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 WorkBAANI CORPORATE, JASOLA, NEW DELHI
Name and Address of Establishment in/under which contract is carried onBAANI CORPORATE, JASOLA, NEW DELHI
Name and Address of Principal EmployerBAANI CORPORATE, JASOLA, NEW DELHI
Register of Wages/ Salary Register
DUOS BRAIN MANAGEMENT SUPPORT SERVICESEstt. EPF Code :   DL/38086
Salary/Wages Register for the month of November,2017Estt.ESIC Code :  
Sr.No.
ID
Name/Designation
Father/Husband Name
Attendance Detail Salary/Wages
Rates
Earning Arrear Total Earning DeductionsNet Amt Payable Signature
1.

DB1025
Vivek Kumar Vishwakarma
SUPERVISOR


DOJ  -   02/01/2014
PF NO - 1240
UAN NO - 100005854709
ESIC NO - 6710046716
W.Day 30.00
WO/HL 0.00
CL 0.00
EL/PL 0.00
LWP 0.00
SL 0.00
Basic Salary13350.00
HRA2021.00
Phone Allow250.00
Basic Salary 13350.00
House Rent Allowance 2021.00
Telephone Allow 250.00
Exgratia 1025.00
13350.00
2021.00
250.00
1025.00
PF 1602.00
ESI Contibution Employee 292.00
Salary Advance 300.00
Meal Deduction 250.00
14202.00
PayMode-
A/c.No.-
BankName-
Total Days30
Absent 0.00
Paid Days30.00
OT HRS2.00
Total15621.00
16646.0016646.002444.00
14202.00
2.

DB1133
Manish Bhatt
RAS


DOJ  -   29/03/2014
PF NO - 1383
UAN NO - 100025095581
ESIC NO - 2015259686
W.Day 30.00
WO/HL 0.00
CL 0.00
EL/PL 0.00
LWP 0.00
SL 0.00
Basic Salary10582.00
CTC Bonus583.00
Basic Salary 10582.00
Bonus Paid 583.00
10582.00
583.00
PF 1270.00
ESI Contibution Employee 186.00
9709.00
PayMode-
A/c.No.-
BankName-
Total Days30
Absent 0.00
Paid Days30.00
OT HRS0.00
Total11165.00
11165.0011165.001456.00
9709.00
3.

DB1317
Raj Narayan Sharma
RAS


DOJ  -   20/03/2016
PF NO - 2667
UAN NO - 100878361215
ESIC NO - 2015406944
W.Day 30.00
WO/HL 0.00
CL 0.00
EL/PL 0.00
LWP 0.00
SL 0.00
Basic Salary10582.00
CTC Bonus583.00
Basic Salary 10582.00
Bonus Paid 583.00
10582.00
583.00
PF 1270.00
ESI Contibution Employee 186.00
9709.00
PayMode-
A/c.No.-
BankName-
Total Days30
Absent 0.00
Paid Days30.00
OT HRS0.00
Total11165.00
11165.0011165.001456.00
9709.00



DUOS BRAIN MANAGEMENT SUPPORT SERVICESEstt. EPF Code :   DL/38086
Salary/Wages Register for the month of November,2017Estt.ESIC Code :  
Sr.No.
ID
Name/Designation
Father/Husband Name
Attendance Detail Salary/Wages
Rates
Earning Arrear Gross Amount DeductionsNet Amt PayableSignature
4.

DB1392
Subhash
CLEANER


DOJ  -   26/09/2014
PF NO - 1613
UAN NO - 100606105361
ESIC NO - 2015480533
W.Day 30.00
WO/HL 0.00
CL 0.00
EL/PL 0.00
LWP 0.00
SL 0.00
Basic Salary12753.00
Basic Salary 12753.00
Exgratia 425.00
12753.00
425.00
PF 1530.00
ESI Contibution Employee 231.00
Salary Advance 300.00
Meal Deduction 250.00
10867.00
PayMode-
A/c.No.-
BankName-
Total Days30
Absent 0.00
Paid Days30.00
OT HRS1.00
Total12753.00
13178.0013178.002311.00
10867.00
5.

DB2988
Kamlesh Kumar Vishwakarma
CLEANER


DOJ  -   12/01/2017
PF NO - 15813
UAN NO - 101002043081
ESIC NO - 2016434808
W.Day 30.00
WO/HL 0.00
CL 0.00
EL/PL 0.00
LWP 0.00
SL 0.00
Basic Salary12753.00
Basic Salary 12753.00
12753.00
PF 1530.00
ESI Contibution Employee 224.00
Salary Advance 300.00
Meal Deduction 250.00
10449.00
PayMode-
A/c.No.-
BankName-
Total Days30
Absent 0.00
Paid Days30.00
OT HRS0.00
Total12753.00
12753.0012753.002304.00
10449.00
6.

DB301
Govind
CLEANER


DOJ  -   12/03/2016
PF NO - 2681
UAN NO - 100873369545
ESIC NO - 2014642663
W.Day 30.00
WO/HL 0.00
CL 0.00
EL/PL 0.00
LWP 0.00
SL 0.00
Basic Salary12753.00
Basic Salary 12753.00
12753.00
PF 1530.00
ESI Contibution Employee 224.00
Salary Advance 300.00
Meal Deduction 250.00
10449.00
PayMode-
A/c.No.-
BankName-
Total Days30
Absent 0.00
Paid Days30.00
OT HRS0.00
Total12753.00
12753.0012753.002304.00
10449.00



DUOS BRAIN MANAGEMENT SUPPORT SERVICESEstt. EPF Code :   DL/38086
Salary/Wages Register for the month of November,2017Estt.ESIC Code :  
Sr.No.
ID
Name/Designation
Father/Husband Name
Attendance Detail Salary/Wages
Rates
Earning Arrear Gross Amount DeductionsNet Amt PayableSignature
7.

DB3043
Vikas Kumar Viswakarma
RAS


DOJ  -   01/03/2017
PF NO - 15890
UAN NO - 101060302952
ESIC NO - 2016557165
W.Day 30.00
WO/HL 0.00
CL 0.00
EL/PL 0.00
LWP 0.00
SL 0.00
Basic Salary12753.00
Basic Salary 12753.00
Exgratia 425.00
12753.00
425.00
PF 1530.00
ESI Contibution Employee 231.00
Salary Advance 300.00
Meal Deduction 250.00
10867.00
PayMode-
A/c.No.-
BankName-
Total Days30
Absent 0.00
Paid Days30.00
OT HRS1.00
Total12753.00
13178.0013178.002311.00
10867.00
8.

DB3119
Sunil Vishwakarma
RAS


DOJ  -   07/04/2017UAN NO - 101078699434
ESIC NO - 2016631241
W.Day 30.00
WO/HL 0.00
CL 0.00
EL/PL 0.00
LWP 0.00
SL 0.00
Basic Salary12753.00
Basic Salary 12753.00
12753.00
PF 1530.00
ESI Contibution Employee 224.00
Salary Advance 300.00
Meal Deduction 250.00
10449.00
PayMode-
A/c.No.-
BankName-
Total Days30
Absent 0.00
Paid Days30.00
OT HRS0.00
Total12753.00
12753.0012753.002304.00
10449.00
9.

DB3409
Rajesh Kumar
CLEANER


DOJ  -   26/09/2017UAN NO - 101184935662
ESIC NO - 2016862671
W.Day 30.00
WO/HL 0.00
CL 0.00
EL/PL 0.00
LWP 0.00
SL 0.00
Basic Salary10435.00
Basic Salary 10435.00
Exgratia 348.00
10435.00
348.00
PF 1252.00
ESI Contibution Employee 189.00
Meal Deduction 250.00
9092.00
PayMode-
A/c.No.-
BankName-
Total Days30
Absent 0.00
Paid Days30.00
OT HRS1.00
Total10435.00
10783.0010783.001691.00
9092.00



DUOS BRAIN MANAGEMENT SUPPORT SERVICESEstt. EPF Code :   DL/38086
Salary/Wages Register for the month of November,2017Estt.ESIC Code :  
Sr.No.
ID
Name/Designation
Father/Husband Name
Attendance Detail Salary/Wages
Rates
Earning Arrear Gross Amount DeductionsNet Amt PayableSignature
10.

DB410
Raj Kumar
CLEANER


DOJ  -   13/12/2012
PF NO - 0632
UAN NO - 100292226551
ESIC NO - 2014733688
W.Day 30.00
WO/HL 0.00
CL 0.00
EL/PL 0.00
LWP 0.00
SL 0.00
Basic Salary10435.00
Basic Salary 10435.00
10435.00
PF 1252.00
ESI Contibution Employee 183.00
Meal Deduction 250.00
8750.00
PayMode-
A/c.No.-
BankName-
Total Days30
Absent 0.00
Paid Days30.00
OT HRS0.00
Total10435.00
10435.0010435.001685.00
8750.00
11.

DB667
Md Faizan
RAS


DOJ  -   28/04/2016
PF NO - 2866
UAN NO - 100903892497
ESIC NO - 2014915743
W.Day 30.00
WO/HL 0.00
CL 0.00
EL/PL 0.00
LWP 0.00
SL 0.00
Basic Salary12753.00
Basic Salary 12753.00
12753.00
PF 1530.00
ESI Contibution Employee 224.00
Salary Advance 300.00
Meal Deduction 250.00
10449.00
PayMode-
A/c.No.-
BankName-
Total Days30
Absent 0.00
Paid Days30.00
OT HRS0.00
Total12753.00
12753.0012753.002304.00
10449.00
12.

DB674
Tarun Mogha
RAS


DOJ  -   15/05/2013
PF NO - 0897
UAN NO - 100389831847
ESIC NO - 2014946109
W.Day 30.00
WO/HL 0.00
CL 0.00
EL/PL 0.00
LWP 0.00
SL 0.00
Basic Salary13350.00
HRA494.00
Basic Salary 13350.00
House Rent Allowance 494.00
Exgratia 461.00
13350.00
494.00
461.00
PF 1602.00
ESI Contibution Employee 251.00
Salary Advance 300.00
Meal Deduction 250.00
11902.00
PayMode-
A/c.No.-
BankName-
Total Days30
Absent 0.00
Paid Days30.00
OT HRS1.00
Total13844.00
14305.0014305.002403.00
11902.00



DUOS BRAIN MANAGEMENT SUPPORT SERVICESEstt. EPF Code :   DL/38086
Salary/Wages Register for the month of November,2017Estt.ESIC Code :  
Sr.No.
ID
Name/Designation
Father/Husband Name
Attendance Detail Salary/Wages
Rates
Earning Arrear Gross Amount DeductionsNet Amt PayableSignature
13.

DB696
Md Parvez
RAS


DOJ  -   08/06/2013
PF NO - 0925
UAN NO - 100230420683
ESIC NO - 2014947624
W.Day 0.00
WO/HL 0.00
CL 0.00
EL/PL 0.00
LWP 0.00
SL 0.00
Basic Salary10582.00
CTC Bonus583.00
0.00
PayMode-
A/c.No.-
BankName-
Total Days30
Absent 0.00
Paid Days0.00
OT HRS0.00
Total11165.00
00.000
0.00
14.

DB714
Sonu Sharma
RAS


DOJ  -   16/06/2013
PF NO - 0943
UAN NO - 100360558224
ESIC NO - 2014939112
W.Day 30.00
WO/HL 0.00
CL 0.00
EL/PL 0.00
LWP 0.00
SL 0.00
Basic Salary12753.00
Basic Salary 12753.00
12753.00
PF 1530.00
ESI Contibution Employee 224.00
Salary Advance 300.00
Meal Deduction 250.00
10449.00
PayMode-
A/c.No.-
BankName-
Total Days30
Absent 0.00
Paid Days30.00
OT HRS0.00
Total12753.00
12753.0012753.002304.00
10449.00
Grand Total
EarningBasic SalaryHouse Rent AllowanceTelephone AllowBonus PaidExgratia
158005.002515.00250.001166.002684.00

DeductionPFESI Contibution EmployeeSalary AdvanceMeal Deduction
18958.002869.002700.002750.00

TotalCTCEarningDeductionNet Salary
17310116462027277137343