Scribd
Upload
29 views2 pages

Wage Register Form for Employers

The document contains a 23 item form for recording wages paid to employees. It includes details like name, sex, designation, wages period, units of work done, daily/piece rates, deductions, and net wages.

Uploaded by

Gokul Ram
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
29 views2 pages

Wage Register Form for Employers

The document contains a 23 item form for recording wages paid to employees. It includes details like name, sex, designation, wages period, units of work done, daily/piece rates, deductions, and net wages.

Uploaded by

Gokul Ram
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

(1)

Serial No.

(2)
Name of the Person Employed

(3)
Sex

(4)
Designation/Nature of Work

(5)
Name of the Establishment:

Daily rated/Piece-rated/Monthly rated

(6)
Wages period – Weekly/Fortnight/Month

Total No. Of days worked during the

(7)
Week/Fortnight/Month

(8)
Units of work done/Number of days worked
Name of the Employer/Contractor with Address:

(9)
Daily rate of wages/piece rate

(10)
Overtime Rate

(11)
Basic Wage

(12)
Dearness Allowance
1FORM

Other allowance/Cash payment nature to be


(13)
–R

Wages Earned

specified
Register Of Wages

(14)

Overtime earned
[See sub-rule (5) of Rule 11]

(15)

Leave wages including cash in lieu of kinds


(16)

Gross Wages
Month:

Grand Total:
(17)

Provident Fund
Wage Period :

(18)

Employee State Insurance


Deductions

(19)

Other deduction (indicate nature)*


Year:

(20)

Fines (if any)*


(21)

Net Wages
(22)

Signature with date or thumb impression


Cheque No. and Date in case of payment
through Bank/Advice of Bank to be appended
(23)

Total unpaid amounts accumulated


Certified that the wages have been paid to all the workers employed
for the month of ………….. for the week ending ………. /
for the fortnight ending on ……………

Signature of employer/Manager/Contractor/Authorised Person.

N.B: Please see Section 3 of the Tamil Nadu Labour Welfare Act, 1972
*** Please See Section 2(1) of the Tamil Nadu Labour Welfare Fund Act, 1972

1
Added by G.O. Ms. No. 3, Labour and Employment (C ), 4th January, 2007.

You might also like