Name of Establistment: Tiki Tar Industries (Baroda) Limited

Place:Mangalore
Minimum Wages Payabl
1 2 3 4 5

Sr. No. Name of Employees Father Name Designation Basic

Ravindra Pujari Plant Operator

1 Shivagondappa 181
Shivanand Pujari Plant Operator
2 Kallappa 181
Shekh Aftabbhai Plant Operator
2 Iqbalbhai 181
4 Parashuram Navi Sayabanna Plant Helper 181
 Register of Wages

Wage Period from……1st April 2012...To…30th April 2012…………..

Minimum Wages Payable Rate of Wages Acturally Paid

6 7 8 9 10 11

Total
Gross
Attendance/ Overtime
DA Basic DA Salary
Days of Worked
Payable
work done

226 0
0 0 26 5876
237 415
0 0 26 6576.8
193 1737
0 0 26 6755
0 171 0 25 0 4275
2…………..
Form V
Rule (29) (1)
Deduction
12 13 14 15 16 17
Employee's Contribution

Total
Wages
PF ESI HRA Other Deductions Deductio
Paid
ns

705 0 0 0 705 5171

739 0 0 0 739 5837

602 0 0 0 602 6153

513 0 0 0 513 3762
 SBC/WR/007/2011
MWV

18 19

Signature
or Thumb
Date of
Impression
Payment
of
Employee

7th May 2012

7th May 2012

7th May 2012

7th May 2012