Maternity Benefit (Mines and Circus) Rules, 1961 - Form E

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[See rule 5(1)]


….(name of 1[mine or circus])

I….(name of woman) wife/daughter of…..employed as……..(name of 1[mine or circus]), hereby give notice that 1 expect to be confined within six weeks next following from the date of this notice/have given birth to a child on…..(date) and shall be absent from work from…..(date). I shall not work in any establishment during the period for which I receive maternity benefit.

2. For the purpose of section 7, I hereby nominate….. (here enter name and address of the nominee) to receive maternity benefit and/or any other amount due to me under the Act in case of my death.

Signature of an Attestor in case
the woman is not able to sign
and affix thumb impression.    

 Signature or impression of woman


Subs. by G.S.R. 59(E), dated 27th February, 1975 (w.e.f. 1-3-1975).



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bobbyhelp, India

Hi all, please help me how to fill the form A document need to help very urgent

vijaya54, India

Has the Indian Law been amended for maternity leave? can you please provide the section and law details if so. I came to know that the government has mandated a 6 months maternity leave. Please advice.

binay26061978, India

is maternity act applicable to construction industry

HRDExe, India

Maternity act is applicable to the certain staff engaged by our establishmenton on contrcatual basis. My question is

whether this benfit is payable to the employee if she does not join after availing the maternity leave for which she is entitled for. And if she resigned from the estblishment after the expiry of the said leave, what will be the date of relieving? the day she last attended the establishment or the date on which the maternity leave ended. Please clarify.

Goswami, Admn Officer

marchall, United States

Please help me understand this works with companies that use Recruiting agencies to fulfill contingent labor needs? Are they responsible for paying the contractor maternity leave payout? Or would that be the responsibility of the agency that the work is actually employed by?

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