Employees’ State Insurance (General) Regulations, 1950
FORM 6A: Statement of Advance Payment of Contributions
Contribution Period Ended _______________________
[Regulation 31]
Total contribution amounting to Rs ________ comprising Rs _______ as employer's share and Rs _________ as employees' share paid as under:
| S. No. | Details of advance payment made | Amount Rs. P. |
Details of actual contribution paid | Amount Rs. P. |
Balance Rs. P |
| 1 | Opening balance | ____________ | *April/ October | ____________ | ____________ |
| 2 | Challana dated | ____________ | * May/ November | ____________ | ____________ |
| 3 | Challana dated | ____________ | * June / December | ____________ | ____________ |
| 4. | Challana dated | *July /January | ________ | ___________ | |
| 5. | Challana dated | ___________ | *August/ February | ________ | |
| 6. | Challana dated | ___________ | *September/March | ________ | |
| 7. | Challana dated | ||||
| Total (i) | ___________ | Total (ii)______________ Total due for contribution Period ________________ Total amount paid in advance _____________________ Balance ______________ |
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Total (ii) should not be less than total (i) at any time.
*Strike out whichever is not applicable.
