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Extra No. 186 äëìæýÀ áäëÉÜÞù Øß wë. 4,000/-
©
The Gujarat Government Gazette
EXTRAORDINARY
PUBLISHED BY AUTHORITY
VOL. LXI ] TUESDAY, JUNE 23, 2020 / ASADHA 2, 1942
Separate paging is given to this Part in order that it may be filed as a Separate Compilation.
PART IV-B
Rules and Orders (Other than those published in Parts I, I-A, and I-L) made
by the Government of Gujarat under the Gujarat Acts
LABOUR AND EMPLOYMENT DEPARTMENT
NOTIFICATION
Sachivalaya, Gandhinagar, 23rd June, 2020.
Gujarat Shops and Establishments (Regulation of Employment and Conditions of Service)
Act, 2019.
No. GHR/2020/73/GSE/19/2019/236319/M-3: - WHREAS certain draft rules were published as
required by sub-section (2) of section 39 of the Gujarat Shops and Establishments (Regulation of
Employment and Conditions of Service) Act, 2019 (Guj. 4 of 2019) (hereinafter referred to as “the
said Act”), at pages 346-1 to 346-38 in the Gujarat Government Gazette, Extraordinary, Part IV-B,
dated the 3rd October, 2019, under Government Notification, Labour and Employment Department
No. GHR/ 2019 / 117 / GSE / 19 / 2019 / 236319 / M-3, dated the 30th September, 2019 inviting
objections and suggestions from the persons likely to be affected thereby before the expiry of thirty
days from the date of the publication of the said notification in the Official Gazette;
AND WHEREAS, the objections and suggestions received in respect of the said draft rules
have been considered by the Government;
NOW, THEREFORE, in exercise of the powers conferred by sub-section (1) of section 39
of the Gujarat Shops and Establishments (Regulation of Employment and Conditions of Service)
Act, 2019 (Guj. 4 of 2019) and of all other powers enabling it in that behalf, the Government of
Gujarat, hereby makes the following rules, namely: -
IV-B Ex.-186 186-1
186-2 GUJARAT GOVERNMENT GAZETTE, EX., 23-06-2020 [ PART IV-B
1. Short Title. - These rules may be called the Gujarat Shops and Establishments (Regulation of
Employment and Conditions of Service) Rules, 2020.
2. Definitions.- (1) In these rules unless the context otherwise requires,-
(a) “Act” means the Gujarat Shops and Establishments (Regulation of Employment and
Conditions of Service) Act, 2019 (Guj. 4 of 2019);
(b) “Compounding Officer” means an authority appointed by the Government under sub-
section (1) of section 34;
(c) “Form” means the form appended to these rules;
(d) “Government” means the Government of Gujarat;
(e) “Managerial Functions” means all such functions which are inherently supervisory in
nature and are bestowed with powers and authority to take all policy and administrative
decision in an organization, e.g. power to sanction leave, award increment, take
disciplinary action, to terminate, suspend or dismiss a worker or indulge in policy
making decision regarding any aspect of the business or service conditions of workers
and such other similar powers.
(f) “Schedule” means the Schedule appended to these rules;
(g) “Section” means a section of the Act.
(2) Words and expressions used in these rules but not defined hereinabove shall have the
same meanings as are respectively assigned to them in the Act.
3. Application for Registration of Establishment. -
The employer of every establishment engaging ten or more workers shall submit application
in Form-A for registration of the establishment as per section 6 of the Act along with the required
documents as specified in Part- A of the Schedule. The application may be submitted online where
online access is available.
4. Payment of Fees. -
The fees to be paid along with the application for registration in Form-A by the
establishments employing ten or more employees shall be as specified below:
Sr. Fees to be paid
Category of Establishment
No. in Rs.
1. Establishments. 500/-
2. Shops. 500/-
3. Residential Hotels. 2500/-
4. Restaurants and Eating Houses. 1000/-
5. Theatres and other places of public amusement or entertainment. 5000/-
The fees shall be paid through e-payment where online access is available.
5. Manner of Registration of Establishment. -
(1) Every application submitted either online or otherwise in Form-A for registration of
establishment may be assigned to any of the inspector concerned, who shall scrutinize the
applications, documents either uploaded online or submitted otherwise and the fees paid either
through e-payment or otherwise along with the details mentioned in the application. If the
application is complete in all respects and supported with all the required documents, prescribed
fees, he shall either sign digitally or issue otherwise the certificate of registration, which shall be in
Form-B within one day either from the date the application appears on the dashboard of the
inspector or received otherwise by the inspector. The entry of the establishment which is registered
shall be made in the Register of Establishment to be maintained in Form-C.
PART IV-B ] GUJARAT GOVERNMENT GAZETTE, EX., 23-06-2020 186-3
(2) If an application is incomplete or not supported with required documents as mentioned in
these rules or if the prescribed fee is not paid, then the inspector, may reject such application by
mentioning the reasons thereof within one day from the date on which the application appears on
the dashboard of the inspector or received otherwise by the Inspector.
6. Intimation of commencement of business by employer engaging less than ten employees.-
The employer of every establishment engaging less than ten employees shall submit an
intimation in Form-D of commencement of the business along with the required documents as
specified in Part-B of the Schedule. The intimation may be submitted online where online access is
available.
7. Receipt of Intimation. -
After receiving an intimation in Form-D along with all the documents, a receipt of such
intimation in Form-E shall be issued to the applicant either online or otherwise as the case may be
and the details thereof shall be recorded in a register maintained for that purpose in Form-F.
8. Procedure for cancellation of Registration Certificate.-
At any time, if it is found or brought to the notice of the Inspector that the registration of any
shop or establishment has been obtained by misrepresentation or suppression of material facts or by
submitting false or forged documents or false declaration or by fraud, the Inspector shall,
(i) by a notice require the employer to submit his case as to why the registration may not be
cancelled;
(ii) if within ten days from the date of the receipt of the notice, the employer fails to submit
his case along with the relevant documents, the Inspector may cancel the registration of such shop
or establishment, as the case may be;
(iii) if within ten days, the employer submit his case along with relevant documents, the
Inspector, after considering the case and the relevant documents submitted may withdraw notice or
cancel the registration of such shop or establishment, as the case may be and remove the same from
the register of establishment maintained in Form-C, after the reasons to be recorded in the order.
9. Notice to make changes in Registration Certificate. -
(1) Any changes in the certificate of registration shall be submitted in Form-G to the
Inspector as per section 9 of the Act within thirty days from the date the change took place along
with the required documents to be submitted as specified in Part-C of the Schedule.
The fees to be paid along with the application for registration in Form-G by the
establishments employing ten or more employees shall be as specified below:
Sr. Fees to be
Category of Establishment
No, paid in Rs.
1. Establishments. 500/-
2. Shops. 500/-
3. Residential Hotels. 2500/-
4. Restaurants and Eating Houses. 1000/-
5. Theatres and other places of public amusement or entertainment. 5000/-
The fees shall be submitted online where online access is available.
(2) On receipt of such notice the Inspector shall scrutinize the same and shall either sign
digitally or otherwise as the case may be and issue a fresh modified certificate within one day from
the date of receipt of such notice. However, if the notice is not complete or is not supported by the
required documents or if the prescribed fees is not paid, he shall reject the notice within one day by
mentioning the reasons thereof.
186-4 GUJARAT GOVERNMENT GAZETTE, EX., 23-06-2020 [ PART IV-B
10. Closing of Business.-
(1) Every employer of an establishment engaging ten or more workers, on closing its
business permanently shall inform the same within thirty days from the date of such closing to the
Inspector in Form-H.
(2) Every employer of an establishment engaging less than ten workers, on closing its
business permanently shall inform the same within thirty days from the date of such closing to the
Inspector in Form-I.
(3) The Inspector on receiving the information and on being satisfied about its correctness
shall remove the entry of such shop or establishment from the register of establishments and cancel
the registration certificate:
Provided that, if the Inspector does not receive the information but he is otherwise satisfied
that any shop or establishment has been closed, he may remove the entry of such shop or
establishment from the register of establishments and cancel such certificate.
11. Conditions for employment of women in night shifts. -
Women worker shall be required or allowed to work in shop or establishment between 9.00
p.m. to 6.00 a.m. after obtaining the consent of such women worker in Form-J, subject to such
conditions as may be specified in the order of the Inspector.
12. Notice of weekly holiday of workers in each shift. -
Every employer shall display a notice at a conspicuous place of the premises on a notice
board and on website, if employer has website, showing the day of rest, in Form-K. A copy of the
same shall be send to the Inspector electronically or otherwise where online access is not available.
13. Prohibition of overlapping of shifts.-
Work shall not be carried on in any establishment by means of a system of shifts so arranged
that more than one relay of workers is engaged in work of the same kind at the same time.
14. List of persons engaged in shift.-
(i) In case of establishment operating in more than one shift, the employer shall display well
in advanced a shift schedule, showing the names and designation of all persons working in that
shift, so that each worker is aware of the shift in which he has to work. Such list shall be in Form-L
and shall be kept in every establishment and made available for inspection to the Inspector on
demand. The list shall be displayed at a conspicuous place of the premises on the notice board and
on the website, if employer has website. A copy of the same shall be send to the Inspector
electronically or otherwise where online access is not available.
(ii) There shall be not less than twelve consecutive hours of rest or gap between the last shift
and night shift whenever a worker is changed from day shift to night shift and also from night shift
to day shift.
15. Part-time employment.-
It shall be lawful for the employer to engage any worker as part-time worker provided that
he shall not be allowed to work more than five hours in a day.
16. Identity Card.-
As per section 17, every employer shall provide to each worker an Identity Card as specified
in Form-M.
PART IV-B ] GUJARAT GOVERNMENT GAZETTE, EX., 23-06-2020 186-5
17. Leave Book.-
Every employer shall provide to each worker with a book called “Leave Book” in Form-N.
A copy of the same shall be retained by employer. All the entries of sanctioned earned leave as per
section 18 shall be noted in the Leave Book. Any earned leave applied for and is refused shall also
be noted in the register with initials of the employer or his representative in the respective column
of Leave Book. However, every employer shall be free to maintain Leave Book in such format
either manually or electronically. If the Leave Book is lost by the worker, the employer or manager
shall provide him the duplicate copy of the same.
18. Notice by employer or manager of accumulated leave. -
The employer or manager shall issue a notice up to the 31st January of each calendar year
which shall be displayed in Form-O giving the names of all workers whose leave, which has been
carried forward, has reached the maximum limit allowed under sub-section (5) of section 18, as
soon as possible in the first quarter of each calendar year. The notice shall state that no further leave
can be carried forward. A copy of the notice shall be given to each worker concerned.
19. Cleanliness, Lighting and Ventilation.-
Premises of every establishment shall be kept clean and free from infection. It should have
proper ventilation and lighting. No rubbish, filth or debris shall be allowed to accumulate or to
remain on any premises or in an establishment or in the surroundings of such establishment in such
position that effluvia therefrom can arise within the establishment or its surroundings.
20. Precautions against fire.-
Every employer shall take all the measures to protect the premises and the workers therein
from the danger of fire. He shall adopt and implement all such measures as suggested or directed by
the Fire Protection Department of the Local Authority or Fire Brigade of that local area or any such
authority. It shall be his duty to follow the norms and guidelines for protection against fire as per
any law for the time being in force or any direction or instruction issued by any Local Authority or
any such authority wherein the establishment is situated.
21. Latrines and Urinals.-
Every employer either individually or group of employers shall provide and maintain a
common, neat and clean urinal and latrines facility with supply of anti-bacterial liquid soap for men
and women worker separately in such sufficient numbers. It shall be well ventilated with exhaust
fan and lighted and safe for use of women worker. There shall be proper provision of water supply
and flushing of waste.
22. Latrines and urinals to be accessible.-
(1) The latrines and urinals shall be conveniently situated and accessible to workers at all
times at the establishment.
(2) (i) Latrines and urinals other than those connected with a flush sewage system shall
comply with the requirement of the public health authorities.
(ii) Water shall be provided the means of tap or otherwise so as to be conveniently
accessible in or near the latrine and urinals.
23. Crèche.-
(i) The crèche shall be conveniently accessible to the mothers of the children accommodated
therein and so far as is reasonably and practicable. It shall not be situated in close proximity to a
part of the shop or establishment where excessively noise processes are carried on.
(ii) Effective and suitable provision shall be made in every part of the crèche for securing
and maintaining adequate ventilation by the circulation of fresh air.
186-6 GUJARAT GOVERNMENT GAZETTE, EX., 23-06-2020 [ PART IV-B
(iii) The crèche shall be adequately furnished and equipped and in particular there shall be
one suitable cot or cradle with the necessary bedding for each child, provided that for children over
two years of age it will be sufficient if suitable beddings made available and at least one chair or
equivalent seating accommodation for the use of each mother while she is feeding or attending to
her child, and a sufficient supply of suitable toys for the older children.
(iv) There shall be in or adjoining the crèche a suitable wash room for the cleaning of the
children and their clothing. The wash room shall be adequately lighted and the floor shall be
effectively drained and in a clean and tidy condition. An adequate supply of water, baby soap and
clean towels shall be made available for each child while it is in the crèche.
(v) For each crèche there shall be appointed a woman incharge and an adequate number of
female-attendants to help the woman incharge. The crèche, staff shall be provided with suitable
clean clothes for use while on duty.
24. First-Aid Appliances.-
Every employer shall maintain duly equipped first-aid box in each establishment with the following
first-aid appliances and medicine, namely:-
(i) small, medium and large sterilized dressing in required numbers;
(ii) large size sterilized burn dressing in required numbers;
(iii) packets of sterilized cotton-wool in required numbers;
(iv) pair of dressing scissors;
(v) bottle containing solution of iodine or mercury chrome;
(vi) bottle containing solution of savolatine having the dose and mode of administration
indicated on the label;
(vii) bottle containing potassium permanganate crystals; and
(viii) any antidote for burns.
25. Canteens. -
Every employer having one hundred or more workers in shop or establishment shall provide
and maintain a canteen with the following conditions, namely: -
(i) The doors and windows of a canteen building shall be of fire proof construction and
shall allow adequate ventilation.
(ii) The canteen shall be sufficiently lighted at all times when any person have access to it.
(iii) The precincts of the canteen shall be maintained in a clean and sanitary condition.
Waste shall be carried away in suitable covered drains and shall not be allowed to
accumulate so as to cause a nuisance. Suitable arrangements shall be made for the
collection and disposal of garbage.
(iv) Sufficient tables, stools, chairs or benches shall be available in canteen.
(v) There shall be provided and maintained sufficient utensils and any other equipment
necessary for the efficient running of the canteen.
(vi) The charge per portion of food stuff, beverages and any other item served in the
canteen shall be conspicuously displayed in the canteen.
PART IV-B ] GUJARAT GOVERNMENT GAZETTE, EX., 23-06-2020 186-7
26. Maintenance of Registers and Records. -
(1) The employer shall maintain a Muster-Roll cum Wages Register in Form-P unless any
employer or manager maintains a Wages Register in Form-B and Muster Roll in Form-D as
prescribed in rule 3 of the Schedule to the Ease of Compliance to Maintain Registers under various
Labour Laws (Gujarat) Rules, 2017.
(2) Every entry in the register or records requires to be maintained under these rules shall be
authenticated digitally or manually by the employer or the manager or any person so authorized by
him. The entries relating to overtime shall be made immediately after completion of such overtime
work. In case both the employer and the manager are absent on any day, the entries shall be
authenticated by such person as may be authorized in writing by the employer.
(3) Every register, record and notice required be maintained, exhibited or given under the Act
and these rules shall be either in Gujarati or in English language.
(4) Every employer or manager shall preserve the inspection records of the Inspector for a
period of five years and shall produce the same whenever demanded by the Inspector.
(5) Where an office, store-room, godown, warehouse or work place used in connection with
the trade and business of a shop is situated at the premises other than the premises of such
establishment, all such registers, records, muster-rolls, notices etc. required to be maintained,
exhibited or given under the Act and these rules shall be separately so maintained, exhibited or
given in respect of such office, storeroom, godown, warehouse or work place etc.
27. Annual Return. -
Every employer shall submit the Annual Return in Form-Q to the Inspector within one
month after completion of the calendar year ending on the 31st December. It shall be submitted
online where online access is available.
28. Supervision of State Government over Local Authority. -
If the Local Authority or the panchayat to whom the duty of enforcing the provisions of this
Act is delegated under section 24 of the Act makes default in the performance of any duty imposed
by or under this Act, the State Government may appoint appropriate person as an Inspector to
perform it and may direct that the expenses of the person so appointed to perform the duty, shall be
paid forthwith by such Local Authority or panchayat, as the case may be.
29. Duties and powers of Inspector.-
(1) The Inspector shall make such examination as may appear to him to be necessary for the
purpose of satisfying himself that the provisions of the Act, these rules and any orders issued by the
Government or the Local Authority or the panchayat under the Act and the rules made thereunder
are duly observed.
(2) The Inspector shall maintain a monthly diary and submit it to such officer as directed by
the office order.
(3) It shall be the duty of the Inspector to serve all the notices and orders as per the Act to the
concerned persons issued by the Compounding Officer.
(4) It shall be the duty of the Inspector to carry out inspection as per the online
randomization inspection system or any other system for the time being in force.
(5) It shall be the duty of the Inspector to carry out monthly reconciliation of the application
and fees received online and the fees deposited in the treasury.
(6) It shall be the duty of each Inspector to maintain Court Cases Register individually and
the register of cases referred to the Compounding Officer as per the instruction given by the office
order.
186-8 GUJARAT GOVERNMENT GAZETTE, EX., 23-06-2020 [ PART IV-B
(7) It shall be the duty of the Inspector to advise the employer so as to comply with the
irregularities pointed out by him in his inspection memo. It shall also be his duty to guide the
workers in an establishment about their rights under the Act and the remedies available to them.
(8) It shall be the duty of the Inspector to confirm that the defaulting employer has paid the
fees as per the direction of the Compounding Officer and shall verify whether the amount is
deposited in the local area treasury office.
30. Application for Compounding of Offence. -
(1) Every application for compounding of an offence shall be in Form-R.
(2) The Compounding Officer shall maintain a proper Rojnama of all the cases heard by
him.
(3) The Compounding Officer appointed as per the provisions of sub-section (1) of section
34 of the Act shall regularly hold sittings in each district or in such a place in the local area as per
the work load or the matter referred before him.
31. Procedure for Compounding of Offence. -
(1) The Compounding Officer on receipt of an application shall examine all the documents,
the nature of breaches of the Act and these rules and shall pass a detailed order within seven
working days from receipt of the application. The Compounding Officer while determining the
amount of compounding fees shall have regard to the seriousness of breaches, nature of an offence
and evidence on record. The Compounding Officer shall on receipt of the compounding fees make
the order for deposit of compounding fees and after deposit of such amount, the offence shall be
compounded and the Compounding Officer shall make necessary entries in a register kept for that
purpose.
(2) An order passed by the Compounding Officer shall be forwarded to the concerned local
Inspector for serving the same to the defaulting employer within seven working days.
(3) The maximum fees for compounding of offence may be imposed by the Compounding
Officer shall not be less than seventy five per cent of the maximum fine specified for such offence
under the Act.
(4) In calculating the period for filling of prosecution under section 33, the time period taken
for compounding of offence shall be excluded.
32. Intimation of persons discharging Managerial function. -
Every employer registered under section 6 shall inform to the Inspector in Form-S the names
and designation and brief nature of duties of such persons who are discharging managerial function.
33. Intimation of persons doing confidential work.-
Every employer shall inform in Form-T the names of such persons who are occupying
position of confidential character in an establishment. However, the number of such persons shall
not be more than one percent of the total strength of workers of the establishment subject to a
maximum of fifty persons.
34. Name Board to be in Gujarati. -
The Name Board of every establishment shall be preferably in Gujarati language;
Provided that, the employer may also have the Name Board in any other language in
addition to Gujarati.
PART IV-B ] GUJARAT GOVERNMENT GAZETTE, EX., 23-06-2020 186-9
FORM –A
(See rule 3) PHOTO
APPLICATION FOR REGISTRATION
1 Name of the Establishment :-
2 Postal address and situation of the :-
Establishment
3 Date of commencement of Business :-
4 Nature of Business
:-
5 Address of the office, storeroom,
godown, warehouse or work place, if any,
other than the above address.
(should be field only when office,
showroom, etc. is not separately registered
under the Act.) :-
6 Name of the Employer.
:-
7 Residential Address of the Employer. :-
Status/ Designation :-
Mobile No. and e-mail id :-
8 (1) Category of Establishment :-
(Shop/Establishment)
(2) Type of organization (i.e. Proprietor,
Partnership , LLP Company/ Trust/ Co-
operative Society/ Board) :-
9 Name and Mobile No. and
Details of the Partner /Director / :- Residential Address e-mail ID.
Trustee/Board and Society Members
10 Name of the members of employer's :- Relation
Name of the person
family employed in the establishment
11 Manpower/ Workers Details :- Men Women
Persons working in Managerial/
Supervisory/Confidential capacity :-
No. of workers other than above :-
12 No. of apprentices under the Apprentices
Act, 1961 (52 of 1961) :-
No. of contract labour :-
No. of part-time workers :-
Total :-
186-10 GUJARAT GOVERNMENT GAZETTE, EX., 23-06-2020 [ PART IV-B
Self-Declaration
I/ We hereby solemnly affirm and state that the business which I/we have started is not
banned or prohibited by any labour laws, Rules, or Order of any labour Court or any competent
authority under labor laws and the premises where I/ we are conducting the said business is free
from violation of any labour laws, Rules, Order of any labour Court or any Competent Authority
under labour laws.
I/ We hereby declare that the information provided above is true and correct to the best of
my personal knowledge, information and belief. I am fully aware about the consequences of giving
false information. If the information is found to be false, I shall be liable for prosecution and
punishment under the Indian Penal Code (45 of 1860) and /or any other law applicable thereto.
I/ We have obtained necessary labour laws related licenses, permissions, permit for the
conduct of this business and the place of business from the appropriate Authority.
I/We shall be responsible and liable for legal action if the business is conducted without
proper labour laws related license, permission, permit from the appropriate Authority.
I / We hereby declare that the copies attested by me are true copies of original documents.
I am well aware of the fact that if the copies are found false/forged, I shall be liable for prosecution
and punishment under the Indian Penal Code (45 of 1860) and /or any other law applicable thereto.
I / We undertake to abide by the provisions of the Gujarat Shops and Establishments
(Regulation of Employment and Conditions of Service) Act, 2019 (Guj. 4 of 2019) and the Rules
and orders passed thereunder by any Authority.
Date:
Place: Name and Signature of Applicant
FORM – B
(See rule 5)
REGISTRATION CERTIFICATE
1. Registration Number :-
2. Name of the Establishment :-
3. This certificate is issued based on the application and the uploaded Self- Certified
documents and declaration given by the applicant, without physical verification of the
existence of establishment, the nature of business carried out and the details mentioned in the
application.
This is just a certificate of registration and does not give any right to property or
possession of the rights of the premises or property.
4. Date of commencement of business :-
5 Period for which registration is obtained :-
6. Name of the Employer :-
7. Nature of Business :-
8. Postal Address of Establishment :-
9. Details of Manpower/ employee :- Men Women
No. of persons working in :-
Managerial/Supervisory/confidential
capacity
No. of workers other than above :-
No. of apprentices under the :-
Apprentices Act, 1961 (52 of 1961)
No. of contract labour :-
No. of part time workers :-
Total :-
PART IV-B ] GUJARAT GOVERNMENT GAZETTE, EX., 23-06-2020 186-11
It is hereby certified that the above establishment has been registered under the Gujarat
Shops and Establishments (Regulations of Employment and Conditions of Service) Act, 2019 (Guj.
4 of 2019) on this __________ day of __________20____as shop/establishment.
Date:
Place: Name and Signature of Inspector
Office Address
Application Id No. Fees paid (rupees)
FORM – C
(See rule 5)
REGISTER OF ESTABLISHMENT
Name and
Name and residential Whether Situation of office, showroom,
Registration Name
residential address of establishment godown, warehouse or
Sr. Certificate and Address
address of the falls under workplace, if any, attached to a
No. No. with of the
the Authorised public/ shop but situated in premises
Date Establishment
Employer Person and private sector different from those of the shop
Manager
1. 2. 3. 4. 5. 6. 7.
No. of other
No. of family persons
members of occupying Total No.
Date of
Date of Nature employer position of of workers
renewal of Fees Application Remarks,
Commencement of employed in management (including
registration paid ID No. if any.
of business business the or persons part-time
certificate.
establishment engaged in workers)
(Men/Women) confidential
capacity.
8. 9. 10. 11. 12. 13. 14. 15 16
FORM – D
(See rule 6) PHOTO
FORMAT FOR INTIMATION
1 Name of the Establishment :-
2 Previous details of establishment
Registration No. :-
3 Date of Expiry :-
4 Postal address and situation of the
Establishment :-
5 Date of Commencement of Business :-
6 Nature of Business Whether Public / Private
Establishment falls under Public Sector :-
or Private Sector
7 Total No. of Employee Men………..Women….....
:- Total …………
186-12 GUJARAT GOVERNMENT GAZETTE, EX., 23-06-2020 [ PART IV-B
8 Name of the Employer
Residential Address of the Employer
Status / Designation
Mobile No. and e-mail ID
9 Name, Address, Mobile No. and E-mail
ID of the Manager (if any)
10 (a) Category of Establishment
i.e. Shop/ Establishment
(b) Type of organization i.e. Proprietor,
Partnership, LLP, Company/ Trust/ Co-
operative Society/ Board
11 Name of the members of employer's :- Name of the
Relation
family employed in the establishment person
Self-Declaration
I/ We hereby solemnly affirm and state that the business which I/we have started is not
banned or prohibited by any labour laws, Rules, or Order of any labour Court or any competent
authority under labor laws and the premises where I/ we are conducting the said business is free
from violation of any labour laws, Rules, Order of any labour Court or any Competent Authority
under labour laws.
I/ We hereby declare that the information provided above is true and correct to the best of
my personal knowledge, information and belief. I am fully aware about the consequences of giving
false information. If the information is found to be false, I shall be liable for prosecution and
punishment under the Indian Penal Code (45 of 1860) and /or any other law applicable thereto.
I/ We have obtained necessary labour laws related licenses, permissions, permit for the
conduct of this business and the place of business from the appropriate Authority.
I/We shall be responsible and liable for legal action if the business is conducted without
proper labour laws related license, permission, permit from the appropriate Authority.
I / We hereby declare that the copies attested by me are true copies of original documents.
I am well aware of the fact that if the copies are found false/forged, I shall be liable for prosecution
and punishment under the Indian Penal Code (45 of 1860) and /or any other law applicable thereto.
I / We undertake to abide by the provisions of the Gujarat Shops and Establishments
(Regulation of Employment and Conditions of Service) Act, 2019 (Guj. 4 of 2019) and the Rules
and orders passed thereunder by any Authority.
Date:
Place:
Name and Signature of Applicant
PART IV-B ] GUJARAT GOVERNMENT GAZETTE, EX., 23-06-2020 186-13
FORM – E
LOGO
(See rule 7)
INTIMATION RECEIPT
The applicant has intimated the following details for having commenced the Business in
Form-D to this office. The details thereof are as follows: –
1 Receipt Number :-
2 Application Id number :-
3 Name of the Establishment :-
4 Total No. of Workers :-
5 a) Name of the Employer :-
b) Postal Address of the Establishment :-
c) Registered Office Address of the :-
Establishment (if any)
6 This is just an acknowledgement of the intimation application and not a proof of existence of the
business and the place of business as mention in the Intimation application. It shall be the
responsibility of the employer to obtain all the prior and post permission, permit, licenses
mandatory for the conduct of the said business and for the place of business from the concerned
authority.
7 Nature of Business :-
8 Old Registration No. and Date, if applicable :-
(Note: -This is an electronically generated receipt, hence does not required signature.)
Date:
Place: Office Address.
FORM – F
(See rule 7)
REGISTER OF ESTABLISHMENT WHO HAVE GIVEN INTIMATION
(For Establishment engaging less than ten workers)
Situation
of office,
showroom,
godown,
Name and warehouse No. of family
Total No.
Name and residential Whether or members of
Intimation Name of
residential address establishment workplace, Date of Nature employer
Sr. Receipt and Address Workers
address of of the falls under if any, Commencement of the employed
No. No. with of the [Including
the Authorized public/ attached to of business business in the
Date Establishment part time
Employer Person and private sector a shop establishment
workers]
Manager but situated (Men/Women)
in premises
different
from those
of the shop
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11.
186-14 GUJARAT GOVERNMENT GAZETTE, EX., 23-06-2020 [ PART IV-B
FORM – G
(See rule 9)
NOTICE FOR CHANGE IN REGISTRATION CERTIFICATE
To,
The Inspector,
Office Address.
Subject: - Request to make the changes in the Registration Certificate No. ……………
Dear Sir,
It is to inform you that I/We wish to make following changes in the Registration Certificate
as per details mentioned below:-
Details.
1 Name of the employer. :-
2 Registration Certificate No. :-
3 The following may shall be made in the registration certificate :-
Existing Details Change to be made
(a) Name of the Establishment :-
(b) Name of the Employer/ :-
applicant
(c) Nature of Business :-
(d) Postal address of place of the :-
establishment
(e) Manpower Details :- Change the figure in manpower as follows.
Men Women Total
existing new existing new existing new
(f) Any other details to be :-
changed
Self- Declaration
I/ We hereby declare that the information provided above is true and correct to the best of
my personal knowledge, information and belief. I am fully aware about the consequences of giving
false information. If the information is found to be false, I shall be liable for prosecution and
punishment under the Indian Penal Code (45 of 1860) and/or any other law applicable thereto.
I/ We have obtained necessary licenses, permissions, permit for the conduct of this business
and the place of business from the appropriate Authority.
I/We shall be responsible and liable for legal action if the business is conducted without
proper licence, permission, permit from the appropriate Authority.
I / We hereby declare that the copies attested by me are true copies of original documents.
I am well aware of the fact that if the copies are found false/forged, I shall be liable for prosecution
and punishment under the Indian Penal Code (45 of 1860) and /or any other law applicable thereto.
I / We undertake to abide by the provisions of the Gujarat Shops and Establishments
(Regulation of Employment and Conditions of Service) Act, 2019 (Guj. 4 of 2019) and the Rules
and orders passed there under by any Authority.
Date: Name and Signature of Applicant.
Place:
PART IV-B ] GUJARAT GOVERNMENT GAZETTE, EX., 23-06-2020 186-15
FORM – H
(See rule 10(1))
INTIMATION OF CLOSING OF BUSINESS
To,
The Inspector,
Office address.
Subject : Closing of business and removal of the name of the Establishment from the
Register.
Dear Sir,
I/We wish to inform you that I/We have permanently closed the business of the establishment as per
the details mentioned below: -
I/We request you to cancel our Registration number and remove the name of our establishment
from your records.
Details of establishment.
1 Registration Certificate no. :-
2 Validity period :-
3 Name of the Establishment :-
4 Postal Address of place of establishment :-
5 Registered/ principal office address, if any. :-
Proprietor, Partnership, LLP, Company/
6 Type of organization :-
Trust/ Society/ Board
(A) Category of business
7 :-
(B) Nature of business
Name and residential address of the
8 :-
Proprietor
Details of the Partner / Director/ Trust/
9 :-
Board Member/Member
Mobile
Name and residential address of Name E-Mail
10 :- No.
Authorized person, if any.
Mobile
Name and residential address of Name E-Mail
11 No.
Manager, if any.
Men Women Total
12 Manpower Details :-
13 Date of closing of business :-
14 Reasons for closing of business :-
Self- Declaration
I/ We hereby declare that the information provided above is true and correct to the best of
my personal knowledge, information and belief. I am fully aware about the consequences of giving
false information. If the information is found to be false, I shall be liable for prosecution and
punishment under the Indian Penal Code (45 of 1860) and /or any other law applicable thereto.
Date: Name and Signature of Applicant.
Place:
186-16 GUJARAT GOVERNMENT GAZETTE, EX., 23-06-2020 [ PART IV-B
FORM– I
(See rule 10(2))
INTIMATION OF CLOSING OF BUSINESS
(For establishment engaging less than ten workers)
To,
The Inspector,
Office address.
Subject : Closing of business and removal of the name of the Establishment from the Register.
Dear Sir,
I/We wish to inform you that I/We have permanently closed the business of the establishment as per
the details mentioned below :-
I/We request you to remove the name of our establishment from your register.
Details of establishment.
1 Intimation Receipt no. :-
2 Name of the Establishment :-
3 Postal Address of place of establishment :-
4 Registered/ principal office address, if any. :-
5 Type of organization :- Proprietor, Partnership, LLP, Company/Trust/
Society/ Board
6 (A) Category of business :-
(B) Nature of business
7 Name & Residential Address of the Proprietor :-
8 Details of the Partner / Director/ Trust/ :-
Board Member/Member
9 Name and Residential Address of Authorized :- Name E-Mail Mobile No.
person, if any.
10 Name and Residential Address of Manager, :- Name E-Mail Mobile No.
if any.
11 Manpower Details :- Men Women Total
12 Date of closing of business :-
13 Reasons for closing of business :-
Self-Declaration
I/ We hereby declare that the information provided above is true and correct to the best of
my personal knowledge, information and belief. I am fully aware about the consequences of giving
false information. If the information is found to be false, I shall be liable for prosecution and
punishment under the Indian Penal Code (45 of 1860) and /or any other law applicable thereto.
Date: Name and Signature of Applicant.
Place:
PART IV-B ] GUJARAT GOVERNMENT GAZETTE, EX., 23-06-2020 186-17
FORM – J
(See rule 11)
CONSENT OF WOMEN WORKER TO WORK IN NIGHTSHIFT
I Miss / Smt. .------------------------------------------ residing at -----------------------------------------------
------------------------------------------------------------------------------------------------------ (Full Address)
state that I am working as (Designation) -------------------------- in M/s. -----------------------------------
---------------------------------------------- since --------------------------------------------- I am aware that, -
the employer will provide safe transport facility from the doorstep of my residence to the place of
work and vice-versa–and that there will be at least three women worker working in the nightshift
and that there is a Committee to prevent sexual harassment at work place under the Chairmanship of
Smt. ----------------------------------------------------
I am therefore willing to work at nightshift for the period from --------------- to ---------- period.
Date :
Place :
Signature/Thumb impression
of the Women worker.
Name, address, Signature of witnesses:
1.-------------------------------------
2.-------------------------------------
FORM –K
(See rule 12)
NOTICE OF WEEKLY HOLIDAY
Name and address of the Establishment: _____________________________________
Name of the Manager/Authorized representative.: _____________________
All the workers in the establishment are hereby informed that the days of weekly holiday of
each worker is given below: -
Sr. Name of worker Designation Day of weekly Hours of
No. holiday Work
form … to…
(1) (2) (3) (4) (5)
1.
2.
3.
Date: Signature of the Manager or
Place: Authorized representative.
186-18 GUJARAT GOVERNMENT GAZETTE, EX., 23-06-2020 [ PART IV-B
FORM- L
(See rule 14)
LIST OF WORKERS ENGAGED IN SHIFT
All the workers in establishment are hereby informed that the establishment shall operate
in more than one shift from ---------------- date. ‘The shift schedule of the workers is as
follows: -
Shift schedule for the month --------
Dates of Dates of Weekly
Name of Dates of
Sr. the the holiday day.
the Designation the Month
No. Month Month
worker
1st Shift 2nd Shift 3rd shift
1 From – From – From –
To - To - To -
2
3
4
Date: Signature of Manager/ Authorized
Place: representative.
FORM –M
(See Rule 16)
IDENTITY CARD Photograph
(a) Name and address of the establishment;
(b) The full name and address of the worker: -
(c) Date of birth of the worker;
(d) Date of joining the service in the establishment:
(e) Recent passport size photograph of the worker.
(f) Contact No.
Signature or left thumb impression of the worker.
Signature of Manager or Authorized Agent.
Date of Issue.
PART IV-B ] GUJARAT GOVERNMENT GAZETTE, EX., 23-06-2020 186-19
FORM– N
(See rule 17)
LEAVE BOOK
Name of the establishment: Name of the employer : Receipt of leave book -
Name of the worker :
Description of the Department
(if applicable) : Date of entry into service: (Signature or thumb impression of worker)
Accumulation Leave Payment for leave Payment for Leave on discharge of an worker quitting
Refusal of leave
of leave allowed made on employment if admissible
1. 2. 3. 4. 5. 6. 7.
Date
No. From -- Signature or left hand
Leave 1st 2nd Application Date of Date of and
of -- thumb Remarks
due on Moiety Moiety Date Refusal discharge amount
days To - impression of worker
paid
DETAILS OF FESTIVAL LEAVE
Payment made
in lieu of Festival
Period Total Leave Availed Leave Balance Leave Remarks
Leave, when
called for work.
From To
DETAILS OF CASUAL LEAVE
Period Total Leave Availed Leave Balance Leave Remarks
From To
Name and Signature of Authority.
FORM – O
(See rule 18)
NOTICE OF MAXIMUM LEAVE ACCUMULATED
Name and address of the establishment.
Name of the Authorized person / Manager.
Notice.
As per section 18 (5) of the Gujarat Shops and Establishments (Regulation of Employment
and Conditions of Service) Act, 2019 (Guj. 4 of 2019) the maximum leave that can be accumulated
is for 45 days. The following workers whose names are mentioned below have maximum leave of
45 days accumulated at their credit. Hence, no further leave due to them but not availed by them
will be accumulated and it shall lapse if unveiled.
Details of workers.
Period for which leave
Number of
Sr.No. Name of workers is accumulated
accumulated leave
From Till
Date:
Place:
Name and Signature of
Authorized representative
/Manager.
Copy to Workers
186-20 GUJARAT GOVERNMENT GAZETTE, EX., 23-06-2020 [ PART IV-B
Total hours
Total Gross
Minimum Dearness of
production Actual House Rent Amount
rate Allowance overtime Overtime
in case of Wages Allowance Payable
of wages Paid worked earnings Rs.
piece Paid Rs. Paid Rs. Rs.
payable Rs. Rs. during the
rate Rs.
month
(11) (12) (13) (14) (15) (16) (17) (18)
Deductions
Provident Income Loan Other Total Net
Family ESI
Fund Professional Tax and Advances Deductions Deduction Payable
Pension Contribution
Contribution Tax Rs. Rs. Interest Rs. Rs. Rs. Rs.
Rs. Rs.
Rs. (if any) Rs. (if any)
(19) (20) (21) (22) (23) (24) (25) (26) (27) (28)
Signature/ Thumb
Date of
Impression
Payment
of the worker
(29) (30)
Signature of employer or authorized representative
FORM -P
(See rules 26)
MUSTER-ROLL CUM WAGE REGISTER
Name of the Establishment:
Name of the employer:
Month:
Full Name Designation Date of
Sr. Interval for Date of the
of the Name Age Sex entry into Working hours
No. Rest Month
worker of the worker service
(1) (2) (3) (4) (5) (6) (7) (8) (9)
From To From To 1 2 3 4 5 6
Total Days
Date of the Month
worked
(9) (10)
7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
PART IV-B ] GUJARAT GOVERNMENT GAZETTE, EX., 23-06-2020 186-21
FORM – Q
(See rule 27)
ANNUAL RETURN
(For the calendar year ending as 31st December ……..)
To,
The Inspector,
Office address.
1 Name of the Establishment :-
2 Name of the Owner / Partner / Occupier :-
/Director / Authorized Person
3 Name of the Manager :-
4 Total number of Workers :- Men Women
Managerial Staff
Workers
Contract Labour
Causal
Part Time
Others
Total
5 Whether the notice showing the details of :- Yes No
persons engaged in confidential, managerial,
supervisory capacity is sent?
6 Nature of Business :-
7 Registration number
Date of Validity of the Registration
Certificate
8 Number of shift if applicable :- 1st 2nd 3rd
Average number of persons engaged shift wise
9 Whether notice of shift is displayed and copy sent to the Yes No.
Inspector?
10 Number of women workers engaged during the year (if
applicable)
Number of women workers engaged in night shift
11 Whether consent letter from women workers working in night Yes No.
shift is obtained? (if applicable)
12 Whether notice showing the weekly holiday of each worker is Yes No.
displayed?
13 Whether committee under the Sexual Harassment of Women at Yes No. N.A.
Workplace (Prevention, Prohibition and Redressed) Act, 2013
(14 of 2013) is constituted ? (if applicable)
Name of the Chairman of the Committee
14 Whether police verification of all the drivers and staff engaged in Yes No.
transportation of women workers is obtained ? (if applicable)
15 Identity card issued to all workers? Yes No.
16 Is leave book maintained? Yes No.
17 Whether Committee for Health, Safety and Welfare is constituted Yes No. N.A.
? (if applicable)
18 Whether all safety measures as per the directions of fire Yes No.
protection department / local authority are observed?
19 Whether First aid box is maintained?
186-22 GUJARAT GOVERNMENT GAZETTE, EX., 23-06-2020 [ PART IV-B
20 Whether the following welfare facilities are provided (wherever
applicable)
a. (a) sufficient number of
b. latrines and urinals
c. (b) Crèche Yes No.
(c) Canteen Yes No. N.A.
Yes No. N.A.
21 Whether all the records and registers are maintained and Yes No.
required notices are displayed.
22 Any application for compounding of an offence is made during
the year ?
if yes,
Date of application
Date of disposal
Amount of fees deposited
23 Number of accident occurred in the establishment during the
year Number of workers injured Amount of compensation paid
24 Is the name board displayed in Gujarati. Yes No.
Declaration
I /we Mr./Mrs.---------------------------------------------------------------- hereby solemnly affirm
that all the information mentioned in the annual return are true and correct. I /we am/are aware that
if any information submitted by me turns out to be false or not true or incorrect. I shall be liable for
legal action under the concerned Law.
Date :
Place : Signature of Employer.
FORM – R
(See rule 30)
APPLICATION FOR COMPOUNDING OF OFFENCE BY AN EMPLOYER
To,
The Compounding Officer,
Office Address.
Subject: Request for compounding of offence/s.
Reference: Inspection memo dated …………………………………..
Dear Sir,
This is to inform you that the local areas Facilitator visited and inspected our establishment
on ------------(date). He had pointed out certain breaches of the Gujarat Shops and Establishments
(Regulation of Employment and Conditions of Service) Act, 2019 (Guj. 4 of 2019) and the rules
made there under during his inspection and an inspections memo as referred above was issued to us.
We have received a notice dt.----------- for compounding of the offence by the authority.
We are willing and request you to compound all the offences mentioned in the inspection
memo, or to compound only the following offences mentioned in the inspection memo.
PART IV-B ] GUJARAT GOVERNMENT GAZETTE, EX., 23-06-2020 186-23
Sr. No. Section / Rule Description of offences in short
You are, therefore, requested to compound the above offences. We will deposit the amount
of fine fees as decided by you within the time mentioned in the order passed by you.
I/We am/are aware that if we failed to pay the fine in stipulated time we will be liable for
additional fine as per the provisions of the Act and prosecution may also be launched against us in
the Court of Law.
Date : Name and Signature of the Proprietor/ Partner/
Place : Director or Authorized Representative Name and
Address of the Establishment with Seal.
FORM – S
(See rule 32)
DETAILS OF PERSONS DISCHARGING MANAGERIAL FUNCTIONS
To,
The Inspector,
Office address.
Name and address of the Establishment /Organization:
E-mail ID / Website Address :
Name of Authorized person/manager:
E-mail ID :
The Management hereby declares the following persons to be the persons who will be
engaged to conduct managerial functions and shall be responsible for discharging managerial
functions, for the period from --------------------- till ---------------- .
Sr.
Name of the person. Designation.
No.
Date : Signature of the Manager/
Place : Authorized Person.
186-24 GUJARAT GOVERNMENT GAZETTE, EX., 23-06-2020 [ PART IV-B
FORM – T
(See rule 33)
DETAILS OF PERSONS OCCUPYING POSITION OF CONFIDENTIAL CHARACTER
To,
The Inspector,
Office address.
Name of the Establishment / Organization:
E-mail ID /Website Address :
Name of Authorized person/manager:
E-mail ID :
The Management hereby declares that the following persons to be the persons who will be
engaged in and shall be responsible for discharging work of confidential nature relating to the
Business of the Establishment for the period from --------------- till ---------------
Sr. No. Name of the person. Designation.
Date : Signature of the Manager /
Place : Authorized Person with Seal
SCHEDULE
(See rules 3, 6, and 9)
LIST OF DOCUMENTS TO BE UPLOADED/ATTACHED
PART- A
(A) Documents to be uploaded for New Registration (Form A):-
(1) Identity proof of the employer. (In case of legal statute such as company, etc. copy of
Identity proof of responsible person under the respective Act.)
(2) Actual photo of the establishment displaying the interior and the Name Board at the
appropriate place of the establishment.
(3) Copy of the License, Registration which is mandatory under any other law from
competent authority before starting of such business.
(4) In case of business conducted in owned premises any one of the following:-
(i) Sale/ Purchase Deed;
(ii) Current Property Tax paid Receipt;
(iii) Current Electricity bill; or
(iv) Current Society Maintenance Receipt.
PART IV-B ] GUJARAT GOVERNMENT GAZETTE, EX., 23-06-2020 186-25
(5) In case of business conducted in rental /leased premises any one of the following
documents: -
(a) (i) Lease Agreement;
(ii) Leave and License Agreement; or
(iii) in case where the possession is held by way of any other order of the
court or order of any competent authority, copy of such order and
(b) Any one document mentioned at Sr. No. (4) with respect to the owner of the
establishment whose premises is rented or leased.
(6) If the place of business is owned or leased or rented by any member of family or relative;
No objection letter from such member or relative.
(7) If the place of business is situated in any residential housing society; No objection
certificate from the residential society or any such authority responsible for its
maintenance.
(8) All such documents wherever mentioned in the forms.
PART- B
(B) List of documents to be uploaded for intimation ( Form D):-
(1) Identity proof of the employer. (In case of legal statute such as company, etc. copy of
Identity proof of responsible person under the respective Act.)
(2) Actual photo of the establishment displaying the interior and the Name Board at the
appropriate place of the establishment.
PART-C
(C) List of documents applicable to be uploaded for Notice of Change (Form-G):
(1) Identity proof of the employer. (in case of legal statute such as company, etc. copy of
Identity proof of responsible person under the respective Act.)
(2) Actual photo of the establishment displaying the interior and the Name Board at the
appropriate place of the establishment.
(3) Old registration certificate.
(4) Copy of the License, Registration which is mandatory under any other law from
competent authority before starting of such business.
(5) In case of business conducted in owned premises any one of the following:
(i) Sale/ Purchase Deed;
(ii) Current Property Tax paid Receipt;
(iii) Current Electricity Bill; or
(iv) Current Society Maintenance Receipt.
(6) In case of business conducted in rental /leased premises any one of the following documents:
(a)
(i) Lease Agreement;
(ii) Leave and License Agreement;
(iii) In case where the possession is held by way of any other order of the court or
order of any competent authority, copy of such order and
186-26 GUJARAT GOVERNMENT GAZETTE, EX., 23-06-2020 [ PART IV-B
(b) Any one document mentioned at Sr. No. (5) with respect to the owner of the
establishment whose premises is rented or leased.
(7) If the place of business is owned or leased or rented by any member of family or
relative; No objection letter from such member or relative.
(8) If the place of business is situated in any residential housing society; No objection
certificate from the residential society or any such authority responsible for its
maintenance.
(9) Any other documents as mentioned in the forms.
By order and in the name of the Governor of Gujarat,
JYOTSNA CHAUHAN,
Deputy Secretary to Government.
----------------
GOVERNMENT CENTRAL PRESS, GANDHINAGAR.