Form 6a – EMPLOYEES’ STATE INSURANCE (GENERAL) REGULATIONS,1950

FORM 6A: Statement of Advance Payment of Contributions

Contribution Period Ended _______________________

[Regulation 31]

Total contribution amounting to Rs ________ comprising Rs _______ as employer’s share and Rs _________ as employees’ share paid as under:

S. No.

Details of advance payment made

Amount

Rs.              P.

Details of actual contribution paid

Amount

Rs.           P.

Balance

Rs.        P

1

Opening balance

____________

*April/ October

____________

____________

2

Challana dated

____________

* May/ November

____________

____________

3

Challana dated

____________

* June / December  

____________

____________

4.

Challana dated

 

*July /January

________

___________

5.

Challana dated

___________

*August/ February

________

 

6.

Challana dated

___________

*September/March

________

 

7.

Challana dated

 

 

 

 

 

Total (i)

___________

Total (ii)______________

Total due for contribution Period ________________

Total amount paid in advance _____________________

Balance ______________

 

 

Total (ii) should not be less than total (i) at any time.

*Strike out whichever is not applicable.

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