Madhya Prade4h Shops &

Establishments ules, 1959

 THE M.P. SHOPS AND ESTABLISHMENT
RULES, 1959
Rules Pages
Short title
Definitions
Registration of E;tablisbments
" Registration of establishments. 0/
4. Period of validity of registration certificate
5. Renewal of registration certificate
6. Payment of fee
7. Notice of Change.
Notice of closure.
Fixing six days in a year for additional overtime
Notice to be given to Inspector when additional overtime
is to be worked.
Receipt of security money.
Employment of children and young persons.
.13. Leave.
Misconduct.
14A. Appellate Authority and limitation for appeal
Fixing time and methods for cleaning the establishments.
Precaution against fire.
Qualifications and provisions regarding Inspector.
• Duties of an Inspector.
Recording of inspection note by Inspector.
19-A. Powers of Inspector.
Maintenance of registers and records and display of notices.
Overtime.
Administration of the Act.
Repeal and saving.
FORMS
 THE M.P. SHOPS AND ESTABLISHMENT RULES, 1959
As amended subsequently by the following notifications:
S. No. Notification No. Date MR Rajpatra
Part Date Page
No. 82124-1403-XVI, IV(Ga) 12-4-1963 371
No. 6395-9162-XVI, 11-11-1970 Ext. 12-11-1970 2128
No. 3342-364-XVI 19-6-1971 IV(Ga) 09-7-1971 295
No. 305-1954-XVI 2-5-1972 IV(Ga) 21-7-1972 336
No. 2167-728-84-XVI-A 11-4-1984 IV (Ga) 26-10-1984 197
No. 482-94-XVI-B 16-11-1994 I 02-12-1994 2145
No, 4(b) 1-XVI-A IV(Ga) 01-12-1995 587
Note.- In the footnotes appearing hereinafter, amending notifications are referred to
by serial Nos. as given to them above.
1. Short title.—These rules may be called the Madhya Pradesh Shops and
Establishment Rules, 1959.
2. Definitions.—In these rules, unless there is anything repugnant in the subject
or context,
"Act" means the Madhya Pradesh Shops and Establishment Act, 1958
(Act No. 25 of 1958).
"Form" means a form appended to these rules;
"Section" means a section of the Act.
Registration of Establishments
3. Registration of establishments.- 'RI) A statement to be sent to the
Inspector of the area concerned under sub-section (2) of section 6 shall be in Form
A and shall be accompanied by a fee of 2(amounts as per class of establishment as
mentioned in Rule 5).
An establishment shall be registered in the register of Establishments under
sub-section (3) of section 6 under the appropriate category to which it belongs. The
register of establishment shall be in Form B.
The registration certificate to be issued under sub-section (3) of section 6
shall be in Form C.
In the event of loss or destruction of the registration certificate an
application shall be made to the Inspector concerned within seven days of such loss
or destruction for a duplicate copy thereof which may be granted on payment of a
fee of 3[twenty rupees].
4[(5) Amendment in Registration Certificate.— The Inspector shall amend
the registration certificate on application and payment of fees made to him as per
specified below for that class of establishment.
Substituted vide Notification No. 6395-9162-XVI, dated 11th November. 1970.
Published in M.P. Rajpatra (Asadharan) dated 12.11.1970 page 2128.
Substituted kettle words "rupees five" by Notification No. 4(b)-l-XVIA dated
21.11.1995.
Substituted for the words "two rupees" by Notification No. 4(b)-1-XVIA dated
21.11.1995.
Inserted by Notification No. 4(b)-1-XVIA dated 01.12.1995.
 Class of establishment Amendment Fees
1. All establishment having no employee. Its. Ten
2. All establishment employing not more
than 3 employees , Its. Twenty five.
3. All establishments employing more than
3 but less than 10 employees. Its. Forty.
4. All establishments employing more than
10 employees J its. Fifty.] *
4. Period of validity of registration certificate.-The registration certificate
granted under sub-section (3) of section 6 shall be valid upto the end of the calendar
year in which it is granted, and every renewal thereof shall be valid for the calendar
year specified in part B of the certificate. 1
5. Renewal of registration certificate.— IP) Every registration certificate
issued under sub-rule (2) of rule 6 shall be renewed, after the expiry of a period of
five calendar years, on payment of a fee miecified below for that class of
establishments.
Class of establishment I Registration/Renewal Fee Its.
All establishment having no employee. Hundred
All establishittent employing not more
than 3 employees One hundred fifty.
All establishments employing more than
3 but less than 10 employees. . Two Hundred.
All establishments employing more than
10 employees Two Hundred Fifty.
Provided that application for renewal shall be accompanied by the Registration
Certificate and shall be so made as to reach the office of the Inspector not less than
30 days before the date on which the registration certificate is due to expire.] (2) If
the application for renewal is not received within the time specified in sub-rule (1)
the registration certificate shall be renewed only on payment of a fee of 2[Ten rupees]
in excess of the fee ordinarily payable for the purpose unless the Labour
Commissioner by general or special order extends the time for application for
renewal. 1
6. Payment of fee.— Any fee prescribed in these rules shall be credited into a
Government Treasury in the State under the head 3[XXXLI-Miscellaneous Social
and Development Organisations— A(1) fees for Registration of Shops and
Establishments.]
"[Provided that if the registration or renewal of the registration certificate is
issued by the Municipal Corporation or by Municipality the fees prescribed in these
rules shall be deposited in the office of the concerned Municipal Corporation or
Municipality, as the case may be, and such local authority shall issue a receipt
thereof.] .
Substituted by Notification No. 4(b)-1 -XVIA dated 21.11.1995.
Substituted by Notification No. 4(b)-1 -XVIKdated 21.11.1995 for words "Rupee one".
Subs. by Notification No. 82124-1403-XVI, Part IV(Ga) dt. 12.04.1963 Page 371.
3A. Ins. by Notfn. No. 4 (E) 10-95-XVI-A, dated 13-05-1998.
 Notice of change.— A notice of change to be notified to the Inspector under
section 7 shall be in Form D.
Notice of closure.— (1) A notice regarding closing of an establishment to
be notified to the Inspector under section 8 shall be in Form E and it shall be
accompanied by the Registration certificate of such establishment.
(2) If any employer transfers his establishment to any other person he shall,
within ten days of such transfer notify the fact to the Inspector.
Fixing days in a year for additional overtime.— (1) The following days
and not more than three days preceding any of such days, shall be the days for
additional overtime for purposes of making of accounts, stock-taking or settlement
under sub-section (3) of section 11,—
The 31 day of March;
The 30th day of June;
The 30 day of September:
The day of Dewali;
The 31st day of December; and
The last day of Vilcram Samvat;
Provided that in lieu of any day or days mentioned above the employer may
substitute any other day or days, as the case may be, which shall be intimated to the
Inspector at least three months before the day on which he intends to take excess
work.
(2) On any of the days mentioned in sub-rule (1) for the purposes thereof the
operation of the provisions relating to closing hours in Section 9 shall be deemed to
be suspended.
Notice to be given to Inspector when additional overtime is to be
worked.— Notice of the intention to require employees in a shop or commercial
establishment to work under sub-section (3) of section 11 in excess of the period
fixed under sub-section (1) of the said section on any day prescribed under rule 9
shall be given either in English or in Hindi so as to reach the Inspector within
whose jurisdiction such establishment is situated at least two days before each day.
Receipt of security money.— (1) The Inspector with whom money is
deposited by way of security for the return of seized goods under sub-section (2) of
section 10 shall pass a serially numbered cash receipts in Form F in respect of the
amount so deposited. The amount shall be refunded to the depositor if he is not
prosecuted within the period prescribed in section 52, on the expiry of such period,
and if he is prosecuted, after the case is finally disposed of.
(2) The Inspector shall, for the goods seized by him under subsection (2) of
section 10, issue a seizure memo in Form G to the person from whom such goods
have been seized and when such goods are returned to the person concerned shall
detain a delivery memo from the said person with his acknowledgment in Part B of
Font G.
Employment of children and young persons.— An Inspector may require
an employer to produce in respect of any person employed by him whom the
Inspector suspects to be a child or a young person as proof of his age (1) an authentic
extract from the school record, or (2) a certified copy from the Birth Register, or (3)
certificate of age from the registered medical practitioners in Form H.
 13. Leave.— (1) Every employer of an establishment shall maintain a register
of leave in Form I in respect of each employee in the establishment.
The employer shall provide each employee with a book called "Leave
Book" in Form J. As soon as any leave is granted or refused an entry shall be made
by the employer in the Leave Book and the book returned to the employee. The
book shall be the property of the employee and the employer or his manager or
other agent shall not demand it except to make entries therein:
Provided that with the consent in writing to be recorded on the Leave Book
itsa of an employee whose wages are its. 300/-per month or, more the 'Leave
Book' may be kept in the custody of the employer. If any employee loses his Leave-
Book the employer shall provide him with another copy on payment of annas two
and shall complete the entries therein from his record.
The register for entering refusal of leave to be maintained under sub-
section (3) of section 26 shall be in Form K.
14. Misconduct.— For the purposes of the proviso to sub-section (1) of section
58, the following acts and omissions shall be treated as misconduct on the part of
the employees,—
wilful insubordination to, or disobedience, whether alone or in
combination with orders, any lawful and reasonable order of a superior;
theft, fraud or dishonesty in connection with the employer's business or
property;
wilful damage to or loss of employer's goods or property:
taking or giving bribes or any illegal gratification in connection with
the employer's business;
habitual absence without leave or absence without leave fur more than
10 days;
habitual late attendance;
habitual breach of any law applicable to the establishment; (h) riotous
or disorderly behaviour during working hours at the establishment or
any act subversive of discipline; (i) habitual negligence or neglect of
work;
(j) striking work or inciting others to strike work in contravention of the
provisions of any law or rule having the force of law.
'114A. Appellate Authority and limitation for appeal.— (1) The Divisional
Assistant Commissioner of Labour shall be the Appellate Authority for the purposes
of sub-section (2) of Section 58.
(2) The employee discharged, dismissed or retrenched may prefer an appeal
to the Appellate Authority within a period of one year from the date of the
communication of the order of discharge, dismissal or retrenchment, as the case
may be:
Provided that the appeal may be entertained even after the expiry of the said
period of one year if the employee satisfies the Appellate Authority that he has
sufficient reason for not preferring an appeal within the said period.
1. Inserted by Notification No. 2167-728-84-XVI-A dated 11.04.1984.
 On receiving the appeal, the Appellate Authority shall give a notice in
Form K-1 to the non-appellant (employer) and in Form K- 2 to the appellant
(employee) concerned by registered post acknowledgment due.
After perusing the record and after giving an opportunity to the parties of
being heard, the Appellate Authority shall decide the appeal. Reasons if brief for
the decision shall be recorded in the appellate order.
The appellate authority shall supply a copy of order passed by it in the
appeal to the non-appellant (employer) as well as tp the appellant (employee)
concerned free of cost.]
15. Fixing times and methods for cleaning the establishments.— (1) In
every establishment all the inside walls of the rooms and all the ceilinga and tops of
such rooms (whether such walls, ceiling and tops be plastered or not) and all the
passages and staircases shall be lime-washed or colour washed at least once in two
years dating front the period when last lime-washed pr colour-washed:
Provided that an Inspector may require them to be lime-washed or colour.
washed earlier than two years if in his opinion they have become so unclean as to
require immediate lime-washing or colour washing. All the beams rafters, doors,
window-frames and other wood work with the exeeption of floors shall be either
painted or varnished once in seven years dating from the period when lag painted
or varnished and shall be kept in a cleanly gate. The dates pp which linur,wrishing,
colour washing, painting or varnishing is carried out shall be duly entered in a
register maintained in Form I, which shall be ellown to the Inspector when required;
Provided that the provisions of this rule shall not apply 4),—
(0 rooms used only for the storage of articles;
walls or tops pf rooms which are made of galvanized nen; tiles asbestos
sheets or similai material of glazed bricki;
any other establishment or parts thereof in which lime-washing or
painting is in the opinion of the Inspector unnecessary to satisfy the
requirements of Section 31 as to cleanliness.
(2) No rubbi.sh, filth or debris OA he allowed to accumulate or to remain on
any premises in aø establishing% in such position that effluvia there from can arise
within the establishments.
'[(2-A) In every establishment or any premises in which the Proe00of
cleaning/washing ornaments with the aid of acid i§ parried on, adequate drainage
shall•be provided and shall lead to special treatment ;finks where deleterious material
shall be neutralized or otherwise rendered safe before it is discharged WO ordinary
drains or sewers.
On any premises in an ?establishment, adequate ventilation shall be
provided and maintained at all times in rooms or buildings where dangerous gas,
vapors, fumes or dust may be evolved.
In every establishment or any premises in which person employed in
processes where dangerous gas, vapour, fumes or dust may be devolved, suitable
protective appliances such as hand gloves footwear, breathing mask, goggles shall
be maintained for the use of the employed persons/employees.
1. Inserted by Notiftcation No. 4B2-94-XVI-B dated 16.11.1994, Published in M.P.
Rajpatra, Part I, dated 02.12.1994 pages 2145-2146.
 (2-D) In every establishment or any premises in which the process of cleaning/
washing ornaments with the aid of acid is carried on every person employed shall
be medically examined by a qualified medical practitioner within 1$ art of hie
first employment and thereafter at intervals of not more than 6 months and mord
of such medical examination shall be maintained in respect of each employee in
Form K-3.]
Precautions against fire.— No person shall smoke or use a naked light or
cause or permit any such light to be used in the immediate vicinity of any inflastunahle
material in any establishment.
Qualifications and provisions regarding Inspector.— (1) No Person shall
be appointed to be an Inspector under the Act unless he is able to speak, NM and
write Hindi and is either a graduate of a recognised University or a- matriculate
with atleast seven years' experience of service under Government or A local authority:
Provided that this qualification shall not be necessary in the Me of person§
who may be employed as Inspector of Establishment under the Government or with
the local bodies in the State on the first of July, 1958.
(2) No person shall be appointed to be an Inspector under the Act, or having
been so appointed, shall continue to hold if he has or acquires, directly or indinictly,
by himself or by any partner, any share or interest in any establishment to which the
Act applies in the area for which he is to be or has been appointed.
18. Duties of an Inspector.— An Inspector, while making MI intamiaatiPit
under section 41 of the Act, shall for the purpose of satisfying himself that the
provisions of the Act and of these rules and any orders passed by the Government
or the local authority under the Act are duly observed, ascertain the following facts :---
that the establishments are duly registered under the Act;
that the establishment have duly renewed their registration under the
Act;
that the registers, records and notice required to he maintained or
displayed under the Act or these rules are properly maintained or
displayed;
that holidays required to be granted or observed under the Act arc granted
and observed and that the limits of work and spread overlaid down
under the Act are not exceeded;
that the provisions of the Act and any orders issued by 0011MIMPlit or
the local authority regarding the opening and closing time are duly
observed;
that the provisions of the Act and these rules regarding leave WV properly
observed;
that the provisions of the Act relating to the payment for overtime work
are duly observed;
that the provisions of the Act and these rules relating to cleanliness,
sanitation and precautions against fire are properly observed;
that no child is allowed to work in any establishment and
that no young person works in excess of 5 hours on any day end that he
is not required to work before 7.00 AM. and after 9.00 P.M.
 Recording of inspection note by Inspector.— The Inspector shall record
an inspection note in duplicate in Form M, the original of which shall be handed
over to the establishment inspected and the duplicate copy retained on the inspection
note book in the running serial order. The employer shall paste the original copy of
the inspection note so recorded on a bound visit book which shall be maintained for
the purpose on the form of a blank register. The inspection book shall be produced
to the Inspector on demand for ascertaining compliance of instructions given on
any previous inspection. The Inspector shall record necessary entries in respect of
each inspection in the inspection register to be maintained at the Inspectorate and
submit such diaries, reports and returns as may be prescribed by departmental
instructions.
1[19A. Powers of Inspector.— An Inspector shall, for the purposes of the
enforcement of the Act, have powers, subject to the provisions of the Act, to conduct
before a Court any complaint or other proceeding arising under the Act or in the
discharge of his duties as an Inspector and secure such attendance as may be
necessary for the purpose.]
Maintenance of registers and records and display of notices.— 2[(1)
Every employer shall maintain a register of employees showing attendance, wages,
overtime work fines and other deductions and account of wages in respect of each
employee under him in Form 'N']
Every employer shall exhibit in his establishment a notice in Form 0,
specifying the day or days on which his employees shall be given a holiday. The
notice shall be exhibited before the persons to whom it relates cease work on the
Saturday immediately preceding the first week during which it is to have effect.
Every employer shall exhibit in his establishment a notice specifying the
daily hours to be worked and intervals for rest and meals to be allowed to the
employees, if any. Such notice shall be in Form P and shall be exhibited not later
than the closing hour on the Saturday immediately preceding the first week in which
the hours of work shall be as specified in such notice. It shall continue to be exhibited
so long as the hours of work specified in it are observed.
Every employer shall maintain a register of leave in respect of each of his
employees on a separate page of the register in Form I.
Every establishment shall prominently display in a conspicuous place a
notice showing the day of the week on which the establishment shall remain closed.
If there is an alteration in suchl day the employer shall give notice to the Inspector
in Form Q and exhibit a copy of such notice.
If any day notified as holiday under sub-section (1) of section 13 has been
substituted being a day of public festival under provisions of sub-section (2) of the
said section, the employer shall give notice of the change to the Inspector in Form
Rand exhibit a copy of such notice.
Inserted by Notification No. 3342-364-XVI dated 09.06.1971, published in M.P.
Rajpatra, Part IV (Ga), dated 09.07.1971 page 295.
Substitued by Notification No. 305-1954-XVI dated 02.05.1972, published in M.P.
Ftajpatra, Part IV (Ga), dated 21.07.1972 at page 336.
 Every employer shall exhibit in his establishment a notice containing such
extracts of the Act and these rules in English or in the language of the majority of
the persons employed by him as the local authority or Government may direct.
Every employer shall exhibit in his establishment in English or in the
language ofthe majority of persons employed by him a copy of leave rules applicable
to his employees.
Any notice required to be exhibited under these rules shall be exhibited in
such manner that it can be readily seen and read by any person whom it affects and
shall be renewed whenever it becomes defaced or otherwise ceases to be clearly
legible;
In any register or record which an employer is required to maintain under
these rules the entries relating to any day shall be made on such day.
The registers, records and notices relating to any calendar year shall be
preserved till the end of the next calendar year.
Save as otherwise provided in sub-rule (7) all registers, records, muster
rolls pnd notices required to be maintained, exhibited or given under this rule shall
be either in English or in a Language spoken by the majority of employees.
Every employer shall maintain a register in which the original copies of
inspection notes handed over by the Inspector to the employer under rule 19 shall
be incorporated serially in order of dates and he shall produce it whenever required
to do so by an Inspector.
If on an application made by an employer the State Government is satisfied
that any muster roll, register or record maintained by such employer gives in respect
of all or any of the employees in his establishment the particulars required to be
shown in any registers, record or notice prescribed under this rule, the State
Government may, by order in writing direct that such muster roll, register or record
may to the corresponding extent be maintained in place of such register, record or
notice, as the case may be.
21. Overtime.— (1) For purpose of clause (c) of the Explanation to section 55
of the Act, the expression "limit of hours of work" in the case of employees in any
other establishment shall mean nine hours on any day and 48 hours in any week.
(2) The employer shall maintain an account of overtime work taken from the
employees from day to day and payments for such overtime in the register in Form N.
22. Administration of the Act.— (1) The working of the Act shall be
administered by the State through the Labour Commissioner, Madhya Pradesh.
An annual report on the working of the Act shall, within three months of
the close of any calendar year, be submitted by the Labour Commissioner to the
State Government.
The State Government may from time to time call for such reports and
information from the Labour Commissioner and may give such directions to him as
it may deem necessary for the purpose of enforcement of the Act.
23. Repeal and saving.— The Central Provinces and Berar Shops and
Establishment Rules 1947 and the Madhya Bharat Shops and Establishment Rules,
1953 are hereby repealed:
 Provided that any order made or action taken under the rules so repealed shall
be deemed to have been made or taken under the corresponding provisions of these
rules.

FORM A
[See Rule 3(1)]
Statement under section 6(2)
Name of the establishment, if any (in block
letters)
Full postal address and location of the
establishment
Situation of office, store-room, godown, ware-
house or work place, if any, attached to the
establishment but situated in premises different
from those of the establishment
Category of the establishment, i.e. whether (a)
shop; (b) commercial establishment, (c) resi—
dential hotel, restaurant or eating-house, (d)
theatre or other place of public amusement
or entertainment
Particulars of persons having interest in the
establishment as employer (Applicable only
when a nomination is made under section 55)
S. Name and Designation Permanent Nature of interest
No. parentage Address (whether Partner/
Manager/Director/
Shareholder)
1 2 3 4 5

Nature of business
Name, designation and permanent address of
the employer (manager, agent or any other
person) who is in the immediate. charge of the
general management or control of the
establishment
Particulars of members of employer's family
employed in the establishment as defined in
section 2(17)
 Name Age Sex Relationship
With employer

1.
2. .
3,
9. Name of other persons occupying positions
of management or employees engaged in
confidential capacity, if any. i
1
2
10. Number of employees Male Pernale Total
1. Adults
2. Young pertains

Total
Name the day of the week on which
weekly holiday will be observed (in case
of shops Commercial Establishments only)
Details of remittance (enclose copy of
rhallati obtained from Treasury)
Name of Challan No.Amount of
, treasury and date fee paid
Place Date

Signature of Proprietor/
Partner/Manager/Secretary/
Managing Director or a
person in charge.

FORM B
[See Rule 3(2)]
Register of Establishment
Part I- Shops
Part II-Commercial Establishments
Part III-Residential hotels
Part 1V- Restaurants and eating-houses
Part V-Theatres and other place of public amusement or entertainment.
Note.— This register shall be maintained category-wise separately for each
town.
 Registration Name and ad- Name of the Name of manager
No. of estab- dress of . employer or any pet-son other
lishment and theestablish- than employer in
date of ment (Items immediate charge
Registration. I &2 of of general manage-
Form 'A') ment or control of
establishment.
1 2 3 4

Nature of Number of employees

business Adults Young persons
Male Female Male Female
5 6

Total Renewals
Year Year Year Year
7 8

FORM C
[See rule 3(3)]
The Madhya Pradesh Shops and Establishment Act, 1958
Registration Certificate of Establishment
Part A
1. Registration mark and number
 The M.P. Shops & Establishment Rules, 1959
Name of Establishment
Full postal address of the establishment
Nature of business, trade or profession
carried on
Name and designation of the proprietor/
Manager/Agent or any other person in the
immediate charge or control of the establishment
Name and designation of other per-son(s)
having interest as employer in the establishment,
if any, with his address in the State
Total number of employees
Male Female Total
I. Adults
2. Young persons

Total
This is to certify that the establishment, the particulars of which have been
given above, has been registered under the Madhya Pradesh Shops and
Establishments Act, 1958(25 of 1958) on the day of 19
SEAL

Inspector under the M.P. Shops and

Establishments Act, 1958
Annual Renewals under rule 5
Part B
No. Date
It is hereby certified that the above certificate of Registration has been
renewed for the year ending 31st December, 19

Inspector
No. Date
It is hereby certified that the above certificate of Registration, has been
renewed for the year ending 31st December, 19

Inspector
No. Date
It is hereby certified that the above certificate of Registration has been
renewed for the year ending 31st December, 19

Inspector
No. Dale
 It is hereby certified that the above certificate of Registration has been
renewed for the year ending 31st December, 19

Inspector
No. Date
It is hereby' certified that the above certificate of Registration has been
renewed for the year ending 31st December, 19

Inspector

FORM D
[See Rule 7]
Notice of Change
Name of the Establishment already registered with full address and name of
the Employer/Proprietor/Manager
Registration Mark and Number
To,
The Inspector under the M.P. Shops
and Establishments Act, 1958:
Sir,
Notice is hereby given that the following change has taken place in respect of
information forwarded to you in Form 'A'. The Registration Certificate is forwarded
herewith to be returned after recording the necessary changes:-
1
2
3
4
5
6

Signature of the Proprietor

Manager/Partner/Secretary
Managing Director or a
person' in charge.
Place
Date

FORM E
[See Rule 8(1)]
Notice of Closure
To
The Inspector of Shops and
Establishments, Madhya Pradesh
 The M.P. Shops & Establishment Rules, 1959
Sir,
Please note that my Establishment, the Registration mark and number of which
is • • has been closed/will be closed from
for the reason The certificate of registration is surrendered herewith
Sr cancellation.

Signature of employer with name

and address of the establishment.
Date
Place

FORM F
[See Rule 11(1)]
Cash Receipt
Received a sum of Rs. 10/- (Rs. Ten only) from Shri
S/o resident of as a deposit by way of security
for the return of seized goods/in consideration that his goods may not be seized for
contravention of the provisions of section 10(1) of the Madhya Pradesh Shops and
Establishments Act, 1958.

Inspector of Shops and Establishments,

Madhya Pradesh.
Date
Time.
Place

Signature of depositor
Note.— The depositor shall prefer his claim for refund only after the case
has been finally disposed of.

FORM G
[See rule 11(2)]
Seizure Memo (Part A)
In exercise of the powers conferred on me under sub-section (2) of section 10
of the Madhya Pradesh Shops and Establishments Act, 1958, I hereby seize the
goods of the following description belonging to Shri S/o
resident of who has been detected hawking the said goods in
contravention of the provisions of section 10( 1) of the Madhya Pradesh Shops and
Establishments Act, 1958.
Particulars of goods seized
 The M.P. Shops & Establishment Rules, 1959
Date
Time
Place
Witness —
1
2

Inspector of Shops and Establishments,

Madhya Pradesh.
Delivery Memo
[Supradnama Part B]
The goods seized with the description as given under Seizure Memo No.
dated are hereby delivered to their owner Shri
S/o resident of

Inspector of Shops and Establishments,

Madhya Pradesh.
Date
Time
Place
Received the said mentioned goods

(Name of the owner of goods

with signature and date.)

FORM 11
[See Rule 12]
Form of Certificate
I hereby certify that I have personally examined (name) residing at
and that he/she has completed his/her twelfth/seventeenth year.
His/Her personal marks of identification are

Medical Practitioner

Thumb impression
Or

Signature of the person Registration No.

examined
Place
Date
Form!) The M.P. Shops & Establishment Rules, 1959
FORM I
[See rules 13(1) and 20(4)]
Register of Leave
Privilege Leave
Accumu- Number of days Leave granted • Balance If leave
lated leave applied for of refused
balance From From To To carried amount of
brought (date) (date) (date) (date) leave and
forward date and
from pre- reason of
vious year. refusal
1 2 3 4 5

Name and address of employer/establishment Account for the year

Occupation
Date of entry into service
Casual leave
Leave Leave salary paid to discharged Due Availed of Balance
salary employee or on his quitting Number (Number (number
paid, employment after having of days of days •of days.)
applied for and having with
been refused leave. dates).
Advance Date of dis— Date and amount
of return charge etc. of payment made
in respect of
leave.
6 7 8 9 10

Note. -A separate page should be allotted in the register in respect of each

employee.
 The MR Shops & Establishment Rules, 1959 [Form J-K-1
FORM J
[See Rule 13(2)]
Leave Book
Same form as of the register of leave but a separate book shall be made for
each employee on a thick bound sheets.

FORM K
[See rule 13(3)]
Register of entering Refusal of Leave
Serial Date of Name of the Name and Name of the es-
No. receipt of employee address of tablishment
complaint reporting the employer and its postal
address
1 2 3 4 5

Particulars of leave refused Date of Leave due Remarks

Nature and Date of ap— refusal (as to dis
period of leave lication • with posal)
applied for reasons.
6 7 8 9 lq

1[FORM K-1
[See sub-rule (3) of rule 14-A]
Notice to employer/non-applicant under clause (b) of sub-section (2) of Section
58 of the Madhya Pradesh Shops and Establishments
Act, 1958 (No. 25 of 1958).
Appeal No
Appellant (employee)
Vs.
Non-Appellant (employer)
1. Inserted vide Notification No. 2167-728-84-pi-A dated 11.04.1984.
Form K2-1C31 The M.P. Shops & Establishment Rules, 1959
Shri has submitted an appeal before me under clause (a)
of sub-section (2) of Section 58 of the Madhya Pradesh Shops and Establishments
Act, 1958 against the order of his dis-charge/ciismissalketrenclunent No.
dated A copy of appeal is enclosed herewith. The date of hearing of the
appeal has been fixed on month 198 at a.m./p.m. in my
office. You are hereby required to appear personally or through your pleader or any
person specially authorised to act on your behalf, before me to answer the claims. If
you or any other person aforesaid do not appear on the said date, the case will be
decided exparte.
You are also hereby informed to produce all the documents and witnesses
which you want to prefer in support of your defence, by the said date of hearing.
Issued this • day of under my hand and seal.

Appellate Authority.

'[FORM K-2
[See sub-rule (3) of rule 14-A]
Notice to appellant under clause (b) of sub-section (2) of Section 58
of the Madhya Pradesh Shops and Establishments Act, 1958
(No. 25 of 1958).
Appeal No.
Appellant (employee)
Vs.
Non-Appellant (employer)
The appeal filed by you against the order of discharge/dismissal/ retrenchment
No. dated has been futed on day of 19 at
a.m./p.m. You are hereby required to appear personally or through your pleader or
any other person specially authorised to act on your behalf before me to prove your
claims. If you or any of your representatives aforesaid do not appear on the said
dare, the case will be decided exparte.
You are also hereby informed to produce all witnesses and documents which
you want to prefer in support of your claims, by the said date of hearing. '
Issued this day of under my hand and seal.

Appellate Authority.]

'WORM K-3
[See Rule 15(2)-D]
Name and address of the employer
Place of work Nature of work
Being done by the Establishment
Inserted vide Notification No. 2167-728-84-XVI-A dated 11.04.1984.
Inserted from 02.12.1994 by Notification No. 482-94-XVI-B dated 16.11.1994.
Published in M.P. Rajpatra, Part! dated 02,12.1994 Page 2145-2146.
 [Form L-M
S. Employees Date of join- Date of Remark
No. . name and ing the estab- medical ex-
father's name lishment amination
1 2 3 4 5

Signature of the Employer.]

FORM L
[See Rule 15(1)]
Register showing dates of Lime-washing, etc.
Parts of Parts lime- Treatment Date on Signa- Re-
the es- washed, (whether which lime ture of marks
tab- colour- lime washing. the
lislunent washed, washed. colour wash- employer
i.e. painted or colour ing or var- or
name of varnished washed, nishing was Manager
room e.g. wall, painted carried out
ceilings, or var- (according to
wood-work nished) English
. etc. Calendar)
1 2 3 4 5 6

FORM M
[See Rule 19]
Inspection Note
Name and address of establishment
Registration mark and number
Name of employer
Class of establishment
Date and time of inspection
Remarks
Defects found and directions and orders issued.
 The M.P. Shops & Estab ishment Rules, 1959
1[FORM N
[See Rules 20(1) and 21(2))
Register of Employees Attendance, Wages, Overtime,.
Fine or other deductions etc.
Name and/or the address of the Establishment
For the month of ' ' Year
Name of Employee
Father's/Husband's name
Age
Address of the Employer
Nature of Employment
Rate of wages (State whether daily,
monthly or piece rated)
Wage period
Date of appointment
Date of discharge
Date Time at which Intervals for rest or Time at which
employment meals II any employment
commenced From To ceased
1 2 3 4 5
1
to
31

Over-time work if any Wages Earned Total.

From To OT Basis DA OT
Hours Hours Worked
in Hrs.
6 7 8 9 10 11 12

Advance Amount Amdunt Balance Fine (Details

Advanced recovered to be given in
Amount bate remarks col.)
13 14 15 16 17
1 to 17
1. Subs. by No. 4.
•

[Form 0-P
Deductions (Details Net. amount Signature or thumb Remarks
to be given in impression of
remarks col.) employee
18 19 20 21
18
to
31

Signature or Thumb Impression Signature of Employer

of employee for receipt of a
wages alongwith date.

FORM 0
[See Rule 20(2)]
Notice of Holiday to Employees
Name of the establishment
Address
The following persons employed in this Shop/Commercial establishment/
restaurant or eating house/residential hotel/theatre/or place of public amusemr. t
shall be given a holiday on the day mentioned against their names in the weex
following the date of this notice and until further change is notified:—
Serial No. Name of employee Day on which
holiday allowed

3.
4
5
Date
Signature of employer
Note.— . (1) This notice should be prominently displayed on the premises of the
establishment.
2) The weekly holiday of the employees shall ordinarily, not to be altered
more often than once in three months.

FORM?
[See Rule 20(3)]
Notice of Periods of Work
Daily periods of work of employees commencing from 19
Form Q]
Name of ow employer Of Description of establishment
Department (if applicable)
Name of the Whether Day
employees young per- Employment Interval for Employment
son or not to commence meals and rest to cease
1 2 3 4 5

Signature of the employer

Dated
Note.— (1) This notice must be exhibited not later than the closing hour on the
Saturday preceding the first week in which it is to take effect and must
continue to be exhibited while it is in force, in such a manner that it may
be readily seen or read by any person whom it affects.
The hours to be specified in this notice shall be the hours to be worked
exclusively of overtime.
The entries under the heading "Intervals for meals and rest" shall be the
actual hours at which intervals are to begin and end (e.g. 1 P.M. to 2
P.M.).

FORM Q
[See rule 20(5)]
Notice of closed day or an alteration in closed day
Name of the shop or commercial establishment
Address
Registration mark and No.
Notice is hereby given that with effect from the above shop/
commercial establishment shall *(i) observe' as the closed day *(ii) observe
as closed day instead of as previously notified.

Signature of the Employer

Copy forwarded to the Inspector of Shops and Establishments
for information.
Date
Signature of the Employer
* Delete the item inapplicable.
 FORM R
[See rule 20(6)]
Notice of substitution of weekly holiday on account of public festival
Name of the Shop/Commercial Establishment
Name of employer
Usual weekly Date on which the Day and date to be observed
said weekly as a weekly holiday
holiday
holiday falls in substitution.

1 2 3

Forwarded to the Inspector, Shops and Establishments for information.

Signature of the employer
Note— Whenever such a notice has been given a copy thereof should be displayed
on the premise: - r inspection.
Signature.