Format of Muster Roll Along with Wage Register For Karnataka
Attaching Form T (Muster roll & Wage register format ) under Karnataka S & E Act.
| 1[Form – T | |||||||||||||||||||||||||||||||||||||||||||||||
| COMBINED MUSTER ROLL CUM REGISTER OF WAGES | |||||||||||||||||||||||||||||||||||||||||||||||
| [See Rule 24 (9-B) of Karnataka Shops & Commercial Establishment Rules, 1963] | |||||||||||||||||||||||||||||||||||||||||||||||
| in lieu of | |||||||||||||||||||||||||||||||||||||||||||||||
| 1. Forms I & II of Rule 22(4); Form IV of Rule 28(2);Forms V and VII of Rule 29(1) and (5) of the Karnataka Minimum Wages rules 1958. | |||||||||||||||||||||||||||||||||||||||||||||||
| 2.Form I of Rule 3(1) of the Karmataka Payment Wages Rules,1963. | |||||||||||||||||||||||||||||||||||||||||||||||
| 3. Form XIII of Rule 75;Forms XV,XVII,XX,XXI,XXII and XXIII of rule 78(1)(a)(i),(ii) and (iii) of the Contract labour ( Regulation and Abolition) (Karnataka ) Rules,1974 | |||||||||||||||||||||||||||||||||||||||||||||||
| 4. Form XIII of Rule 43;Forms XVII,XVIII,XIX,XX,XXI and XXII of Rule 46(2)(a),( c) and (d) of inter State Migrant Workmen( Regulation of Employment and Conditions of Service)Karnataka Rules, 1981 | |||||||||||||||||||||||||||||||||||||||||||||||
| Month / Year | Name & address of the employer: | ||||||||||||||||||||||||||||||||||||||||||||||
| Name & address of the establishment: | |||||||||||||||||||||||||||||||||||||||||||||||
| S.No | Building Name | Location | Emp ID | Name of the employee | Father / Husband Name | Male/Female | Designation / department | Date of joining | Date of Birth | Date of Leaving | ESI No. | PF No | Wages fixed including VDA | Leave date From | Leave date to | No. of days leave taken | Type of leave | No. of payable Days | Total OT hours worked | Month / Year | Net Payable | Mode of payment Cash / Cheque No. | Employee signature / Thumb impression | ||||||||||||||||||||||||
| Earned wage and other allowances | Deductions | ||||||||||||||||||||||||||||||||||||||||||||||
| Basic | DA/VDA | HRA | Conveyance | Med. Allowance | Attendance bonus | Special Allow. | OT | NFH | Maternity Benefit | Others | Subsistance allowance if any | Leave Encashment | Total | ESI | PF | PT | TDS | Society | Insurance | Sal. Adv. | Fines | Damages / Loss | Others | Total | |||||||||||||||||||||||
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 | 19 | 20 | 21 | 22 | 23 | 24 | 25 | 26 | 27 | 28 | 29 | 30 | 31 | 32 | 33 | 34 | 35 | 36 | 37 | 38 | |||||||||||
| Legend: | |||||||||||||||||||||||||||||||||||||||||||||||
| SL | Sick Leave | ||||||||||||||||||||||||||||||||||||||||||||||
| CL | Casual Leave | ||||||||||||||||||||||||||||||||||||||||||||||
| PL | Previlage Leave | ||||||||||||||||||||||||||||||||||||||||||||||
| HS | Half Sick Leave | ||||||||||||||||||||||||||||||||||||||||||||||
| HC | Half Casual Leave | ||||||||||||||||||||||||||||||||||||||||||||||
| HP | Half Previlage Leave | ||||||||||||||||||||||||||||||||||||||||||||||
| ML | Maternity Leave | ||||||||||||||||||||||||||||||||||||||||||||||
| LOP | Loss of pay | ||||||||||||||||||||||||||||||||||||||||||||||
| WO | Weekly off | ||||||||||||||||||||||||||||||||||||||||||||||
| NFH | National Festival Holiday | ||||||||||||||||||||||||||||||||||||||||||||||
| WFH | Work From Home | ||||||||||||||||||||||||||||||||||||||||||||||
| OD | On Duty (On site job / On duty job) | ||||||||||||||||||||||||||||||||||||||||||||||
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Muster Roll Cum Wages Register
I have attached format of Form 11 (See Rule 27) (1) Muster Roll Cum Wages Register.
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(FOR UNEXEMPTED ESTABLISHMENTS ONLY)
THE EMPLOYEES’ PROVIDENT FUND SCHEME, 1952
(Paragraph 34)
AND
THE EMPLOYEES’ FAMILY PENSION SCHEME 1971
Declaration by a person taking up employment in an establishment in which the Employees Provident Fund and Family Pension Fund Scheme are in Force.
I, ____________________________________son/wife/daughter of Shri / Smt. _________________________ do hereby solemnly declare that
(a) I was last employed in M/s _________________________________________________________
(Name & full address of the establishment)
and left services on _______________________________________(Prior to that I was employed with
M/s____________________________________ from _______________to ______________
(date) (date)
(b) I was a member of _____________________________________________Provident Fund and also of the family pension fund from ________________________to ___________________and my account number(s) was / were ___________________________________________________
(c) I have / have not withdrawn the amount of my Provident Family Pension Scheme.
(d) I have / have not drawn superannuation benefits in respect of my past services from an employer.
(e) I have never been a member of any Provident fund and / or Family Pension Scheme.
Date ___________________________ Signature or right / left hand thumb impression of the employee.
(To be filled in by the employer only when the person employed had not already been a member of the Employees’ Provident Fund)
Shri_______________________________________ is appointed as _______________________________
(Name of the employee) (Designation)
in ____________________________________________________________________________________
(Name of the Factory / establishment)
with effect from ______________________________.
(Date of Appointment)
Date_________________________ Signature of the employer or Manager or other authorized Officer
N.B.: The Principal employer should have filled it up also n respect of employees to be employed by through a contractor.
Register Of Wages Cum Muster Roll
I have Attached Register Of Wages Cum Muster Roll
| Name and address | FORM XVIII [See Rule 78 (2) (a)] | Name and address of establishment | ||||||||||||||||||||||||||||||||||||||||||||
| of Contractor : | FORM OF REGISTER OF WAGES – CUM – MUSTER ROLL | in/under which contract is carried on | ||||||||||||||||||||||||||||||||||||||||||||
| Wages Period : MONTHLY | ||||||||||||||||||||||||||||||||||||||||||||||
| From : 01/03/2012 To 31/03/2012 | Name and address of Principal employer | |||||||||||||||||||||||||||||||||||||||||||||
| Nature and Location of Work: : | ||||||||||||||||||||||||||||||||||||||||||||||
| SERIAL NO | SL No.in register of workmen | NAME OF WORKMAN / WOMAN |
Designation /Nature of Kork | Daily attendance units worked | Total ayttendaceunits of worked done | Dailyrate/wagespiecerate | Amount of wages Earned | Deduction of ESI 1.75% | Deducton if any (indicate nature) PF 12 % | Net Amount paid | Sig / Thumb impressin of workmen | intial of contractor on his Representative | ||||||||||||||||||||||||||||||||||
| Amount of wages Earned | D A | Over time | others cash payments | Total | ||||||||||||||||||||||||||||||||||||||||||
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 | 19 | 20 | 21 | 22 | 23 | 24 | 25 | 26 | 27 | 28 | 29 | 30 | 31 | ||||||||||||||||
| 1 | 1 | RAKESH SINGH (ESI NO:5900033272) | SSK | P | P | P | P | P | P | PH | P | P | P | P | P | P | P | P | P | P | P | P | P | P | P | P | P | P | P | P | 27.0 | 171.50 | 4631.00 | 270.00 | 4901.00 | 86.00 | 588.00 | 4227.00 | ||||||||