Attendance for the month of Dec'09 S.NO. NAME DESIGNATION Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed STAFF ATTENDANCE FOR DEC'09 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 01 Mr. XXXX Corporate Chef W/O P P P P P P W/O P P P P P P W/O P P P P P P W/O P 02 Mr. XXXX G.M. OPS P P P P P P P P P P P P P W/O P P P P P P P P P 03 Mr. XXXX H.R. Executive P P P P P W/O P P P P P P W/O P P P P P P W/O P P P 04 Mr. XXXX SECURITY OFFICER P P P P P P W/O P P P P P P W/O P P P P P P W/O P P 05 Mr. XXXX STORES IN-CHARGE P P P P P P W/O P P P P P P P P P W/O P P P P P P 06 Mr. XXXX STORES ASSISTANT P P P P P P P P P P P W/O P P P P P P P P P P P 07 Mr. XXXX CASHIER P P P P P P P W/O P P P P P P W/O P P P P P P W/O P 08 Mr. XXXX CASHIER W/O P P P C/O C/O C/O P P P P P W/O P P P P P P P P P P 09 Mr. XXXX ACCOUNTANT P P P P P W/O P P P P P P W/O P P P P P P W/O P P P 10 Mr. XXXX ACCOUNTANT P P CL P P W/O P P P P P P W/O P P P P P P W/O P CL P 11 Mr. XXXX Maintenance P P P P P P W/O P P P P P P W/O P P P P P P W/O P P 12 Mr. XXXX DRIVER P P P P P P W/O P P P P P P W/O P P P P P P W/O P P 13 Mr. XXXX DRIVER P P P P P P W/O P P P P P P W/O P P P P P P W/O P P 14 Mr. XXXX DRIVER P P P P P P P P P W/O P P P P W/O P P P P P P P P 15 Mr. XXXX DRIVER W/O P P P P P P W/O P P P P P P P W/O P P P P P W/O P 16 Mr. XXXX DRIVER CL SL SL SL SL SL SL PL PL PL PL PL P P P P W/O P P P P P P 17 Mr. XXXX BOUNCER P P P P P P W/O P P P P P P W/O P P P P P P W/O P P 18 Mr. XXXX BOUNCER OD P OD P P A A A P P P P P P OD P P P P P P W/O P 19 Mr. XXXX F&B EXECUTIVE P P P P P P/O P P P W/O C/O C/O P P P P P P P P P P P 20 Mr. XXXX Asst. MANAGER P W/O P P P P W/O P P P P P P P W/O P P P P P W/O P P 21 Mr. XXXX BAR INCHARGE P P P P P W/O P P P P P LF LF LF LF LF LF LF LF LF LF LF LF 22 Mr. XXXX BAR TENDER P P P P W/O P P P P W/O P P P P P P P P P P P P P 23 Mr. XXXX CAPTAIN C/O C/O P P P P P P P P P P P W/O P P P P P P P W/O P 24 Mr. XXXX Asst. BAR TERNER CL P/CL P P P W/O P P P W/O P P P P W/O P P P P W/O P P P 25 Mr. XXXX Asst. BAR TERNER P P P P P P P W/O P P P P P P W/O P P P P P P W/O P 26 Mr. XXXX Tr. CAPTAIN C/O C/O P P P P W/O P P P P P P W/O P P P P P P W/O P P 27 Mr. XXXX STEWARD P P P P P P W/O P P P P P P P W/O P P P P P P P P 28 Mr. XXXX Sr. CAPTAIN P P P P P P W/O P/O P/O P P P P P W/O P P P P P P P P/O 29 Mr. XXXX Sr. STEWARD W/O P P P P P P W/O CL P P P P P W/O P P P P P P W/O P 30 Mr. XXXX STEWARD P P W/O P P P P P P P/O P/O P P P P P W/O P P P P P P 31 Mr. XXXX Tr. CAPTAIN P P/O P/O P P P P P P/O P/O P P P P/O P P/O P P P P P P/O P/O 32 Mr. XXXX STEWARD P P P P P W/O P P P P P P P W/O P P P P P P W/O P P 33 Mr. XXXX STEWARD P W/O P P P P P P P P W/O P P P P W/O P P P P P P W/O 34 Mr. XXXX G.S.A. P P W/O P P P P/O P P W/O P P P W/O P P P P P P W/O P P 35 Mr. XXXX G.S.A. W/O P P P P P W/O CL P P P P P W/O P P P P P P P P/O P 36 Mr. XXXX Sr. Bar Tender P P P P P P W/O P P P P P P P W/O P P P P P W/O P P 37 Mr. XXXX Bar Tender W/O P P P P P W/O P P P P P P/CL W/O P P P P P P P P P 38 Mr. XXXX Bar Tender P P P P P P W/O P P P P P P W/O P P P P P P P P P 39 Mr. XXXX STEWARD P P P W/O P P P P P/O P P P P P W/O P P P P P P P W/O 40 Mr. XXXX HOSTESS P P P P P W/O P P P P P P P P W/O P P P P P P W/O P 41 Mr. XXXX Tr. HOSTESS P P P P P P P W/O P P P P P W/O P P P P P P W/O P P 42 Mr. XXXX BAR TENDER P P P P P P W/O P P P P P P W/O P P P P P P W/O P P 43 Mr. XXXX Tr. CAPTAIN NJ NJ NJ NJ NJ NJ NJ NJ NJ NJ NJ NJ P P P P P P P A A A P 44 Mr. XXXX HOSTESS P P P P P P W/O P P P P P P P W/O P P P P P P W/O P 45 Mr. XXXX Tr. HOSTESS W/O P P P P P P W/O P P P P P W/O P P LOP LOP LOP LOP LOP P P 46 Mr. XXXX Sous Chef P P P P P P W/O P P P P P P W/O P P P P P P W/O P P 47 Mr. XXXX CDP P P P P P P W/O P P P P P P W/O P P P P P P W/O P P 48 Mr. XXXX CDP PL PL PL PL PL PL PL P P P P P P P P P P P P P P W/O P 49 Mr. XXXX Pro - commis W/O P P P P P P P P P W/O P P P P P W/O P P P P P P 50 Mr. XXXX Pro - commis C/O C/O C/O P P P P P P P P P W/O P P P P P P W/O P P P 51 Mr. XXXX Pro - commis P P P P P P W/O P P P P P P W/O P P P P P P W/O P P 52 Mr. XXXX Pro - commis P P P P P W/O P P P P P P W/O P P P P P P W/O P P P 53 Mr. XXXX Pro - commis P P P P W/O P P P P P P P W/O CL P P P P W/O CL P P P 54 Mr. XXXX Pro - commis P P P P P P W/O P P P P P P W/O P P P P P P W/O P P 55 Mr. XXXX Pro - commis CL CL SL SL PL PL PL C/O C/O C/O A A A A A A A A A A A P P 56 Mr. XXXX Pro - commis P P P P P P W/O P P P P P P W/O P P P P P P W/O P P 57 Mr. XXXX CDP W/O P P P P P P W/O P P P P P P W/O P P P P P P W/O P 58 Mr. XXXX Pro - commis W/O P P P P P P P W/O P P P P P P W/O P P P P P P W/O 59 Mr. XXXX Pro - commis P W/O P P P P P P P P P W/O P P P P P P P P P W/O P 60 Mr. XXXX H.K. SUPERVISOR P P P P P P P W/O P P P P P P W/O P P P P P P W/O P 61 Mr. XXXX HK BOY P W/O P P P P P P W/O P P P P P P W/O P P P P P P P 62 Mr. XXXX HK BOY W/O P P P P P P W/O CL P P P P P W/O P P P P P P W/O P 63 Mr. XXXX HK BOY P P W/O P P P P P P W/O P P P P P P W/O P P P P P P 64 Mr. XXXX HK BOY P P P W/O P P W/O P P P P P W/O P P P P P P W/O P P P 65 Mr. XXXX HK BOY P P P P P W/O P P P P P P P W/O CL P P P P P W/O P P 66 Mr. XXXX LINEN BOY W/O P P P P P W/O P P P P P P W/O P P P P P P W/O P P 67 Mr. XXXX KST SUPERVISOR P P P P P P W/O P P P P P P W/O P P P P P P W/O P P 68 Mr. XXXX KST W/O P P P P P W/O P P P P P P P W/O CL P P P P P W/O P 69 Mr. XXXX KST P W/O P P P P W/O PL PL PL PL PL PL PL P P P P P P W/O P P 70 Mr. XXXX KST P P P P P P P W/O P P P P P P P W/O P P P P P P W/O 71 Mr. XXXX KST P P W/O P P P P P P W/O P P P P P P W/O P P P P P P 72 Mr. XXXX KST P P P W/O P CL P P P P W/O P P P P P P W/O P P P P P 73 Mr. XXXX KST P P P P W/O P P P W/O P P P P P P P P P W/O P P P P 74 Mr. XXXX KST W/O P P P P P P W/O P P P P P P P W/O P P P P P W/O P 75 Mr. XXXX IET P C/O C/O C/O C/O C/O LOP LOP LOP LOP LOP LOP LOP LOP LOP LOP LOP P P P W/O P P 76 Mr. XXXX LIFT OPERATTGOR P P P P P P W/O P P P P P P W/O P P P P P P W/O P P
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Attendance for the month of Dec'09S.NO. NAME
DESIGNATIONTue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri
S. No. Name Account No. Amount01 Mr. XXXX 06800110013595 9,035 02 Mr. XXXX 06800110014165 5,365 03 Mr. XXXX 06800110013465 11,120 04 Mr. XXXX 06800110013724 4,039 05 Mr. XXXX 06800110014134 5,806 06 Mr. XXXX 06800110013694 6,268 07 Mr. XXXX 06800110014158 7,651 08 Mr. XXXX 06800110014172 14,120 09 Mr. XXXX 06800110013748 5,806 10 Mr. XXXX 06800110013397 5,806 11 Mr. XXXX 06800110013823 4,940 12 Mr. XXXX 06800110013373 4,940 13 Mr. XXXX 06800110013571 4,940 14 Mr. XXXX 06800110013786 4,940 15 Mr. XXXX 06800110014097 7,848 16 Mr. XXXX 06800110013588 11,120 17 Mr. XXXX 06800110013410 14,063 18 Mr. XXXX 06800110013427 8,113 19 Mr. XXXX 06800110013380 6,268 20 Mr. XXXX 06800110013670 4,035 21 Mr. XXXX 06800110013434 5,365 22 Mr. XXXX 06800110013687 4,503 23 Mr. XXXX 06800110014585 7,090 24 Mr. XXXX 06800110013526 4,035 25 Mr. XXXX 06800110013489 4,035 26 Mr. XXXX 06800110014639 5,265 27 Mr. XXXX 06800110014660 3,935 28 Mr. XXXX 06800110014677 3,935 29 Mr. XXXX 06800110014653 3,935 30 Mr. XXXX 06800110014684 5,265 31 Mr. XXXX 06800110014080 6,956 32 Mr. XXXX 06800110013458 9,035 33 Mr. XXXX 06800110014646 3,284 34 Mr. XXXX 06800110013793 24,020 35 Mr. XXXX 06800110014127 9,035 36 Mr. XXXX 06800110013816 9,035 37 Mr. XXXX 06800110013366 8,113 38 Mr. XXXX 06800110013359 5,365 39 Mr. XXXX 06800110014332 6,268 40 Mr. XXXX 06800110013403 5,179 42 Mr. XXXX 06800110013755 5,179 43 Mr. XXXX 06800110013472 2,604 44 Mr. XXXX 06800110013779 5,806 45 Mr. XXXX 06800110014219 4,133 46 Mr. XXXX 06800110013441 4,503 47 Mr. XXXX 06800110014202 4,039 48 Mr. XXXX 06800110014110 4,039 49 Mr. XXXX 06800110014103 4,039
Total Amount: 314,218
XXXXXXXXXXX SERVICES PRIVATE LIMITEDAddress
Address
Address
Pay Slip for the Month of DECEMBER'09
EMPLOYEE No. MODE OF PAY : BANK
EMPLOYEE NAME PF NUMBER
DESIGNATION
DEPARTMENT NO. OF WORKING DAY 31
Earnings Salary Deductions Amount
Basic 50000 50000 PF 780 VDA 1001 1001 ESI - HRA 20000 20000 PT 200 Conveyance 800 800 Misc. Ded - Medical Allow. 1250 1250 Phone Bill - Washing Allow. 600 600 I. Tax 22000
Spl. Allowance 26349 26349
Others 0 0 Other deduction - 100000 100000 22,980
Net Pay 77020
Net Pay in words: Rupees Seventy Seven Thousand & twenty only.
H. R. Department
XXXXXXXXXXX SERVICES PRIVATE LIMITEDAddress
Address
Address
Pay Slip for the Month of DECEMBER'09
EMPLOYEE No. MODE OF PAY : BANK
EMPLOYEE NAME PF NUMBER
DESIGNATION ESI NUMBER :
DEPARTMENT NO. OF WORKING DAY 31
Earnings Salary Deductions Amount
Basic 30000 30000 PF 780 VDA 1001 1001 ESI - HRA 0 0 PT 200 Conveyance 800 800 Misc. Ded - Medical Allow. 1250 1250 Phone Bill 365 Washing Allow. 0 0 I. Tax 6000
Spl. Allowance 26949 26949
Others 0 0 Other deduction - 60000 60000 7,345
Net Pay 52655
Net Pay in words: Rupees Fifty Two Thousand Six Hundred & Fifty Five Only.
GrossSalary
GrossSalary
H. R. Department XXXXXXXXXXX SERVICES PRIVATE LIMITED
Address
Address
Address
Pay Slip for the Month of DECEMBER'09
EMPLOYEE No. : MODE OF PAY : BANK
EMPLOYEE NAME PF NUMBER
DESIGNATION ESI NUMBER :
DEPARTMENT NO. OF WORKING DAY 31
Earnings Salary Deductions Amount
Basic 5000 5000 PF 720 VDA 1001 1001 ESI 165 HRA 2000 2000 PT 80 Conveyance 800 800 Misc. Ded - Medical Allow. 0 0 Phone Bill
Medical Allow. 0 0 Phone Bill - Washing Allow. 600 600 I. Tax - Spl. Allowance 1049 1049
Others 0 0 Other deduction - 5500 5500 560
Net Pay 4940
Net Pay in words: Rupees Four Thousand Nine Hundred & Forty Only.
H. R. Department XXXXXXXXXXX SERVICES PRIVATE LIMITED
Address
Address
Address
Pay Slip for the Month of DECEMBER'09
EMPLOYEE No. : MODE OF PAY : BANK
EMPLOYEE NAME PF NUMBER
DESIGNATION ESI NUMBER :
DEPARTMENT NO. OF WORKING DAY 31
Earnings Salary Deductions Amount
Basic 2450 2450 PF 414 VDA 1001 1001 ESI 86 HRA 400 400 PT 60 Conveyance 0 0 Misc. Ded
Medical Allow. 0 0 Phone Bill
Washing Allow. 600 600 I. Tax
Spl. Allowance 1049 1049
Others 0 0 Other deduction - 5500 5500 560
Net Pay 4940
Net Pay in words: Rupees Four Thousand Nine Hundred & Forty Only.
H. R. Department
XXXXXXXXXXX SERVICES PRIVATE LIMITEDAddress
Address
Address
Pay Slip for the Month of DECEMBER'09
EMPLOYEE No. : MODE OF PAY : BANK
EMPLOYEE NAME PF NUMBER
DESIGNATION ESI NUMBER :
DEPARTMENT NO. OF WORKING DAY 31
Earnings Salary Deductions Amount
Basic 2450 2450 PF 414 VDA 1001 1001 ESI 86
GrossSalary
GrossSalary
HRA 400 400 PT 60 Conveyance 0 0 Misc. Ded
Medical Allow. 0 0 Phone Bill
Washing Allow. 600 600 I. Tax
Spl. Allowance 1049 1049
Others 0 0 Other deduction - 5500 5500 560
Net Pay 4940
Net Pay in words: Rupees Four Thousand Nine Hundred & Forty Only.
H. R. Department XXXXXXXXXXX SERVICES PRIVATE LIMITED
Address
Address
Address
Pay Slip for the Month of DECEMBER'09
EMPLOYEE No. : MODE OF PAY : BANK
EMPLOYEE NAME PF NUMBER
DESIGNATION ESI NUMBER :
DEPARTMENT NO. OF WORKING DAY 30
Earnings Salary Deductions Amount
Basic 4500 4355 PF 639 VDA 1001 969 ESI 143 HRA 700 677 PT 80 Conveyance 700 677 Misc. Ded - Medical Allow. 0 0 Phone Bill - Washing Allow. 600 581 I. Tax - Spl. Allowance 1499 1451
Others 0 0 Other deduction - 9000 8709.6774194 862
Net Pay 7848
Net Pay in words: Rupees Seven Thousand Eight Hundred & Fourty Eight Only
H. R. Department
XXXXXXXXXXX SERVICES PRIVATE LIMITEDAddress
Address
Address
Pay Slip for the Month of DECEMBER'09
EMPLOYEE No. : MODE OF PAY : BANK
EMPLOYEE NAME PF NUMBER
DESIGNATION ESI NUMBER :
DEPARTMENT NO. OF WORKING DAY 28
Earnings Salary Deductions Amount
GrossSalary
GrossSalary
Basic 4500 4065 PF 596 VDA 1001 904 ESI 133 HRA 700 632 PT 80 Conveyance 700 632 Misc. Ded - Medical Allow. 0 0 Phone Bill - Washing Allow. 600 542 I. Tax - Spl. Allowance 1499 1354
Others 0 0 Other deduction - 9000 8129 809
Net Pay 7320
Net Pay in words: Rupees Seven Thousand Three Hundred & Twenty Only
H. R. Department XXXXXXXXXXX SERVICES PRIVATE LIMITED
Address
Address
Address
Pay Slip for the Month of DECEMBER'09
EMPLOYEE No. : MODE OF PAY : BANK
EMPLOYEE NAME PF NUMBER
DESIGNATION ESI NUMBER :
DEPARTMENT NO. OF WORKING DAY 31
Earnings Salary Deductions Amount
Basic 6000 6000 PF 780 VDA 1001 1001 ESI - HRA 2400 2400 PT 100 Conveyance 800 800 Misc. Ded - Medical Allow. 0 0 Phone Bill - Washing Allow. 600 600 I. Tax - Spl. Allowance 1199 1199
Others 0 0 Other deduction - 12000 12000 880
Net Pay 11120
Net Pay in words: Rupees Eleven Thousand One Hundred & Twenty Only.
H. R. Department
XXXXXXXXXXX SERVICES PRIVATE LIMITEDAddress
Address
Address
Pay Slip for the Month of DECEMBER'09
EMPLOYEE No. : MODE OF PAY : BANK
EMPLOYEE NAME PF NUMBER
DESIGNATION ESI NUMBER :
DEPARTMENT NO. OF WORKING DAY 31
GrossSalary
Earnings Salary Deductions Amount
Basic 4500 4500 PF 660 VDA 1001 1001 ESI 147
HRA 700 700 PT 80 Conveyance 700 700 Misc. Ded -
Medical Allow. 0 0 Phone Bill -
Washing Allow. 600 600 I. Tax
Spl. Allowance 1499 1499
Others 0 0 Credit Bill -
9000 9000 887
Net Pay 8113
Net Pay in words: Rupees Eight Thousand One Hundred & Thirteen Only
H. R. Department XXXXXXXXXXX SERVICES PRIVATE LIMITED
Address
Address
Address
Pay Slip for the Month of DECEMBER'09
EMPLOYEE No. : MODE OF PAY : BANK
EMPLOYEE NAME PF NUMBER
DESIGNATION ESI NUMBER :
DEPARTMENT NO. OF WORKING DAY 31
Earnings Salary Deductions Amount
Basic 2500 2500 PF 420 VDA 1001 1001 ESI 77 HRA 750 750 PT - Conveyance 0 0 Misc. Ded - Medical Allow. 0 0 Phone Bill - Washing Allow. 600 600 I. Tax - Spl. Allowance 149 149
Others 0 0 Other deduction - 5000 5000 497
Net Pay 4503
Net Pay in words: Rupees Four Thousand Five Hundred & Three Only.
H. R. Department
XXXXXXXXXXX SERVICES PRIVATE LIMITEDAddress
Address
Address
Pay Slip for the Month of DECEMBER'09
EMPLOYEE No. : MODE OF PAY : BANK
EMPLOYEE NAME PF NUMBER
DESIGNATION ESI NUMBER :
GrossSalary
GrossSalary
DEPARTMENT NO. OF WORKING DAY 31
Earnings Salary Deductions Amount
Basic 2250 2250 PF 390 VDA 1001 1001 ESI 75 HRA 550 550 PT - Conveyance 0 0 Misc. Ded 342 Medical Allow. 0 0 Phone Bill - Washing Allow. 600 600 I. Tax - Spl. Allowance 99 99
Others 342 342 Other deduction - 4842 4842 807
Net Pay 4035
Net Pay in words: Rupees Four Thousand & Thirty Five Only.
H. R. Department XXXXXXXXXXX SERVICES PRIVATE LIMITED
Address
Address
Address
Pay Slip for the Month of DECEMBER'09
EMPLOYEE No. : MODE OF PAY : BANK
EMPLOYEE NAME PF NUMBER
DESIGNATION ESI NUMBER :
DEPARTMENT NO. OF WORKING DAY 31
Earnings Salary Deductions Amount
Basic 3000 3000 PF 480 VDA 1001 1001 ESI 95 HRA 400 400 PT 60 Conveyance 0 0 Misc. Ded - Medical Allow. 0 0 Phone Bill - Washing Allow. 600 600 I. Tax - Spl. Allowance 999 999
Others 0 Other deduction - 6000 6000 635
Net Pay 5365
Net Pay in words: Rupees Five Thousand Three Hundred & Sixty Five Only.
H. R. Department
XXXXXXXXXXX SERVICES PRIVATE LIMITEDAddress
Address
Address
Pay Slip for the Month of DECEMBER'09
EMPLOYEE No. : MODE OF PAY : BANK
GrossSalary
GrossSalary
EMPLOYEE NAME PF NUMBER
DESIGNATION ESI NUMBER :
DEPARTMENT NO. OF WORKING DAY 31
Earnings Salary Deductions Amount
Basic 2500 2500 PF 420 VDA 1001 1001 ESI 77 HRA 750 750 PT - Conveyance 0 0 Misc. Ded - Medical Allow. 0 0 Phone Bill
Washing Allow. 600 600 I. Tax
Spl. Allowance 149 149
Others 0 0 Other deduction - 5000 5000 497
Net Pay 4503
Net Pay in words: Rupees Four Thousand Five Hundred & Three Only.
H. R. Department XXXXXXXXXXX SERVICES PRIVATE LIMITED
Address
Address
Address
Pay Slip for the Month of DECEMBER'09
EMPLOYEE No. : MODE OF PAY : CASH
EMPLOYEE NAME PF NUMBER
DESIGNATION ESI NUMBER :
DEPARTMENT NO. OF WORKING DAY 31
Earnings Salary Deductions Amount
Basic 4000 4000 PF 600 VDA 1001 1001 ESI 130 HRA 1600 1600 PT 80 Conveyance 0 0 Misc. Ded - Medical Allow. 0 0 Phone Bill
Washing Allow. 600 600 I. Tax
Spl. Allowance 799 799
Others 0 0 Other deduction 100 8000 8000 910
Net Pay 7090
Net Pay in words: Rupees Seven Thousand & Ninety Only.
H. R. Department
XXXXXXXXXXX SERVICES PRIVATE LIMITEDAddress
Address
Address
GrossSalary
GrossSalary
Pay Slip for the Month of DECEMBER'09
EMPLOYEE No. : MODE OF PAY : BANK
EMPLOYEE NAME PF NUMBER
DESIGNATION ESI NUMBER :
DEPARTMENT NO. OF WORKING DAY 31
Earnings Salary Deductions Amount
Basic 2250 2250 PF 390 VDA 1001 1001 ESI 75 HRA 550 550 PT - Conveyance 0 0 Misc. Ded 342 Medical Allow. 0 0 Phone Bill
Washing Allow. 600 600 I. Tax
Spl. Allowance 99 99
Others 342 342 Other deduction - 4842 4842 807
Net Pay 4035
Net Pay in words: Rupees Four Thousand & Thirty Five Only.
H. R. Department XXXXXXXXXXX SERVICES PRIVATE LIMITED
Address
Address
Address
Pay Slip for the Month of DECEMBER'09
EMPLOYEE No. : MODE OF PAY : BANK
EMPLOYEE NAME PF NUMBER
DESIGNATION ESI NUMBER :
DEPARTMENT NO. OF WORKING DAY 31
Earnings Salary Deductions Amount
Basic 2250 2250 PF 390 VDA 1001 1001 ESI 75 HRA 550 550 PT - Conveyance 0 0 Misc. Ded 342 Medical Allow. 0 0 Phone Bill
Washing Allow. 600 600 I. Tax
Spl. Allowance 99 99
Others 342 342 Other deduction - 4842 4842 807
Net Pay 4035
Net Pay in words: Rupees Four Thousand & Thirty Five Only.
H. R. Department
XXXXXXXXXXX SERVICES PRIVATE LIMITEDAddress
Address
GrossSalary
GrossSalary
Address
Pay Slip for the Month of DECEMBER'09
EMPLOYEE No. : MODE OF PAY : CASH
EMPLOYEE NAME PF NUMBER
DESIGNATION ESI NUMBER :
DEPARTMENT NO. OF WORKING DAY 31
Earnings Salary Deductions Amount
Basic 3000 3000 PF 480 VDA 1001 1001 ESI 95 HRA 400 400 PT 60 Conveyance 0 0 Misc. Ded - Medical Allow. 0 0 Phone Bill
Washing Allow. 600 600 I. Tax
Spl. Allowance 999 999
Others 0 0 Other deduction 100 6000 6000 735
Net Pay 5265
Net Pay in words: Rupees Five Thousand Two Hundred & Sixty Five Only.
H. R. Department XXXXXXXXXXX SERVICES PRIVATE LIMITED
Address
Address
Address
Pay Slip for the Month of DECEMBER'09
EMPLOYEE No. : MODE OF PAY : CASH
EMPLOYEE NAME PF NUMBER
DESIGNATION ESI NUMBER :
DEPARTMENT NO. OF WORKING DAY 31
Earnings Salary Deductions Amount
Basic 2250 2250 PF 390 VDA 1001 1001 ESI 75 HRA 550 550 PT - Conveyance 0 0 Misc. Ded 342 Medical Allow. 0 0 Phone Bill
Washing Allow. 600 600 I. Tax
Spl. Allowance 99 99
Others 342 342 Other deduction - 4842 4842 807
Net Pay 4035
Net Pay in words: Rupees Four Thousand & Thirty Five Only.
H. R. Department
XXXXXXXXXXX SERVICES PRIVATE LIMITED
GrossSalary
GrossSalary
Address
Address
Address
Pay Slip for the Month of DECEMBER'09
EMPLOYEE No. : MODE OF PAY : CASH
EMPLOYEE NAME PF NUMBER
DESIGNATION ESI NUMBER :
DEPARTMENT NO. OF WORKING DAY 31
Earnings Salary Deductions Amount
Basic 2250 2250 PF 390 VDA 1001 1001 ESI 75 HRA 550 550 PT - Conveyance 0 0 Misc. Ded 342 Medical Allow. 0 0 Phone Bill
Washing Allow. 600 600 I. Tax
Spl. Allowance 99 99
Others 342 342 Other deduction 100 4842 4842 907
Net Pay 3935
Net Pay in words: Rupees Three Thousand Nine Hundred & Thirty Five Only.
H. R. Department XXXXXXXXXXX SERVICES PRIVATE LIMITED
Address
Address
Address
Pay Slip for the Month of DECEMBER'09
EMPLOYEE No. : MODE OF PAY : CASH
EMPLOYEE NAME PF NUMBER
DESIGNATION ESI NUMBER :
DEPARTMENT NO. OF WORKING DAY 31
Earnings Salary Deductions Amount
Basic 2250 2250 PF 390 VDA 1001 1001 ESI 75 HRA 550 550 PT - Conveyance 0 0 Misc. Ded 342 Medical Allow. 0 0 Phone Bill
Washing Allow. 600 600 I. Tax
Spl. Allowance 99 99
Others 342 342 Other deduction 100 4842 4842 907
Net Pay 3935
Net Pay in words: Rupees Three Thousand Nine Hundred & Thirty Five Only.
H. R. Department
GrossSalary
GrossSalary
PF Statement for the month of December'09
S.No Name
01 Mr. XXXX 31 6500 780 541 239
02 Mr. XXXX 31 6500 780 541 239
03 Mr. XXXX 31 6001 720 500 220
04 Mr. XXXX 31 4001 480 333 147
05 Mr. XXXX 31 6500 780 541 239
06 Mr. XXXX 31 3251 390 271 119
07 Mr. XXXX 31 4251 510 354 156
08 Mr. XXXX 31 4501 540 375 165
09 Mr. XXXX 31 5251 630 437 193
10 Mr. XXXX 31 6500 780 541 239
11 Mr. XXXX 31 4251 510 354 156
12 Mr. XXXX 31 4251 510 354 156
13 Mr. XXXX 31 3451 414 287 127
14 Mr. XXXX 31 3451 414 287 127
15 Mr. XXXX 31 3451 414 287 127
16 Mr. XXXX 31 3451 414 287 127
17 Mr. XXXX 30 5324 639 443 195
18 Mr. XXXX 28 4969 596 414 182
19 Mr. XXXX 31 6500 780 541 239
20 Mr. XXXX 31 6500 780 541 239
21 Mr. XXXX 31 5501 660 458 202
22 Mr. XXXX 31 4501 540 375 165
23 Mr. XXXX 31 3501 420 292 128
24 Mr. XXXX 31 3251 390 271 119
25 Mr. XXXX 31 4001 480 333 147
26 Mr. XXXX 31 3501 420 292 128
27 Mr. XXXX 31 5001 600 417 184
28 Mr. XXXX 31 3251 390 271 119
29 Mr. XXXX 31 3251 390 271 119
30 Mr. XXXX 31 4001 480 333 147
31 Mr. XXXX 31 3251 390 271 119
32 Mr. XXXX 31 3251 390 271 119
33 Mr. XXXX 31 3251 390 271 119
34 Mr. XXXX 31 3251 390 271 119
35 Mr. XXXX 31 5001 600 417 184
36 Mr. XXXX 31 4001 480 333 147
37 Mr. XXXX 31 4001 480 333 147
38 Mr. XXXX 31 3251 390 271 119
39 Mr. XXXX 30 4840 581 403 178
40 Mr. XXXX 31 3251 390 271 119
41 Mr. XXXX 31 5001 600 417 184
42 Mr. XXXX 16 2065 248 172 76
43 Mr. XXXX 31 6001 720 500 220
44 Mr. XXXX 26 2727 327 227 100
45 Mr. XXXX 31 6500 780 541 239
46 Mr. XXXX 31 6001 720 500 220
47 Mr. XXXX 31 6001 720 500 220
48 Mr. XXXX 31 5501 660 458 202
49 Mr. XXXX 31 4001 480 333 147
50 Mr. XXXX 31 4501 540 375 165
51 Mr. XXXX 31 3501 420 292 128
52 Mr. XXXX 31 4751 570 396 174
53 Mr. XXXX 31 3501 420 292 128
54 Mr. XXXX 20 2097 252 175 77
55 Mr. XXXX 31 4001 480 333 147 56 Mr. XXXX 31 6001 720 500 220 57 Mr. XXXX 31 4001 480 333 147
58 Mr. XXXX 31 3251 390 271 119
59 Mr. XXXX 31 4251 510 354 156
60 Mr. XXXX 31 3301 396 275 121
61 Mr. XXXX 31 3001 360 250 110 62 Mr. XXXX 31 3001 360 250 110 63 Mr. XXXX 31 3001 360 250 110 64 Mr. XXXX 31 3001 360 250 110 65 Mr. XXXX 31 3001 360 250 110
66 Mr. XXXX 31 3501 420 292 128
67 Mr. XXXX 31 3251 390 271 119
68 Mr. XXXX 31 3251 390 271 119
69 Mr. XXXX 31 3251 390 271 119
70 Mr. XXXX 31 3251 390 271 119 71 Mr. XXXX 31 3251 390 271 119 72 Mr. XXXX 31 3251 390 271 119 73 Mr. XXXX 31 3251 390 271 119
Grand Total: 2227 304181 36502 25338 11163
Tota EPF/EPS: 73003
Admin Charges 3346
No.of Days
PF Gross
EPF12%
EPF8.33%
EPF3.67%
PF Statement for the month of December'09
S.No Name No.of Days
PF Gross
EPF12%
EPF8.33%
EPF3.67%
EDLI Charges 1521
Admin Charges EDLI 3077901
STATE BANK OF INDIAEMPLOYEES' PROVIDENT FUND ORGANISATION(USE SEPARATE CHALLAN FOR EACH MONTH)
ACCOUNT GROUP No. PAID BY CHEQUE/ CASHM M Y Y Y Y
Employees Share 1 2 2 0 0 9 D D M M Y Y Y YDUES FOR THE MONTHS OF: DATE OF PAYMENT - -
Employers Share 1 2 2 0 0 9
Total No. of Subscribers
A/c 172
A/c 1072
A/c 2172
Total Wages Due 299430 299430 299430
S. NO. PARTICULARSA/c No. 1 A/c No. 2 A/c No. 10 A/c No. 21 A/c No. 22 TOTAL
AMOUNT (in Rupees)PART - 01 1. EMPLOYER'S SHARE OF CONTR. 35,932 24,943 1,497 62,371
2. EMPLOYEES' SHARE OF CONTR. 10,989 10,989
3. ADM. CHARGES 3,294 30 3,324
4. INSP. CHARGES
5. PENAL DAMAGES7(Q)14(B)
6. MISC. PAYMENT 76,684
46,921 3,294 24,943 1,497 30 76,685
(Amounts in words Rs. Seventy Seven Thousand Nine Hundred & One only)(for Banks use only)Amount Received Rs. :………………………………………………
ADDRESS: For Cheques only :………………………………………………………Date of Presentation : ………………………………………………..Date of Realisation :…………………………………………………….Branch Name: ……………………………………………………………….
NAME OF THE DEPOSITOR………………………………………………………………. Branch Code No. : ……………………………………………………….
SIGNATURE OF THE DEPOSITER………………………………… (TO BE FILLED IN BY EMPLOYER)
COMBINED CHALLAN OF A/C NO. 1,2,10,21 & 22 ORIGINAL
ESTABLISHMENT CODE No.: AP HYD/61880
NAME OF ESTABLISHMENT: XXXXXXXXXXXXXXXXXXXXX Services Pvt. Ltd.
NAME OF THE BANK……………….………………………………………………….. CHEQUE NO…………………………………………..DATE………………………………………….
STATE BANK OF INDIAEMPLOYEES' PROVIDENT FUND ORGANISATION(USE SEPARATE CHALLAN FOR EACH MONTH)
ACCOUNT GROUP No. PAID BY CHEQUE/ CASHM M Y Y Y Y
Employees Share 1 2 2 0 0 9 D D M M Y Y Y YDUES FOR THE MONTHS OF: DATE OF PAYMENT - -
Employers Share 1 2 2 0 0 9
Total No. of Subscribers
A/c 172
A/c 1072
A/c 2172
Total Wages Due 299430 299430 299430
S. NO. PARTICULARSA/c No. 1 A/c No. 2 A/c No. 10 A/c No. 21 A/c No. 22 TOTAL
AMOUNT (in Rupees)PART - 01 1. EMPLOYER'S SHARE OF CONTR. 35,932 24,943 1,497 62,371
2. EMPLOYEES' SHARE OF CONTR. 10,989 10,989
3. ADM. CHARGES 3,294 30 3,324
4. INSP. CHARGES
5. PENAL DAMAGES7(Q)14(B)
6. MISC. PAYMENT 76,684
46,921 3,294 24,943 1,497 30 76,685
(Amounts in words Rs. Seventy Seven Thousand Nine Hundred & One only)(for Banks use only)Amount Received Rs. :………………………………………………
ADDRESS: For Cheques only :………………………………………………………Date of Presentation : ………………………………………………..Date of Realisation :…………………………………………………….Branch Name: ……………………………………………………………….
NAME OF THE DEPOSITOR………………………………………………………………. Branch Code No. : ……………………………………………………….
SIGNATURE OF THE DEPOSITER………………………………… (TO BE FILLED IN BY EMPLOYER)
COMBINED CHALLAN OF A/C NO. 1,2,10,21 & 22 DUPLICATE
ESTABLISHMENT CODE No.: AP HYD/61880
NAME OF ESTABLISHMENT: XXXXXXXXXXXXX Services Pvt. Ltd.
STATE BANK OF INDIAEMPLOYEES' PROVIDENT FUND ORGANISATION(USE SEPARATE CHALLAN FOR EACH MONTH)
ACCOUNT GROUP No. PAID BY CHEQUE/ CASHM M Y Y Y Y
Employees Share 1 2 2 0 0 9 D D M M Y Y Y YDUES FOR THE MONTHS OF: DATE OF PAYMENT - -
Employers Share 1 2 2 0 0 9
Total No. of Subscribers
A/c 172
A/c 1072
A/c 2172
Total Wages Due 299430 299430 299430
S. NO. PARTICULARSA/c No. 1 A/c No. 2 A/c No. 10 A/c No. 21 A/c No. 22 TOTAL
AMOUNT (in Rupees)PART - 01 1. EMPLOYER'S SHARE OF CONTR. 35,932 24,943 1,497 62,371
2. EMPLOYEES' SHARE OF CONTR. 10,989 10,989
3. ADM. CHARGES 3,294 30 3,324
4. INSP. CHARGES
5. PENAL DAMAGES7(Q)14(B)
6. MISC. PAYMENT 76,684
46,921 3,294 24,943 1,497 30 76,685
(Amounts in words Rs. Seventy Seven Thousand Nine Hundred & One only)(for Banks use only)Amount Received Rs. :………………………………………………
ADDRESS: For Cheques only :………………………………………………………Date of Presentation : ………………………………………………..Date of Realisation :…………………………………………………….Branch Name: ……………………………………………………………….
NAME OF THE DEPOSITOR………………………………………………………………. Branch Code No. : ……………………………………………………….
NAME OF THE BANK……………….………………………………………………….. CHEQUE NO…………………………………………..DATE………………………………………….
COMBINED CHALLAN OF A/C NO. 1,2,10,21 & 22 TRIPLICATE
ESTABLISHMENT CODE No.: AP HYD/61880
NAME OF ESTABLISHMENT: XXXXXXXXXXXXXXXXXXXXX Services Pvt. Ltd.
SIGNATURE OF THE DEPOSITER………………………………… (TO BE FILLED IN BY EMPLOYER)
STATE BANK OF INDIAEMPLOYEES' PROVIDENT FUND ORGANISATION(USE SEPARATE CHALLAN FOR EACH MONTH)
ACCOUNT GROUP No. PAID BY CHEQUE/ CASHM M Y Y Y Y
Employees Share 1 2 2 0 0 9 D D M M Y Y Y YDUES FOR THE MONTHS OF: DATE OF PAYMENT - -
Employers Share 1 2 2 0 0 9
Total No. of Subscribers
A/c 172
A/c 1072
A/c 2172
Total Wages Due 299430 299430 299430
S. NO. PARTICULARSA/c No. 1 A/c No. 2 A/c No. 10 A/c No. 21 A/c No. 22 TOTAL
AMOUNT (in Rupees)PART - 01 1. EMPLOYER'S SHARE OF CONTR. 35,932 24,943 1,497 62,371
2. EMPLOYEES' SHARE OF CONTR. 10,989 10,989
3. ADM. CHARGES 3,294 30 3,324
4. INSP. CHARGES
5. PENAL DAMAGES7(Q)14(B)
6. MISC. PAYMENT 76,684
46,921 3,294 24,943 1,497 30 76,685
(Amounts in words Rs. Seventy Seven Thousand Nine Hundred & One only)(for Banks use only)Amount Received Rs. :………………………………………………
ADDRESS: For Cheques only :………………………………………………………Date of Presentation : ………………………………………………..Date of Realisation :…………………………………………………….Branch Name: ……………………………………………………………….
NAME OF THE DEPOSITOR………………………………………………………………. Branch Code No. : ……………………………………………………….
NAME OF THE BANK……………….………………………………………………….. CHEQUE NO…………………………………………..DATE………………………………………….
COMBINED CHALLAN OF A/C NO. 1,2,10,21 & 22 QUARDUPLICATE
ESTABLISHMENT CODE No.: AP HYD/61880
NAME OF ESTABLISHMENT: XXXXXXXXXXXXXXXXXXXXX Services Pvt. Ltd.
SIGNATURE OF THE DEPOSITER………………………………… (TO BE FILLED IN BY EMPLOYER)
NAME OF THE BANK……………….………………………………………………….. CHEQUE NO…………………………………………..DATE………………………………………….
PT Statement for the month of Dec'09
Name
01 Mr. XXXX 100000 31 200
02 Mr. XXXX 60000 31 200
03 Mr. XXXX 10000 31 80
04 Mr. XXXX 6000 31 60
05 Mr. XXXX 12000 31 100
06 Mr. XXXX 6500 31 80
07 Mr. XXXX 7000 31 80
08 Mr. XXXX 8500 31 80
09 Mr. XXXX 15000 31 100
10 Mr. XXXX 6500 31 80
11 Mr. XXXX 6500 31 80
12 Mr. XXXX 5500 31 60
13 Mr. XXXX 5500 31 60
14 Mr. XXXX 5500 31 60
15 Mr. XXXX 5500 31 60
16 Mr. XXXX 9000 30 80
17 Mr. XXXX 9000 28 80
18 Mr. XXXX 12000 31 100
19 Mr. XXXX 15000 31 100
20 Mr. XXXX 9000 31 80
21 Mr. XXXX 7000 31 80
22 Mr. XXXX 6000 31 60
23 Mr. XXXX 8000 31 80
24 Mr. XXXX 6000 31 60
25 Mr. XXXX 8000 31 80
26 Mr. XXXX 6000 31 60
27 Mr. XXXX 6000 31 60
28 Mr. XXXX 8000 30 80
29 Mr. XXXX 8000 31 80
30 Mr. XXXX 6000 16 60
31 Mr. XXXX 10000 31 80
32 Mr. XXXX 25000 31 200
33 Mr. XXXX 10000 31 80
34 Mr. XXXX 10000 31 80
35 Mr. XXXX 9000 31 80
36 Mr. XXXX 6000 31 60
37 Mr. XXXX 7000 31 80
38 Mr. XXXX 5750 31 60
39 Mr. XXXX 7500 31 80
40 Mr. XXXX 5750 31 60
41 Mr. XXXX 6000 31 60
42 Mr. XXXX 10000 31 80
43 Mr. XXXX 6000 31 60
44 Mr. XXXX 6500 31 80
Grand Total: 507500 1344 3660
S.No
Gross Total
No.of Days
P.Tax
i) Upto Rs.1500/- NIL NILii) Range form Rs.1,500/- to Rs.2,000/- 16/- NILiii) Range from Rs.2,000/- to Rs.3,000/- 25/- NILiv) Range from Rs.3,000/- to Rs.4,000/- 35/- NILv) Range from Rs.4,000/- to Rs.5,000/- 45/- NILvi) Range from Rs.5,000/- to Rs.6,000/- 15 60/- 900vii) Range from Rs.6,000/- to Rs.10,000/- 21 80/- 1680viii) Range from Rs.10,000/- to Rs.15,000/- 4 100/- 400ix) Range from Rs.15,000/- to Rs.20,000/- 0 150/- 0x) Range above Rs.20,000/- 3 200/- 600
Return of tax payable for the month ending on: December 2009
Name of the Employer: XXXXXXXXXXXXXXXXXXX Services Pvt. Ltd.
Address:
Registration Certificate No.: XXXXXXXXXXXXXXXX
Number of employees during the month in respect of whom is payable us as under
Employer whose monthly salaries or wages or both are
Number of Employees
Rate of TaxPer Month Rs.
Amount of Tax Deducted Rs.
Add: Simple interest Payable (if any) on the Above amount at two percent per month or
Part thereof (vide Section 11 of the Act)
I certify that all the employees who are liable to pay the tax is employ durig the period of return have been covered by the foregoing particulars. I also certify that the mecessary revision in the amount of deductioble from the salaru or wages of the employees on account of variation in the salary or wagesearned by them has been made wherever ncessary.
I..................................................................................................................................................solemnly declare that the above statements are true to the best of my knowledge and belief.
Place: Hyderabad
FORM V(See Rule 12)
RETURNS OF TAX PAYABLE BY EMPLOYERUnder Sub-section (1) of Section 7 of the A.P. Tax on
Professions, Trades, Calling and Employments Act, 1987
Note: where the return is not acceptable separate order of assessment should be passed.
ESIC Statement for the month of Dec'09
S.No Name
01 Mr. XXXX 31 9400 165 447
02 Mr. XXXX 31 5400 95 257
03 Mr. XXXX 31 4048 71 192
04 Mr. XXXX 31 5900 104 280
05 Mr. XXXX 31 6400 112 304
06 Mr. XXXX 31 7900 139 375
07 Mr. XXXX 31 5900 104 280
08 Mr. XXXX 31 5900 104 280
09 Mr. XXXX 31 4900 86 233
10 Mr. XXXX 31 4900 86 233
11 Mr. XXXX 31 4900 86 233
12 Mr. XXXX 31 4900 86 233
13 Mr. XXXX 30 8129 143 386
14 Mr. XXXX 28 7587 133 360
15 Mr. XXXX 31 8400 147 399
16 Mr. XXXX 31 6400 112 304
17 Mr. XXXX 31 4400 77 209
18 Mr. XXXX 31 4242 75 201
19 Mr. XXXX 31 5400 95 257
20 Mr. XXXX 31 4400 77 209
21 Mr. XXXX 31 7400 130 352
22 Mr. XXXX 31 4242 75 201
23 Mr. XXXX 31 4242 75 201
24 Mr. XXXX 31 5400 95 257
25 Mr. XXXX 31 4242 75 201
26 Mr. XXXX 31 4242 75 201
27 Mr. XXXX 31 4242 75 201
28 Mr. XXXX 31 4242 75 201
29 Mr. XXXX 31 7400 130 352
30 Mr. XXXX 31 5400 95 257
31 Mr. XXXX 31 5400 95 257
32 Mr. XXXX 31 4242 75 201
33 Mr. XXXX 30 7161 126 340
34 Mr. XXXX 31 4242 75 201
35 Mr. XXXX 31 7400 130 352
36 Mr. XXXX 16 2787 49 132
37 Mr. XXXX 31 9400 165 447
38 Mr. XXXX 26 3558 63 169
39 Mr. XXXX 31 9400 165 447
40 Mr. XXXX 31 9400 165 447
41 Mr. XXXX 31 8400 147 399
42 Mr. XXXX 31 5400 95 257
43 Mr. XXXX 31 6400 112 304
44 Mr. XXXX 31 5150 91 245
45 Mr. XXXX 31 7500 132 356
46 Mr. XXXX 31 5150 91 245
47 Mr. XXXX 20 2737 48 130
48 Mr. XXXX 31 5400 95 257
49 Mr. XXXX 31 9400 165 447
50 Mr. XXXX 31 5400 95 257
51 Mr. XXXX 31 4242 75 201
52 Mr. XXXX 31 5900 104 280
53 Mr. XXXX 31 4048 71 192
54 Mr. XXXX 31 4048 71 192
55 Mr. XXXX 31 4048 71 192
56 Mr. XXXX 31 4048 71 192
57 Mr. XXXX 31 4048 71 192
58 Mr. XXXX 31 4048 71 192
59 Mr. XXXX 31 4400 77 209
60 Mr. XXXX 31 4048 71 192
61 Mr. XXXX 31 4048 71 192
62 Mr. XXXX 31 4048 71 192
63 Mr. XXXX 31 4048 71 192
64 Mr. XXXX 31 4048 71 192
65 Mr. XXXX 31 4048 71 192
66 Mr. XXXX 31 4048 71 192 Grand Total: 2010 361551 6355 17174
ESIC Employee Share 6355
ESIC Employer Share 17174
No.of Days
ESI Gross
ESIC1.75%
ESIC4.75%
ESIC Statement for the month of Dec'09
S.No Name No.of Days
ESI Gross
ESIC1.75%
ESIC4.75%
Total: 23529
ESICORIGINAL (for Bank)
DUPLICATE (for ESIC through Bank)
TRIPLICATE (for Depositor)
QUADPUPLICATE (through Depositgor)
EMPLOYEES STATE INSURANCE FUND ACCOUNT No. 1
PAY-IN-SLIP FOR CONTRIBUTION Challan No.
STATE BANK OF INDIA
Station…………………………. Dated………………
Amount
Rs. P. Paid into the credit of
December'0923040
the Employees State
Insurance Fund
Account No. 1
23040 Rs. 23040
(Rupees Twenty Three Thousand Five Hundred & Twenty Nine Only)
in Cash/ by Cheque (on realisation) for payment of contribution as per details
given below under the Employees' State Insurance Act, 1948, for the
Deposited by:
Name and Address of XXXXXXXXXXXXXXXXXXXXXX Services Pvt. Ltd.Factory/ Establishment