Form L

[See Rule 40]

Register of overtime work and payment of overtime wages The Assam Shops and Establishments Rules, 1976

M/S. CONNECT INDIA E COMMERCE SERVICES PVT LTD,

Name and Address of the Establishment
NEAR HALESWAR MOUJA PATICHUBURI NAMGHAR TEZPUR -784501

For the month ending on May"2022

Money value of Overtime Total amount of

Dates on which Extent of overtime Total amount Signature of
Rate of meals & concessional rate of overtime wages the
S.No Emp. ID Name of the Employee overtime work work done on each of overtime the
wages supply of food grains etc., wages per employee is entitled
was done day (in hours) wages paid employee
if any hour to

1 1A 2 3 4 5 6 7 8 9 10

Nil Nil Nil Nil Nil Nil Nil Nil Nil Nil Nil

Signature of the Employer with date

2022 1 of 1 Connect India - Assam