1[ FORM NO.

22
MUSTER ROLL CUM REGISTER OF WAGES/SALARY/SUBSISTENCE ALLOWANCE
( See Rule 137)

I.      Form 22 (Muster Roll-cum-Register Wages Salary/Subsistence Allowanc

II.      Form V (Rule 29(1) of the Karnataka Minimum Wages Rules, 1958)
III.      Form VII (Rule 29(5) of the Karnataka Minimum Wages Rules, 1958)
IV.      Form III (Rule 5 of the Karnataka Payment of Wages Rules, 1963)
V.      Form XVI (Rule 78(1)(a)(i) of the Contract Labour (Regulation & Abolitio
VI.     Form XVII (Rules 78(1)(a)(i) of the Contract Labour (Regulation & Aboliti

Name and Address of the Factory/Establishment

ITC Limited -Agribusiness Divis

Sl. Emp Name of the Employee Father Name

No. ID

1
2
NCE ALLOWANCE

istence Allowance) Rule 137 of the Karnataka Factories Rules, (1969)

Rules, 1958)
s Rules, 1958)
ules, 1963)
ulation & Abolition) (Karnataka) Rules, 1974
gulation & Abolition) (Karnataka) Rules, 1974

Agribusiness Division-ILTD Name and Address of the Contractor (if any) :

Male/ Designation/ Date of ESI.

Female Department Joining No.

e Contractor (if any) :

Place of work : NANJANGUD

UAN Wages

No Fixed 1 2 3 4 5 6 7
0 0 0 0 0 0 0
NANJANGUD Month/Year :

Attendance

8 9 10 11 12 13 14 15 16 17 18 19 20
0 0 0 0 0 0 0 0 0 0 0 0 0
 ITC LIMITED, AGRI BUSINE
NEAR THANDYA INDUSTR

Date oNo. of Total

21 22 23 24 25 26 27 28 29 30 31 Suspen
Payable OT
 0 0
0 0 0 0 0 0 0 0 0 0 0
D, AGRI BUSINESS DIVISION, ILTD,
NDYA INDUSTRIAL AREA, IMMAVU (V&P), CHIKKAIANA CHATRA HOBLI, NANJANGUD

Earned Wage And Other Allowances

Basic DA/ HRA ConveyaCCA Wash

0 0 0 0 0 0
RA HOBLI, NANJANGUD TQ, MYSORE-571302

Bonus Leave Spl OT NFHSubsIncentive others

0 0 0 0 0 0 0 0
 Deductions

Soci Insu Fin

Total PF ESI PT Itax - r- Sal. es
0 0 0 0 0 0 0 0 0
 Total
Da Transpor
ma LUNCH_ tation
ge Uniform DED DED LWF Others Dedns
0 0 0 0 0 0 0
 Mode of
Net Bank Ac No Payment

Payable
0