FORM XIX WAGES SLIP [See Rule 78 (2) (b)] Name and Address of Contractor....................... Name and Father's/Husband name of the Workman............... Nature and location of work.......for the Week/fortnight/Month ending... 1. Number of days worked....................... 2. Number of units worked in case of piece rate workers............ 3. Rate of daily Wages/piece rates.................... 4. Amount of overtime wages .................... 5. Gross Wages Payable........................ 6. Deduction if any.............................. 7. Net amount of wages Paid.......................... Initials of the Contractor or his representative. Page 71 of 151
