Form E

[See Regulations 18]

[Form for Trade Union]

Annual Return prescribed Section 26 of the Industrial Relations Code 2020, for

the year ending [31st December, 20 ].

PART A

(1) Name of the Union

(2) Address of the Union

(3) Registered of Head Office

(4) Number and date of Certificate of Registration

x(5) Classification of industry (to be shown as per Schedule of

industries attached).

(6) Classification of sector please state to which of the following 4

categories of Union belongs---

(a) Public Sector, Central sphere

(b) Public Sector, State sphere

(c) Private Sector, Central sphere and

(d) Private Sector, State sphere

x(7) Name of the All-India Body/Federation to which affiliated

x(8) Affiliation Number

x(9) Affiliation fee paid during the year

x(10) Number and date of receipt for payment of affiliation fee

x(11) Membership fee per month

(12) No.of members on books at the beginning of the year

(13) No.of members admitted during the year

(14) No.of members who left during the year

(15) No.of member in books at the end of year

[i.e. on 31st December, 20 ] Male female Total

(16) No.of members contributing to political fund

*(17) No.of members who paid their subscription for the

whole year

(18) A copy of the rules of Trade Unions corrected upto the

date of dispatch of this return is appended.

*(19) Part B of the Return overleaf has been duly completed.

Dated the …………………… Secretary

x If the Union falls under more than one category, the membership

claimed in each category, may be shown separately.

PART B

General Fund Account

[Income and Expenditure Statement]

Income Rs. Ps. Expenditure Rs. Ps.

Balance at beginning of the year Salaries and allowances of

(Subscription from members inclu- officers. Travelling allowance

ding unpaid subscription due for salaries, allowances and expenses

the year) of establishment.

x (a) Subscription received Auditors fee.

x (b) Subscription in arrears for Legal expenses.

three months or less

x (c) Subscription in arrears for Expenses in conducting trade

more than three months Disputes

Donations. Compensation paid to members, for

Loss arising out of trade disputes

Sale of Periodicals, books, Funeral, old age, sickness,

rules, etc. unemployment benefits, etc.

Interest on investment. Cost of publishing periodicals.

Income from miscellaneous source Rent, rates and taxes.

(to be specified) Stationery, Printing and Postage

Expenses incurred under

Section 15of the

Industrial Relations Code 2020(to be

specified).

Other expenses (to be specified)

Balance at the end of the year

Total: Total:

PART C

Political Fund Account

Rs. Ps. Rs. Ps.

Balance at beginning of the year Payments made on the object

specified Section 15 of the

Industrial Relations Code 2020(to be

specified).

Contributions from members Expenses of management (to be

at…………………. fully specified).

Balance at the end of the year.

Total: Total:

Treasurer.

PART D

Statement of Liabilities and Assets on the 31st day of December, 20……….

Liabilities Rs. Ps. Assets Rs. Ps.

Amount of General Fund Cash

Amount of Political Fund In hands of Treasurer

Loans from----- In hands of Secretary

In hands of-----

In the………………….Bank

In the………………….Bank

Securities as per list below

Unpaid subscription due for

*(a) the year

*(b) previous year

Debts due to Loans to

*(a) Officers

*(b) Members

*(c) Others

Other liabilities (to be specified) Immovable property, goods and

Furniture, other assets to be

Specified).

Total Liabilities: Total Assets:

PART E

List of Securities

Particulars Face Value Cost or Market price at In hands

Price date on which of

accounts have

been made up

(1) (2) (3) (4) (5)

Treasurer

Auditor’s Report

We have audited the foregoing, ‘General Fund Account’ in Part B and the

‘Political Fund Account’ in Part C of the ………………………………....(name of the

Trade Union) for the year……………………. And also the Statement of liabilities and

assets in Part D and the List of Securities in Part E of the said Trade Union as on

………………………………………………….. and report that

(i) We have obtained all the information and explanation and have had

access to all the books and accounts of Trade Union which were necessary for the

purposes of our audit.

(ii) The Trade Union has properly maintained its membership register

and its books of accounts required by law:

(iii) (Subject to whatever remarks or qualifications the auditor wants to

make) In our opinion and to the best of our information and

according to the explanation given to us, the foregoing accounts, statement and

list have been properly drawn up and they give a true and correct view of income,

expenditure, assets and liabilities of the Trade Union.

Note:-- If the state of the Account is such that Auditor is unable to

express the opinion on the ‘True and correct’ aspect of the

Accounts, Statement and the List, he should state his reason there for.

Auditors(s)/Chartered Accountant

The following changes of Officers have been made during the year.

Officers Relinquishing Office

Name Office Date of Relinquishing Office

Officers Appointed

Name Date of Private Personal Title of position Date on which Other officers

Birth address occupation held in union appointment in held in

Column 5 was addition to

Taken up membership

of executive

with date

(1) (2) (3) (4) (5) (6) (7)

Elections

Date of last election Date of next election of

Of office-bearers office-bearers

Secretary.