Sl. No. | Name of the employee | Father's Name | Whether he has completed 15 years of age at the beginning of the accounting year | Designation | No. of days worked in the year | Total salary or wage in respect of the accounting year | Amount of bonus payable under section 10 or section 11 as the case may be | Puja bonus other customary during the accounting year | Interim bonus or bonus bonus paid advance | Amount of Income-tax deducted | Deduction on account of financial loss, if any, caused by misconduct of the employee | Total sum deducted under Columns 9,10.10A and 11 | Net amount payable (Column 8 minus Column 12) | Amount actually Paid | Date on which paid | Signature/Thumb impression of the employee |