Wage Registers

8/3/2019 Wage Registers

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Name of The Establishment__________________________________

1 2 3 4

YES (ABOVE 15 YEARS)

Sr.No. Name of the Employees

Father's Name /

Husband's Name

Whether he has Completed

15 years of age at the

starting of accounting

Year.


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Form C Rule 4 Payment of Bonu

Bonus paid to Employees For the Accounting Year ending on __________________

___________

5 6 7 8 9 10

TRAINEE 278 43000 3500 NIL NIL

Total Salary or

Wages in respect

of the accounting

year

mount o

Bonus

payable

under S.10 or

11 as the

case may be

Pooja Bonus or

other customary

Bonus paid

during the year

Interim Bonus or

Bonus paid in

AdvanceDesignation

No. Of Days

worked in

the year


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Rules, 1975

No. Of Working days in the Year___________________

11 12 13 14 15 16

NIL NIL 3500 3500 Oct-10

Net Payment

Payable

Amount

actully paid

Date on Which

paid

Signature / Thumbs

impression of the

Employee

Deductions on a/c

of Financial loss if

any on a/c of

misconduct of the

employee

Total Sum

Deducted

9+10+11


4/28

Leave WithName of the Worker..

Ticket No.. Occupation..

Name of the Factory

Department..

No. of Days worked during the Calender Year

January 26 0 0 0 26

February

March

April

May

June

July

August

September

October

November

December

Year

Month

No.

OfdaysWork

Performed

No.O

fdaysoflay-

off No.o

fdaysof

Maternityleave

withwages

No.o

fdaysLeave

withWages

Enjoyed

Tot

al


5/28

gaes Register FORM NO. 20 ( See Rule 105)Father's Name .. DISCHAR

Normal Rate of Wages. Date

Page No. - Old / New Date and a

made in lie

Sr.No. From Adult/ Children Register Register

Date of Entry into Service Remarks

Leave with wages to Credit Leave With Wages

Enjoyed

10 1.3 11.3 NO NO NO NO 11.3

Lea

vewithWages

earnedduringthis

Year

Tot

al

Wh

etherLeavewith

wagesrefused

Wh

etherLeavewith

wagesnotdesired

duringthenextYear

BalanceofLeave

withwagesfrom

precedingyear

Fro

m

To Balancetocredit


6/28

ED WORKER

mont of payment

of leave with

Cashequivalentor

acc

uringthrough

con

cessionalsaleof

foodgrainorother

articles

Rateofwagesforleave

wagesperiod

Normalrateofwages


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Name and adress of Contractor

Nature and Location of Work

Sr.No. Name of Workmen Sex

Date on which

overtime work

was put in

1 2 3 4 5 6

DINESHKUMAR PATIL BHARAT MALE HR EXECUTIVE

`

Father's /

Husband's

Name

Designation

and

department


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FORM XIX

(see rule 59 (2) (e)

Register of Overtime

Name and address of Establi

under which Contract is carr

Nature and address of Princi

Wages of

Overtime On

Each

Occasion

Total Overtime

Worked or

production in case of

piece- rates

Normal

Hours

Normal

rates

Overtime

rate

Normal

earnings

Overtime

earnings

Total

earnings

7 8 9 10 11 12 13 14


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shment in/

ied on :-

pal Employer

Date on which

overtime work

was put in

Innitials of

contractor or

his

representative

Initials of

Authorised

Representative or

Principal Employer

15 16 17


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Register of D

Name and address of Contractor_______________________

Nature and location of work ________________________

1 2 3 4 5

Sr. No. Name of Workmen

Father's Name /

Husband's Name Designation

Perticulars of

Damage or Loss


11/28

FORM XVI

[ See Rule 59 (2) (d)

duction for Damage or Loss

Name and address of establishment in/

under which contract is carried ____________________

Name of the Principal Employer ____________________

6 7 8 9 10 11

Wheter Worker

cause against

Deduction

Name of the person in

whose presence

employee's explanation

was heard

Date of

First

Installment

Amount of

Deduction

imposed

No. Of

Installment

Date of Damage

or Loss


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_____________

____________

12 13 14

Signature of the

Employer or His

RepresentativeRemarks

Recovery of

Last

Installmen


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Name and address of Contractor _____________________

Name and address of establishment in/

under which contract is carried on _____________________

1 2 3 4 5

Name of Workman

Father's / Husband's

Name Designation

Act / Ommission

for which fine

imposedSr.No.


14/28

FORM XVII

[ See rule 59 (2) (d)

Register of Fine

Nature and location of work _________________________________

Name and address of principal Employer_______________________

6 7 8 9 10

Date of Offence

Whether employee

Showed cause

Name of person in whose

presence employee's

explanation was heard

Rate of

wages

Amount of fine

imposed


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11 12

Remarks

Date on which

fine imposed


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Mater

Name of The Establishment :

Nature of the Establishment :

1 2 3 4 5 6

Sr.No. Name of the Women Date Of Appointment Dept. Nature of Work

Dates on

which sheis laid off

and not

employed


17/28

Form X

[See rule 12(1) ]

nity Benefit Register

7 8 9 10 11 12 13 14 15

Date of

birth of

child

Date of

production

of proof ofpregnancy

under S.6

of the Act.

Date of

production of

proof ofDelivary/

Miscarriage /

Death

Date on

which

Maternity

Benefit is

paid in

advanceand the

amount

thereof

Total days

emploed

in the

Date on

which

womangives

payment

period

Date on

which

subseque

nt

payment

ofmaternity

benefit is

made

Date on

which

medical

bonus ispaid and

amount

thereof

Date on

which

wages on

account of

leave paidand

amount

thereof


18/28

16 17 18 19

If women

dies Date

of Death,

Name of

person to

whomMaternity

benefit is

paid.

If Woman

dies and

child

survives,

the name

of the

person to

whom

maternity

benefit ispaid on

behalf of

child

Remarks

Columnsfor the

use of

Inspector

Name of

the

personnominated

by the

women


19/28

FORM ' A'[ See rule 4 ]

Name of the Industry :

Name Of Employer :

Address :

Month and Year to which the

House rent allowance Relates :

1 2 3 4

This is to certify that I have today in the presence of witness testifying herewith paid the

the workmen employed by me and that each workmen employed by me and that each workman

Specified agianest his name above.

Witnesses

1.________________________

Sr.No Name of Workman

Wages for the Month

for which House - Rent

allowance is payable

House - Rent

allowance paid


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2.________________________


21/28

5 6 7

mount of Rs.. In house-rent allowance to

has received the amount of house - rent allowance

Mode of Payment

Signature of

Workmen Remarks


22/28

Signature of Employer


23/28


24/28

FORM 'I'

[ See Rule 12 ]

Register of Workmen

Name of The Establishment :

Address

Nature of Industry

1 2 3 4 5 6

Signatur

Basic D.A.Sr.No. Name of Workmen Date of Appointment Designation


25/28

7 8 9

of The Employer

Signature of

WorkmanTotal

Amount of H.R.A.

Paid


26/28

FORM X( See rule 59 (

Register of A

Name & address of Contractor_________________

Nature Location of Work______________________

1 2 3 4

Sr.No. Name Of Workmen

Father's Name /

Husband's Name

Nature of

Employment


27/28

VIII) (d)

vance

Name & address of establishment__________________

Name & address of Principal Employer______________

5 6 7 8 9

Earning During a

Wage period

Date and

Amount of

Advance

Purpose (s) for

which

Advance is

made

No. of installment

by which Advance

is repaid

Amount of Installment

repaid with date of

postponement

granted


28/28

10 11

Signature or

thumb impression

of the worker

Date on which total

amount paid

Wage Registers

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