FORM XXVII

[See Rule 88 (1)(a)]

Register of Wages

Name and address of the establishment where building or other construction work is carried on:

Name and permanent address of establishment:

Nature of building and other construction work:

Name and address of the Employer:

Wage for the Month of:

Sl. No. Name of workmen Serial No. in the register of Designation/nature of No. of days worked Units of work done Daily rate of Basic wages Dearness allowences Overtime Other cash payments (nature of Total Deductions, if any, Net amount paid Signature/Thumb impression Initial of employer or his
workmen work done wages/piece rate payment to be indicated) (indicate nature) of workman representative

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