Apprentices (Amendment) Act 1973, Form for Claiming the Reimbursement of Stipend

APPRENTICES (AMENDMENT) ACT 1973, FORM FOR CLAIMING THE REIMBURSEMENT OF STIPEND.

CHEQUE SHOULD BE DRAWN IN FAVOUR OF " ______"

CLAIMS FOR REIMBURSEMENT & STATEMENT OF ACCOUNTS FOR QUARTER ENDING MAR./JUNE/SEP./ DEC.20______

In respect of Apprentices under training with M/s.______

Registration Number / Date of commencement of training / Name of the Apprentice / Rate of Stipend per month / Govt. Share of stipend per month (i.e. 50% of min. stipend prescribed) / Total Period From - To / Total Amount Payable / Deductions
If any (only for leave without pay) / Detailed Reasons for Deduction (mention nos. of days absent monthwise) / Stipend Amount Actually paid to the Apprentice
(Col.7 - Col.8) / Stipend Amount to be reim-bursed by Govt. / Remarks
1 / 2 / 3 / 4 / 5 / 6 / 7 / 8 / 9 / 10 / 11 / 12

Authorised Signatory