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

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[See rule 10]


The Inspector,
(Under the Maternity Benefit Act, 1961)

I…… (name of woman) employed in…… (name and full address of 2[mine or circus]) having fulfilled the conditions laid down in the Maternity Benefit Act, 1961 and the Rules thereunder, am entitled to Rs……. being maternity benefit and/or Rs……. being the medical bonus and/or Rs being wages for leave due under 1[section 9or 9A] 10 but the same has been improperly withheld by the employer. He may, therefore, be directed to pay the amount to me.

Date……                                  Signature or 
                                               thumb impression of the woman


Signature of an Attestor in case the woman
is unable to sign and affixes thumb impression.

Date……                                            Full address of the woman.



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


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.


is maternity act applicable to construction industry


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


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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