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Tamil Nadu Wage Registration Form R

The document appears to be a form for registering wages of employees. It includes fields for name, address, employer details, wage period, basic wages, deductions, and signatures.

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Bloom Itservices
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We take content rights seriously. If you suspect this is your content, claim it here.
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127 views4 pages

Tamil Nadu Wage Registration Form R

The document appears to be a form for registering wages of employees. It includes fields for name, address, employer details, wage period, basic wages, deductions, and signatures.

Uploaded by

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

Serial Number

Address:
Name of the Person Employed

Name of the Establishment:


Sex

Designation / Nature of work Name of the Employer / Contractor with

Daily rated / Piece-rated/ Monthly


rated

Wages Period - Weekly/Fortnight


/ Month

Total No. of days worked during


the Week/Fortnight/Month

Units of work done/Number of


days worked

Daily rate of wages / Piece rate

Overtime Rate

Basic Wages

Dearness Allowance

Other Allowances/Cash Payment


Nature to be specified
FORM - R

Wages Earned

Overtime earned
REGESITRATION OF WAGES
[See sub-rule (5) of Rule 11)

Leave wages including cash in


lieu of kindsumber

Gross Wages

Provident Fund

Employees' State Insurance


THE TAMIL NADU SHOPS AND ESTABLISHMENT ACT, 1947 AND RULES, 1948

Other Deduction (indicate Nature)*


Deductions

Fine (if any)*


MONTH

Net Wages
WAGE PERIOD

Signature with Date or Thump


Impression / Cheque No. and Date
in case of payment through
YEAR

Bank/Advice of the Bank to be


appended

Total unpaid amounts


accumulated
Sl. Name of the person Date of Entry into Age/Date of Birth Designation Sick Leave Casual Leave
No. employed service
Holidays with Sick Leave Casual Leave Holidays with
wages wages

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