Appendix 'IV' Form-XIII (See Rule 75) Register of Workmen Employed by contractor Name and address of contractor Name and address of establishment under which contract is carried on Nature and location of Work Name and address of Principal Employer Sl. No Name & surname of workman Age & sex / name Nature of employment / designation Permanent home address of the workman (village & Tehsil, Taluka & District ) Local Address Date of commencement of Employment Signature or Thumb Impression of the workman Date of Termination of Employment Reasons for termination Remarks 1 2 3 4 5 6 7 8 9 10 11 12
Appendix 'VI' Form -XVII (See Rule 78(2)(a)) Register of Wages Name and address of the contractor Name and address of establishment under which contract is carried on Nature and location of work Name and address of Principal Employer Wages period Monthly / fortnightly Dearness Allowance Overtime Other Cash Payments (indicate nature) Total Deductions if any (indicate Nature) Net Amount paid Signature or Thumb impression of the Workman Intial of contractor or his representative 9 10 11 12 13 14 15 16 Sl. No Name workman Serial no in the Register of Workman Designation / Nature of Work done No. of days worked Units of Work done Daily rate of wages / pieces rate Basic wages 1 2 3 4 5 6 7 8
Appendix 'XI' Form - XII (See rule 78 (2) (d)) Register of Fines Name and address of the contractor : Nature & Location of Work : Name & address of Establishment under which Contract is carried on : Name and address of Principal Employer : Sl no Name of Workman Father’s / Husband’s name Designation / Nature of Employment Act / Omission for which fine imposed Date of offence 1 2 3 4 5 6 Whether workman showed cause against fine Name of person in whose presence employees explanation was heard Wage period & Wages payable Amount of fine imposed Date on which fine realised Remarks 7 8 9 10 11 12
Appendix 'XII' Form - XX (See rule 78 (2) (d)) Register of Deductions for Damage or Loss Name and address of the contractor : Nature & Location of Work : Name & address of Establishment under which Contract is carried on : Name and address of Principal Employer : Sl no Name of Workman Father’s / Husband’s name Designation / Nature of Employment Particulars of damage or loss Date of damage or loss Whether workman showed cause against fine 1 2 3 4 5 6 7 Name of person in whose presence employees explanation was heard Amount of deduction imposed No. of installment Date of Recovery Remarks First Installments Last Installment 8 9 10 11 12 13
Appendix 'XIII' Form-XXII (See rule 78 (2) (d)) Register of Advances Name and address of contractor Name and address of establishment under which contract is carried on Nature and location of Work Name and address of Principal Employer Sl. No Name of workman / name Nature of employment / designation Wages period & Wages Payable Date & Amount of Advance given Purpose(s) for which Advance made Number of Installments by which advance is to be Repaid Date of amount of each installments repaid Date on which last installment was repaid Remarks 1 2 3 4 5 6 7 8 9 10 11 Appendix 'XIV' Form-XXIII (See rule 78 (2) (e)) Register of Overtime Name and address of contractor Name and address of establishment under which contract is carried on Nature and location of Work Name and address of Principal Employer Sl. No Name of workman / name Sex Nature of employment / designation Date on which Overtime Worked Total Overtime worked or Production in case of Piece work Normal rate of wages Overtime rate of wages Overtime earnings Rate on which Overtime wages paid 1 2 3 4 5 6 7 8 9 10 11 12