Employees’ State Insurance (General) Regulations, 1950

 FORM 7:  Register of Employees

[Regulation 32]

Contribution     period: From.........................to........................................

S l. No.	Insurance No.	Name of the  insured person	Name of dispensary to which attached	Occupation	Deptt. And shift, if any	If appointed during the contribution period,  date of appoint- ment	Month
							No. of   days for  which  wages   paid/ payable	Total amount of wages paid/ payable	Emplo- yees’  share of contri- bution
(1)	(2)	(3)	(3A)]	(4)	(5)	(6)	(7)	(8)	(9)

Total _________________

Employees' share of contribution _____________________

Total value of contribution paid, vide SBI Challana No _________________

Month			Month			Month
No. of days for which wages paid/payable	Total amount of wages paid /payable	Employees’ share of contribution	No. of days for which wages paid-payable	Total amount of wages  paid/ payable	Employees’ share of contribution	No. of days for which wages paid / payable	Total amount of wages paid / payable	Employees' share of contribution
(10)	(11)	(12)	(13)	(14)	(15)	(16)	(17)	(18)

 

Month			Month			Month
No. of days for which wages paid-payable	Total amount of wages paid / payable	Employees' share of contribution	No. of days for which wages paid / payable	Total amount of wages paid / payable	Employees' share of contribution	No. of days for which wages paid / payable	Total amount of wages paid / payable	Employees' share of contribution	Daily wage (26+25)
(19)	(20)	(21)	(22)	(23)	(24)	(25)	(26)	(27)	(28)

Total _________________

Employer's share of contribution __________________

Total value of contribution paid vide SBI Challana No ________

Note: The figures in Columns 7 to 26 shall be in respect of wages periods ending in a particular calendar month.