Form XIX The Contract Labour (Regulation and Abolition) Centra' Rules, 1971 207

FORM XIX '[See rule 78(1)(b)] WAGES SLIP

Contractor Name : UPNL DEHRADUN Place of Work : UP RAGISTRAR UTTARAKHAND MADARSA BOARD DE

Employee Name : HARUN RASHID Father's / Husband's Name : SHRI ALTAF HUSSAIN

Designation : KANISTH SAHAYAK/CIV For the Month : April/2023 Bank A/C No. : 3712000100243692

UAN No. : 100163110503 EPF No. : 13303 ESIC No. : 6108794162

1 No of days worked 30 4 DEDUCTIONS :

2 Amount of overtime wages N/A a. EPF 1280.00

3 Gross wages payable (by Employer) 15739.00 EMPLOYEE b. ESI 105.00
SHARE c. INS/Med. Reimb 0.00
d. Deduction Any Other 0.00
Total ->> 1,385.00

e. EPF 1387.00
EMPLOYER f. ESI 452.00
SHARE g. Bonus 0.00
h. WC 0.00
Total ->> 1,839.00
Total Deductions Amount ->> 3,224.00

5 Remittances to Bank ->> 12515.00

Printed Date : 15/09/2023

Printed By : Shurbeer
Initial of the contractor/representive

Form XIX The Contract Labour (Regulation and Abolition) Centra' Rules, 1971 207
FORM XIX '[See rule 78(1)(b)] WAGES SLIP

Contractor Name : UPNL DEHRADUN Place of Work : UP RAGISTRAR UTTARAKHAND MADARSA BOARD DE

Employee Name : HARUN RASHID Father's / Husband's Name : SHRI ALTAF HUSSAIN

Designation : KANISTH SAHAYAK/CIV For the Month : May/2023 Bank A/C No. : 3712000100243692

UAN No. : 100163110503 EPF No. : 13303 ESIC No. : 6108794162

1 No of days worked 31 4 DEDUCTIONS :

2 Amount of overtime wages N/A a. EPF 1280.00

3 Gross wages payable (by Employer) 21728.00 EMPLOYEE b. ESI 148.00
SHARE c. INS/Med. Reimb 0.00
d. Deduction Any Other 0.00
Total ->> 1,428.00

e. EPF 1387.00
EMPLOYER f. ESI 641.00
SHARE g. Bonus 0.00
h. WC 0.00
Total ->> 2,028.00
Total Deductions Amount ->> 3,456.00

5 Remittances to Bank ->> 18272.00

Printed Date : 15/09/2023

Printed By : Shurbeer
Initial of the contractor/representive

Page 1 of 3 Continued.....
 Form XIX The Contract Labour (Regulation and Abolition) Centra' Rules, 1971 207
FORM XIX '[See rule 78(1)(b)] WAGES SLIP

Contractor Name : UPNL DEHRADUN Place of Work : UP RAGISTRAR UTTARAKHAND MADARSA BOARD DE

Employee Name : HARUN RASHID Father's / Husband's Name : SHRI ALTAF HUSSAIN

Designation : KANISTH SAHAYAK/CIV For the Month : June/2023 Bank A/C No. : 3712000100243692

UAN No. : 100163110503 EPF No. : 13303 ESIC No. : 6108794162

1 No of days worked 30 4 DEDUCTIONS :

2 Amount of overtime wages N/A a. EPF 1280.00

3 Gross wages payable (by Employer) 21728.00 EMPLOYEE b. ESI 148.00
SHARE c. INS/Med. Reimb 0.00
d. Deduction Any Other 0.00
Total ->> 1,428.00

e. EPF 1387.00
EMPLOYER f. ESI 641.00
SHARE g. Bonus 0.00
h. WC 0.00
Total ->> 2,028.00
Total Deductions Amount ->> 3,456.00

5 Remittances to Bank ->> 18272.00

Printed Date : 15/09/2023

Printed By : Shurbeer
Initial of the contractor/representive

Form XIX The Contract Labour (Regulation and Abolition) Centra' Rules, 1971 207
FORM XIX '[See rule 78(1)(b)] WAGES SLIP

Contractor Name : UPNL DEHRADUN Place of Work : UP RAGISTRAR UTTARAKHAND MADARSA BOARD DE

Employee Name : HARUN RASHID Father's / Husband's Name : SHRI ALTAF HUSSAIN

Designation : KANISTH SAHAYAK/CIV For the Month : July/2023 Bank A/C No. : 3712000100243692

UAN No. : 100163110503 EPF No. : 13303 ESIC No. : 6108794162

1 No of days worked 31 4 DEDUCTIONS :

2 Amount of overtime wages N/A a. EPF 1280.00

3 Gross wages payable (by Employer) 21728.00 EMPLOYEE b. ESI 148.00
SHARE c. INS/Med. Reimb 0.00
d. Deduction Any Other 0.00
Total ->> 1,428.00

e. EPF 1387.00
EMPLOYER f. ESI 641.00
SHARE g. Bonus 0.00
h. WC 0.00
Total ->> 2,028.00
Total Deductions Amount ->> 3,456.00

5 Remittances to Bank ->> 18272.00

Printed Date : 15/09/2023

Printed By : Shurbeer
Initial of the contractor/representive

Page 2 of 3 Continued.....
 Form XIX The Contract Labour (Regulation and Abolition) Centra' Rules, 1971 207
FORM XIX '[See rule 78(1)(b)] WAGES SLIP

Contractor Name : UPNL DEHRADUN Place of Work : UP RAGISTRAR UTTARAKHAND MADARSA BOARD DE

Employee Name : HARUN RASHID Father's / Husband's Name : SHRI ALTAF HUSSAIN

Designation : KANISTH SAHAYAK/CIV For the Month : August/2023 Bank A/C No. : 3712000100243692

UAN No. : 100163110503 EPF No. : 13303 ESIC No. : 6108794162

1 No of days worked 31 4 DEDUCTIONS :

2 Amount of overtime wages N/A a. EPF 1280.00

3 Gross wages payable (by Employer) 21728.00 EMPLOYEE b. ESI 148.00
SHARE c. INS/Med. Reimb 0.00
d. Deduction Any Other 0.00
Total ->> 1,428.00

e. EPF 1387.00
EMPLOYER f. ESI 641.00
SHARE g. Bonus 0.00
h. WC 0.00
Total ->> 2,028.00
Total Deductions Amount ->> 3,456.00

5 Remittances to Bank ->> 18272.00

Printed Date : 15/09/2023

Printed By : Shurbeer
Initial of the contractor/representive

Page 3 of 3