Form - XVII
[See Rule 78(1)(a)(i)]
Name and Address of ContractorDUOS BRAIN MANAGEMENT SUPPORT SERVICES A-40,Pochanpur Extn. Gali no. 01, Sector-23, Dwarka, New Delhi
Nature and Location of WorkDLF TOWER-A, JASOLA, NEW DELHI
Name and Address of Establishment in/under which contract is carried onDLF TOWER-A, JASOLA, NEW DELHI
Name and Address of Principal EmployerDLF TOWER-A, JASOLA, NEW DELHI
Register of Wages/ Salary Register
DUOS BRAIN MANAGEMENT SUPPORT SERVICESEstt. EPF Code :   DL/38086
Salary/Wages Register for the month of March,2018Estt.ESIC Code :  
Sr.No.
ID
Name/Designation
Father/Husband Name
Attendance Detail Salary/Wages
Rates
Earning Arrear Total Earning DeductionsNet Amt Payable Signature
1.

DB1133
Manish Bhatt
RAS


DOJ  -   29/03/2014
PF NO - 1383
UAN NO - 100025095581
ESIC NO - 2015259686
W.Day 31.00
WO/HL 0.00
CL 0.00
EL/PL 0.00
LWP 0.00
SL 0.00
Basic Salary14958.00
Special Allowance2540.00
Basic Salary 14958.00
Special Allowance 2540.00
14958.00
2540.00
PF 1795.00
ESI Contibution Employee 307.00
15396.00
PayMode-
A/c.No.-
BankName-
Total Days31
Absent 0.00
Paid Days31.00
OT HRS0.00
Total17498.00
17498.0017498.002102.00
15396.00
2.

DB3603
Devid Lakra
Operator


DOJ  -   01/01/2018UAN NO - 100761490819
ESIC NO - 6924766647
W.Day 31.00
WO/HL 0.00
CL 0.00
EL/PL 0.00
LWP 0.00
SL 0.00
Basic Salary14958.00
Special Allowance2540.00
Basic Salary 14958.00
Special Allowance 2540.00
14958.00
2540.00
PF 1795.00
ESI Contibution Employee 307.00
15396.00
PayMode-
A/c.No.-
BankName-
Total Days31
Absent 0.00
Paid Days31.00
OT HRS0.00
Total17498.00
17498.0017498.002102.00
15396.00
3.

DB3604
Jitendra Kumar
CLEANER


DOJ  -   01/01/2018UAN NO - 100176566601
ESIC NO - 6922790892
W.Day 31.00
WO/HL 0.00
CL 0.00
EL/PL 0.00
LWP 0.00
SL 0.00
Basic Salary14958.00
Special Allowance2540.00
Basic Salary 14958.00
Special Allowance 2540.00
14958.00
2540.00
PF 1795.00
ESI Contibution Employee 307.00
15396.00
PayMode-
A/c.No.-
BankName-
Total Days31
Absent 0.00
Paid Days31.00
OT HRS0.00
Total17498.00
17498.0017498.002102.00
15396.00



DUOS BRAIN MANAGEMENT SUPPORT SERVICESEstt. EPF Code :   DL/38086
Salary/Wages Register for the month of March,2018Estt.ESIC Code :  
Sr.No.
ID
Name/Designation
Father/Husband Name
Attendance Detail Salary/Wages
Rates
Earning Arrear Gross Amount DeductionsNet Amt PayableSignature
4.

DB3606
Shatrohan Shah
CLEANER


DOJ  -   01/01/2018UAN NO - 100761698478
ESIC NO - 6925292350
W.Day 31.00
WO/HL 0.00
CL 0.00
EL/PL 0.00
LWP 0.00
SL 0.00
Basic Salary14958.00
Special Allowance2540.00
Basic Salary 14958.00
Special Allowance 2540.00
14958.00
2540.00
PF 1795.00
ESI Contibution Employee 307.00
15396.00
PayMode-
A/c.No.-
BankName-
Total Days31
Absent 0.00
Paid Days31.00
OT HRS0.00
Total17498.00
17498.0017498.002102.00
15396.00
5.

DB3610
Jogendra Singh
SUPERVISOR


DOJ  -   01/01/2018UAN NO - 100415540718
ESIC NO - 6913662622
W.Day 31.00
WO/HL 0.00
CL 0.00
EL/PL 0.00
LWP 0.00
SL 0.00
Basic Salary16468.00
Special Allowance2796.00
Basic Salary 16468.00
Special Allowance 2796.00
16468.00
2796.00
PF 1976.00
ESI Contibution Employee 338.00
16950.00
PayMode-
A/c.No.-
BankName-
Total Days31
Absent 0.00
Paid Days31.00
OT HRS0.00
Total19264.00
19264.0019264.002314.00
16950.00
6.

DB3611
Sumit Singh Rathor
RAS


DOJ  -   01/01/2018UAN NO - 100369171366
ESIC NO - 6922185414
W.Day 31.00
WO/HL 0.00
CL 0.00
EL/PL 0.00
LWP 0.00
SL 0.00
Basic Salary16468.00
Special Allowance2796.00
Basic Salary 16468.00
Special Allowance 2796.00
16468.00
2796.00
PF 1976.00
ESI Contibution Employee 338.00
16950.00
PayMode-
A/c.No.-
BankName-
Total Days31
Absent 0.00
Paid Days31.00
OT HRS0.00
Total19264.00
19264.0019264.002314.00
16950.00



DUOS BRAIN MANAGEMENT SUPPORT SERVICESEstt. EPF Code :   DL/38086
Salary/Wages Register for the month of March,2018Estt.ESIC Code :  
Sr.No.
ID
Name/Designation
Father/Husband Name
Attendance Detail Salary/Wages
Rates
Earning Arrear Gross Amount DeductionsNet Amt PayableSignature
7.

DB3612
Subodh Kumar Singh
FITTER


DOJ  -   01/01/2018UAN NO - 100364578382
ESIC NO - 6923612097
W.Day 27.00
WO/HL 0.00
CL 0.00
EL/PL 0.00
LWP 0.00
SL 0.00
Basic Salary16468.00
Special Allowance2796.00
Basic Salary 14343.00
Special Allowance 2435.00
14343.00
2435.00
PF 1721.00
ESI Contibution Employee 294.00
14763.00
PayMode-
A/c.No.-
BankName-
Total Days31
Absent 0.00
Paid Days27.00
OT HRS0.00
Total19264.00
16778.0016778.002015.00
14763.00
Grand Total
EarningBasic SalarySpecial Allowance
107111.0018187.00

DeductionPFESI Contibution Employee
12853.002198.00

TotalCTCEarningDeductionNet Salary
12778412529815051110247