Form II

(See rule 9(3) and Rule 25)

Annual Audit Report, Details of Assets and Liabilities and Annual Return to be

furnished by the Trade Unions

For the year ending 31st day of December 20….

PART- A

1. Name of Union :

2. Address of the Union :

3. Registered Head Office :

4. No. and date of certificate of Registration:

5. Name of Industry/Industrial Establishment:

6. Classification of sector (Please state to which of the following for categories the union

belongs) :

(a) Public Sector - Central Sphere:

(b) Public Sector - State Sphere:

(c) Private Sector - Central Sphere:

(d) Private Sector - State Sphere:

7. Name of all India Body/Federation to which affiliated :

8. Affiliation No. :

9. Affiliated fees paid during the year :

10. Number and date of receipt of payment of affiliation fee :

11. Membership fee per month :

12. No. of members of books at the beginning of the year :

13. No. of members admitted during the year:

14. No. of members left during the year:

15. No. of members of books at the end of the year (31….20...):

16. No. of members contributing to political fund :

17. No. of members who paid their subscription for the whole year :

18. Whether a copy of the rules of Trade Union corrected upto the date of despatch of this

return duly signed by the Secretary of the Union appended or not. :

19. Whether part B of the return overleaf has been duly filled or not.:

Dated the …………………………...President/ Secretary

Note: - If the union falls under more than one category, the membership claimed in each

category may be shown separately

PART- B

Statement of Assets and Liabilities

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

Un-paid subscription

due for -

*(a) the year

*(b) previous year

Loans to-

(a) Officers

(b) members

(c)others

Debts due to- Immovable property

Other liabilities (to be Goods and Furniture

specified)

Other assets (to be

specified)

Total liabilities Total liabilities

LIST OF SECURITIES

Particulars Face Value Cost Price Market price at date on In hands

which accounts have been of

made up

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

GENERAL FUND ACCOUNT

Income Rs Ps. Expenditure Rs Ps.

Balance at the beginning of the Salaries, allowance and

year expenses of Officers

Subscription from the Travelling allowance,

members (including unpaid salaries, allowances and

subscription due for the expenses of establishment

1year)

a) Subscriptions received

(b) Subscription in arrears for

three months or less

c) Subscription in arrears for

more than three months

Donations Auditors’ fees

Sale of periodicals, books, Legal expenses

rules, etc.

Interest on investments Expenses in conducting

trade dispute

Income from Miscellaneous Compensation paid to

sources (to be specified) members for loss arising

out of trade disputes

Funeral, old age, sickness,

unemployment benefits etc.

Educational, Social and

religious benefits

Cost of publishing

periodicals

Rents, rates and taxes,

Stationery, Printing and

postage Expenses

incurred under section

15 of the Industrial

Relations Code, 2020

(to be specified)

Other expenses (to be

specified)

Balance at the end of year

Total Total

POLITICAL FUND ACCOUNT

Income Rs Expenditure Rs

Balance at the beginning of Payment made an object

the year specified section 15 of

the Industrial Relations

Code, 2020 (to be

specified)

Contribution from…. Expenses of management

members at …...per member (to be fully specified)

Balance at end of year

Total Total

Treasurer

AUDITORS' DECLARATION

The undersigned having had access to all the books of accounts of the

....................................... and having examined the foregoing statements, and verified the

same with the accounts vouchers relating thereto, now sign the same as found to be correct

duly vouched and in accordance with the law subject to the remarks if any, appended hereto

and also certify that the………………………………Union had properly maintained its

membership registers and its accounts and the members had paid their membership

subscription to the...........................Union as shown in the foregoing statement of the general

fund account of the Union, subject to the remarks, if any appended hereto.

Auditor

Auditor

The following changes of [office bearers] have been made during

the year.

[Officer bearers]

Relinquishing Office

Name of [Office bearer] Date of relinquishing office

[Office Bearers]

Appointed

Name Date Private Personal Title Date on Other offices

of address occupatio or which held in addition

birth n positio appoint to membership

n held m ent in of executive

in the column with date

Trade 5 was

Union taken

up

1 2 3 4 5 6 7

ELECTIONS

Date of last election office bearers:

Date of next election of Office bearers:

President/ General Secretary