REGISTER
OF MATERNITY BENEFITS
|
Name
of the Employee |
Father’s
/ Husband’s Name |
Nature
of Employment |
Periods
of actual appointment |
Date
of which notice of confinement given |
Date
of delivery / Miscarriage |
|
(1) |
(2) |
(3) |
(4) |
(5) |
(6) |
|
|
|
|
|
|
|
|
Date
on which maternity leave commenced & ended |
In
case of delivery leave pay paid to the employee |
In
case of miscarriage leave pay paid to the employee |
REMARKS |
|||||
|
In case of delivery |
In case of miscarriage |
Rate of leave pay |
Amount paid |
Rate of leave pay |
Amount paid |
|
||
|
Commenced |
Ended |
Commenced |
Ended |
|
|
|
|
|
|
(7) |
(8) |
(9) |
(10) |
(11) |
(12) |
(13) |
(14) |
(15) |
|
|
|
|
|
|
|
|
|
|
* * *