Schedule III

(This need not be filled in if the Union came into existence less than one year before the date of

application for registration)

Statement of Liabilities and Assets on the ………………………day of ………………….20

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Liabilities Rs.P. Assets Rs.P.

Amount of general fund Cash

In hand of Treasurer

Amount of political fund in hand of Secretary

In hands of-

In the ……………………Bank

In the ……………………Bank

Debts due to Securities as per list below

Unpaid subscriptions due loans to

………………………………………….

…………………………………………..

Other liabilities (to be specified) Immovable property

Good and furniture

Other assets to be specified)-

…………………………………………….

…………………………………………….

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Total Liabilities Total Assets

LIST OF SECURITIES

_______________________________________________________________

Particulars Face value Cost price Market Value In hands of

Signed

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AFFIDAVIT

(TO BE PRODUCED ON STAMP PAPER)

“I, …………………………………………………………………., son of

……………………………………, resident of

…………………………………………………………………………………………… as

President of (name of Union) __hereby solemnly declare that, I have applied for the registration

of above Trade Union.

I, further certify on oath that there is no criminal case pending in any Court of Law against me or

any of the following office bearers of our Union. I/we further certify that I/We have never been

found guilty/convicted of any legal offense and/or crime by any court of law in the past.

Sr. Name of Office Occupation / Name of Residential Photograph Sign

no Bearers Establishment Address

1

2

3

4

5

6

7

I am submitting this affidavit for the purpose of the registration of above Trade Union. I declare

that the above information given by me is true to the best of my knowledge.

Solemnly affirmed by me on ………………. (date) at ………. (place).

Signed by

to be attested by Public Notary

Notes:

 Please use Prescribed Form for the Application.

 Please fill the Application form completely and correctly.

 Affidavit in the prescribed format to be attached.

 Receipts of membership- proof attached.

 The copy of the rules of the Trade Union attached.

 The details of schedule I attached.

 The details of schedule II attached.

 The general statement of the assets and liabilities of the Trade Union for those Trade

Union which has been in existence for more than one year - details of schedule III

attached.

 The notice, minutes of general meeting and resolutions duly passed and signed by the

members of the applicant Trade Union.

 The copy of attendance register attached.