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

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[See rule 9]


The Competent Authority
(Appointed under the Maternity Benefit Act, 1961).


I,…, the undersigned, woman employee of…..(name and full address 1[mine or circus]) have been wrongly deprived by the employer of maternity benefit or medical bonus or both (strike out unnecessary portion} for the reasons attached hereto, prefer this appeal under sub-section (2) of section 12 and request that the said employer be ordered to pay the above mentioned amount to me. A copy of the order of the employer in this behalf is enclosed.

Date…….                                  Signature or 
                                                thumb impression of the woman

Signature of an Attestor in case the woman is
    not able to sign and affixes thumb impression.
         Full address of the nominee/legal representative

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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