1

Sr.No.

Employee Code

Status

Region

Location

Salutation
Mr

Name
xyz
Salary for the month of January'2011

ESIC location
Lucknow

onroll/offroll
Onroll

Department
Attendance Cycle:1st to 31st

DOJ
 Leaves Details(CL Unpaid) 31 31 Ear

Working Days
Basic + Basic +

Gross Salary
Designation

No. of Days
D.A. D.A.

final leave
Conve
Remarks

CL PASS
PL PASS
SL PASS
(Consol yance (Consolida

Vertical
Tel.
idated Allow Entertainment ted

LATE
Reimburse
Pay) Pay)

CL
PL
ance Allow. ment
SL
0 0 0 0 0 0 0 0 31 0 0 0 0 0 31 0

0
 PF. Admn. @ 1.61%
Earned Salary Employer's Contribution Employee's Contribution

Monthly Gross

ESI @ 4.75%

ESI @ 1.75%
PF @ 12%

PF @ 12%
subtotal
Conveyanc Entertain Tel.

Total
e ment Reimburse

CTC
Allowance Allow. ment
0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0
 0

0
Arrear
Balance payment if any

Deduction If
0

any
Penality if any

Monthly Takehome

Bank Name

Account no.
Details

Gender

ESI No.

PF. Number

Remark
Comments if any