F O R M – III

REGISTER OF WAGES-CUM-MUSTER ROLL

(Regulation-9)

i)

Name and address of the Contractor

:

ii)

No. and date of the Contract

:

iii)

Name and address of the department awarding the Contract

:

iv)

Nature of the contract and location of the work

:

v)

Duration of the Contract

:

vi)

Wage period

:

Sl. No.

Name and Surname of the Worker

Father’s / Husband’s Name

Sex

Designation / Nature of work

Daily attendance (No. of units worked 1 2 3 4 …………31)

Total attendance

Basic

Fair wages payable

Wage paid

Date

Overtime worked

Overtime wages earned

DA & other allowances

Basic, DA & other allowances

No. of hours

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

(13)

F O R M – III

(Continuation)

Total wages paid	*Deduction from Wages									Net wages payable	Date of payment	Signature or thump impression of the worker	REMARKS
	Fine		*Deduction for damage or loss		House Rent		Recovery of advances		Other deductions
(14)	(15)	(16)		(17)		(18)		(19)		(20)	(21)	(22)	(23)

*reasons to be recovered, in Column (23).