Amount of Cess Amt in Words -

BANK COPY
(To be sent to Bank of India Tardeo
Branch, Mumbai-34 )

OVERLEAF
Name and Address of the establishment:-

MAHARASHTRA STATE
Building and Other Construction workers
Welfare fund account

Unique code no given by officer

Name the person responsible -

Bank of India
Branch:code no.
Paid into credit of Maharashtra state
Welfare Board for Building and Other
Construction workers
Account No.004220110000153
Bank of India, Tardeo ,
Mumabai-400 034
Rs.0/-

Date:

Rupees Only
Denomation /Details of DDs overleaf
Towards the beneficiary contribution/cess
as per details overleaf

contribution of Beneficiaries
No.of workers:Period of contributions:Total amount of contributionsRs.0/- Rupees
Only
List of workers along Registration number
allotted by the board enclosed to the
remitter's copy sent to the secretary of the
Building & Other construction Workers
Welfare Board, Mumbai
CESS
Plan approval Authorities :Unique code no Details-

(Govt. departments/organisation)
Signature of the Employer along with address stamp sea
Engineer/Contractor For Bank Use only
Received Rs
Estimated cost of construction
(Rupees
for the year
..)
(from to.)
Cash/cheque/DD
(form-1, enclosed to the remitters copy
Date.
Cashier/Officer
sent to the Secretary of the Board)

BANK COPY
(To be sent to Bank of India Tardeo
Branch, Mumbai-34 )
MAHARASHTRA STATE
Building and Other Construction workers
Welfare fund account

Bank of India
Branch:code no.
Paid into credit of Maharashtra state
Welfare Board for Building and Other
Construction workers
Account No.004220110000153
Bank of India, Tardeo ,
Mumabai-400 034
Rs.0/-

Date:

Rupees Only
Denomation /Details of DDs overleaf
Towards the beneficiary contribution/cess
as per details overleaf

Signature of the Employer along with address stamp sea

For Bank Use only
Received Rs
(Rupees
..)
Cash/cheque/DD
Date.
Cashier/Officer

Name and Address of the establishment:Unique code no given by officer

Name the person responsible contribution of Beneficiaries
No.of workers:Period of contributions:Total amount of contributionsRs.0/- Rupees
Only
List of workers along Registration number
allotted by the board enclosed to the
remitter's copy sent to the secretary of the
Building & Other construction Workers
Welfare Board, Mumbai
CESS
Plan approval Authorities :Unique code no Details-

(Govt. departments/organisation)
Engineer/Contractor Estimated cost of construction
for the year
(from to.)
(form-1, enclosed to the remitters copy
sent to the Secretary of the Board)

REMITTERS COPY
(To be sent Secretary, Maharashtra
Building & Other construction
workers welfare Board, Commerce
center, Tardeo , Mumbai-34 ).
(Along with form 1 or list of
beneficiary)
MAHARASHTRA STATE
Building and Other Construction
workers Welfare fund account
Bank of India
Branch:code no.
Paid into credit of Maharashtra state
Welfare Board for Building and Other
Construction workers
Account No.004220110000153
Bank of India, Tardeo ,
Mumabai-400 034
Rs.0/-

Date:

Rupees Only
Denomation /Details of DDs overleaf
Towards the beneficiary contribution/cess
as per details overleaf

Signature of the Employer along with address stamp sea

For Bank Use only
Received Rs
(Rupees
..)
Cash/cheque/DD
Date.
Cashier/Officer

OVERLEAF
Name and Address of the establishment:Unique code no given by officer
Name the person responsible contribution of Beneficiaries
No.of workers:Period of contributions:Total amount of contributionsRs.0/- Rupees
Only
List of workers along Registration number
allotted by the board enclosed to the
remitter's copy sent to the secretary of the
Building & Other construction Workers
Welfare Board, Mumbai
CESS
Plan approval Authorities :Unique code no Details-

(Govt. departments/organisation)
Engineer/Contractor Estimated cost of construction
for the year
(from to.)
(form-1, enclosed to the remitters copy
sent to the Secretary of the Board)

REMITTERS COPY
(To be sent Secretary, Maharashtra
Building & Other construction
workers welfare Board, Commerce
center, Tardeo , Mumbai-34 ).
(Along with form 1 or list of
beneficiary)
MAHARASHTRA STATE
Building and Other Construction
workers Welfare fund account
Bank of India
Branch:code no.
Paid into credit of Maharashtra state
Welfare Board for Building and Other
Construction workers
Account No.004220110000153
Bank of India, Tardeo ,
Mumabai-400 034
Rs.0/-

Date:

Rupees Only
Denomation /Details of DDs overleaf
Towards the beneficiary contribution/cess
as per details overleaf

Signature of the Employer along with address stamp sea

For Bank Use only
Received Rs
(Rupees
..)
Cash/cheque/DD
Date.
Cashier/Officer

Name and Address of the establishment:Unique code no given by officer

Name the person responsible contribution of Beneficiaries
No.of workers:Period of contributions:Total amount of contributionsRs.0/- Rupees
Only
List of workers along Registration number
allotted by the board enclosed to the
remitter's copy sent to the secretary of the
Building & Other construction Workers
Welfare Board, Mumbai
CESS
Plan approval Authorities :Unique code no Details-

(Govt. departments/organisation)
Engineer/Contractor Estimated cost of construction
for the year
(from to.)
(form-1, enclosed to the remitters copy
sent to the Secretary of the Board)