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    Integrated Register FORM III

    Uploaded by

    Navaneethakrishnan Rangasamy
    This document is an integrated register containing details of workers employed at an establishment including their names, addresses, nature of work performed, wages earned, deductions made, overtime worked, advances taken and leaves availed. It contains columns to capture the worker ID, age, address, education, gender, name of nominee, designation of work, days worked, wage rate, overtime hours and wages, amounts deducted for advances, fines or other purposes, net payable amount and signatures. The employer signs to certify the wages paid and a representative of the principal employer also signs to verify the same.

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    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd

    Integrated Register FORM III

    Uploaded by

    Navaneethakrishnan Rangasamy
    8 views5 pages
    This document is an integrated register containing details of workers employed at an establishment including their names, addresses, nature of work performed, wages earned, deductions made, overtime worked, advances taken and leaves availed. It contains columns to capture the worker ID, age, address, education, gender, name of nominee, designation of work, days worked, wage rate, overtime hours and wages, amounts deducted for advances, fines or other purposes, net payable amount and signatures. The employer signs to certify the wages paid and a representative of the principal employer also signs to verify the same.

    Original Description:

    Copyright

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    This document is an integrated register containing details of workers employed at an establishment including their names, addresses, nature of work performed, wages earned, deductions made, overtime worked, advances taken and leaves availed. It contains columns to capture the worker ID, age, address, education, gender, name of nominee, designation of work, days worked, wage rate, overtime hours and wages, amounts deducted for advances, fines or other purposes, net payable amount and signatures. The employer signs to certify the wages paid and a representative of the principal employer also signs to verify the same.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    8 views5 pages

    Integrated Register FORM III

    Uploaded by

    Navaneethakrishnan Rangasamy
    This document is an integrated register containing details of workers employed at an establishment including their names, addresses, nature of work performed, wages earned, deductions made, overtime worked, advances taken and leaves availed. It contains columns to capture the worker ID, age, address, education, gender, name of nominee, designation of work, days worked, wage rate, overtime hours and wages, amounts deducted for advances, fines or other purposes, net payable amount and signatures. The employer signs to certify the wages paid and a representative of the principal employer also signs to verify the same.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    of 5

    For the month

    Name of the Establishment and address


    Location of work
    Name and address of Employer / Manager
    Address
    Nature of Establishment / Production / Business etc.

    Name of the
    Sl. worker (ID / Token Age/ Date of Address Education / Skill Sex (M/F)
    No Birth
    No. if any)
    1 2 3 4 5 6

    Signature of the employer / contractor :


    Name of signatory :
    Certificate by the Principal Employer if the
    This is to certify that the contractor has paid wages to workmen employed by him as shown in this regi
    Signature of Representative of Principal employer :
    Name of signatory :
    Designation in the Establishment :
    MUSTE

    Designation / category /
    Father ’s / husband’s Name & Address of nature of work Total no. of Category of
    Name nominee days worked Leave
    performed
    7 8 9 10 11

    e Principal Employer if the employer is contractor


    y him as shown in this register in his / in the presence of his authorized representatives
    Form-III
    INTEGRATED REGISTER
    MUSTER ROLL-CUM REGISTER OF WAGES / DEDUCTIONS / OVERTIME / ADVANCES

    Wage rate / pay or Over time worked Amount of


    Leaves availed Total Balance (piece rate / wages Other (Number of hours in overtime
    (No. of days) Leaves allowances
    per unit) the month wages
    12 13 14 15 16 17
    CES

    Amount of Any other Amoun t of advances /


    Maternity Amount (Pl Total / gross loans, if any and purpose Deductions of Fines
    Wages / Earnings imposed, if any
    benefit (if any) mention) of advance
    18 19 20 21 22
    Other Deductions like EPF
    / ESI / Welfare Fund etc. Net amount payable Signature / thumb Remarks,
    14- (15+16+ 17) impression if any
    (if any)
    23 24 25 26

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