COMPANY NAME

Address
Time card cum Wage Slip for the Period - January 2010 Reg No:

ID Number Plant
Name Designation
Father's Name Department
Date of Joining UTI A/C No.
PF No Category
ESI No. Cader / Grade
Earnings Actuals Earned Deductions Amount
Basic Pay 2,150.00 2,150.00 EPF Contribution 1253.70
Dearness Allowance 8,297.48 8,297.48 Income Tax 562.00
Educational Allowance 150.00 150.00 Canteen Deduction 37.50
House Rent Allowance 1,075.00 1,075.00 Rounding off adjustment 0.80
Monthly Special Pay 2,089.50 2089.50
Special Allowance 2,550.00 2,550.00
Travelling Allowance 2,150.00 2,150.00
Washing Allowance / UMA 250.00 250.00
Monthly Special Allowance 2089.50 2089.50

TOTAL(Rs) 20,801.47 20,801.47 1,854.00

Net Pay ==> 20,801.47 - 1854.0 - 0.47 = 18,947.00

Loan Details Amount Instalments Loan No. LIC No. Amount

Total 0.00 Total 0.00

* Total Instalments / Balance Number of Instalments ( Excluding Current One )
Attendence Details
Paydays 24.00 EL 0.00 CL 0.00 ML 0.00 ESI 0.00 NFH 0.00
No of Days Worked : 24.00 Date of Payment: 01.03.2010 Received Wage / Time Card (FORM - 25B)

Singnature of Manager Signature of Employee

Serial No: 22