Form III

[Prescribed under Rule 21(4A) of The Tamil Nadu Minimum Wages Rules, 1953]

ANNUAL RETURN

Return for the year ending

(a) Name of the establishment and postal address	{{ $report['establishment_name'] ?? '' }}, {{ $report['address'] ?? '' }}
(b) Name and residential address of the owner / contractor	{{ $report['employer_name'] ?? '' }} {{ $report['employer_address'] }}
(c) Name and residential address of the Managing Agent / Director / Partner	{{ $report['employer_name'] ?? '' }} {{ $report['employer_address'] }}
(d) Name and residential address of the Manager / Agent, if any	{{ $report['employer_name'] ?? '' }} {{ $report['employer_address'] }}
2. Number of days worked during the year	{{ $report['days_worked'] ?? '' }}
3. Number of man-days worked during the year	{{ $report['emplooye_count'] ?? '' }}
4. Average daily number of persons employed during the year (i) Adults (ii) Children	{{ $report['adults'] ?? '' }} {{ $report['children'] ?? '' }}
5. Total wages paid in cash	@if (!empty($report['wages_cash'])) Rs. {{ $report['wages_cash'] }} @endif
6. Total cash value of the wages paid in kind	@if (!empty($report['wages_kind'])) Rs. {{ $report['wages_kind'] }} @endif
7. Deductions a) Fines b) For damage or loss c) For breach of contract	@if (!empty($report['fines_cases'])) Cases – {{ $report['fines_cases'] }} @endif @if (!empty($report['fines_amount'])) Rs. {{ $report['fines_amount'] }} @endif @if (!empty($report['damage_cases'])) Cases – {{ $report['damage_cases'] }} @endif @if (!empty($report['damage_amount'])) Rs. {{ $report['damage_amount'] }} @endif @if (!empty($report['breach_cases'])) Cases – {{ $report['breach_cases'] }} @endif @if (!empty($report['breach_amount'])) Rs. {{ $report['breach_amount'] }} @endif
8. Disbursement from fines	@if (!empty($report['disbursement_purpose']) \|\| !empty($report['disbursement_amount'])) @if (!empty($report['disbursement_purpose'])) Purpose – {{ $report['disbursement_purpose'] }} @endif @if (!empty($report['disbursement_amount'])) Rs. {{ $report['disbursement_amount'] }} @endif @endif
9. Balance of fine fund in hand at the end of the year	@if (!empty($report['fine_balance'])) Rs. {{ $report['fine_balance'] }} @endif

Date: {{ $report['date'] ?? '' }}

For {{ $report['establishment_name'] ?? '' }}

Signature of the Manager

Explanation: This Return shall be sent by employers even if no deduction from wages or imposition of fine was made.

(1) This is the aggregate number of attendances during the year.

(2) The average daily number of persons employed during the year is obtained by dividing the aggregate number of attendances during the year by the number of working days.

(3) Cash value of wages paid in kind shall be obtained by taking the difference between the cost price paid by the employer and the actual price paid by the employees for supplies of essential commodities given at concessional rates.