FORM 'T'

COMBINED MUSTER ROLL CUM REGISTER OF WAGES

[ See Rule 24 (9-B) of the Karnataka Shops & Commercial Establishments Rules, 1963 ] in lieu of

1 Form I, II of Rule 22 (4); Form IV of Rule 28 (2); Form V & VII of Rule 29 (1) & (5) of Karnataka Minimum Wages Rules, 1958; NAME AND ADDRESS
2 Form I of Rule 3 (1) of Karnataka Payment of Wages Rules, 1963; OF THE ESTABLISHMENT
3 Form XIII of Rule 75; Form XV, XVII, XX, XXI, XXII, XXIII of Rule 78 (1) (a) (i), (ii), & (iii) of the Karnataka Contract Labour ( R & A ) Rules, 1974;
4 Form XIII of Rule 43, Form XVII, XVIII, XIX, XX, XXI, XXII of Rule 46 (2) (a), ( c) & (d) of Karnataka Inter State Migrant Workmen Rules, 1981;
ATTENDANCE DETAILS

Client Wages Fixed

Sl. No. Employee ID Candidate Name Name Father's Name Sex Designation/Department Date of Joining ESI NO. EPF No. including VDA 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
1 1A 2 2A 2B 3 4 5 6 7 8

Page No.1
 FORM 'T'
COMBINED MUSTER ROLL CUM REGISTER OF WAGES
[ See Rule 24 (9-B) of the Karnataka Shops & Commercial Establishments Rules, 1963 ] in lieu of

1 Form I, II of Rule 22 (4); Form IV of Rule 28 (2); Form V & VII of Rule 29 (1) & (5) of Karnataka Minimum Wages Rules, 1958; NAME AND ADDRESS
2 Form I of Rule 3 (1) of Karnataka Payment of Wages Rules, 1963; OF THE ESTABLISHMENT
3 Form XIII of Rule 75; Form XV, XVII, XX, XXI, XXII, XXIII of Rule 78 (1) (a) (i), (ii), & (iii) of the Karnataka Contract Labour ( R & A ) Rules, 1974;
4 Form XIII of Rule 43, Form XVII, XVIII, XIX, XX, XXI, XXII of Rule 46 (2) (a), ( c) & (d) of Karnataka Inter State Migrant Workmen Rules, 1981;
ATTENDANCE DETAILS

Client Wages Fixed

Sl. No. Employee ID Candidate Name Name Father's Name Sex Designation/Department Date of Joining ESI NO. EPF No. including VDA 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
1 1A 2 2A 2B 3 4 5 6 7 8

Page No.2
 FORM 'T' FORM 'T'
COMBINED MUSTER ROLL CUM REGISTER OF WAGES COMBINED MUSTER ROLL CUM REGISTER OF WAGES
[ See Rule 24 (9-B) of the Karnataka Shops & Commercial Establishments Rules, 1963 ] in lieu of

1 Form I, II of Rule 22 (4); Form IV of Rule 28 (2); Form V & VII of Rule 29 (1) & (5) of Karnataka Minimum Wages Rules, 1958; NAME AND ADDRESS Keystone Automotive Operations (Ind) Pvt Ltd
2 Form I of Rule 3 (1) of Karnataka Payment of Wages Rules, 1963; OF THE EMPLOYER # 56/3 Vakil Square, 5th floor ,
3 Form XIII of Rule 75; Form XV, XVII, XX, XXI, XXII, XXIII of Rule 78 (1) (a) (i), (ii), & (iii) of the Karnataka Contract Labour ( R & A ) Rules, 1974; Bannerghatta Main Road, Bangalore 560 029
4 Form XIII of Rule 43, Form XVII, XVIII, XIX, XX, XXI, XXII of Rule 46 (2) (a), ( c) & (d) of Karnataka Inter State Migrant Workmen Rules, 1981;
ATTENDANCE DETAILS EARNED WAGES AND OTHER ALLOWANCES DEDUC
Date of
Suspension Subsisten
of No. of Total OT Medic al Special ce
employees, if Payable Hours Conveya Allowanc Attendan Allowanc Maternit Allowanc GROSS
Sl. No. Employee ID Candidate Name 22 23 24 25 26 27 28 29 30 31 Expenses Status LOP any Days Worked Basic DA/VDA HRA nce e ce Bonus e OT NFH y Benefit Others e,if any TOTAL ESI EPF PT
1 1A 2 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27

Page No.3
 FORM 'T' FORM 'T'
COMBINED MUSTER ROLL CUM REGISTER OF WAGES COMBINED MUSTER ROLL CUM REGISTER OF WAGES
[ See Rule 24 (9-B) of the Karnataka Shops & Commercial Establishments Rules, 1963 ] in lieu of

1 Form I, II of Rule 22 (4); Form IV of Rule 28 (2); Form V & VII of Rule 29 (1) & (5) of Karnataka Minimum Wages Rules, 1958; NAME AND ADDRESS Keystone Automotive Operations (Ind) Pvt Ltd
2 Form I of Rule 3 (1) of Karnataka Payment of Wages Rules, 1963; OF THE EMPLOYER # 56/3 Vakil Square, 5th floor ,
3 Form XIII of Rule 75; Form XV, XVII, XX, XXI, XXII, XXIII of Rule 78 (1) (a) (i), (ii), & (iii) of the Karnataka Contract Labour ( R & A ) Rules, 1974; Bannerghatta Main Road, Bangalore 560 029
4 Form XIII of Rule 43, Form XVII, XVIII, XIX, XX, XXI, XXII of Rule 46 (2) (a), ( c) & (d) of Karnataka Inter State Migrant Workmen Rules, 1981;
ATTENDANCE DETAILS EARNED WAGES AND OTHER ALLOWANCES DEDUC
Date of
Suspension Subsisten
of No. of Total OT Medic al Special ce
employees, if Payable Hours Conveya Allowanc Attendan Allowanc Maternit Allowanc GROSS
Sl. No. Employee ID Candidate Name 22 23 24 25 26 27 28 29 30 31 Expenses Status LOP any Days Worked Basic DA/VDA HRA nce e ce Bonus e OT NFH y Benefit Others e,if any TOTAL ESI EPF PT
1 1A 2 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27

Page No.4
 FORM 'T' FORM 'T'
COMBINED MUSTER ROLL CUM REGISTER OF WAGES
[ See Rule 24 (9-B) of the Karnataka Shops & Commercial Establishments Rules, 1963 ] in lieu of
MONTH/YEAR Sl. No.
1 Form I,Keystone
II of RuleAutomotive
22 (4); FormOperations
IV of Rule 28(Ind)
(2);Pvt
Form
LtdV & VII of Rule 29 (1) & (5) of Karnataka Minimum Wages Rules, 1958;
2 Form I of Rule#356/3
(1) ofVakil
Karnataka
Square,
Payment
5th floor
of ,Wages Rules, 1963;
Feb-14
3 Form XIII
Bannerghatta
of Rule 75; Form
Main XV,
Road,
XVII,
Bangalore
XX, XXI, XXII,
560 029
XXIII of Rule 78 (1) (a) (i), (ii), & (iii) of the Karnataka Contract Labour ( R & A ) Rules, 1974;
4 Form XIII of Rule 43, Form XVII, XVIII, XIX, XX, XXI, XXII of Rule 46 (2) (a), ( c) & (d) of Karnataka Inter State Migrant Workmen Rules, 1981;
DEDUCTIONS

Salary Damages Mode of Payment Employee Signature / Thumb

Sl. No. Employee ID Candidate Name TDS Society Insurance Advance Fines /Loss Others TOTAL NET PAYABLE Cash/Cheque No. Impression
1 1A 2 28 29 30 31 32 33 34 35 36 37 38

Page No.5
 FORM 'T' FORM 'T'
COMBINED MUSTER ROLL CUM REGISTER OF WAGES
[ See Rule 24 (9-B) of the Karnataka Shops & Commercial Establishments Rules, 1963 ] in lieu of
MONTH/YEAR Sl. No.
1 Form I,Keystone
II of RuleAutomotive
22 (4); FormOperations
IV of Rule 28(Ind)
(2);Pvt
Form
LtdV & VII of Rule 29 (1) & (5) of Karnataka Minimum Wages Rules, 1958;
2 Form I of Rule#356/3
(1) ofVakil
Karnataka
Square,
Payment
5th floor
of ,Wages Rules, 1963;
Feb-14
3 Form XIII
Bannerghatta
of Rule 75; Form
Main XV,
Road,
XVII,
Bangalore
XX, XXI, XXII,
560 029
XXIII of Rule 78 (1) (a) (i), (ii), & (iii) of the Karnataka Contract Labour ( R & A ) Rules, 1974;
4 Form XIII of Rule 43, Form XVII, XVIII, XIX, XX, XXI, XXII of Rule 46 (2) (a), ( c) & (d) of Karnataka Inter State Migrant Workmen Rules, 1981;
DEDUCTIONS

Salary Damages Mode of Payment Employee Signature / Thumb

Sl. No. Employee ID Candidate Name TDS Society Insurance Advance Fines /Loss Others TOTAL NET PAYABLE Cash/Cheque No. Impression
1 1A 2 28 29 30 31 32 33 34 35 36 37 38

Page No.6
SL No E Code E Name Half Day CL EL SL ML OD
WFH Total