Attendance for the month of Dec'09

S.NO. NAME Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri
DESIGNATION
STAFF ATTENDANCE FOR DEC'09 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
01 Mr. XXXX Corporate Chef W/O P P P P P P W/O P P P P P P W/O P P P P P P W/O P C/O P
02 Mr. XXXX G.M. OPS P P P P P P P P P P P P P W/O P P P P P P P P P P P
03 Mr. XXXX H.R. Executive P P P P P W/O P P P P P P W/O P P P P P P W/O P P P P P
04 Mr. XXXX SECURITY OFFICER P P P P P P W/O P P P P P P W/O P P P P P P W/O P P P P
05 Mr. XXXX STORES IN-CHARGE P P P P P P W/O P P P P P P P P P W/O P P P P P P P P
06 Mr. XXXX STORES ASSISTANT P P P P P P P P P P P W/O P P P P P P P P P P P P P
07 Mr. XXXX CASHIER P P P P P P P W/O P P P P P P W/O P P P P P P W/O P P P
08 Mr. XXXX CASHIER W/O P P P C/O C/O C/O P P P P P W/O P P P P P P P P P P P P
09 Mr. XXXX ACCOUNTANT P P P P P W/O P P P P P P W/O P P P P P P W/O P P P CL P
10 Mr. XXXX ACCOUNTANT P P CL P P W/O P P P P P P W/O P P P P P P W/O P CL P P P
11 Mr. XXXX Maintenance P P P P P P W/O P P P P P P W/O P P P P P P W/O P P P P
12 Mr. XXXX DRIVER P P P P P P W/O P P P P P P W/O P P P P P P W/O P P P P
13 Mr. XXXX DRIVER P P P P P P W/O P P P P P P W/O P P P P P P W/O P P P P
14 Mr. XXXX DRIVER P P P P P P P P P W/O P P P P W/O P P P P P P P P P P
15 Mr. XXXX DRIVER W/O P P P P P P W/O P P P P P P P W/O P P P P P W/O P P P
16 Mr. XXXX DRIVER CL SL SL SL SL SL SL PL PL PL PL PL P P P P W/O P P P P P P W/O P
17 Mr. XXXX BOUNCER P P P P P P W/O P P P P P P W/O P P P P P P W/O P P P A
18 Mr. XXXX BOUNCER OD P OD P P A A A P P P P P P OD P P P P P P W/O P P P
19 Mr. XXXX F&B EXECUTIVE P P P P P P/O P P P W/O C/O C/O P P P P P P P P P P P P P
20 Mr. XXXX Asst. MANAGER P W/O P P P P W/O P P P P P P P W/O P P P P P W/O P P P P
21 Mr. XXXX BAR INCHARGE P P P P P W/O P P P P P LF LF LF LF LF LF LF LF LF LF LF LF LF LF
22 Mr. XXXX BAR TENDER P P P P W/O P P P P W/O P P P P P P P P P P P P P P W/O
23 Mr. XXXX CAPTAIN C/O C/O P P P P P P P P P P P W/O P P P P P P P W/O P P P
24 Mr. XXXX Asst. BAR TERNER CL P/CL P P P W/O P P P W/O P P P P W/O P P P P W/O P P P P P
25 Mr. XXXX Asst. BAR TERNER P P P P P P P W/O P P P P P P W/O P P P P P P W/O P P P
26 Mr. XXXX Tr. CAPTAIN C/O C/O P P P P W/O P P P P P P W/O P P P P P P W/O P P P P
27 Mr. XXXX STEWARD P P P P P P W/O P P P P P P P W/O P P P P P P P P W/O P
28 Mr. XXXX Sr. CAPTAIN P P P P P P W/O P/O P/O P P P P P W/O P P P P P P P P/O P/O P
29 Mr. XXXX Sr. STEWARD W/O P P P P P P W/O CL P P P P P W/O P P P P P P W/O P P P
30 Mr. XXXX STEWARD P P W/O P P P P P P P/O P/O P P P P P W/O P P P P P P W/O P
31 Mr. XXXX Tr. CAPTAIN P P/O P/O P P P P P P/O P/O P P P P/O P P/O P P P P P P/O P/O P P
32 Mr. XXXX STEWARD P P P P P W/O P P P P P P P W/O P P P P P P W/O P P P P
33 Mr. XXXX STEWARD P W/O P P P P P P P P W/O P P P P W/O P P P P P P W/O P P
34 Mr. XXXX G.S.A. P P W/O P P P P/O P P W/O P P P W/O P P P P P P W/O P P P P
35 Mr. XXXX G.S.A. W/O P P P P P W/O CL P P P P P W/O P P P P P P P P/O P P P
36 Mr. XXXX Sr. Bar Tender P P P P P P W/O P P P P P P P W/O P P P P P W/O P P P P
37 Mr. XXXX Bar Tender W/O P P P P P W/O P P P P P P/CL W/O P P P P P P P P P W/O P
38 Mr. XXXX Bar Tender P P P P P P W/O P P P P P P W/O P P P P P P P P P W/O P
39 Mr. XXXX STEWARD P P P W/O P P P P P/O P P P P P W/O P P P P P P P W/O P P
40 Mr. XXXX HOSTESS P P P P P W/O P P P P P P P P W/O P P P P P P W/O P C/O P
41 Mr. XXXX Tr. HOSTESS P P P P P P P W/O P P P P P W/O P P P P P P W/O P P P P
42 Mr. XXXX BAR TENDER P P P P P P W/O P P P P P P W/O P P P P P P W/O P P P P
43 Mr. XXXX Tr. CAPTAIN NJ NJ NJ NJ NJ NJ NJ NJ NJ NJ NJ NJ P P P P P P P A A A P P P
44 Mr. XXXX HOSTESS P P P P P P W/O P P P P P P P W/O P P P P P P W/O P C/O P
45 Mr. XXXX Tr. HOSTESS W/O P P P P P P W/O P P P P P W/O P P LOP LOP LOP LOP LOP P P P P
46 Mr. XXXX Sous Chef P P P P P P W/O P P P P P P W/O P P P P P P W/O P P P P
47 Mr. XXXX CDP P P P P P P W/O P P P P P P W/O P P P P P P W/O P P P P
48 Mr. XXXX CDP PL PL PL PL PL PL PL P P P P P P P P P P P P P P W/O P P P
49 Mr. XXXX Pro - commis W/O P P P P P P P P P W/O P P P P P W/O P P P P P P W/O P
50 Mr. XXXX Pro - commis C/O C/O C/O P P P P P P P P P W/O P P P P P P W/O P P P P P
51 Mr. XXXX Pro - commis P P P P P P W/O P P P P P P W/O P P P P P P W/O P P P P
52 Mr. XXXX Pro - commis P P P P P W/O P P P P P P W/O P P P P P P W/O P P P P P
53 Mr. XXXX Pro - commis P P P P W/O P P P P P P P W/O CL P P P P W/O CL P P P P P
54 Mr. XXXX Pro - commis P P P P P P W/O P P P P P P W/O P P P P P P W/O P P P P
55 Mr. XXXX Pro - commis CL CL SL SL PL PL PL C/O C/O C/O A A A A A A A A A A A P P P P
56 Mr. XXXX Pro - commis P P P P P P W/O P P P P P P W/O P P P P P P W/O P P P P
57 Mr. XXXX CDP W/O P P P P P P W/O P P P P P P W/O P P P P P P W/O P P P
58 Mr. XXXX Pro - commis W/O P P P P P P P W/O P P P P P P W/O P P P P P P W/O P P
59 Mr. XXXX Pro - commis P W/O P P P P P P P P P W/O P P P P P P P P P W/O P P P
60 Mr. XXXX H.K. SUPERVISOR P P P P P P P W/O P P P P P P W/O P P P P P P W/O P P P
61 Mr. XXXX HK BOY P W/O P P P P P P W/O P P P P P P W/O P P P P P P P W/O P
62 Mr. XXXX HK BOY W/O P P P P P P W/O CL P P P P P W/O P P P P P P W/O P P P
63 Mr. XXXX HK BOY P P W/O P P P P P P W/O P P P P P P W/O P P P P P P W/O P
64 Mr. XXXX HK BOY P P P W/O P P W/O P P P P P W/O P P P P P P W/O P P P P P
65 Mr. XXXX HK BOY P P P P P W/O P P P P P P P W/O CL P P P P P W/O P P P P
66 Mr. XXXX LINEN BOY W/O P P P P P W/O P P P P P P W/O P P P P P P W/O P P P P
67 Mr. XXXX KST SUPERVISOR P P P P P P W/O P P P P P P W/O P P P P P P W/O P P P P
68 Mr. XXXX KST W/O P P P P P W/O P P P P P P P W/O CL P P P P P W/O P CL P
69 Mr. XXXX KST P W/O P P P P W/O PL PL PL PL PL PL PL P P P P P P W/O P P CL P
70 Mr. XXXX KST P P P P P P P W/O P P P P P P P W/O P P P P P P W/O P P
71 Mr. XXXX KST P P W/O P P P P P P W/O P P P P P P W/O P P P P P P W/O P
72 Mr. XXXX KST P P P W/O P CL P P P P W/O P P P P P P W/O P P P P P P W/O
73 Mr. XXXX KST P P P P W/O P P P W/O P P P P P P P P P W/O P P P P P P
74 Mr. XXXX KST W/O P P P P P P W/O P P P P P P P W/O P P P P P W/O P P P
75 Mr. XXXX IET P C/O C/O C/O C/O C/O LOP LOP LOP LOP LOP LOP LOP LOP LOP LOP LOP P P P W/O P P P P
76 Mr. XXXX LIFT OPERATTGOR P P P P P P W/O P P P P P P W/O P P P P P P W/O P P P P
Sat Sun Mon Tue Wed Thu Working Payble
Leave Lop Days
Days Days
26 27 28 29 30 31
P P P W/O P P 30 1 0 31 31
P P P P P P 31 0 0 31 31
P W/O P P P P 31 0 0 31 31
P P W/O P P P 31 0 0 31 31
P P W/O P P P 31 0 0 31 31
P P P W/O P P 31 0 0 31 31
P P P W/O P P 31 0 0 31 31
P P P P P P 28 3 0 31 31
P W/O P P P P 30 1 0 31 31
P W/O P P P P 29 2 0 31 31
P P W/O P P P 31 0 0 31 31
P P P W/O P P 31 0 0 31 31
P P P W/O P P 31 0 0 31 31
P P P P W/O P 31 0 0 31 31
P P P P W/O P 31 0 0 31 31
P P P P P P 19 12 0 31 31
P P W/O P P P 30 0 1 31 30
P P P W/O P P 28 0 3 31 28
P P P P/O P P 29 2 0 31 31
P P W/O P P P 31 0 0 31 31
LF LF LF LF LF LF 11 0 20 31 11
P P P P P P 31 0 0 31 31
P P W/O P P P 29 2 0 31 31
P W/O P P P P 29.5 1.5 0 31 31
P W/O C/O C/O P P 29 2 0 31 31
P P W/O P P P 29 2 0 31 31
P P P W/O P P 31 0 0 31 31
P P P P/O P P 31 0 0 31 31
P P P W/O P P 30 1 0 31 31
P P P P W/O P 31 0 0 31 31
P P P W/O P P 31 0 0 31 31
P P W/O P P P 31 0 0 31 31
P P P P W/O P 31 0 0 31 31
P P P/O P P P 31 0 0 31 31
P P P P P P 30 1 0 31 31
P P W/O P P P 31 0 0 31 31
P P W/O P P P 30.5 0.5 0 31 31
P P P W/O P P 31 0 0 31 31
P P P W/O P P 31 0 0 31 31
P P P W/O A P 29 1 1 31 30
P/CL P W/O P P P 30.5 0.5 0 31 31
P P W/O P P P 31 0 0 31 31
P P P P P P 16 0 15 31 16
P P P W/O P P 30 1 0 31 31
P P W/O P P P 26 0 5 31 26
P P W/O P P P 31 0 0 31 31
P P P W/O P P 31 0 0 31 31
P P W/O P P P 24 7 0 31 31
P P P P P P 31 0 0 31 31
P W/O P P P P 28 3 0 31 31
P P W/O P P P 31 0 0 31 31
P W/O P P P P 31 0 0 31 31
P W/O P P P P 29 2 0 31 31
P P W/O P P P 31 0 0 31 31
P P W/O P P P 10 10 11 31 20
P P P W/O P P 31 0 0 31 31
P P P W/O P P 31 0 0 31 31
P P P P W/O P 31 0 0 31 31
W/O P P W/O P P 31 0 0 31 31
CL W/O P P P P 30 1 0 31 31
P P P P P P 31 0 0 31 31
P P P W/O C/O P 29 2 0 31 31
P P W/O P P P 31 0 0 31 31
P W/O P P P P 31 0 0 31 31
W/O P P P P P 30 1 0 31 31
P P P P P P 31 0 0 31 31
P P W/O P P P 31 0 0 31 31
P P P P W/O P 29 2 0 31 31
P P P P W/O P 23 8 0 31 31
P P W/O P P P 31 0 0 31 31
P P P W/O P P 31 0 0 31 31
P P P P P P 30 1 0 31 31
W/O P P P P P 31 0 0 31 31
P CL W/O P P P 30 1 0 31 31
P P P W/O P P 15 5 11 31 20
P P P W/O P P 31 0 0 31 31
Grow More Hospitality Services Private Limited
Salary Statement for the month of December'2009
S. Wash. Spl. Gross No.of Wash. Spl. Gross PF ESI P.
ID.No Name Basic VDA HRA CONV Medical Others Total Basic VDA HRA CONV Medi. Others Total EPF ESIC
No Allow Allow Total Days Allow Allow Total Gross Gross Tax

Administration
01 GM001 Mr. XXXX 50000 1001 20000 800 1250 600 26349 0 100000 100000 31 50000 1001 20000 800 1250 600 26349 0 100000 100000 6500 780 0 0 200
02 GM002 Mr. XXXX 30000 1001 0 800 1250 0 26949 0 60000 60000 31 30000 1001 0 800 1250 0 26949 0 60000 60000 6500 780 0 0 200
03 Mr. XXXX 5000 1001 2000 800 0 600 599 0 10000 10000 31 5000 1001 2000 800 0 600 599 0 10000 10000 6001 720 9400 165 80
Total: 85000 3003 22000 2400 2500 1200 53897 0 170000 170000 93 85000 3003 22000 2400 2500 1200 53897 0 170000 170000 19001 2280 9400 165 480
Security
04 Mr. XXXX 3000 1001 400 0 0 600 999 0 6000 6000 31 3000 1001 400 0 0 600 999 0 6000 6000 4001 480 5400 95 60
Total: 3000 1001 400 0 0 600 999 0 6000 6000 31 3000 1001 400 0 0 600 999 0 6000 6000 4001 480 5400 95 60
Accounts
05 113 Mr. XXXX 6000 1001 2150 800 1250 0 799 0 12000 12000 31 6000 1001 2150 800 1250 0 799 0 12000 12000 6500 780 0 0 100
06 Mr. XXXX 2250 1001 550 0 0 600 99 148 4648 4648 31 2250 1001 550 0 0 600 99 148 4500 4648 3251 390 4048 71 0
07 652 Mr. XXXX 3250 1001 600 250 0 600 799 0 6500 6500 31 3250 1001 600 250 0 600 799 0 6500 6500 4251 510 5900 104 80
08 Mr. XXXX 3500 1001 600 500 0 600 799 0 7000 7000 31 3500 1001 600 500 0 600 799 0 7000 7000 4501 540 6400 112 80
09 Mr. XXXX 4250 1001 800 600 0 600 1249 0 8500 8500 31 4250 1001 800 600 0 600 1249 0 8500 8500 5251 630 7900 139 80
10 Mr. XXXX 7500 1001 2600 800 1250 0 1849 0 15000 15000 31 7500 1001 2600 800 1250 0 1849 0 15000 15000 6500 780 0 0 100
Total: 26750 6006 7300 2950 2500 2400 5594 148 53648 53648 186 26750 6006 7300 2950 2500 2400 5594 148 53500 53648 30254 3630 24248 426 440
Maintenance
11 824 Mr. XXXX 3250 1001 600 250 0 600 799 0 6500 6500 31 3250 1001 600 250 0 600 799 0 6500 6500 4251 510 5900 104 80
Total: 3250 1001 600 250 0 600 799 0 6500 6500 31 3250 1001 600 250 0 600 799 0 6500 6500 4251 510 5900 104 80
Drivers
12 114 Mr. XXXX 3250 1001 600 250 0 600 799 0 6500 6500 31 3250 1001 600 250 0 600 799 0 6500 6500 4251 510 5900 104 80
13 Mr. XXXX 2450 1001 400 0 0 600 1049 0 5500 5500 31 2450 1001 400 0 0 600 1049 0 5500 5500 3451 414 4900 86 60
14 Mr. XXXX 2450 1001 400 0 0 600 1049 0 5500 5500 31 2450 1001 400 0 0 600 1049 0 5500 5500 3451 414 4900 86 60
15 Mr. XXXX 2450 1001 400 0 0 600 1049 0 5500 5500 31 2450 1001 400 0 0 600 1049 0 5500 5500 3451 414 4900 86 60
16 Mr. XXXX 2450 1001 400 0 0 600 1049 0 5500 5500 31 2450 1001 400 0 0 600 1049 0 5500 5500 3451 414 4900 86 60
Total: 13050 5005 2200 250 0 3000 4995 0 28500 28500 155 13050 5005 2200 250 0 3000 4995 0 28500 28500 18055 2167 25500 448 320
Bouncer
17 Mr. XXXX 4500 1001 700 700 0 600 1499 0 9000 9000 30 4355 969 677 677 0 581 1451 0 8710 8710 5324 639 8129 143 80

18 Mr. XXXX 4500 1001 700 700 0 600 1499 0 9000 9000 28 4065 904 632 632 0 542 1354 0 8129 8129 4969 596 7587 133 80

Total: 9000 2002 1400 1400 0 1200 2998 0 18000 18000 58 8419 1873 1310 1310 0 1123 2805 0 16839 16839 10292 1235 15716 276 160
F&B Service
19 Mr. XXXX 6000 1001 2400 800 0 600 1199 0 12000 12000 31 6000 1001 2400 800 0 600 1199 0 12000 12000 6500 780 0 0 100
20 Mr. XXXX 7500 1001 2600 800 1250 0 1849 0 15000 15000 31 7500 1001 2600 800 1250 0 1849 0 15000 15000 6500 780 0 0 100
21 Mr. XXXX 4500 1001 700 700 0 600 1499 0 9000 9000 31 4500 1001 700 700 0 600 1499 0 9000 9000 5501 660 8400 147 80
22 Mr. XXXX 3500 1001 600 500 0 600 799 0 7000 7000 31 3500 1001 600 500 0 600 799 0 7000 7000 4501 540 6400 112 80
23 Mr. XXXX 2500 1001 750 0 0 600 149 0 5000 5000 31 2500 1001 750 0 0 600 149 0 5000 5000 3501 420 4400 77 0
24 Mr. XXXX 2250 1001 550 0 0 600 99 342 4842 4842 31 2250 1001 550 0 0 600 99 342 4500 4842 3251 390 4242 75 0
25 Mr. XXXX 3000 1001 400 0 0 600 999 0 6000 6000 31 3000 1001 400 0 0 600 999 0 6000 6000 4001 480 5400 95 60
Grow More Hospitality Services Private Limited
Salary Statement for the month of December'2009
S. Wash. Spl. Gross No.of Wash. Spl. Gross PF ESI P.
ID.No Name Basic VDA HRA CONV Medical Others Total Basic VDA HRA CONV Medi. Others Total EPF ESIC
No Allow Allow Total Days Allow Allow Total Gross Gross Tax

26 Mr. XXXX 2500 1001 750 0 0 600 149 0 5000 5000 31 2500 1001 750 0 0 600 149 0 5000 5000 3501 420 4400 77 0
27 Mr. XXXX 4000 1001 1600 0 0 600 799 0 8000 8000 31 4000 1001 1600 0 0 600 799 0 8000 8000 5001 600 7400 130 80
28 Mr. XXXX 2250 1001 550 0 0 600 99 342 4842 4842 31 2250 1001 550 0 0 600 99 342 4500 4842 3251 390 4242 75 0
29 Mr. XXXX 2250 1001 550 0 0 600 99 342 4842 4842 31 2250 1001 550 0 0 600 99 342 4500 4842 3251 390 4242 75 0
30 Mr. XXXX 3000 1001 400 0 0 600 999 0 6000 6000 31 3000 1001 400 0 0 600 999 0 6000 6000 4001 480 5400 95 60
31 Mr. XXXX 2250 1001 550 0 0 600 99 342 4842 4842 31 2250 1001 550 0 0 600 99 342 4500 4842 3251 390 4242 75 0
32 Mr. XXXX 2250 1001 550 0 0 600 99 342 4842 4842 31 2250 1001 550 0 0 600 99 342 4500 4842 3251 390 4242 75 0
33 Mr. XXXX 2250 1001 550 0 0 600 99 342 4842 4842 31 2250 1001 550 0 0 600 99 342 4500 4842 3251 390 4242 75 0
34 Mr. XXXX 2250 1001 550 0 0 600 99 342 4842 4842 31 2250 1001 550 0 0 600 99 342 4500 4842 3251 390 4242 75 0
35 Mr. XXXX 4000 1001 1600 0 0 600 799 0 8000 8000 31 4000 1001 1600 0 0 600 799 0 8000 8000 5001 600 7400 130 80
36 Mr. XXXX 3000 1001 400 0 0 600 999 0 6000 6000 31 3000 1001 400 0 0 600 999 0 6000 6000 4001 480 5400 95 60
37 Mr. XXXX 3000 1001 400 0 0 600 999 0 6000 6000 31 3000 1001 400 0 0 600 999 0 6000 6000 4001 480 5400 95 60
38 Mr. XXXX 2250 1001 550 0 0 600 99 342 4842 4842 31 2250 1001 550 0 0 600 99 342 4500 4842 3251 390 4242 75 0
39 Mr. XXXX 4000 1001 1000 600 0 600 799 0 8000 8000 30 3871 969 968 581 0 581 773 0 7742 7742 4840 581 7161 126 80
40 Mr. XXXX 2250 1001 550 0 0 600 99 342 4842 4842 31 2250 1001 550 0 0 600 99 342 4500 4842 3251 390 4242 75 0
41 Mr. XXXX 4000 1001 1600 0 0 600 799 0 8000 8000 31 4000 1001 1600 0 0 600 799 0 8000 8000 5001 600 7400 130 80
42 Mr. XXXX 3000 1001 400 0 0 600 999 0 6000 6000 16 1548 517 206 0 0 310 516 0 3097 3097 2065 248 2787 49 60
Total: 77750 24024 20550 3400 1250 13800 14726 3078 158578 158578 728 76169 23507 20324 3381 1250 13490 14217 3078 152339 155417 97175 11661 115526 2033 980
Front Office
43 Mr. XXXX 5000 1001 2000 800 0 600 599 0 10000 10000 31 5000 1001 2000 800 0 600 599 0 10000 10000 6001 720 9400 165 80
44 Mr. XXXX 2250 1001 550 0 0 600 99 342 4842 4842 26 1887 840 461 0 0 503 83 287 3774 4061 2727 327 3558 63 0
Total: 7250 2002 2550 800 0 1200 698 342 14842 14842 57 6887 1841 2461 800 0 1103 682 287 13774 14061 8728 1047 12958 228 80
F&B Production
45 608 Mr. XXXX 11900 1001 5000 800 1250 600 4449 0 25000 25000 31 11900 1001 5000 800 1250 600 4449 0 25000 25000 6500 780 0 0 200
46 KF8 Mr. XXXX 5000 1001 2000 800 0 600 599 0 10000 10000 31 5000 1001 2000 800 0 600 599 0 10000 10000 6001 720 9400 165 80
47 KC2 Mr. XXXX 5000 1001 2000 800 0 600 599 0 10000 10000 31 5000 1001 2000 800 0 600 599 0 10000 10000 6001 720 9400 165 80
48 Mr. XXXX 4500 1001 700 700 0 600 1499 0 9000 9000 31 4500 1001 700 700 0 600 1499 0 9000 9000 5501 660 8400 147 80
49 385 Mr. XXXX 3000 1001 400 0 0 600 999 0 6000 6000 31 3000 1001 400 0 0 600 999 0 6000 6000 4001 480 5400 95 60
50 Mr. XXXX 3500 1001 600 500 0 600 799 0 7000 7000 31 3500 1001 600 500 0 600 799 0 7000 7000 4501 540 6400 112 80
51 Mr. XXXX 2500 1001 600 0 0 600 1049 0 5750 5750 31 2500 1001 600 0 0 600 1049 0 5750 5750 3501 420 5150 91 60
53 Mr. XXXX 2500 1001 600 0 0 600 1049 0 5750 5750 31 2500 1001 600 0 0 600 1049 0 5750 5750 3501 420 5150 91 60
54 Mr. XXXX 2250 1001 550 0 0 600 99 342 4842 4842 20 1452 646 355 0 0 387 64 221 2903 3124 2097 252 2737 48 0
55 Mr. XXXX 3000 1001 400 0 0 600 999 0 6000 6000 31 3000 1001 400 0 0 600 999 0 6000 6000 4001 480 5400 95 60
56 Mr. XXXX 5000 1001 2000 800 0 600 599 0 10000 10000 31 5000 1001 2000 800 0 600 599 0 10000 10000 6001 720 9400 165 80
57 Mr. XXXX 3000 1001 400 0 0 600 999 0 6000 6000 31 3000 1001 400 0 0 600 999 0 6000 6000 4001 480 5400 95 60
New Joining
58 Mr. XXXX 2250 1001 550 0 0 600 99 342 4842 4842 31 2250 1001 550 0 0 600 99 342 4500 4842 3251 390 4242 75 0
53400 13013 15800 4400 1250 7800 13837 684 110184 110184 392 52602 12658 15605 4400 1250 7587 13802 563 107903 108466 58858 7063 76479 1344 900
Housekeeping
59 67 Mr. XXXX 3250 1001 600 250 0 600 799 0 6500 6500 31 3250 1001 600 250 0 600 799 0 6500 6500 4251 510 5900 104 80
60 259 Mr. XXXX 2300 1001 575 0 0 600 124 48 4648 4648 31 2300 1001 575 0 0 600 124 48 4600 4648 3301 396 4048 71 -
Grow More Hospitality Services Private Limited
Salary Statement for the month of December'2009
S. Wash. Spl. Gross No.of Wash. Spl. Gross PF ESI P.
ID.No Name Basic VDA HRA CONV Medical Others Total Basic VDA HRA CONV Medi. Others Total EPF ESIC
No Allow Allow Total Days Allow Allow Total Gross Gross Tax

61 Mr. XXXX 2000 1001 400 0 0 600 62 585 4648 4648 31 2000 1001 400 0 0 600 62 585 4063 4648 3001 360 4048 71 -
62 Mr. XXXX 2000 1001 400 0 0 600 62 585 4648 4648 31 2000 1001 400 0 0 600 62 585 4063 4648 3001 360 4048 71 -
63 Mr. XXXX 2000 1001 400 0 0 600 62 585 4648 4648 31 2000 1001 400 0 0 600 62 585 4063 4648 3001 360 4048 71 -
64 Mr. XXXX 2000 1001 400 0 0 600 62 585 4648 4648 31 2000 1001 400 0 0 600 62 585 4063 4648 3001 360 4048 71 -
65 Mr. XXXX 2000 1001 400 0 0 600 62 585 4648 4648 31 2000 1001 400 0 0 600 62 585 4063 4648 3001 360 4048 71 -
Total: 15550 7007 3175 250 0 4200 1233 2973 34388 34388 217 15550 7007 3175 250 0 4200 1233 2973 31415 34388 22557 2707 30188 530 80
Kitchen Stewarding
66 Mr. XXXX 2500 1001 750 0 0 600 149 0 5000 5000 31 2500 1001 750 0 0 600 149 0 5000 5000 3501 420 4400 77 -
67 Mr. XXXX 2250 1001 550 0 0 600 99 148 4648 4648 31 2250 1001 550 0 0 600 99 148 4500 4648 3251 390 4048 71 -
68 Mr. XXXX 2250 1001 550 0 0 600 99 148 4648 4648 31 2250 1001 550 0 0 600 99 148 4500 4648 3251 390 4048 71 -
69 Mr. XXXX 2250 1001 550 0 0 600 99 148 4648 4648 31 2250 1001 550 0 0 600 99 148 4500 4648 3251 390 4048 71 -
70 Mr. XXXX 2250 1001 550 0 0 600 99 148 4648 4648 31 2250 1001 550 0 0 600 99 148 4500 4648 3251 390 4048 71 -
71 Mr. XXXX 2250 1001 550 0 0 600 99 148 4648 4648 31 2250 1001 550 0 0 600 99 148 4500 4648 3251 390 4048 71 -
72 Mr. XXXX 2250 1001 550 0 0 600 99 148 4648 4648 31 2250 1001 550 0 0 600 99 148 4500 4648 3251 390 4048 71 -
73 Mr. XXXX 2250 1001 550 0 0 600 99 148 4648 4648 31 2250 1001 550 0 0 600 99 148 4500 4648 3251 390 4048 71 -
Total: 18250 8008 4600 0 0 4800 842 1036 37536 37536 248 18250 8008 4600 0 0 4800 842 1036 36500 37536 26258 3151 32736 574 0
Trainees
74 Mr. XXXX 3000 0 0 0 0 0 0 0 3000 3000 20 1935 0 0 0 0 0 0 0 1935 1935 0 0 0 0 -
75 Mr. XXXX 3500 0 0 0 0 0 0 0 3500 3500 31 3500 0 0 0 0 0 0 0 3500 3500 0 0 0 0 -
Total: 6500 0 0 0 0 0 0 0 6500 6500 51 5435 0 0 0 0 0 0 0 5435 5435 0 0 0 0 0

Grand Total: 318750 72072 80575 16100 7500 40800 100618 8261 644676 644676 2247 314363 70910 79975 15990 7500 40103 99864 8084 628705 636790 299430 35932 354051 6223 3580

H. R. Department
Misc. Other Phone Tot. Net Round off
I.Tax Signature
Ded Dedu Bill Ded Salary NET Sal

0 0 22000 22980 77020 77020

0 365 6000 7345 52655 52655
0 0 0 965 9035 9035
0 0 365.34 28000 31290 138710 138710

0 0 0 635 5365 5365

0 0 0 0 635 5365 5365

0 0 0 880 11120 11120

148 0 0 609 4039 4039
0 0 0 694 5806 5806
0 0 0 732 6268 6268
0 0 0 849 7651 7651
0 0 0 880 14120 14120
148 0 0 0 4644 49004 49004

0 0 0 694 5806 5806

0 0 0 0 694 5806 5806

0 0 0 694 5806 5806

0 0 0 560 4940 4940
0 0 0 560 4940 4940
0 0 0 560 4940 4940
0 0 0 560 4940 4940
0 0 0 0 2935 25565 25566

0 0 0 862 7848 7848

0 0 0 809 7320 7320

0 0 0 0 1671 15168 15168

0 0 0 880 11120 11120

0 57 0 937 14063 14063
0 0 0 887 8113 8113
0 0 0 732 6268 6268
0 0 0 497 4503 4503
342 0 0 807 4035 4035
0 0 0 635 5365 5365
Misc. Other Phone Tot. Net Round off
I.Tax Signature
Ded Dedu Bill Ded Salary NET Sal

0 0 0 497 4503 4503

0 100 0 0 910 7090 7090
342 0 0 807 4035 4035
342 0 0 807 4035 4035
0 100 0 0 735 5265 5265
342 0 0 807 4035 4035
342 100 0 0 907 3935 3935
342 100 0 0 907 3935 3935
342 100 0 0 907 3935 3935
0 0 0 810 7190 7190
0 0 0 635 5365 5365
0 100 0 0 735 5265 5265
342 0 0 807 4035 4035
0 0 0 787 6955 6956
342 0 0 807 4035 4035
0 0 0 810 7190 7190
0 0 0 357 2740 2740
3078 600 57 0 18409 137008 137011

0 0 0 965 9035 9035

287 100 0 0 777 3284 3284
287 100 0 0 1742 12319 12319

0 0 0 980 24020 24020

0 0 0 965 9035 9035
0 0 0 965 9035 9035
0 0 0 887 8113 8113
0 0 0 635 5365 5365
0 0 0 732 6268 6268
0 0 0 571 5179 5179
0 0 0 571 5179 5179
221 0 0 520 2604 2604
0 0 0 635 5365 5365
0 0 0 965 9035 9035
0 0 0 635 5365 5365

342 0 0 807 4035 4035

563 0 0 0 9870 98596 98598

0 0 0 0 694 5806 5806

48 0 0 0 515 4133 4133
Misc. Other Phone Tot. Net Round off
I.Tax Signature
Ded Dedu Bill Ded Salary NET Sal

585 0 0 1016 3632 3632

585 0 0 1016 3632 3632
585 0 0 1016 3632 3632
585 0 0 1016 3632 3632
585 0 0 1016 3632 3632
2973 0 0 0 6290 28098 28099

0 0 0 0 497 4503 4503

148 0 0 0 609 4039 4039
148 0 0 0 609 4039 4039
148 0 0 0 609 4039 4039
148 0 0 609 4039 4039
148 0 0 609 4039 4039
148 0 0 609 4039 4039
148 0 0 609 4039 4039
1036 0 0 0 4761 32775 32776

0 0 0 0 1935 1936
0 0 0 0 3500 3500
0 0 0 0 0 5435 5436

8084 700 422 28000 82941 553848 553858

General Manager
 MIS Report for the month of Dec'09
Gross
S. No. of Gross PF PF ESIC ESIC Misc Other Credit Phone Income Total Net PF ESIC
Particulars Salary Salary PT Remarks
No. Staff Salary Gross EMP Gross EMP Ded Dedu Bills Bill Tax Dedu Salary EMPL EMPL
Payable
01 H.R. & Admin 3 170,000 170,000 170,000 19,001 2,280 9,400 165 480 - - - 365 28,000 31,290 138,710 2,586 447

02 Security 1 6,000 6,000 6,000 4,001 480 5,400 95 60 - - - - - 635 5,365 545 257

03 Accounts 6 53,648 53,500 53,648 30,254 3,630 24,248 426 440 148 - - - - 4,644 49,004 4,118 1,152

04 Maintenance 1 6,500 6,500 6,500 4,251 510 5,900 104 80 - - - - - 694 5,806 579 280

05 Drivers 5 28,500 28,500 28,500 18,055 2,167 25,500 448 320 - - - - - 2,935 25,566 2,457 1,211

06 Bouncer 2 18,000 16,839 16,839 10,292 1,235 15,716 276 160 - - - - - 1,671 15,168 1,401 747

07 F&B Service 24 158,578 152,339 155,417 97,175 11,661 115,526 2,033 980 3,078 600 - 57 - 18,409 137,011 13,225 5,488

08 Front Office 2 14,842 13,774 14,061 8,728 1,047 12,958 228 80 287 100 - - - 1,742 12,319 1,188 615

09 F&B Production 14 110,184 107,903 108,466 58,858 7,063 76,479 1,344 900 563 - - - - 9,870 98,598 8,011 3,633

10 House Keeping 7 34,388 31,415 34,388 22,557 2,707 30,188 530 80 2,973 - - - - 6,290 28,099 3,070 1,434

11 Kitchen Stewarding 8 37,536 36,500 37,536 26,258 3,151 32,736 574 - 1,036 - - - - 4,761 32,776 3,574 1,555

12 Trainee 2 6,500 5,435 5,435 - - - - - - - - - - - 5,436

TOTAL 75 644,676 628,705 636,790 299430 35,932 354,051 6,223 3,580 8,084 700 0 422 28000 82,941 553858 40752 16817

CTC For the Month of Dec'09

Particulars Amount
Gross Salary Payable 628,705
PF Employer Share 13.61% on PF Gross 40,752
ESIC Employer Share 4.75% ESIC Gross 16,817
Total CTC: 686,275

CTC Stands on Monthly Sale (%) 20.58

 Salary statement for the month of December'09
S. No. Name Account No. Amount
01 Mr. XXXX 06800110013595 9,035
02 Mr. XXXX 06800110014165 5,365
03 Mr. XXXX 06800110013465 11,120
04 Mr. XXXX 06800110013724 4,039
05 Mr. XXXX 06800110014134 5,806
06 Mr. XXXX 06800110013694 6,268
07 Mr. XXXX 06800110014158 7,651
08 Mr. XXXX 06800110014172 14,120
09 Mr. XXXX 06800110013748 5,806
10 Mr. XXXX 06800110013397 5,806
11 Mr. XXXX 06800110013823 4,940
12 Mr. XXXX 06800110013373 4,940
13 Mr. XXXX 06800110013571 4,940
14 Mr. XXXX 06800110013786 4,940
15 Mr. XXXX 06800110014097 7,848
16 Mr. XXXX 06800110013588 11,120
17 Mr. XXXX 06800110013410 14,063
18 Mr. XXXX 06800110013427 8,113
19 Mr. XXXX 06800110013380 6,268
20 Mr. XXXX 06800110013670 4,035
21 Mr. XXXX 06800110013434 5,365
22 Mr. XXXX 06800110013687 4,503
23 Mr. XXXX 06800110014585 7,090
24 Mr. XXXX 06800110013526 4,035
25 Mr. XXXX 06800110013489 4,035
26 Mr. XXXX 06800110014639 5,265
27 Mr. XXXX 06800110014660 3,935
28 Mr. XXXX 06800110014677 3,935
29 Mr. XXXX 06800110014653 3,935
30 Mr. XXXX 06800110014684 5,265
31 Mr. XXXX 06800110014080 6,956
32 Mr. XXXX 06800110013458 9,035
33 Mr. XXXX 06800110014646 3,284
34 Mr. XXXX 06800110013793 24,020
35 Mr. XXXX 06800110014127 9,035
36 Mr. XXXX 06800110013816 9,035
37 Mr. XXXX 06800110013366 8,113
38 Mr. XXXX 06800110013359 5,365
39 Mr. XXXX 06800110014332 6,268
40 Mr. XXXX 06800110013403 5,179
42 Mr. XXXX 06800110013755 5,179
43 Mr. XXXX 06800110013472 2,604
44 Mr. XXXX 06800110013779 5,806
45 Mr. XXXX 06800110014219 4,133
46 Mr. XXXX 06800110013441 4,503
47 Mr. XXXX 06800110014202 4,039
48 Mr. XXXX 06800110014110 4,039
49 Mr. XXXX 06800110014103 4,039

Total Amount: 314,218

 XXXXXXXXXXX SERVICES PRIVATE LIMITED
Address
Address
Address

Pay Slip for the Month of DECEMBER'09

EMPLOYEE No. MODE OF PAY : BANK
EMPLOYEE NAME PF NUMBER
DESIGNATION
DEPARTMENT NO. OF WORKING DAY 31

Gross
Earnings Salary
Salary
Deductions Amount
Basic 50000 50000 PF 780
VDA 1001 1001 ESI -
HRA 20000 20000 PT 200
Conveyance 800 800 Misc. Ded -
Medical Allow. 1250 1250 Phone Bill -
Washing Allow. 600 600 I. Tax 22000
Spl. Allowance 26349 26349
Others 0 0 Other deduction -
100000 100000 22,980

Net Pay 77020

Net Pay in words: Rupees Seventy Seven Thousand & twenty only.

H. R. Department

XXXXXXXXXXX SERVICES PRIVATE LIMITED

Address
Address
Address

Pay Slip for the Month of DECEMBER'09

EMPLOYEE No. MODE OF PAY : BANK
EMPLOYEE NAME PF NUMBER
DESIGNATION ESI NUMBER :
DEPARTMENT NO. OF WORKING DAY 31

Gross
Earnings Salary
Salary
Deductions Amount
Basic 30000 30000 PF 780
VDA 1001 1001 ESI -
HRA 0 0 PT 200
Conveyance 800 800 Misc. Ded -
Medical Allow. 1250 1250 Phone Bill 365
Washing Allow. 0 0 I. Tax 6000
Spl. Allowance 26949 26949
Others 0 0 Other deduction -
60000 60000 7,345

Net Pay 52655

Net Pay in words: Rupees Fifty Two Thousand Six Hundred & Fifty Five Only.
 H. R. Department
XXXXXXXXXXX SERVICES PRIVATE LIMITED
Address
Address
Address

Pay Slip for the Month of DECEMBER'09

EMPLOYEE No. : MODE OF PAY : BANK
EMPLOYEE NAME PF NUMBER
DESIGNATION ESI NUMBER :
DEPARTMENT NO. OF WORKING DAY 31

Gross
Earnings Salary
Salary
Deductions Amount
Basic 5000 5000 PF 720
VDA 1001 1001 ESI 165
HRA 2000 2000 PT 80
Conveyance 800 800 Misc. Ded -
Medical Allow. 0 0 Phone Bill
Washing Allow. 600 600 I. Tax -
Spl. Allowance 599 599
Others 0 Other deduction -
10000 10000 965

Net Pay 9035

Net Pay in words: Rupees Nine Thousand & Thirty Five Only.

H. R. Department

XXXXXXXXXXX SERVICES PRIVATE LIMITED

Address
Address
Address

Pay Slip for the Month of DECEMBER'09

EMPLOYEE No. : MODE OF PAY : BANK
EMPLOYEE NAME PF NUMBER
DESIGNATION ESI NUMBER :
DEPARTMENT NO. OF WORKING DAY 31

Gross
Earnings Salary
Salary
Deductions Amount
Basic 3000 3000 PF 480
VDA 1001 1001 ESI 95
HRA 400 400 PT 60
Conveyance 0 0 Misc. Ded -
Medical Allow. 0 0 Phone Bill
Washing Allow. 600 600 I. Tax
Spl. Allowance 999 999
Others 0 0 Other deduction -
6000 6000 635

Net Pay 5365

Net Pay in words: Rupees Five Thousand Three Hundred & Sixty Five Only
 H. R. Department
XXXXXXXXXXX SERVICES PRIVATE LIMITED
Address
Address
Address

Pay Slip for the Month of DECEMBER'09

EMPLOYEE No. MODE OF PAY : BANK
EMPLOYEE NAME PF NUMBER
DESIGNATION ESI NUMBER :
DEPARTMENT NO. OF WORKING DAY 31

Gross
Earnings Salary
Salary
Deductions Amount
Basic 6000 6000 PF 780
VDA 1001 1001 ESI -
HRA 2150 2150 PT 100
Conveyance 800 800 Misc. Ded -
Medical Allow. 1250 1250 Phone Bill -
Washing Allow. 0 0 I. Tax
Spl. Allowance 799 799
Others 0 0 Other deduction -
12000 12000 880

Net Pay 11120

Net Pay in words: Rupees Eleven Thousand One Hunderd & Twenty only

H. R. Department

XXXXXXXXXXX SERVICES PRIVATE LIMITED

Address
Address
Address

Pay Slip for the Month of DECEMBER'09

EMPLOYEE No. MODE OF PAY : BANK
EMPLOYEE NAME PF NUMBER
DESIGNATION ESI NUMBER :
DEPARTMENT NO. OF WORKING DAY 31

Gross
Earnings Salary
Salary
Deductions Amount
Basic 2250 2250 PF 390
VDA 1001 1001 ESI 71
HRA 550 550 PT -
Conveyance 0 0 Misc. Ded 148
Medical Allow. 0 0 Phone Bill -
Washing Allow. 600 600 I. Tax
Spl. Allowance 99 99
Others 148 148 Other deduction -
4648 4648 609

Net Pay 4039

Net Pay in words: Rupees Four Thousand & Thirty Nine only.

H. R. Department
XXXXXXXXXXX SERVICES PRIVATE LIMITED
Address
Address
Address

Pay Slip for the Month of DECEMBER'09

EMPLOYEE No. : MODE OF PAY : BANK
EMPLOYEE NAME PF NUMBER
DESIGNATION ESI NUMBER :
DEPARTMENT NO. OF WORKING DAY 31

Gross
Earnings Salary
Salary
Deductions Amount
Basic 3250 3250 PF 510
VDA 1001 1001 ESI 104
HRA 600 600 PT 80
Conveyance 250 250 Misc. Ded -
Medical Allow. 0 0 Phone Bill -
Washing Allow. 600 600 I. Tax
Spl. Allowance 799 799
Others 0 0 Other deduction -
6500 6500 694

Net Pay 5806

Net Pay in words: Rupees Five Thousand Eight Hundred & Six only

H. R. Department

XXXXXXXXXXX SERVICES PRIVATE LIMITED

Address
Address
Address

Pay Slip for the Month of DECEMBER'09

EMPLOYEE No. : MODE OF PAY : BANK
EMPLOYEE NAME PF NUMBER
DESIGNATION ESI NUMBER :
DEPARTMENT NO. OF WORKING DAY 31

Gross
Earnings Salary
Salary
Deductions Amount
Basic 3500 3500 PF 540
VDA 1001 1001 ESI 112
HRA 600 600 PT 80
Conveyance 500 500 Misc. Ded -
Medical Allow. 0 0 Phone Bill -
Washing Allow. 600 600 I. Tax
Spl. Allowance 799 799
Others 0 0 Other deduction -
7000 7000 732
Net Pay 6268

Net Pay in words: Rupees Six Thousand Two Hundred & Sixty Eight Only

H. R. Department
XXXXXXXXXXX SERVICES PRIVATE LIMITED
Address
Address
Address

Pay Slip for the Month of DECEMBER'09

EMPLOYEE No. : MODE OF PAY : BANK
EMPLOYEE NAME PF NUMBER
DESIGNATION ESI NUMBER :
DEPARTMENT NO. OF WORKING DAY 31

Gross
Earnings Salary
Salary
Deductions Amount
Basic 4250 4250 PF 630
VDA 1001 1001 ESI 139
HRA 800 800 PT 80
Conveyance 600 600 Misc. Ded -
Medical Allow. 0 0 Phone Bill -
Washing Allow. 600 600 I. Tax
Spl. Allowance 1249 1249
Others 0 0 Other deduction -
8500 8500 849

Net Pay 7651

Net Pay in words: Rupees Seven Thousand Six Hundred & Fifty One Only.

H. R. Department

XXXXXXXXXXX SERVICES PRIVATE LIMITED

Address
Address
Address

Pay Slip for the Month of DECEMBER'09

EMPLOYEE No. : MODE OF PAY : BANK
EMPLOYEE NAME PF NUMBER
DESIGNATION ESI NUMBER :
DEPARTMENT NO. OF WORKING DAY 31

Gross
Earnings Salary
Salary
Deductions Amount
Basic 7500 7500 PF 780
VDA 1001 1001 ESI -
HRA 2600 2600 PT 100
Conveyance 800 800 Misc. Ded -
Medical Allow. 1250 1250 Phone Bill -
Washing Allow. 0 0 I. Tax
Spl. Allowance 1849 1849
Others 0 0 Other deduction -
 15000 15000 880

Net Pay 14120

Net Pay in words: Rupees Forteen Thousand One Hundred & Twenty Only.

H. R. Department
XXXXXXXXXXX SERVICES PRIVATE LIMITED
Address
Address
Address

Pay Slip for the Month of DECEMBER'09

EMPLOYEE No. : MODE OF PAY : BANK
EMPLOYEE NAME PF NUMBER
DESIGNATION ESI NUMBER :
DEPARTMENT NO. OF WORKING DAY 31

Gross
Earnings Salary
Salary
Deductions Amount
Basic 3250 3250 PF 510
VDA 1001 1001 ESI 104
HRA 600 600 PT 80
Conveyance 250 250 Misc. Ded -
Medical Allow. 0 0 Phone Bill -
Washing Allow. 600 600 I. Tax -
Spl. Allowance 799 799
Others 0 0 Other deduction -
6500 6500 694

Net Pay 5806

Net Pay in words: Rupees Five Thousand Eight Hundred & Six Only

H. R. Department

XXXXXXXXXXX SERVICES PRIVATE LIMITED

Address
Address
Address

Pay Slip for the Month of DECEMBER'09

EMPLOYEE No. : MODE OF PAY : BANK
EMPLOYEE NAME PF NUMBER
DESIGNATION ESI NUMBER :
DEPARTMENT NO. OF WORKING DAY 31

Gross
Earnings Salary
Salary
Deductions Amount
Basic 3250 3250 PF 510
VDA 1001 1001 ESI 104
HRA 600 600 PT 80
Conveyance 250 250 Misc. Ded -
Medical Allow. 0 0 Phone Bill -
Washing Allow. 600 600 I. Tax -
Spl. Allowance 799 799
Others 0 0 Other deduction -
6500 6500 694

Net Pay 5806

Net Pay in words: Rupees Five Thousand Eight Hundred & Six Only.

H. R. Department
XXXXXXXXXXX SERVICES PRIVATE LIMITED
Address
Address
Address

Pay Slip for the Month of DECEMBER'09

EMPLOYEE No. : MODE OF PAY : BANK
EMPLOYEE NAME PF NUMBER
DESIGNATION ESI NUMBER :
DEPARTMENT NO. OF WORKING DAY 31

Gross
Earnings Salary
Salary
Deductions Amount
Basic 2450 2450 PF 414
VDA 1001 1001 ESI 86
HRA 400 400 PT 60
Conveyance 0 0 Misc. Ded -
Medical Allow. 0 0 Phone Bill -
Washing Allow. 600 600 I. Tax -
Spl. Allowance 1049 1049
Others 0 0 Other deduction -
5500 5500 560

Net Pay 4940

Net Pay in words: Rupees Four Thousand Nine Hundred & Forty Only.

H. R. Department

XXXXXXXXXXX SERVICES PRIVATE LIMITED

Address
Address
Address

Pay Slip for the Month of DECEMBER'09

EMPLOYEE No. : MODE OF PAY : BANK
EMPLOYEE NAME PF NUMBER
DESIGNATION ESI NUMBER :
DEPARTMENT NO. OF WORKING DAY 31

Gross
Earnings Salary
Salary
Deductions Amount
Basic 2450 2450 PF 414
VDA 1001 1001 ESI 86
HRA 400 400 PT 60
Conveyance 0 0 Misc. Ded -
Medical Allow. 0 0 Phone Bill -
Washing Allow. 600 600 I. Tax -
Spl. Allowance 1049 1049
Others 0 0 Other deduction -
5500 5500 560

Net Pay 4940

Net Pay in words: Rupees Four Thousand Nine Hundred & Forty Only.

H. R. Department
XXXXXXXXXXX SERVICES PRIVATE LIMITED
Address
Address
Address

Pay Slip for the Month of DECEMBER'09

EMPLOYEE No. : MODE OF PAY : BANK
EMPLOYEE NAME PF NUMBER
DESIGNATION ESI NUMBER :
DEPARTMENT NO. OF WORKING DAY 31

Gross
Earnings Salary
Salary
Deductions Amount
Basic 2450 2450 PF 414
VDA 1001 1001 ESI 86
HRA 400 400 PT 60
Conveyance 0 0 Misc. Ded
Medical Allow. 0 0 Phone Bill
Washing Allow. 600 600 I. Tax
Spl. Allowance 1049 1049
Others 0 0 Other deduction -
5500 5500 560

Net Pay 4940

Net Pay in words: Rupees Four Thousand Nine Hundred & Forty Only.

H. R. Department

XXXXXXXXXXX SERVICES PRIVATE LIMITED

Address
Address
Address

Pay Slip for the Month of DECEMBER'09

EMPLOYEE No. : MODE OF PAY : BANK
EMPLOYEE NAME PF NUMBER
DESIGNATION ESI NUMBER :
DEPARTMENT NO. OF WORKING DAY 31

Gross
Earnings Salary
Salary
Deductions Amount
Basic 2450 2450 PF 414
VDA 1001 1001 ESI 86
HRA 400 400 PT 60
Conveyance 0 0 Misc. Ded
Medical Allow. 0 0 Phone Bill
Washing Allow. 600 600 I. Tax
Spl. Allowance 1049 1049
Others 0 0 Other deduction -
5500 5500 560

Net Pay 4940

Net Pay in words: Rupees Four Thousand Nine Hundred & Forty Only.

H. R. Department
XXXXXXXXXXX SERVICES PRIVATE LIMITED
Address
Address
Address

Pay Slip for the Month of DECEMBER'09

EMPLOYEE No. : MODE OF PAY : BANK
EMPLOYEE NAME PF NUMBER
DESIGNATION ESI NUMBER :
DEPARTMENT NO. OF WORKING DAY 30

Gross
Earnings Salary
Salary
Deductions Amount
Basic 4500 4355 PF 639
VDA 1001 969 ESI 143
HRA 700 677 PT 80
Conveyance 700 677 Misc. Ded -
Medical Allow. 0 0 Phone Bill -
Washing Allow. 600 581 I. Tax -
Spl. Allowance 1499 1451
Others 0 0 Other deduction -
9000 8709.6774194 862

Net Pay 7848

Net Pay in words: Rupees Seven Thousand Eight Hundred & Fourty Eight Only

H. R. Department

XXXXXXXXXXX SERVICES PRIVATE LIMITED

Address
Address
Address

Pay Slip for the Month of DECEMBER'09

EMPLOYEE No. : MODE OF PAY : BANK
EMPLOYEE NAME PF NUMBER
DESIGNATION ESI NUMBER :
DEPARTMENT NO. OF WORKING DAY 28

Gross
Earnings Salary
Salary
Deductions Amount
Basic 4500 4065 PF 596
VDA 1001 904 ESI 133
HRA 700 632 PT 80
Conveyance 700 632 Misc. Ded -
Medical Allow. 0 0 Phone Bill -
Washing Allow. 600 542 I. Tax -
Spl. Allowance 1499 1354
Others 0 0 Other deduction -
9000 8129 809

Net Pay 7320

Net Pay in words: Rupees Seven Thousand Three Hundred & Twenty Only

H. R. Department
XXXXXXXXXXX SERVICES PRIVATE LIMITED
Address
Address
Address

Pay Slip for the Month of DECEMBER'09

EMPLOYEE No. : MODE OF PAY : BANK
EMPLOYEE NAME PF NUMBER
DESIGNATION ESI NUMBER :
DEPARTMENT NO. OF WORKING DAY 31

Gross
Earnings Salary
Salary
Deductions Amount
Basic 6000 6000 PF 780
VDA 1001 1001 ESI -
HRA 2400 2400 PT 100
Conveyance 800 800 Misc. Ded -
Medical Allow. 0 0 Phone Bill -
Washing Allow. 600 600 I. Tax -
Spl. Allowance 1199 1199
Others 0 0 Other deduction -
12000 12000 880

Net Pay 11120

Net Pay in words: Rupees Eleven Thousand One Hundred & Twenty Only.

H. R. Department

XXXXXXXXXXX SERVICES PRIVATE LIMITED

Address
Address
Address

Pay Slip for the Month of DECEMBER'09

EMPLOYEE No. : MODE OF PAY : BANK
EMPLOYEE NAME PF NUMBER
DESIGNATION ESI NUMBER :
DEPARTMENT NO. OF WORKING DAY 31
 Gross
Earnings Salary
Salary
Deductions Amount
Basic 4500 4500 PF 660
VDA 1001 1001 ESI 147
HRA 700 700 PT 80
Conveyance 700 700 Misc. Ded -
Medical Allow. 0 0 Phone Bill -
Washing Allow. 600 600 I. Tax
Spl. Allowance 1499 1499
Others 0 0 Credit Bill -
9000 9000 887

Net Pay 8113

Net Pay in words: Rupees Eight Thousand One Hundred & Thirteen Only

H. R. Department
XXXXXXXXXXX SERVICES PRIVATE LIMITED
Address
Address
Address

Pay Slip for the Month of DECEMBER'09

EMPLOYEE No. : MODE OF PAY : BANK
EMPLOYEE NAME PF NUMBER
DESIGNATION ESI NUMBER :
DEPARTMENT NO. OF WORKING DAY 31

Gross
Earnings Salary
Salary
Deductions Amount
Basic 2500 2500 PF 420
VDA 1001 1001 ESI 77
HRA 750 750 PT -
Conveyance 0 0 Misc. Ded -
Medical Allow. 0 0 Phone Bill -
Washing Allow. 600 600 I. Tax -
Spl. Allowance 149 149
Others 0 0 Other deduction -
5000 5000 497

Net Pay 4503

Net Pay in words: Rupees Four Thousand Five Hundred & Three Only.

H. R. Department

XXXXXXXXXXX SERVICES PRIVATE LIMITED

Address
Address
Address

Pay Slip for the Month of DECEMBER'09

EMPLOYEE No. : MODE OF PAY : BANK
EMPLOYEE NAME PF NUMBER
DESIGNATION ESI NUMBER :
DEPARTMENT NO. OF WORKING DAY 31

Gross
Earnings Salary
Salary
Deductions Amount
Basic 2250 2250 PF 390
VDA 1001 1001 ESI 75
HRA 550 550 PT -
Conveyance 0 0 Misc. Ded 342
Medical Allow. 0 0 Phone Bill -
Washing Allow. 600 600 I. Tax -
Spl. Allowance 99 99
Others 342 342 Other deduction -
4842 4842 807

Net Pay 4035

Net Pay in words: Rupees Four Thousand & Thirty Five Only.

H. R. Department
XXXXXXXXXXX SERVICES PRIVATE LIMITED
Address
Address
Address

Pay Slip for the Month of DECEMBER'09

EMPLOYEE No. : MODE OF PAY : BANK
EMPLOYEE NAME PF NUMBER
DESIGNATION ESI NUMBER :
DEPARTMENT NO. OF WORKING DAY 31

Gross
Earnings Salary
Salary
Deductions Amount
Basic 3000 3000 PF 480
VDA 1001 1001 ESI 95
HRA 400 400 PT 60
Conveyance 0 0 Misc. Ded -
Medical Allow. 0 0 Phone Bill -
Washing Allow. 600 600 I. Tax -
Spl. Allowance 999 999
Others 0 Other deduction -
6000 6000 635

Net Pay 5365

Net Pay in words: Rupees Five Thousand Three Hundred & Sixty Five Only.

H. R. Department

XXXXXXXXXXX SERVICES PRIVATE LIMITED

Address
Address
Address

Pay Slip for the Month of DECEMBER'09

EMPLOYEE No. : MODE OF PAY : BANK
EMPLOYEE NAME PF NUMBER
DESIGNATION ESI NUMBER :
DEPARTMENT NO. OF WORKING DAY 31

Gross
Earnings Salary
Salary
Deductions Amount
Basic 2500 2500 PF 420
VDA 1001 1001 ESI 77
HRA 750 750 PT -
Conveyance 0 0 Misc. Ded -
Medical Allow. 0 0 Phone Bill
Washing Allow. 600 600 I. Tax
Spl. Allowance 149 149
Others 0 0 Other deduction -
5000 5000 497

Net Pay 4503

Net Pay in words: Rupees Four Thousand Five Hundred & Three Only.

H. R. Department
XXXXXXXXXXX SERVICES PRIVATE LIMITED
Address
Address
Address

Pay Slip for the Month of DECEMBER'09

EMPLOYEE No. : MODE OF PAY : CASH
EMPLOYEE NAME PF NUMBER
DESIGNATION ESI NUMBER :
DEPARTMENT NO. OF WORKING DAY 31

Gross
Earnings Salary
Salary
Deductions Amount
Basic 4000 4000 PF 600
VDA 1001 1001 ESI 130
HRA 1600 1600 PT 80
Conveyance 0 0 Misc. Ded -
Medical Allow. 0 0 Phone Bill
Washing Allow. 600 600 I. Tax
Spl. Allowance 799 799
Others 0 0 Other deduction 100
8000 8000 910

Net Pay 7090

Net Pay in words: Rupees Seven Thousand & Ninety Only.

H. R. Department

XXXXXXXXXXX SERVICES PRIVATE LIMITED

Address
Address
Address
Pay Slip for the Month of DECEMBER'09
EMPLOYEE No. : MODE OF PAY : BANK
EMPLOYEE NAME PF NUMBER
DESIGNATION ESI NUMBER :
DEPARTMENT NO. OF WORKING DAY 31

Gross
Earnings Salary
Salary
Deductions Amount
Basic 2250 2250 PF 390
VDA 1001 1001 ESI 75
HRA 550 550 PT -
Conveyance 0 0 Misc. Ded 342
Medical Allow. 0 0 Phone Bill
Washing Allow. 600 600 I. Tax
Spl. Allowance 99 99
Others 342 342 Other deduction -
4842 4842 807

Net Pay 4035

Net Pay in words: Rupees Four Thousand & Thirty Five Only.

H. R. Department
XXXXXXXXXXX SERVICES PRIVATE LIMITED
Address
Address
Address

Pay Slip for the Month of DECEMBER'09

EMPLOYEE No. : MODE OF PAY : BANK
EMPLOYEE NAME PF NUMBER
DESIGNATION ESI NUMBER :
DEPARTMENT NO. OF WORKING DAY 31

Gross
Earnings Salary
Salary Deductions Amount
Basic 2250 2250 PF 390
VDA 1001 1001 ESI 75
HRA 550 550 PT -
Conveyance 0 0 Misc. Ded 342
Medical Allow. 0 0 Phone Bill
Washing Allow. 600 600 I. Tax
Spl. Allowance 99 99
Others 342 342 Other deduction -
4842 4842 807

Net Pay 4035

Net Pay in words: Rupees Four Thousand & Thirty Five Only.

H. R. Department

XXXXXXXXXXX SERVICES PRIVATE LIMITED

Address
Address
 Address

Pay Slip for the Month of DECEMBER'09

EMPLOYEE No. : MODE OF PAY : CASH
EMPLOYEE NAME PF NUMBER
DESIGNATION ESI NUMBER :
DEPARTMENT NO. OF WORKING DAY 31

Gross
Earnings Salary
Salary
Deductions Amount
Basic 3000 3000 PF 480
VDA 1001 1001 ESI 95
HRA 400 400 PT 60
Conveyance 0 0 Misc. Ded -
Medical Allow. 0 0 Phone Bill
Washing Allow. 600 600 I. Tax
Spl. Allowance 999 999
Others 0 0 Other deduction 100
6000 6000 735

Net Pay 5265

Net Pay in words: Rupees Five Thousand Two Hundred & Sixty Five Only.

H. R. Department
XXXXXXXXXXX SERVICES PRIVATE LIMITED
Address
Address
Address

Pay Slip for the Month of DECEMBER'09

EMPLOYEE No. : MODE OF PAY : CASH
EMPLOYEE NAME PF NUMBER
DESIGNATION ESI NUMBER :
DEPARTMENT NO. OF WORKING DAY 31

Gross
Earnings Salary
Salary
Deductions Amount
Basic 2250 2250 PF 390
VDA 1001 1001 ESI 75
HRA 550 550 PT -
Conveyance 0 0 Misc. Ded 342
Medical Allow. 0 0 Phone Bill
Washing Allow. 600 600 I. Tax
Spl. Allowance 99 99
Others 342 342 Other deduction -
4842 4842 807

Net Pay 4035

Net Pay in words: Rupees Four Thousand & Thirty Five Only.

H. R. Department

XXXXXXXXXXX SERVICES PRIVATE LIMITED

 Address
Address
Address

Pay Slip for the Month of DECEMBER'09

EMPLOYEE No. : MODE OF PAY : CASH
EMPLOYEE NAME PF NUMBER
DESIGNATION ESI NUMBER :
DEPARTMENT NO. OF WORKING DAY 31

Gross
Earnings Salary
Salary
Deductions Amount
Basic 2250 2250 PF 390
VDA 1001 1001 ESI 75
HRA 550 550 PT -
Conveyance 0 0 Misc. Ded 342
Medical Allow. 0 0 Phone Bill
Washing Allow. 600 600 I. Tax
Spl. Allowance 99 99
Others 342 342 Other deduction 100
4842 4842 907

Net Pay 3935

Net Pay in words: Rupees Three Thousand Nine Hundred & Thirty Five Only.

H. R. Department
XXXXXXXXXXX SERVICES PRIVATE LIMITED
Address
Address
Address

Pay Slip for the Month of DECEMBER'09

EMPLOYEE No. : MODE OF PAY : CASH
EMPLOYEE NAME PF NUMBER
DESIGNATION ESI NUMBER :
DEPARTMENT NO. OF WORKING DAY 31

Gross
Earnings Salary
Salary
Deductions Amount
Basic 2250 2250 PF 390
VDA 1001 1001 ESI 75
HRA 550 550 PT -
Conveyance 0 0 Misc. Ded 342
Medical Allow. 0 0 Phone Bill
Washing Allow. 600 600 I. Tax
Spl. Allowance 99 99
Others 342 342 Other deduction 100
4842 4842 907

Net Pay 3935

Net Pay in words: Rupees Three Thousand Nine Hundred & Thirty Five Only.

H. R. Department
 PF Statement for the month of December'09
No.of PF EPF EPF EPF
S.No Name
Days Gross 12% 8.33% 3.67%
01 Mr. XXXX 31 6500 780 541 239
02 Mr. XXXX 31 6500 780 541 239
03 Mr. XXXX 31 6001 720 500 220
04 Mr. XXXX 31 4001 480 333 147
05 Mr. XXXX 31 6500 780 541 239
06 Mr. XXXX 31 3251 390 271 119
07 Mr. XXXX 31 4251 510 354 156
08 Mr. XXXX 31 4501 540 375 165
09 Mr. XXXX 31 5251 630 437 193
10 Mr. XXXX 31 6500 780 541 239
11 Mr. XXXX 31 4251 510 354 156
12 Mr. XXXX 31 4251 510 354 156
13 Mr. XXXX 31 3451 414 287 127
14 Mr. XXXX 31 3451 414 287 127
15 Mr. XXXX 31 3451 414 287 127
16 Mr. XXXX 31 3451 414 287 127
17 Mr. XXXX 30 5324 639 443 195
18 Mr. XXXX 28 4969 596 414 182
19 Mr. XXXX 31 6500 780 541 239
20 Mr. XXXX 31 6500 780 541 239
21 Mr. XXXX 31 5501 660 458 202
22 Mr. XXXX 31 4501 540 375 165
23 Mr. XXXX 31 3501 420 292 128
24 Mr. XXXX 31 3251 390 271 119
25 Mr. XXXX 31 4001 480 333 147
26 Mr. XXXX 31 3501 420 292 128
27 Mr. XXXX 31 5001 600 417 184
28 Mr. XXXX 31 3251 390 271 119
29 Mr. XXXX 31 3251 390 271 119
30 Mr. XXXX 31 4001 480 333 147
31 Mr. XXXX 31 3251 390 271 119
32 Mr. XXXX 31 3251 390 271 119
33 Mr. XXXX 31 3251 390 271 119
34 Mr. XXXX 31 3251 390 271 119
35 Mr. XXXX 31 5001 600 417 184
36 Mr. XXXX 31 4001 480 333 147
37 Mr. XXXX 31 4001 480 333 147
38 Mr. XXXX 31 3251 390 271 119
39 Mr. XXXX 30 4840 581 403 178
40 Mr. XXXX 31 3251 390 271 119
41 Mr. XXXX 31 5001 600 417 184
42 Mr. XXXX 16 2065 248 172 76
43 Mr. XXXX 31 6001 720 500 220
44 Mr. XXXX 26 2727 327 227 100
45 Mr. XXXX 31 6500 780 541 239
46 Mr. XXXX 31 6001 720 500 220
47 Mr. XXXX 31 6001 720 500 220
48 Mr. XXXX 31 5501 660 458 202
49 Mr. XXXX 31 4001 480 333 147
50 Mr. XXXX 31 4501 540 375 165
51 Mr. XXXX 31 3501 420 292 128
52 Mr. XXXX 31 4751 570 396 174
53 Mr. XXXX 31 3501 420 292 128
54 Mr. XXXX 20 2097 252 175 77
55 Mr. XXXX 31 4001 480 333 147
56 Mr. XXXX 31 6001 720 500 220
57 Mr. XXXX 31 4001 480 333 147
58 Mr. XXXX 31 3251 390 271 119
59 Mr. XXXX 31 4251 510 354 156
60 Mr. XXXX 31 3301 396 275 121
61 Mr. XXXX 31 3001 360 250 110
62 Mr. XXXX 31 3001 360 250 110
63 Mr. XXXX 31 3001 360 250 110
64 Mr. XXXX 31 3001 360 250 110
65 Mr. XXXX 31 3001 360 250 110
66 Mr. XXXX 31 3501 420 292 128
67 Mr. XXXX 31 3251 390 271 119
68 Mr. XXXX 31 3251 390 271 119
69 Mr. XXXX 31 3251 390 271 119
70 Mr. XXXX 31 3251 390 271 119
71 Mr. XXXX 31 3251 390 271 119
72 Mr. XXXX 31 3251 390 271 119
73 Mr. XXXX 31 3251 390 271 119
Grand Total: 2227 304181 36502 25338 11163

Tota EPF/EPS: 73003

Admin Charges 3346
 PF Statement for the month of December'09
No.of PF EPF EPF EPF
S.No Name
Days Gross 12% 8.33% 3.67%
EDLI Charges 1521
Admin Charges EDLI 30
77901
 COMBINED CHALLAN OF A/C NO. 1,2,10,21 & 22 ORIGINAL
STATE BANK OF INDIA
EMPLOYEES' PROVIDENT FUND ORGANISATION
(USE SEPARATE CHALLAN FOR EACH MONTH)

ESTABLISHMENT CODE No.: AP HYD/61880 ACCOUNT GROUP No. PAID BY CHEQUE/ CASH
M M Y Y Y Y
Employees Share 1 2 2 0 0 9 D D M M Y Y Y Y
DUES FOR THE MONTHS OF: DATE OF PAYMENT - -
Employers Share 1 2 2 0 0 9

Total No. of Subscribers

72 72 72
A/c 1 A/c 10 A/c 21
Total Wages Due 299430 299430 299430

A/c No. 1 A/c No. 2 A/c No. 10 A/c No. 21 A/c No. 22 TOTAL
S. NO. PARTICULARS
AMOUNT (in Rupees)
PART - 01
1. EMPLOYER'S SHARE OF CONTR. 35,932 24,943 1,497 62,371
2. EMPLOYEES' SHARE OF CONTR. 10,989 10,989
3. ADM. CHARGES 3,294 30 3,324
4. INSP. CHARGES
7(Q)
5. PENAL DAMAGES
14(B)
6. MISC. PAYMENT 76,684
46,921 3,294 24,943 1,497 30 76,685

(Amounts in words Rs. Seventy Seven Thousand Nine Hundred & One only)
(for Banks use only)
NAME OF ESTABLISHMENT: XXXXXXXXXXXXXXXXXXXXX Services Pvt. Ltd. Amount Received Rs. :………………………………………………
ADDRESS: For Cheques only :………………………………………………………
Date of Presentation : ………………………………………………..
Date of Realisation :…………………………………………………….
Branch Name: ……………………………………………………………….
NAME OF THE DEPOSITOR………………………………………………………………. Branch Code No. : ……………………………………………………….
SIGNATURE OF THE DEPOSITER………………………………… (TO BE FILLED IN BY EMPLOYER)

NAME OF THE BANK……………….………………………………………………….. CHEQUE NO…………………………………………..DATE………………………………………….

 COMBINED CHALLAN OF A/C NO. 1,2,10,21 & 22 DUPLICATE
STATE BANK OF INDIA
EMPLOYEES' PROVIDENT FUND ORGANISATION
(USE SEPARATE CHALLAN FOR EACH MONTH)

ESTABLISHMENT CODE No.: AP HYD/61880 ACCOUNT GROUP No. PAID BY CHEQUE/ CASH
M M Y Y Y Y
Employees Share 1 2 2 0 0 9 D D M M Y Y Y Y
DUES FOR THE MONTHS OF: DATE OF PAYMENT - -
Employers Share 1 2 2 0 0 9

Total No. of Subscribers

72 72 72
A/c 1 A/c 10 A/c 21
Total Wages Due 299430 299430 299430

A/c No. 1 A/c No. 2 A/c No. 10 A/c No. 21 A/c No. 22 TOTAL
S. NO. PARTICULARS
AMOUNT (in Rupees)
PART - 01
1. EMPLOYER'S SHARE OF CONTR. 35,932 24,943 1,497 62,371
2. EMPLOYEES' SHARE OF CONTR. 10,989 10,989
3. ADM. CHARGES 3,294 30 3,324
4. INSP. CHARGES
7(Q)
5. PENAL DAMAGES
14(B)
6. MISC. PAYMENT 76,684
46,921 3,294 24,943 1,497 30 76,685

(Amounts in words Rs. Seventy Seven Thousand Nine Hundred & One only)
(for Banks use only)
NAME OF ESTABLISHMENT: XXXXXXXXXXXXX Services Pvt. Ltd. Amount Received Rs. :………………………………………………
ADDRESS: For Cheques only :………………………………………………………
Date of Presentation : ………………………………………………..
Date of Realisation :…………………………………………………….
Branch Name: ……………………………………………………………….
NAME OF THE DEPOSITOR………………………………………………………………. Branch Code No. : ……………………………………………………….

SIGNATURE OF THE DEPOSITER………………………………… (TO BE FILLED IN BY EMPLOYER)

NAME OF THE BANK……………….………………………………………………….. CHEQUE NO…………………………………………..DATE………………………………………….

COMBINED CHALLAN OF A/C NO. 1,2,10,21 & 22 TRIPLICATE

STATE BANK OF INDIA
EMPLOYEES' PROVIDENT FUND ORGANISATION
(USE SEPARATE CHALLAN FOR EACH MONTH)

ESTABLISHMENT CODE No.: AP HYD/61880 ACCOUNT GROUP No. PAID BY CHEQUE/ CASH
M M Y Y Y Y
Employees Share 1 2 2 0 0 9 D D M M Y Y Y Y
DUES FOR THE MONTHS OF: DATE OF PAYMENT - -
Employers Share 1 2 2 0 0 9

Total No. of Subscribers

72 72 72
A/c 1 A/c 10 A/c 21
Total Wages Due 299430 299430 299430

A/c No. 1 A/c No. 2 A/c No. 10 A/c No. 21 A/c No. 22 TOTAL
S. NO. PARTICULARS
AMOUNT (in Rupees)
PART - 01
1. EMPLOYER'S SHARE OF CONTR. 35,932 24,943 1,497 62,371
2. EMPLOYEES' SHARE OF CONTR. 10,989 10,989
3. ADM. CHARGES 3,294 30 3,324
4. INSP. CHARGES
7(Q)
5. PENAL DAMAGES
14(B)
6. MISC. PAYMENT 76,684
46,921 3,294 24,943 1,497 30 76,685

(Amounts in words Rs. Seventy Seven Thousand Nine Hundred & One only)
(for Banks use only)
NAME OF ESTABLISHMENT: XXXXXXXXXXXXXXXXXXXXX Services Pvt. Ltd. Amount Received Rs. :………………………………………………
ADDRESS: For Cheques only :………………………………………………………
Date of Presentation : ………………………………………………..
Date of Realisation :…………………………………………………….
Branch Name: ……………………………………………………………….
NAME OF THE DEPOSITOR………………………………………………………………. Branch Code No. : ……………………………………………………….
SIGNATURE OF THE DEPOSITER………………………………… (TO BE FILLED IN BY EMPLOYER)

NAME OF THE BANK……………….………………………………………………….. CHEQUE NO…………………………………………..DATE………………………………………….

COMBINED CHALLAN OF A/C NO. 1,2,10,21 & 22 QUARDUPLICATE

STATE BANK OF INDIA
EMPLOYEES' PROVIDENT FUND ORGANISATION
(USE SEPARATE CHALLAN FOR EACH MONTH)

ESTABLISHMENT CODE No.: AP HYD/61880 ACCOUNT GROUP No. PAID BY CHEQUE/ CASH
M M Y Y Y Y
Employees Share 1 2 2 0 0 9 D D M M Y Y Y Y
DUES FOR THE MONTHS OF: DATE OF PAYMENT - -
Employers Share 1 2 2 0 0 9

Total No. of Subscribers

72 72 72
A/c 1 A/c 10 A/c 21
Total Wages Due 299430 299430 299430

A/c No. 1 A/c No. 2 A/c No. 10 A/c No. 21 A/c No. 22 TOTAL
S. NO. PARTICULARS
AMOUNT (in Rupees)
PART - 01
1. EMPLOYER'S SHARE OF CONTR. 35,932 24,943 1,497 62,371
2. EMPLOYEES' SHARE OF CONTR. 10,989 10,989
3. ADM. CHARGES 3,294 30 3,324
4. INSP. CHARGES
7(Q)
5. PENAL DAMAGES
14(B)
6. MISC. PAYMENT 76,684
46,921 3,294 24,943 1,497 30 76,685

(Amounts in words Rs. Seventy Seven Thousand Nine Hundred & One only)
(for Banks use only)
NAME OF ESTABLISHMENT: XXXXXXXXXXXXXXXXXXXXX Services Pvt. Ltd. Amount Received Rs. :………………………………………………
ADDRESS: For Cheques only :………………………………………………………
Date of Presentation : ………………………………………………..
Date of Realisation :…………………………………………………….
Branch Name: ……………………………………………………………….
NAME OF THE DEPOSITOR………………………………………………………………. Branch Code No. : ……………………………………………………….
SIGNATURE OF THE DEPOSITER………………………………… (TO BE FILLED IN BY EMPLOYER)

NAME OF THE BANK……………….………………………………………………….. CHEQUE NO…………………………………………..DATE………………………………………….

PT Statement for the month of Dec'09
S.N Gross No.of P.
Name
o Total Days Tax
01 Mr. XXXX 100000 31 200
02 Mr. XXXX 60000 31 200
03 Mr. XXXX 10000 31 80
04 Mr. XXXX 6000 31 60
05 Mr. XXXX 12000 31 100
06 Mr. XXXX 6500 31 80
07 Mr. XXXX 7000 31 80
08 Mr. XXXX 8500 31 80
09 Mr. XXXX 15000 31 100
10 Mr. XXXX 6500 31 80
11 Mr. XXXX 6500 31 80
12 Mr. XXXX 5500 31 60
13 Mr. XXXX 5500 31 60
14 Mr. XXXX 5500 31 60
15 Mr. XXXX 5500 31 60
16 Mr. XXXX 9000 30 80
17 Mr. XXXX 9000 28 80
18 Mr. XXXX 12000 31 100
19 Mr. XXXX 15000 31 100
20 Mr. XXXX 9000 31 80
21 Mr. XXXX 7000 31 80
22 Mr. XXXX 6000 31 60
23 Mr. XXXX 8000 31 80
24 Mr. XXXX 6000 31 60
25 Mr. XXXX 8000 31 80
26 Mr. XXXX 6000 31 60
27 Mr. XXXX 6000 31 60
28 Mr. XXXX 8000 30 80
29 Mr. XXXX 8000 31 80
30 Mr. XXXX 6000 16 60
31 Mr. XXXX 10000 31 80
32 Mr. XXXX 25000 31 200
33 Mr. XXXX 10000 31 80
34 Mr. XXXX 10000 31 80
35 Mr. XXXX 9000 31 80
36 Mr. XXXX 6000 31 60
37 Mr. XXXX 7000 31 80
38 Mr. XXXX 5750 31 60
39 Mr. XXXX 7500 31 80
40 Mr. XXXX 5750 31 60
41 Mr. XXXX 6000 31 60
42 Mr. XXXX 10000 31 80
43 Mr. XXXX 6000 31 60
44 Mr. XXXX 6500 31 80

Grand Total: 507500 1344 3660

 FORM V RETURNS OF TAX PAYABLE BY EMPLOYER
Under Sub-section (1) of Section 7 of the A.P. Tax on
(See Rule 12) Professions, Trades, Calling and Employments Act, 1987

Return of tax payable for the month ending on: December 2009

Name of the Employer: XXXXXXXXXXXXXXXXXXX Services Pvt. Ltd.

Address:

Registration Certificate No.: XXXXXXXXXXXXXXXX

Number of employees during the month in respect of whom is payable us as under

Employer whose monthly salaries or Number of Rate of Tax Amount of Tax

wages or both are Employees Per Month Rs. Deducted Rs.
i) Upto Rs.1500/- NIL NIL
ii) Range form Rs.1,500/- to Rs.2,000/- 16/- NIL
iii) Range from Rs.2,000/- to Rs.3,000/- 25/- NIL
iv) Range from Rs.3,000/- to Rs.4,000/- 35/- NIL
v) Range from Rs.4,000/- to Rs.5,000/- 45/- NIL
vi) Range from Rs.5,000/- to Rs.6,000/- 15 60/- 900
vii) Range from Rs.6,000/- to Rs.10,000/- 21 80/- 1680
viii) Range from Rs.10,000/- to Rs.15,000/- 4 100/- 400
ix) Range from Rs.15,000/- to Rs.20,000/- 0 150/- 0
x) Range above Rs.20,000/- 3 200/- 600

Total Rs. 43 3580

Add: Simple interest Payable (if any) on the
Above amount at two percent per month or
Part thereof (vide Section 11 of the Act)

GRAND TOTAL RS: 43 3580

I certify that all the employees who are liable to pay the tax is employ durig the period of return have
been covered by the foregoing particulars. I also certify that the mecessary revision in the amount of
deductioble from the salaru or wages of the employees on account of variation in the salary or wages
earned by them has been made wherever ncessary.

I..................................................................................................................................................
solemnly declare that the above statements are true to the best of my knowledge and belief.

Place: Hyderabad Signature…………………………………

(Employer)

Date……………………………….. Signature…………………………………

(FOR OFFICAL USE)

The return is accepted on verification

Tax assessed Rs………………………..

Tax Paid Rs………………………..

Balance Rs……………………….. …………………………………

Assessing Authority
Note: where the return is not acceptable separate order of assessment should be passed.
 ESIC Statement for the month of Dec'09
No.of ESI ESIC ESIC
S.No Name
Days Gross 1.75% 4.75%

01 Mr. XXXX 31 9400 165 447

02 Mr. XXXX 31 5400 95 257
03 Mr. XXXX 31 4048 71 192
04 Mr. XXXX 31 5900 104 280
05 Mr. XXXX 31 6400 112 304
06 Mr. XXXX 31 7900 139 375
07 Mr. XXXX 31 5900 104 280
08 Mr. XXXX 31 5900 104 280
09 Mr. XXXX 31 4900 86 233
10 Mr. XXXX 31 4900 86 233
11 Mr. XXXX 31 4900 86 233
12 Mr. XXXX 31 4900 86 233
13 Mr. XXXX 30 8129 143 386
14 Mr. XXXX 28 7587 133 360
15 Mr. XXXX 31 8400 147 399
16 Mr. XXXX 31 6400 112 304
17 Mr. XXXX 31 4400 77 209
18 Mr. XXXX 31 4242 75 201
19 Mr. XXXX 31 5400 95 257
20 Mr. XXXX 31 4400 77 209
21 Mr. XXXX 31 7400 130 352
22 Mr. XXXX 31 4242 75 201
23 Mr. XXXX 31 4242 75 201
24 Mr. XXXX 31 5400 95 257
25 Mr. XXXX 31 4242 75 201
26 Mr. XXXX 31 4242 75 201
27 Mr. XXXX 31 4242 75 201
28 Mr. XXXX 31 4242 75 201
29 Mr. XXXX 31 7400 130 352
30 Mr. XXXX 31 5400 95 257
31 Mr. XXXX 31 5400 95 257
32 Mr. XXXX 31 4242 75 201
33 Mr. XXXX 30 7161 126 340
34 Mr. XXXX 31 4242 75 201
35 Mr. XXXX 31 7400 130 352
36 Mr. XXXX 16 2787 49 132
37 Mr. XXXX 31 9400 165 447
38 Mr. XXXX 26 3558 63 169
39 Mr. XXXX 31 9400 165 447
40 Mr. XXXX 31 9400 165 447
41 Mr. XXXX 31 8400 147 399
42 Mr. XXXX 31 5400 95 257
43 Mr. XXXX 31 6400 112 304
44 Mr. XXXX 31 5150 91 245
45 Mr. XXXX 31 7500 132 356
46 Mr. XXXX 31 5150 91 245
47 Mr. XXXX 20 2737 48 130
48 Mr. XXXX 31 5400 95 257
49 Mr. XXXX 31 9400 165 447
50 Mr. XXXX 31 5400 95 257
51 Mr. XXXX 31 4242 75 201
52 Mr. XXXX 31 5900 104 280
53 Mr. XXXX 31 4048 71 192
54 Mr. XXXX 31 4048 71 192
55 Mr. XXXX 31 4048 71 192
56 Mr. XXXX 31 4048 71 192
57 Mr. XXXX 31 4048 71 192
58 Mr. XXXX 31 4048 71 192
59 Mr. XXXX 31 4400 77 209
60 Mr. XXXX 31 4048 71 192
61 Mr. XXXX 31 4048 71 192
62 Mr. XXXX 31 4048 71 192
63 Mr. XXXX 31 4048 71 192
64 Mr. XXXX 31 4048 71 192
65 Mr. XXXX 31 4048 71 192
66 Mr. XXXX 31 4048 71 192
Grand Total: 2010 361551 6355 17174

ESIC Employee Share 6355

ESIC Employer Share 17174
 ESIC Statement for the month of Dec'09
No.of ESI ESIC ESIC
S.No Name
Days Gross 1.75% 4.75%

Total: 23529
ESIC
ORIGINAL (for Bank)
DUPLICATE (for ESIC through Bank)
TRIPLICATE (for Depositor)
QUADPUPLICATE (through Depositgor)

EMPLOYEES STATE INSURANCE FUND ACCOUNT No. 1

PAY-IN-SLIP FOR CONTRIBUTION Challan No.

STATE BANK OF INDIA

Station…………………………. Dated………………
Particulars of Amount
Cash/ Cheque No. Rs. P. Paid into the credit of
the Employees State
Insurance Fund
23040
December'09 Account No. 1

23040 Rs. 23040

(Rupees Twenty Three Thousand Five Hundred & Twenty Nine Only)

in Cash/ by Cheque (on realisation) for payment of contribution as per details

given below under the Employees' State Insurance Act, 1948, for the
month of December'09

Deposited by:

Epmloyer's Code No.: 52-31045-09

Name and Address of XXXXXXXXXXXXXXXXXXXXXX Services Pvt. Ltd.
Factory/ Establishment

No. of Employees: 65
Total Wages Rs.: 354051
Employee's Contribution Rs.: 6223
Employer's Contribution Rs.: 16817
Total Rs.: 23040
(For use in Bank)
ACKNOWLEDGEMENT
(to be filled by depositor)

Received payment with Cash/ Cheque/ Draft No……………………………….

dated………………...for Rs 23529/- (Rupees Twenty Three Thousand Five Hundred &
Twenty Nine Only)
drawn on (Bank)
in favour of Employees State Insurance Fund Account No. 1
Sl. No. in Bank's Scroll

Date:………… Authorised Signatory of the receiving Bank