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FORM G

(See Rule 14)

Register of Employment & Remuneration

 

Year ………………..... Month ……………….. of …………..

 

Wage Period

 

(Where Different) ……………………………………………..

 

Name of Establishment ………………………………..

 

Name of Employee …………………………………….

Father’s Name …………………………..

Nature of Work ..………………………………………..

Rate of Wages …………………………..

Wage Period ……………………………………………

Date of Employment …………………….

 

 

Hours of Works

Interval for Rest & Meals

Hours Worked with the Employer

Overtime

Casual or sickness Leave Availed during the Month/Wage Period

Privilege Leave

Signature of Owner or Occupier

Remarks

Date

From

To

From

To

Hours Worked

Wages Earned

Leave Due

Leave Availed

Balance

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Remuneration Due

Deductions

Net Amount Payable

Date of Payment

Signature of Employee

Basic Salary or Wages

Overtime

Other Allowances if any

Total

Fines & Deductions on account of Damage or loss

other Deduction

Advance Paid

Total

 

 

 

Date

Amount

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Signature of Employer

 

 

 

 

Central Bare Acts
State Bare Acts

   

 

 

 


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