The full text of this document as VidhiSar drafts it, with every blank shown in square brackets. Copy it or download it as a Word file and fill it in yourself — or answer a few questions and VidhiSar fills it in and prints a formatted PDF. Clauses that apply only in some cases are left out here; the drafting flow adds them when your answers call for them.
REPORT DETAILS
Date: [Date of This Report]
Annual Report of the Internal Committee for the calendar year [Reporting Calendar Year]
Submitted by: [Company Legal Name], having its registered office at [Registered Business Address]
Submitted to: The District Officer, [District Officer / District of the Workplace], and to the Employer
This Report is prepared and submitted under Section 21 of the Sexual Harassment of Women at Workplace (Prevention, Prohibition and Redressal) Act, 2013, read with the rules framed thereunder.
INTERNAL COMMITTEE
1. Constitution. The Internal Committee of [Company Legal Name] is constituted under Section 4 of the Act and is presided over by [Internal Committee Presiding Officer]. Its composition, including the member drawn from a non-governmental organisation or association familiar with issues relating to sexual harassment, is as recorded in the Company's Internal Committee Constitution Order.
2. Employee Strength. The total employee strength of the Company as at the close of the reporting year was [Total Employee Strength at Year End], counted so as to include interns, probationers, contract workers and any other person engaged at the workplace who falls within the definition of "employee" under the Act.
COMPLAINTS DURING THE YEAR
3. Complaints Received. The number of complaints of sexual harassment received during the reporting year: [Complaints Received During the Year].
4. Complaints Disposed Of. The number of complaints disposed of during the reporting year: [Complaints Disposed of During the Year].
5. Complaints Pending Beyond Ninety Days. The number of cases pending for more than ninety (90) days as at the close of the reporting year: [Cases Pending More Than 90 Days].
6. Nature of Action Taken. Action taken by the employer on the recommendations of the Internal Committee: [Nature of Action Taken by the Employer].
AWARENESS AND CAPACITY BUILDING
7. Workshops and Awareness Programmes. Number and description of workshops and awareness programmes carried out against sexual harassment during the reporting year: [Workshops / Awareness Programmes Carried Out].
8. Capacity Building of the Committee. Orientation and skill-building undertaken by the members of the Internal Committee during the reporting year: [Capacity Building Undertaken by IC Members].
DECLARATION
9. Confidentiality. This Report does not disclose the name, address, identity or any other particular capable of identifying any complainant, respondent or witness, in accordance with Section 16 of the Act.
10. Statutory Consequence of Non-Submission. The Company records its awareness that failure to constitute an Internal Committee, or to comply with the obligations under the Act including this reporting obligation, attracts penalty under Section 26 of the Act, and that a repeat contravention attracts enhanced consequences including action against the Company's licence or registration.
11. Employer's Annual Return. The particulars in this Report shall also be included in the employer's own annual report where the employer is required to prepare one, and shall otherwise be intimated to the District Officer, as required by Section 22 of the Act.
ACKNOWLEDGEMENT
For the Internal Committee of [Company Legal Name]
[Internal Committee Presiding Officer]
Presiding Officer