FORM II (See Rule 27(1)] Muster Roll-cum Wage Register Name of Establishment: Name of the Employer: For the

monthe of

year Minimum rates of wages payable

Address

Nature of work and designation

Actual rates of wages payable

Total production of piece rate

Total overtime hours worked

From

To

Overtime Earning

3 4

A4

Total days worked

10 11 12 13 14 15 Rs.

16 P. Rs.

17 18 P.

Previous balance

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

19

20 Rs. P.

Rate of payment of wages

Date of entry into service

Working hours

Gross wages payable

Interval for rest or meal From To

Hours worked on

Signature of the employer or the person authorised by him to authenticate the above entries.

Signature or thumb impression of the employee 21

Accumulate further enjoyed and/or refused

Full name of the Employee

Deduction Advances Other deduction permissible and nature Net Wages paid

Leave with wages

Normal Earnings

Age and Sex

Sl. No.