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