The Code on Wages (Rajasthan) Rules, 2026
Form I
Official text
Open in the official PDF (pp. 18–19)
Tables and forms lose their layout when extracted; the PDF is the authoritative version.
[see rule 18, 42 (1), (2) and (3)]
Register of Wages, Overtime, Fine, Deduction for damage and Loss
Name oftheEstablishment:
Name oftheOwner:
PAN/TAN of theEmployer:
Labour Identification Number (LIN):
Sr. No. in Name of Designation Duration of Wage Total Total Rates of wages
/
Employee the Payment of Wages Period no. of overtime
Basic DA Allowan
Department
Register employee (Monthly/FortnightFrom- days (hours ces
with ly To worked worked or
father / during production
/Weekly/Daily/Piec
husband’s e rated) the in case of
name period piece
workers)
1 2 3 4 5 6 7 8 9 10
Overtime Gross Deductions
earning Payment
Employee Employee Other Fine Nature of Damage or Amount of
Contribution to Contributio deductions imposed acts and loss caused deductions for
EPF n to ESIC omissions to the damages or
for which employer by loss
fine imposed neglect or
with date default of the
employee
11 12 13 14 15 16 17 18 19
Total Total Date of Signature of Employee
Deductions amount Payment or Bank A/c with date of
of wages remittance
paid
20 21 22 23
Employer’s Signature