FORM 7: Register of Employees
[Regulation 32]
Contribution period: From…………………….to………………………………….
S l. No. |
Insurance No. |
Name of the insured person |
Name of dispensary to which attached |
Occupation |
Deptt. And shift, if any |
If appointed during the contribution period, date of appoint- ment |
Month |
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No. of days for which wages paid/ payable |
Total amount of wages paid/ payable |
Emplo- yees share of contri- bution |
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(1) |
(2) |
(3) |
(3A)] |
(4) |
(5) |
(6) |
(7) |
(8) |
(9) |
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Total _________________
Employees’ share of contribution _____________________
Total value of contribution paid, vide SBI Challana No _________________
Month |
Month |
Month |
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No. of days for which wages paid/payable |
Total amount of wages paid /payable |
Employees share of contribution |
No. of days for which wages paid-payable |
Total amount of wages paid/ payable |
Employees share of contribution |
No. of days for which wages paid / payable |
Total amount of wages paid / payable |
Employees’ share of contribution |
(10) |
(11) |
(12) |
(13) |
(14) |
(15) |
(16) |
(17) |
(18) |
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Month |
Month |
Month |
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No. of days for which wages paid-payable |
Total amount of wages paid / payable |
Employees’ share of contribution |
No. of days for which wages paid / payable |
Total amount of wages paid / payable |
Employees’ share of contribut |
No. of days for which wages paid / payable |
Total amount of wages paid / payable |
Employees’ share of contribution |
Daily wage (26+25) |
(19) |
(20) |
(21) |
(22) |
(23) |
(24) |
(25) |
(26) |
(27) |
(28) |
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Total _________________
Employer’s share of contribution __________________
Total value of contribution paid vide SBI Challana No ________
Note: The figures in Columns 7 to 26 shall be in respect of wages periods ending in a particular calendar month.