Wage Slip Format

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Wage Slip

Form IV "B" Rule 26(2)

Employee Name : Mathurji M. Thakor Month : December 2022


Designation : Worker Salary Payment Date : 07/01/2023
PF A/c No. : GJ/AHD/52517/00026
ESIC No. : 37004844096

Salary Actual
As per Salary
Net
Days ભથ્થ
ું Per Day Total as per Deductions
Salary
Month Present
Days Days
Present Days 24.5 Basic Salary 356 11036 9078 PF 1089
Weekly Holidays 4 Other Allowan 288 8928 7344 ESI 124
Paid Holiday 0 P.Tax 200
Paid Leave 1 IT/TDS 0
LOP 1.5 Other Deductions 0

Total Month Days 31 Gross Salary 644 19964 16422 1413 15009

Signature of Employer Signature/Thumb Impression of Employee

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