You are on page 1of 1

Contract Labour (Regulation & Abolition) Central Rules FORM XIX

See Rule 78(1)(b)

Wage Slip

Name and Address of Contractor Nature and location of work Name and Fathers/Husbands name of the workman For the Week/Fortnight/Month ending 1. 2. 3. 4. 5. 6. 7. No. of days worked No. of units worked in case of piece-rate workers Rate of daily wages/piece-rate Amount of overtime wages Gross wages payable Deductions, if any Net amount of wages paid Initials of the Contractor or his Representative

You might also like