MONTH-SEPT 18 Sl. CLOCK

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1 Name & Address of Contractor: Nature and Location of Work: Name and address of Principal Employer Adress of Establishment In/ under which contract is carried on : MUSTER ROLL FORM XVI See Rule-78 (1) (a) (I) G4S SECURE SOLUTIONS INDIA PVT LTD Security Services &FARM HOUSE DELHI INGRAM MICRO INDIA PRIVATE LIMITED&B-1/G9 Mohan Co-Opera ve Industrial Are Mathura Road INGRAM MICRO INDIA PRIVATE LIMITED&B-1/G9 Mohan Co-Opera ve Industrial Are Mathura Road MONTH-SEPT 18 Sl. CLOCK Date / Units NAME Father Name Gender PRESENT DAYS No NO RAMESH KUMAR MALLIK SHYAM KISHOR MALLIK MALE A A A A A A A A A A A A A A A A A A A A A A A P P P A A A A ARVIND KUMAR Sadhu Singh MALE P P P A A A A P P P A A A A P P P W A A A P P P W A A A P P ASHOK KR SINGH R K Singh MALE P W P P P P P P W P P P P P P W P P P P P P W A A A P P P A ONKAR KUMAR PRIYADARSHI S P SINGH MALE A P P P P P P W P P P P P P W P P P P P P W P P P P P P W P OM PRAKASH SH.UTTAM SINGH YADAV MALE P W P P P P P P W P P P P P P W P P P P P P W P P P P P P A SWATANTRA PANDEY RAJENDRA PANDEY MALE P P W P P P P P P W P P P P P P W P P P P P P W P P P P P P 26

2 Name and Address of Contractor Nature and Location of Work Name and address of Principal Employer Address of Establishment in / under which Contract is Carried on REGISTER OF WAGES Form XVII [ See Rule 78 (1) (a) (I) ] G4S Secure Solution ( India) Pvt.Ltd Security Services &FARM HOUSE DELHI INGRAM MICRO INDIA PRIVATE LIMITED&B-1/G9 Mohan Co-Opera ve Industrial Are Mathura Road INGRAM MICRO INDIA PRIVATE LIMITED&B-1/G9 Mohan Co-Opera ve Industrial Are Mathura Road MONTH-SEPT 18 S. No. Emp. Code Employee's Name Designation Monthly Earned Amount DEDUCTIONS rate of Attd (in Days) BASIC ARRE WA Allow Other Total PF ESIC LWF VDD Others TOTAL NT AMT PAID Bank NAME wages/pie ce wages AR Allowance Ded DED BANK AC NO RAMESH KUMAR MALLIK SUPERVISOR ING,Vysya Bank Delhi ARVIND KUMAR HEAD GUARD , ING,Vysya Bank Delhi ASHOK KR SINGH SUPERVISOR , CITI BANK, DELHI ONKAR KUMAR PRIYADARSHI HEAD GUARD , ING,Vysya Bank Delhi OM PRAKASH HEAD GUARD , IDBI BANK,DELHI SWATANTRA PANDEY GUARD , IDBI BANK,DELHI

3 Form XX See Rule 78(1)(a)(ii) Register of Deductions for Damage or Loss Name and address of Contractor G4S Secure Solution ( India) Pvt.Ltd Nature and location of work Security Services &FARM HOUSE DELHI Name and address of Principal Employer INGRAM MICRO INDIA PRIVATE LIMITED&B-1/G9 Mohan Co-Opera ve Industria Address of Establishment in / under which Contract is Carried o INGRAM MICRO INDIA PRIVATE LIMITED&B-1/G9 Mohan Co-Opera ve Industria For the month of Sep/2018 Name of Date of recovery Whether person in Designati Particular workman whose Amount Father s/h on/nature Date of No. of Name of s of shoed presence of Sl. No. usband s of Damage instalment Remarks workman damage cause employee deduction First Last name employme or loss s or loss against s imposed instalment Instalment nt deduction explanatio n was No deduction for damages & loss in the current month

4 See Rule 78(1)(a)(ii) Register of Fines Name and Address of Contractor G4S Secure Solution ( India) Pvt.Ltd Nature and location of work Security Services &FARM HOUSE DELHI Name and address of Principal Employer INGRAM MICRO INDIA PRIVATE LIMITED&B-1/G9 Mohan Co-Opera v Address of Establishment in / under which Contract is Carried o INGRAM MICRO INDIA PRIVATE LIMITED&B-1/G9 Mohan Co-Opera v For the Month of Sep/ Sl.No. Name of workman Date of offence Remarks Father s/h usband s name Designati on/nature of employme nt Act/Omiss ion for which fine imposed FORM XXI Whether workman showed cause against fine Name of person in whose presence employee s explanatio n was heard Wage periods and wages payable Amount of fine imposed Date on which fine realised No fine has been imposed on any emplyees during the current month

5 Register of Advances Name and Address of Contractor G4S Secure Solution ( India) Pvt.Ltd Nature and location of work Security Services &FARM HOUSE DELHI Name and address of Principal Employer INGRAM MICRO INDIA PRIVATE LIMITED&B-1/G9 Mohan Co-Opera v Address of Establishment in / under which Contract is Carried on INGRAM MICRO INDIA PRIVATE LIMITED&B-1/G9 Mohan Co-Opera v For the month of Sep/2018 Sl. No Name of workman Sex Overtime earnings Remarks Father s/h usband's name Designatio n/nature of employm ent Form XXII See Rule 78(1)(a)(iii) Dates on which overtime worked Total overtime worked or productio n in case of piecerated Normal rates of wages Overtime rate of wages Date on which overtime wages paid No Advance paid to any employees in the current month

6 Name and Address of Contractor Nature and location of work Name and address of Principal Employer Address of Establishment in / under which Contract is Carried on For the month of Sep/2018 Sl. No CLOCK NO. Name of workman Sex Father s/ Husband's name Designation/nature of employment Form XXIII See Rule 78(1)(a)(iii) Register of Overtime Dates on which overtime worked G4S Secure Solution ( India) Pvt.Ltd Security Services &FARM HOUSE DELHI INGRAM MICRO INDIA PRIVATE LIMITED&B-1/G9 Mohan Co-Opera ve INGRAM MICRO INDIA PRIVATE LIMITED&B-1/G9 Mohan Co-Opera ve Total overtime worked or productio n in case of piecerated Normal rates of wages Overtime rate of wages Overtime earnings/ NFH Date on which overtime wages paid Remarks No Overtime in the current month

7 Nature and location of work: Security Services &FARM HOUSE DELHI Name of the workman:ramesh KUMAR MALLIK Name Father s/husband sshyam KISHOR MALLIK 1. No. of days worked:3 3. Rate of daily wages/piece-rate: Gross wages payable: Deductions, if any: Net amount of wages paid: 1498

8 Nature and location of work: Security Services &FARM HOUSE DELHI Name of the workman:arvind KUMAR Name Father s/husband ssadhu Singh 1. No. of days worked:14 3. Rate of daily wages/piece-rate: Gross wages payable: Deductions, if any: Net amount of wages paid: 11924

9 Nature and location of work: Security Services &FARM HOUSE DELHI Name of the workman:ashok KR SINGH Name Father s/husband sr K Singh 1. No. of days worked:22 3. Rate of daily wages/piece-rate: Gross wages payable: Deductions, if any: Net amount of wages paid: 29053

10 Nature and location of work: Security Services &FARM HOUSE DELHI Name of the workman:onkar KUMAR PRIYADARSHI Name Father s/husband ss P SINGH 1. No. of days worked:25 3. Rate of daily wages/piece-rate: Gross wages payable: Deductions, if any: Net amount of wages paid: 24633

11 Nature and location of work: Security Services &FARM HOUSE DELHI Name of the workman:om PRAKASH Name Father s/husband ssh.uttam SINGH YADAV 1. No. of days worked:25 3. Rate of daily wages/piece-rate: Gross wages payable: Deductions, if any: Net amount of wages paid: 25107

12 Nature and location of work: Security Services &FARM HOUSE DELHI Name of the workman:swatantra PANDEY Name Father s/husband srajendra PANDEY 1. No. of days worked:26 3. Rate of daily wages/piece-rate: Gross wages payable: Deductions, if any: Net amount of wages paid: 25775

13 Nature and location of work: Name of the workman: Name Father s/husband s 1. No. of days worked: 3. Rate of daily wages/piece-rate: 5. Gross wages payable: 6. Deductions, if any: 7. Net amount of wages paid:

14 Nature and location of work: Name of the workman: Name Father s/husband s 1. No. of days worked: 3. Rate of daily wages/piece-rate: 5. Gross wages payable: 6. Deductions, if any: 7. Net amount of wages paid:

15 Nature and location of work: Name of the workman: Name Father s/husband s 1. No. of days worked: 3. Rate of daily wages/piece-rate: 5. Gross wages payable: 6. Deductions, if any: 7. Net amount of wages paid:

16 Nature and location of work: Name of the workman: Name Father s/husband s 1. No. of days worked: 3. Rate of daily wages/piece-rate: 5. Gross wages payable: 6. Deductions, if any: 7. Net amount of wages paid:

17 Nature and location of work: Name of the workman: Name Father s/husband s 1. No. of days worked: 3. Rate of daily wages/piece-rate: 5. Gross wages payable: 6. Deductions, if any: 7. Net amount of wages paid:

18 Nature and location of work: Name of the workman: Name Father s/husband s 1. No. of days worked: 3. Rate of daily wages/piece-rate: 5. Gross wages payable: 6. Deductions, if any: 7. Net amount of wages paid:

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