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FORM 7: REGISTER OF EMPLOYEES

Regulation 32

Contribution period: From.........................to........................................

Sl. No.

Insur- ance No.

Name of the  insured person

Name of dispensary to which attached

Occupation

Deptt. And shift, if any

If appoin ted during  the contrib  ution period,  date of appoint- ment

Month

No. of   days         for        which  wages   paid/ payable

Total amount of wages paid/ payable

Emplo- yees’  share of contri- bution

(1)

(2)

(3)

(3A)

(4)

(5)

(6)

(7)

(8)

(9)

 

 

 

 

 

 

 

 

 

 

Total _________________

Employees' share of contribution _____________________

Total value of contribution paid, vide SBI challan No _________________

Month

Month

Month

No. of days for which wages paid/payable

Total amount of wages paid /payable

Employees’ share of contribution

No. of days for which wages paid-payable

Total amount of wages  paid/ payable

Employees’ share of contribution

No. of days for which wages paid / payable

Total amount of wages paid / payable

Employees' share of contribution

(10)

(11)

(12)

(13)

(14)

(15)

(16)

(17)

(18)

 

 

 

 

 

 

 

 

 

 

Month

Month

Month

No. of days for which wages paid-payable

Total amount of wages paid / payable

Employees' share of contribution

No. of days for which wages paid / payable

Total amount of wages paid / payable

Employees' share of contribution

No. of days for which wages paid / payable

Total amount of wages paid / payable

Employees' share of contribution

Daily wage (26+25)

(19)

(20)

(21)

(22)

(23)

(24)

(25)

(26)

(27)

(28)

 

 

 

 

 

 

 

 

 

 

Total _________________

Employer's share of contribution __________________

Total value of contribution paid vide SBI Challan No ________

Note: The figures in Columns 7 to 26 shall be in respect of wages periods ending in a particular calendar month.

 

 

 

 

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