at the Leave Leave Leave balance Leave at
Beginning earned availed at the end of bigining of
of the during the during the the month the month
month period month

5 6 7 8 9
FORM No. 15
[Prescribed under Rules 87, 88]
REGISTER OF LEAVE WITH WAGES
(Part - I)
nai - 600 068. Name of the Contractor and Address:

For the month of November Year 2022


Medical Leave Other Leave
Leave Leave Leave at Leave Leave Date of
availed balance at bigining of availed balance at giving
during the the end of the month during the the end of notice of
month the month month the month Pregnancy
/ delivery

10 11 12 13 14 15
or and Address:

Maternity Benefit
Date of Amount of Subsequent Amount paid Leave With
giving maternity benefit Payment of as Medical Wages As
notice of paid in advance Maternity Bonus and per Section 9
Pregnancy of expected Benefit and Date Date of or 10 of the
/ delivery delivery and date of Payment Payment Maternity
of payment Benefit Act,
1961

15 16 17 18 19
Gratuity Benefit
Leave With Whether Amount paid Remarks
Wages As Nominatio as Gratuity
per Section 9 n received in case of
or 10 of the from the demice / exit
Maternity Worker of the
Benefit Act, worker
1961

19 20 21 22

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