Form 20 — Register of Leave with Wages

Rule: Rule 112 · Signed by: Manager · Under: Factories Act 1948 / Model Factories Rules 2020

One row per worker — entry into service, leave accrued, interruptions (sickness/strike/etc.), leave with wages paid.

What the form records

• Sl. No.
• Adult/child register no.
• Date of entry
• Interruptions (sickness, accidents, authorised leave, lock-out, strike, involuntary unemployment, others)
• Leave due with effect from
• Whether leave deferred
• Date leave allowed from
• Wages paid
• Discharge (date + amount paid in lieu)
• Remarks

This page opens the blank statutory form in MedFactory, ready to fill, save and print. See the Form 20 reference page for the rule and signatory detail.

MedFactory — Occupational Health Centre software for Indian factories