The Code on Wages (Arunachal Pradesh) Rules, 2022
Form I
Official text
Open in the official PDF (p. 10)
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[See rule-15, 18, 19 and rule-50(1), (2) and (3)]
Register of Wages, Overtime, Fine, Deduction for damage and Loss
Name of the Establishment: Name of the Employer:
Name of the Owner: PAN/TAN of the Employer:
Labour Identification Number (LIN):
Total Rates of wages
Duration of
Total overtime
Payment
Wage no. of (hours
Sl. No. in of Wages
Name of Period days worked
Employee Designation/ (Monthly/
the From- worked or
Register Department Fortnightly/ Allow-
employee To during production Basic DA
Weekly/Daily/ ances
the in case of
Piece rated)
period piece
workers)
1 2 3 4 5 6 7 8 9 10
Nature of Damage or
acts loss caused Attendance
Amount of Amount of Total
and to the
Overtime fine Deduction/ amount of Date of
omissions employer by
earning imposed/ realization wages Payment
for which fine neglect or
realized from wages paid Date Signature
imposed with default of the
date employee
11 12 13 14 15 16 17 18 19