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[Company Name]
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For the Month of: [Month, Year]
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Address: [Company Address]
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Pay Date: [DD/MM/YYYY]
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1. Employee Details
| Item |
Details |
Item |
Details |
| Employee Name |
[Worker's Full Name] |
Date of Joining |
[DD/MM/YYYY] |
| Employee ID / Code |
[Unique ID Number] |
Total Working Days in Month |
[e.g., 30] |
| Designation / Job Role |
[e.g., Operator, Assembler, Helper] |
Days Paid |
[Actual days worked/paid] |
| Department / Section |
[e.g., Production, Quality Control] |
Bank A/C No. (Last 4 Digits) |
[XXXX] |
| PAN / Aadhar No. (Last 4 Digits) |
[Optional: XXXX] |
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2. Earnings (Income)
| Component |
Rate / Basis |
Amount (₹) |
| 1. Basic Salary |
[Monthly/Daily Rate] |
[Amount] |
| 2. Dearness Allowance (DA) |
[If Applicable] |
[Amount] |
| 3. House Rent Allowance (HRA) |
[If Applicable] |
[Amount] |
| 4. Overtime (OT) Pay |
[Hours Worked x OT Rate] |
[Amount] |
| 5. Other Allowances (e.g., Travel) |
- |
[Amount] |
| Total Earnings (A) |
[Sum of all amounts] |
3. Deductions (Money Withheld)
| Component |
Basis / Statutory |
Amount (₹) |
| 1. Provident Fund (PF) Contribution |
[Statutory % of Basic + DA] |
[Amount] |
| 2. Employees' State Insurance (ESI) |
[Statutory % of Gross Pay] |
[Amount] |
| 3. Professional Tax (PT) |
[If Applicable] |
[Amount] |
| 4. Income Tax (TDS) |
[If Applicable] |
[Amount] |
| 5. Loan/Advance Recovery |
[If Applicable] |
[Amount] |
| Total Deductions (B) |
[Sum of all amounts] |
4. Net Pay Calculation
| Gross Earnings (A) |
[Total Earnings] |
| Less: Total Deductions (B) |
[Total Deductions] |
| Net Pay (A - B) |
[Net Amount Paid] |
Net Pay in Words: [Write the Net Pay amount in words]
5. Signatures and Notes
For Office Use:
Prepared By: [Signature / Name of HR/Accounts]
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For Employee Record:
Employee Signature: [Signature]
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Note: This is a computer-generated statement and may not require a physical signature.
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