The Wages (Central) Rules, 2026
Form V
Official text
Open in the official PDF (p. 57)
Tables and forms lose their layout when extracted; the PDF is the authoritative version.
(See rule 52)
WAGE SLIP
Date of issue
Name of the Establishment
Address
Period
1. Name of employee
2. Father’s/Mother’s/Spouse Name
3. Designation
4. UAN
5. Bank Account Number
6. Wage period
7. Rate of wages payable
a. Basic
b. DA
c. Allowances
8. Total attendance/unit of work
done
9. Overtime wages
10. Gross wages payable
11. Total deductions
a. PF
b. ESI
c. Others
12. Net wages paid
*Employer / Pay-in-charge signature
Note: Required in case register is maintained physically