Wages Cum Muster Roll

Form XIX — Code on Wages, 2019 | Rule 27

Shramik Sathi Pvt. Ltd.

Industrial Manpower Supply

JH/CLRA/2024/001

SL Emp ID Name Father's Name Desig. Cat. Days OT Hrs Basic DA HRA OT Pay Bonus Gross PF ESI Adv. Fine Tot. Ded. Net Pay Sign.

I certify that the wages shown above have been paid to the workmen concerned in my presence on

Contractor's Signature

Principal Employer

Inspector's Signature