Rule Form V Form V
- Chapter
- Annexures · Forms and Appendices
- Text as on
- As notified 08 May 2026
FORMDefined in rule 2(k): form means the forms appended to these rules V (See rule 52)
WAGE SLIP
Date of issue Name of the Establishment Address Period
1. Name of employee
2. Father's/Mother's/Spouse Name
3. Designation
4. UAN
5. Bank Account Number
6. Wage period
7. Rate of wages payable
a. Basic b. DA c. Allowances
8. Total attendance/unit of work done
9. Overtime wages
10. Gross wages payable
11. Total deductions a. PF b. ESI c. Others
12. Net wages paid
*Employer / Pay-in-charge signature Note: Required in case register is maintained physically