FORM No. VII (See Rule 33) Register of Leave with Wages Adults/Adolescents Serial No............ Name................ Name of the Undertaking. ...... Father's Name............. ............... Address............... ............... Date of entry in to service.......... Date of discharge ........... Date and Amount of payment made in lieu of leave due ............. Leave to Calendar Year of Service Wage Period From..... to........ Wages earned during the wage period Number of days of work performed Credit Total of cols. 5 and 6 Whether leave was refused Le ave enj oye d fro m . .. To . .. Balance of leave to credit Normal rate of wages Cash equivalent of advantage accruing g through concessional rate of food grains and otherarticles Rate of wages for the leave period (total of cols 11and12) Remarks Balance of leave from proceeding year Leave earned during the year mentioned in col. 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 Page 147 of 151
