FORM H

(Rule 14)

Register of Employment and Remuneration of Employees

PART I

From
Working Hours [
to
[ From
Interval
to

Name of Establishment ………………………………………

Registration No. ……………………………………………….

Sl. Name Nature of Work For the wages Period Ending ……………………….
No.
1 2 3 4 5 6 7 8 9 10 Remarks
11 12 13 14 15 16 17 18 19 20
21 22 23 24 25 26 27 28 29 30
31
 [FORM H – Contd.]

(Rule 14)

Register of Employment and Remuneration of Employees

PART II

Name of Establishment ……………………………..

Wages Period ………………
Registration No. ……………………………………..

N Desi Remuneration Due Less Deductions Net E Date

ame gnati Basi 1
Dea 1Oth C Over A Fine 1Oth Total Amo mplo of
of on c rnes er onso time dvan and er Ded unt yees Pay
the Sala s Allo lidat ce ded Ded uctio ducti Sign ment
Emp ry of Allo wan ed take uctio uctio ns ons atur
loye Wag wan ces, Sala n n on n e or
es es ce if ry or acco Thu
any Wag unt mb
es of Impr
Dam essi
age on

1
Note – These sub-column may be amended to suit the actual requirement of the Establishment of the
Establishment provided the remaining columns and sub-column are not omitted.