The Mizoram Occupational Safety, Health and Working Conditions Rules, 2026
Form XVII
Official text
Open in the official PDF (p. 218)
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[See rule 32(2)]
WAGE SLIP
1. Name of establishment……………………….
2. Address…..………………..…..
3. Period……………..
4. Name of Employee :
5. Father’s/ Husbands Name:
6. Designation/ category:
7. Date of entry in to service:
8. UAN:
9. Bank Account No.:
10. Wage Period :
11. Rate of wages payable:
a. Basic:
b. D. A :
c. Another allowances:
12. Total attendance/unit of work done:
13. Overtime wages:
14. Gross wages payable:
15. Total deductions:
a. PF :
b. ESI:
c. other:
16. Net wages paid with date :
Employer / Pay-in-charge
Signature