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COMPANY NAME
COMPANY ADDRESS EMP.CODE : DEPARTMENT PF ACCOUNT NO. FATHER/HUSBAND NAME BANK ACCOUNT NUMBER LOP DAYS EARNINGS BASIC HRA CONVEYANCE SPECIAL CONVEYANCE ACTUAL 4900.00 2500.00 1300.00 410.00 EARNED 4900.00 2500.00 1300.00 410.00

FORM T
[See sub-rule (6) of rule 11] PAYSLIP FOR THE MONTH OF OCTOBER 2008 NAME DESIGNATION ESI .NO. DATE OF JOINING MONTH DAYS LOPREV DEDUCTIONS AMOUNT PF AMOUNT ESI CANTEEN TRANSPORT ALLOWANCE PROFESSIONAL TAX DEDUCTION TOTAL 588.00 140.00 102.00 75.00 98.00 1003.00 LOGO

GROSS TOTAL

9110.00

9110.00

NET PAY 8107.00 (Rupees EIGHT THOUSAND HUNDRED AND SEVEN ONLY)

"This is Computer generated Payslip. Signature not required."