FORM W
[See Rule 52]
Register of Employees
Name of the shop/establishment ……………………………………………………………………………………
Address ……………………………………………………………………………………………………………………………
Name of shop-keeper/employer………………………………………………………………………………………
Registration No. ………………………………….……………………………………………………………………………
Serial Name Father's Date Date of Post Scale Rate Basic Dear- Other Total Re- Sign-
No. of the name of appoin- held of of pay ness allow- wages marks ature
person of the birth tment or pay, incre- of the
allow- ances day/
emp- person of the na- if ment
ance week/ person
loyed emp- person ture any
month emp-
loyed emp- of job
(acco- loyed
(in the loyed perfo-
rding with
case of rmed
to date
married
mode
woman ther-
of
husb- eof
pay)
and's
name)
1 2 3 4 5 6 7 8 9 10 11 12 13 14
Date …………………………
Signature of the shop-keeper/employer
Note: A page should be allowed to every employee.