Serial Number

2022
(1)
Registration Certifi cate No:
Name of the Manager/Incharge:
Name of the Employee

(2)
Name and Address of the Establishment:
Name and Address of the Establishment:

Employee Identification
(3)

No.

Number of days worked

(4)

Basic Wage
(5)

Dearness Allowance
(6)

House Rent Allowance

(7)
Chennai 600017

Other Allowances (nature

(8)

may be specified)

Overtime Wages
(9)
Mr.John David Owens - Director
Mr.John David Owens - Director

TN/AIL19CHE/NFSH/68-21-00235

Overtime Wages (wages for

EL availed / double wages
for National Festival
(10)

Holidays / wages for

accumulated leave)
M/s. SOLARWINDS INDIA PRIVATE LIMITED

Gross Wages
(11)

NIL

1 of 1
FORM-W

9, Knockrea Park, Douglas Road, Cork City, Co Cork, T12A8P0

Provident Fund No.

(12)
REGISTER OF WAGES

Employee's State Insurance

[See Sub-rules(1) of rules (16)]

(13)

Corporation No.

Labour Welfare Fund

Advance Paid
(14) (15)

Advance recovery pending

No.18, 3rd Floor, RMS Apartment, #12, Gopalakrishnan Iyer Street, Pondy Bazaar, T.Nagar,

at the beginning of the

(16)

month

Advance Recovered
Advances

(17)

Pending Recovery
(18)
Deductions

Deduction imposed on
(19)

Damages, Loss or Fines

Month

Deduction recovery
pending at beginning of the
(20)

month
Deduction made on
Damages / Fine

Damages, Loss or Fines

Pending Recovery
(21) (22)
Wage Period:

Any other Deductions

(23)
April

Total Deductions
(24)
NIL
Men

Net Wages
(25)
NIL
Total number of persons employed:

Women

Date of payment
(26)
person
Year

Male young

Unpaid accumulations
(27)

Rate at which subsistence

Monthly

allowance calculated and

(28)
-

amount paid
person

Receipt by Employee /
Female young
2022

Bank Transaction Identify

(29)

and Date
Remarks
(30)

Solarwinds - Chennai