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Company Name

SalaryStatementfortheMonthof_______,2007
EmployeeName
EmployeeNumber
AccountNumber
DaysPresent
ArrearsDays
Salaryforthemonth

JoiningDate
Designation
PaidLeaves
P.F.No.
LeaveWithoutPay

Earnings

Deductions
Amount

BasicSalary
DearnessAllowance
HRA
Conveyance
MedicalAllowance
MobileExpenses
SpecialAllowance
PerformanceIncentives
Arrears/OtherErn.
TotalEarnings
NetSalaryRs.

Company
Logo

Amount
E.ProvidentFund
ESI
ProfessionalTax
I.Tax
Loan
Advance
Misc.Deduction

TotalDeductions
Rupees

For_______________________

E&O.E

AuthorizedSignatory

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