Single format · FV09-K9

Annexure to an employment-linked incentive claim, statement of employment and Haryana domicile

Haryana rewrote everything in 2026: the Enterprises and Employment Policy 2020 expired on 31.12.2025, the Make in Haryana Industrial Policy 2026 took effect on 26.05.2026 and covers only large, mega and ultra-mega units , and MSMEs had nothing until the Progressive MSME and Export Promotion Policy 2026 was notified on 17.08.2026. Two gaps, ten new policies, and guidelines still awaited, so the first question on a Haryana file is which policy the client's dates put it under.

Length
1 page
Blanks to fill
31
Files
Word and PDF
Law stated to
16 September 2026

What it covers

  1. 1Annexure to an employment-linked incentive claim, statement of employment and Haryana domicileFor the employment generation subsidy and EPF reimbursement claim; file with the online claim on the Invest Haryana portal31 blanks

Read the opening

The first part of the format, as it downloads. Blanks are highlighted.

Statement of employment, domicile and statutory contributions for the claim year [FY 20__-__]

Unit: [name of the unit], [address, block, district] — zone [Prime Focus / Sub-Prime / Intermediate / Core]. Policy: [Make in Haryana Industrial Policy 2026 / Haryana Progressive MSME and Export Promotion Policy 2026 / HEEP 2020]. Eligibility certificate / registration: [reference and date]. Date of commercial production: [Date of commercial production].

S. No.

Employee name and code

Date of joining

Category

Domicile proof

Gross monthly salary (Rs)

EPF / UAN

Months claimed

Amount claimed (Rs)

1

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[regular / apprentice / Nigam]

[certificate no. and date]

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Total — employees domiciled in Haryana

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—

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Total — all employees on rolls

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—

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4 more paragraphs and tables follow in the full format.

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