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 Company Name
Address
Email-ID
Contact No.

Salary Slip for the Month of ____________20_______

Salary Details
Earnings Amount Deductions Amount
Salary Heads Salary Heads
Basic Salary PF of Employee
Allowances: ESI
House Rent Allowance TDS
Conveyance Allowance Other Deduction
Transport Allowance
Medical Allowance
Special Allowance
Other Allowance
Total Allowance
Gross Salary - Gross Deductions -
Employer Contribution
PF of Employer
Summary
ESI -
Exgratia Gross Salary
Reimbursements: Add:Reimbursed Allowances
Medical (Reimb) Less:Deductions
Conveyance (Reimb) Less: TDS
Telephone (Reimb) Less : FBT
Other (Reimb) Less : Loan EMI
Total Reimbursements
Salary /PM -
Salary /PA - Net Salary Transfer Amount -

Employee Signature : Employer Signature :