FORM XVII 1[See rule 78 (1) (a) (i)] Register of Wages Name and address of contractor Name and address of establishment in/under which contract is carried on Nature and location of work Name and address of principal employer Wage period monthly Sr Name of workman Serial No. in Designation/ No. of days Units of work Daily rate of No. the register worked done wages/piece rate of workmen nature of work done 1 2 3 4 5 6 7 Amount of wages earned Other Total Net amount Signature/ Initials of con tractor the Basic cash If any paid representative (Indicate (nature of nature) of payment to workman be indicated) 11 8 9 10 12 13 14 15 16
FORM XVII 1[See rule 78 (1) (a) (i)] Register of Wages Sr No. Name of workman Serial No. in the register of workmen Designation/ nature of work done No. of days worked Units of work done Daily rate of wages/piece rate 1 2 3 4 5 6 7 Amount of wages earned Basic Other cash (nature of payment to be indicated) Total If any (Indicate nature) Net amount paid Signature/ of workman Initials of con tractor the representative 8 9 10 11 12 13 14 15 16 Name and address of contractor Name and address of establishment in/under which contract is carried on Nature and location of work Name and address of principal employer Wage period monthly
None_Form%20XVII_CLRA.docx