Form II - Muster Roll cum Wage Register

[See Rule 27(1)]

Name of the Establishment

Name of the Employer
For the month of
Hours worked on Leave Wages
Intervals Balance
Working Minimum Actual Total Total Deduction Earned Availed Signature of
Age Nature of Date of for rest or Total Rate Gross Net at the Date of
Full name of hours rates of rates of production overtime Normal HRA Overtime Advances Previous during during thumb
Sl No and work and entry into meal 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 days of wages wages end of payment of
the employee From wages wages in case of hours wages Payable earnings Fines Balance the the impression of
sex designation service From worked HRA payable paid the wages
To payable payable piece rate worked Damages month month the employee
To month
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18

Signature of the Authorised Representative : Signature of the Employer or the person authorised by him to authenticate the
Principal Employer (In the case of Contract Labour) : above entries with the company seal