FORM – F
(See Rule 6)
STATEMENT REGARDING CONTRIBUTION
From:
SANKYU INDIA LOGISTICS & ENGINEERING PVT LTD
C/O UNICHARM INDIA PRIVATE LIMITED
5100, CENTRL EXPRESS WAY, SECTOR 24,
CHENGAMBAKAM, SRICITY, CHITTOOR(DT)
ANDHRA PRADESH -
To
The Welfare Commissioner,
Andhra Pradesh Labour Welfare Board,’
Vijayawada-520 002.
As required under Rule 5 of Andhra Pradesh Labor Welfare Fund Rules, 1988, I am furnishing
below the necessary particulars in relation to the amount of Rs ....4900...Rupees. (Four
Thousand nine hundred rupees only) (words here) tendered herewith as the total amount
payable by my establishment both as employees’ as well as employer’s contribution for the
year ending 31st December 2020 (mention the year here). A separate list containing the
names of employees engaged for the period, amount of monthly wages drawn, by each of
them as also designation of each of them is attached herewith.
PARTICULARS
SANKYU INDIA LOGISTICS &
1. Name of the establishment with full
address: ENGINEERING PVT LTD
C/O UNICHARM INDIA PRIVATE
2.
Whether a factory or motor transport LIMITED
undertaking / commercial establishment /
or 5100, CENTRL EXPRESS WAY, SECTOR 24,
any other class of establishment specified CHENGAMBAKAM, SRICITY,
by a CHITTOOR(DT)
Government notification: ANDHRA PRADESH -
Total number of employees employed
3. 49 Nos
on
st
preceding 31 December;
Total number of employees from
4.
whom
contributions have been deducted for
the 49 Nos
period:
Total amount of employees’
5. Rs.1470-00
contributions
tendered for the period:
Total amount of employer’s
6. Rs.3430-00
contribution
tendered for the period:
Grand Total of both the employees’ as well
7.
as
the employer’s contributions deducted
and Rs.4900-00
tendered respectively for the period:
Whether full payment of the amount due
8.
to the
period has been tendered:
Amount of unpaid balance, if any, and
9.
the
reasons there for.
10. Mode of payment whether in cash or by BANK : ANDHRA BANK
Bank
Demand Draft or money order? If by
money
order, mention postal receipt number and
date DD No : 892180
thereof. If by demand draft, mention BRANCH : NAGALAPURAM –
name, CODE:2301
branch and address of the bank on
which DATE : 09.01.2020
drawn, D.D. Number and date:
11. Remarks, if any :
I hereby declare that the before mentioned particulars are true and correct to the best of my
knowledge and belief.
Date:
Place:
Si
gnature and Designation or description of the post held with official seal.
Date : 09.01.2022
To,
The Welfare Commissioner,
Andhra Pradesh Labour Board,
Vijayawada-520 002
Sub: Submission of Labour Welfare Fund
With the above reference for Labor Welfare Fund Deduction from employees for the
year 2019.
Total amount: 5400
Name of the Bank: ANDHRA BANK
DD No: 892180
Thanking You,
For Sankyu India Logistics & Engineering Pvt Ltd.
Authorised signatory
FROM:
SANKYU INDIA LOGISTICS & ENGINEERING PVT LTD
C/O UNICHARM INDIA PRIVATE LIMITED
5100, CENTRL EXPRESS WAY, SECTOR 24,
CHENGAMBAKAM, SRICITY, CHITTOOR(DT)
ANDHRA PRADESH –
TO:
THE WELFARE COMMISSIONER,
A.P LABOUR WELFARE BOARD,
1st FLOOR, D.NO.33-7-6&33-8-14,
PATURIS PRIDE, PAPAIAH STREET,
“X” ROADS, SITARAMPURAM,
VIJAYAWADA-520002.
