FORM - X

REGISTER OF LEAVE AND SOCIAL SECURITY BENEFITS

[ See Sub - rule (1) of Rule 16 ] Tamil Nadu Shops and Establishments Rules , 1948

Name and Address of the Establishment : BILT GRAPHIC PAPER PRODUCTS LIMITED
VTB Centre, 4th Floor, Old No- 4, New No-7,
South Boag Road, [Link],
Chennai - 600 017.

Name and Address of the Employer : MR. MAHENDHIRAN VISHWANATHAN

General Manager

Name of the Manager / In charge : N Pattabiraman

For the Month of August Year 2025

Registration Certificate No : TN/AIL19CHE/NFSH/68-23-00872

Earned Leave Medical Leave Other Leave Maternity Benefits Gratutity Benefits

Sl. Name of the Employee Employee Leave at Leave Leave Leave Leave Leave Leave Leave Leave Leave Date Amount of Subsequent Amount Leave Whether Amount
No Identification the earned availed balance at availed balance at the availed balance of Maternity payment of paid with Wages nomination paid as Remarks
No. beginning during during at the beginning during at the beginning during at the giving Benefit paid Maternity as as per received Gratuity
of the the the end of of the the end of of the the end of notice of in advance Benefit Medical section 9 from in case
Month Period Month the Month Month the Month Month the Pregnancy / of expected and date Bonus or 10 under the of exit of
Month Month Month delivery delivery and of and Maternity employee the
date of payment Date of Benefit employee
Payment Payment Act,1961

[1] [2] [3] [4] [5] [6] [7] [8] [9] [10] [11] [12] [13] [14] [15] [16] [17] [18] [19] [20] [21]
1 N Pattabiraman 100254 30 0 0 30 180 0 180 10 0 10 Nil Nil Nil Nil Nil YES Nil Nil
2 G Nazeer Ahmed 100255 30 0 0 30 180 0 180 10 0 10 " " " " " " " "
3 K Shivshankar 100275 30 0 0 30 154 0 154 10 0 10 " " " " " " " "
4 R Elangovan 103694 30 0 0 30 102 0 102 10 0 10 " " " " " " " "
5 [Link] Kumar 104712 30 0 0 30 85 0 85 10 0 10 " " " " " " " "
6 Thiyagarajan N 104943 30 0 0 30 60 0 60 10 0 10 " " " " " " " "
7 Gollapalli Ravi Chandra Kumar 104983 30 0 0 30 30 0 30 10 0 10 " " " " " " " "
8 Manendhiran Vishwnathan 104984 30 0 0 30 180 0 180 10 0 10 " " " " " " " "