Form VI

(see rule 21 and 24)

Annual returns prescribed under Section 26(1) of the Industrial Relations Code,

2020To be forwarded by a registered Trade Union for the year ending

the 31st December……..

PART A

1. Name of the Union

2. Address of the Union

3. Registered Head Office

4. Number and date of certificate of registration

5. Classification of industry (to be shown as per schedule of industries attached)

6. Classification of Sector [Please state to which of the following four categories, the

Trade Union belongs : (a) Public Sector—Central Sphere , (b) Public Sector—State

Sphere, (c) Private Sector – Central Sphere and (d) Private Sector—State Sphere.]

7. Name of the All India Body / Federation to which affiliated

8. Affiliation number

9. Affiliation fee paid during the year

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

11. Membership fee per month

12. Number of members on books at the beginning of the years.

13. Number of members admitted during the year

14. Number of members who left during the year

15. Number of members on books at the end of the year (i.e. on the 31st

December….). Male Female Total

16. Number of members contributing to political fund.

17. Number of members who paid their subscription for the whole year

18. A copy of the rules of the Trade Union corrected up to the date of despatch of his

return is appended.

19. Part B of the return below has been duly completed.

Date Secretary

*If the Union falls under more than one category, the membership claimed in each

category may be shown separately.

PART B

Statement of Liabilities and Assets on the 31st day of March………….

Liabilities Rs. P. Assets Rs. P.

Amount of Cash

General Fund In hands of Treasurar

In hands of Secretary

In hands of …………..

In the …………. Bank

In the …………. Bank

Amount of Security as per list below

Political Fund

Loans from- Unpaid subscription due for

(a) the year

(b) previous year

(c)

Debts due to- Loans to

(a) Officers

(b) Members

(c) Others

Other liabilities Immovable propert

(to be specified.) Goods and furniture

Other Assets (to be specified)

Total- Liabilities Total- Assets

General Fund Account

Income Rs. Expenditure Rs.

Balance at beginning of year Travelling allowance, salaries

allowances and expenses of

establishment.

Auditor’s fees

Legal expenses

Subscription from members Expenses in conducting trade

(including unpaid disputes.

subscriptions due for the year)

(a)Subscription received Compensation paid to members for

loss arising out of trade disputes.

(b) Subscription in arrears for Funeral, old age, sickness, un-

three months or less. employments benefits, etc.

Educational, social and religious

benefits

(c) Subscription in arrears for Cost of publishing periodicals

more than three months

Donations Sale of periodicals, Rents, rates and taxes

books, rule, etc.

Interest on investments Stationery, printing and postage

{Expenses incurred under Section

15 (1) of the Industrial Relations

Code, 2020 read with Rule 12 of

the Rajasthan Industrial Relations

Rules (to be clearly specified)}.

Income from miscellaneous Other expenses (to be specified)

sources (to be specified)

Balance at the end of year

Total Total

Political Fund Account

Income Rs Expenditure Rs.

Balance at the beginning of Payments made on objects

the year specified in Section 15(2) of the

Industrial Relations Code, 2020

read with Rule 13 of the Rajasthan

Industrial Relations Rules (to be

specified)

Contributions from members Expenses of management (to be

@ … per member fully specified) @ … per member

Balance at the end of year

Total Total

Auditor Declaration

The undersigned, having access to all the books and accounts of the ------------ Union,

and having examined the foregoing statements and verified the same with the account

vouchers relating thereto, now sign the same as found to be correct, duly vouchered and

in accordance with the law, subject to remarks if any appended hereto and also certify that

the -------------- Union had properly maintained its membership register and its accounts

and the members had paid their membership subscriptions to the ------------ Union as

shown in the foregoing statements of the General Fund Account of the Union, subject to

the remarks, if any, appended here to………

Auditor

The following changes of officers have been made during the year ------

Officers Relinquishing Office

Name Office Date of relinquishing

office

Officers appointed

Name Date Private Personal Title of Date on which Other officers

of address Occupati position appointment in held in addition

birth on held in column 5 was to membership

Union taken up of executive

with date

1 2 3 4 5 6 7

Election

Date of last election of Office bearers Date of next election office bearers

Secretary