Appendix 'VI' Form -XVII (See Rule 78(2)(a)) Register of Wages Name and address of the contractor Name and address of establishment under which contract is carried on Nature and location of work Name and address of Principal Employer Wages period Monthly / fortnightly or paid if nature) Allowance Workman Total impression contractor Overtime Amount Cash (indicate of the Signature his of Payments Nature) Net any Deductions (indicate or Thumb representative Dearness Other Intial 9 10 11 12 13 14 15 16 done the wages done worked Nature rate in of No / wages Work workman no of Work Sl. days of rate pieces of of Basic / Serial Name Daily Units No. Workman Register Designation 1 2 3 4 5 6 7 8
Appendix 'VI' Form -XVII (See Rule 78(2)(a)) Register of Wages Name and address of the contractor Name and address of establishment under which contract is carried on Nature and location of work Name and address of Principal Employer Wages period Monthly / fortnightly Dearness Allowance Overtime Other Cash Payments (indicate nature) Total Deductions if any (indicate Nature) Net Amount paid Signature or Thumb impression of the Workman Intial of contractor or his representative 9 10 11 12 13 14 15 16 Sl. No Name workman Serial no in the Register of Workman Designation / Nature of Work done No. of days worked Units of Work done Daily rate of wages / pieces rate Basic wages 1 2 3 4 5 6 7 8
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