Complaint to the Inspector-cum-Facilitator

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Full Text of the Document

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.... or a legal representative of......(name of woman employee) employed in.......(name and full address of the establishment) having fulfilled the conditions laid down in the Code on Social Security, 2020(36 of 2020) and the rules framed thereunder, am entitled to Rs......... being maternity benefit and/ or Rs...... being the medical bonus and/ or Rs.......... being wages for leave due under section ....