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Form Xvi (See Rule 78 (2) (A) ) Muster Roll
Form Xvi (See Rule 78 (2) (A) ) Muster Roll
Name and address of establishment in / under which BRIWO Solutions Pvt Ltd, D-19, Plot 1, Ip extension
Name and address of Contractor BRIWO Solutions Pvt Ltd
contract is carried on New Delhi-110092
Nature and location of work IT Contract Staffing, New Delhi BRIWO Solutions Pvt Ltd, D-19, Plot 1, Ip extension
Name and address of Principal Employer
New Delhi-110092
For the month of Feb-22
Dates
Sl. Father's / Husband's
Name of workman Sex
No. name
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
10
11
12
13
14
2 2 2 2 0 0 2 2 2 2 2 2 0 0 2 2 2 2 2 2 0 0 2 2 2 2 2 2 0 0 2
FORM XVI
e Rule 78 (2) (a)]
Muster Roll
Remarks
23
23
0
46
FORM XVII
[See Rule 78 (2) (a)]
Register of Wages
Other cash
Serial No, in Daily rate payments Other
Serial Designation / Nature of No. of days Units of Dearness
Name of workman the register of wages / Basic wages Overtime (nature of Gross Wages PF ESI PT deduction if
Number work done worked work done allowance
of workmen piece rate payment to any
be indicated)
3 0
4 0
5 0
6 0
7 0
14 0
15 0
16 0
Signature /
Initials of
Net amount Thumb
contractor or his
paid impression of
representative
workman
727 SA
727 AV
1454
FORM XIX
[See Rule 78 (2) (b)]
Wage Slip
6 Deductions, if any
6 Deductions, if any
1 2 3 4 5 6 7 8 9 10 11 12 13 14
January-2010
February-2010
March-2010
April-2010
May-2010
June-2010
July-2010
August-2010
September-2010
October-2010
November-2010
December-2010
FORM XXI
[See Rule 78 (2) (d) (v)]
Register of Fines
Name of
Whether person in
Act/
workman whose Wage period Date on
Sl. Father's / Designation / Nature of Omission for Amount of
Name of workman Date of offences showed presence and wages which fine Remarks
No. Husband's name employment which fine is fine imposed
cause against employees payable realised
imposed
fine explanation
was heard
1 2 3 4 5 6 7 8 9 10 11 12
January-2010
February-2010
March-2010
April-2010
May-2010
June-2010
July-2010
August-2010
September-2010
October-2010
November-2010
December-2010
FORM XXII
[See Rule 78 (2) (d)]
Register of Advances
1 2 3 4 5 6 7 8 9 10 11
December-2010
FORM XXIII
[See Rule 78 (2) (e)]
Register of Overtime
Total Initials of
Date on Date on Initials of
overtime authorised
Father's / Designation / which which contractor
Sl. Wages of Overtime worked or Normal Overtime Normal Overtime Total representati
Name of workman Husband's Sex Nature of Overtime Normal rate overtime or his
No. on each occasion production hours rate earnings earnings earnings ves of
name employment work is put payment representati
in case of principal
in made ve
piece rates employer
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
FORM XXIV
[See Rule 82 (1)]
Return to be sent by the Contractor to Licensing Officer for the Half year ending____________.
No. of days during the half year on which contract labour was
5
employed
Maximum number of contract labour employed on any day
during the half year
6 (i) Men
(ii) Women
(iii) Children
(v) No. of man hours of overtime worked during the half year
8 (i) Men
(ii) Women
(iii) Children
9 (i) Men
(ii) Women
(iii) Children
10 (i) Men
(ii) Women
(iii) Children
(i) Canteens
11 (ii) Rest Rooms
(iii) Drinking water
(iv) Creches
(v) First aid
(If the answer is 'yes' state brief the facilities provided therein)
Place:
2 Name of Establishment
(a) District
Place: