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.