Esi Challan
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- Words: 282
- Pages: 4
Original / Duplicate / Triplicate / Quadruplicate
E.S.I.C.
Challan No. ……..
Original / Duplicate / Triplicate / Quadruplicate
E.S.I.C.
Challan No. ……..
EMPLOYEE'S STATE INSURANCE FUND ACCOUNT NO.01
EMPLOYEE'S STATE INSURANCE FUND ACCOUNT NO.01
PAY-IN-SLIP FOR CONTRIBUTION
PAY-IN-SLIP FOR CONTRIBUTION
STATE BANK OF INDIA
STATE BANK OF INDIA
Station :
Date Particulars of Cash / Cheque
Station : Rs. P.
Date Particulars of Cash / Cheque
Rs. P.
0
0
0
TOTAL
0
TOTAL
Paid into the credit of the employee's State Insurance Fund A/c No.01 Rs. 0 Rupees: Rs. Fortyone Thousand One Hundred Fortytwo Only
Paid into the credit of the employee's State Insurance Fund A/c No.01 Rs. 0 Rupees: Rs. Fortyone Thousand One Hundred Fortytwo Only
#REF!
#REF!
Employer's Code No Name & Address of Factory / Establishment
: : Deposited By
Employer's Code No Name & Address of Factory / Establishment
No. of Employee's
:
No. of Employee's
:
0
Total Wages
:
Total Wages
:
0
: : Deposited By
Employee's Contribution Rs.
Employee's Contribution Rs.
0.00
Employer's Contribution Rs.
Employer's Contribution Rs.
0.00
Total Contribution Rs.
Total Contribution Rs.
0.00
(For use in Bank)
(To be filled by depositor)
(For use in Bank)
ACKNOWLEDGEMENT
(To be filled by depositor) ACKNOWLEDGEMENT
#REF!
drawn in State Insurance Fund Account No.01 Sl. No. in Bank's Scroll ………
Dated: …………………
in favour of Employee's
Authorised Signatory of the receiving Bank
drawn in State Insurance Fund Account No.01 Sl. No. in Bank's Scroll ………
Dated: …………………
in favour of Employee's
Authorised Signatory of the receiving Bank
#REF!
lan No. ……..
01
Rs. P. 0
0
Deposited By
0.00 0.00 0.00
e filled by depositor)
avour of Employee's
horised Signatory the receiving Bank
E.S.I.C.
Challan No. ……..
Original / Duplicate / Triplicate / Quadruplicate
E.S.I.C.
Challan No. ……..
EMPLOYEE'S STATE INSURANCE FUND ACCOUNT NO.01
EMPLOYEE'S STATE INSURANCE FUND ACCOUNT NO.01
PAY-IN-SLIP FOR CONTRIBUTION
PAY-IN-SLIP FOR CONTRIBUTION
STATE BANK OF INDIA
STATE BANK OF INDIA
Station :
Date Particulars of Cash / Cheque
Station : Rs. P.
Date Particulars of Cash / Cheque
Rs. P.
0
0
0
TOTAL
0
TOTAL
Paid into the credit of the employee's State Insurance Fund A/c No.01 Rs. 0 Rupees: Rs. Fortyone Thousand One Hundred Fortytwo Only
Paid into the credit of the employee's State Insurance Fund A/c No.01 Rs. 0 Rupees: Rs. Fortyone Thousand One Hundred Fortytwo Only
#REF!
#REF!
Employer's Code No Name & Address of Factory / Establishment
: : Deposited By
Employer's Code No Name & Address of Factory / Establishment
No. of Employee's
:
No. of Employee's
:
0
Total Wages
:
Total Wages
:
0
: : Deposited By
Employee's Contribution Rs.
Employee's Contribution Rs.
0.00
Employer's Contribution Rs.
Employer's Contribution Rs.
0.00
Total Contribution Rs.
Total Contribution Rs.
0.00
(For use in Bank)
(To be filled by depositor)
(For use in Bank)
ACKNOWLEDGEMENT
(To be filled by depositor) ACKNOWLEDGEMENT
#REF!
drawn in State Insurance Fund Account No.01 Sl. No. in Bank's Scroll ………
Dated: …………………
in favour of Employee's
Authorised Signatory of the receiving Bank
drawn in State Insurance Fund Account No.01 Sl. No. in Bank's Scroll ………
Dated: …………………
in favour of Employee's
Authorised Signatory of the receiving Bank
#REF!
lan No. ……..
01
Rs. P. 0
0
Deposited By
0.00 0.00 0.00
e filled by depositor)
avour of Employee's
horised Signatory the receiving Bank
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