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    hdpanchal86
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    This document contains a register for an Employees' State Insurance Corporation. It lists information for insured persons such as their name, insurance number, occupation, and department. It also includes columns to record the number of days worked, total wages paid, and employees' contribution share for each month in the contribution period. The bottom sections summarize the total number of days worked, total wages paid, total employees' contribution, and average daily wage for the full contribution period.

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    This document contains a register for an Employees' State Insurance Corporation. It lists information for insured persons such as their name, insurance number, occupation, and department. It also includes columns to record the number of days worked, total wages paid, and employees' contribution share for each month in the contribution period. The bottom sections summarize the total number of days worked, total wages paid, total employees' contribution, and average daily wage for the full contribution period.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    22 views2 pages

    Form 6

    Uploaded by

    hdpanchal86
    This document contains a register for an Employees' State Insurance Corporation. It lists information for insured persons such as their name, insurance number, occupation, and department. It also includes columns to record the number of days worked, total wages paid, and employees' contribution share for each month in the contribution period. The bottom sections summarize the total number of days worked, total wages paid, total employees' contribution, and average daily wage for the full contribution period.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
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    of 2

    www.esicoimbatore.

    org

    EMPLOYEES STATE INSURANCE CORPORATION


    REGISTER OF EMPLOYEES
    Contribution Period: Sl. No. Insurance No. (Regulation 32) From ______________________ to _____________________ Name of the Insured Person *Name of dispensary to which attached Occupation Deptt. and shift, if any If appointed or left service during the contribution period, date of appointment/ leaving service 6. Month ________________ No. of days Total Employees for which amount share of wages of wages contribution paid/ paid/ payable payable 7. 8. 9. REG. FORM - 6

    1.

    2.

    3.

    3 (A)

    4.

    5.

    Total Employers Share Grand Total Paid on Month ______________________ No. of days for which wages paid/ payable 1o. Total amount of wages paid/ payable (Rs.) 11. Employees share of Contribution (Rs.) 12. Month ______________________ No. of days for which wages paid/ payable 13. Total amount of wages paid/ payable (Rs.) 14. Employees share of Contribution (Rs.) 15. Month ______________________ No. of days for which wages paid/ payable 16. Total amount of wages paid/ payable (Rs.) 17. Employees share of Contribution (Rs.) 18.

    Total Employers Share Grand Total Paid on

    Total Employers Share Grand Total Paid No.

    Total Employers Share Grand Total Paid No.

    www.esicoimbatore.org

    EMPLOYEES STATE INSURANCE CORPORATION


    Month ______________________ No. of days for which wages paid/ payable Total amount of wages paid/ payable (Rs.) 20. Employees share of Contribution (Rs.) Month ______________________ No. of days for which wages paid/ payable Total amount of wages paid/ payable (Rs.) 23. Employees share of Contribution (Rs.) Total No. of days for which wages paid/ payable in Contribution period 25. Summary Total amount of wages paid/ payable in Contribution period (Rs.) 26. Total Employees share of Contribution in Contribution period (Rs.) 27. Daily Wage (26 25) (Rs.)

    19.

    21.

    22.

    24.

    28.

    Total Employers Share Grand Total Paid on

    Total Employers Share Grand Total Paid No.

    Note:

    The figures in Columns 7 to 24 shall be in respect of wage periods ending in a particular calendar month.

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