MLW Board Form A 1

I have Attached MLW Board Form A 1







Hutatma Babu Genu, Mumbai Girni Kamgar Kreeda Bhavan, Senapati Bapat Marg

Elphinstone, Mumbai – 400 013, Pohone: 24227758, 24306717,  24360738



        Form A-1 Cum Return 

         ( Vide Rule 3-A )

                                                                                                                                for office use only

NOTE:  1)  This form-cum-return is required to be submitted by  every

Employer along with the payment of Employees’ & Employer’s Six monthly

Contribution made by him in respect of all employees whose names stand on the register of his establishment as on 30th June / 31st December as per the provisions of Section 6BB of the Bombay Labour Welfare Fund Act, 1953.

2) Section 2(2) (b) of Bombay Labour Welfare Fuct Act, 1953 “Supervisor”

means who, being employed in a supervisory capacity, draws wages exceeding Three Thousand Five Hundred rupees per mensem or exercise, either by the nature of the duties attached to the office, or by reason of the powers vested in him, functions mainly of a managerial nature.

3) EEC = Employees’ contribution,  ERC = Employer’s contribution.



                   Establishment Code No




1.  Name & Address of the Establishment         :  XYZ.



2.  Name of the Employer.        :

3.  Class of the Establishment (i.e. whether factory,  :     FACTORY

motor omnibus service, motor transport                   ( MANUFACTURING – AUTO ANCILLARY )

undertaking or commercial establishment,

a shop, a residential hotel, restaurant, eating

house, theatre or other place of amusement or

public entertainment ).










–         2 –


4. Total number of employees whose names stood on the establishment register as

on 30th June 200 

on 31st Decr.200











a. Manager 0 NIL NIL NIL NIL
b. Employees working in supervisory capacity

drawing  wages exceeding 3,500/- p.m.

( Please refer NOTE 2 above )









c. Employees drawing wages upto & inclusive of

Rs 3000/- p.m.                                           June


EEC @ Rs   6.00 per employee

ERC @ Rs 18.00 per employee            Dec 2011

  Employees drawing wages exceeding

Rs 3000/- p.m.                                           June


EEC @ Rs 12.00 per employee &

ERC @ Rs 36.00 per employee                Dec

5. Total of (a) to (c) above




6.           Mode of payment:-

( please specify No. and date of cheque / draft / :-       DD NO  –             DATED –

money  order / cash against this item )

IMPORTANT                                                                        Certificate that the information / particulars

1) Cheque / DD should be drawn to each Estt. Code             furnished above is / are true to the best of

Number separately & in favour of Maharashtra                   my knowledge & belief.

Labour Welfare Fund.

2) Cash payment will be accepted from 10.30 a.m. to

3.00 p.m.

3) Code no. of the Establishment allotted to you                   Signature with name & designation of the

should be quoted at the appropriate place in this                   Authority filing this form-cum-return


4) DD should be payable at Mumbai only .

5) Please write the Establishment code number on

the back side of the cheque /  DD.

Click Here To Download MLW Board Form A 1