Pf & Esi Challan

Jun-09 LEFT

JOIN

Apr-09

May-09

875

OPEN /BAL

AD

33

2

PR

57

10

CH

105

61

TW

24

14

TOTAL

219

87

MANOJ UNIT

KUMAR DEPT

875 ---->

1

1

TOTAL

192

OPEN /BAL

31

AD

13

48

PR

32

44

CH

1

LEFT

JOIN

Apr-09

May-09

13 4

28 1

10

TW

0

133

TOTAL

46

0 4

0

42

P.F. STATEMENT FOR THE MONTH OF SEPTEMBER 2004 EMPL

SALARY

P.F.

TOTAL

3.67%

10

26125

0

3135

3135

959

2176

31

90506

780

10861

11641

3322

7539

PR

48

63490

780

7618

8398

2330

5288

CH

44

34985

0

4193

4193

1281

2912

133

215106

1560

25807

27367

7892

17915

27367

7892

35259

TW AD

STRENGTH

V.P.F.

A/C 1 12%+3.67%

8.33%

A/C 2

1.1 %

2366

2366

219

A/C 10

8.33 %

17915

17915 1076

OPEN

Apr-09

JOINING

May-09

1

A/C 21

0.5 %

1076

LEFT

Apr-09

87

A/C 22

0.01%

22

22

29271

56638

CLOSING

192 ---->

133

27367

AD

13

32398

PR

28

86636

CH

1

3825

42

122859

STRENGTH

3887

3887

1189

2698

690

10395

11085

3182

7213

459

459

140

319

690

14741

15431

4511

10230

15431

4511

19942

A/C 1 12%+3.67% A/C 2

1.1 %

1351

1351

46

A/C 10

8.33 %

10230

10230 614

OPEN

Apr-09

JOINING

May-09

0

A/C 21

0.5 %

614

LEFT

Apr-09

4

A/C 22

0.01%

12

12

15431

16718

32149

42798

12403

55201

CLOSING

42

STRENGTH

OPEN

A/C 1 12%+3.67%

265

JOINING LEFT

3717

A/C 10

8.33 %

28145

28145 1690

A/C 21

0.5 %

1690

0.01%

34

34

42798

45989

88787

42798

12403

28145

175

875 ------->

3717

A/C 22

Total of 875 & 192

DEPT

1.1 %

1

175

UNIT

A/C 2

91

CLOSING

MANOJKUMAR

TOTAL

337965

2250

40548

56638

E.S.I. STATEMENT FOR THE MONTH OF SEPTEMBER 2004 EMPL

SALARY

1.75%

4.75%

AD

25

78821

1379.60

PR

37

107951

1889.55

CH

43

112440

1968.10

TW

10

26125

457.45

115

325337

5694.70

0.00

0.00

115

325337.00

5694.70

15453.55

ROUND-OFF

0.75

5694.70

TOTAL

0.00

SUS. ALLW. ARR (-)

192 ------->

115

325337

AD

13

39465

690.85

PR

20

69758

1221.05

33

109223

21148.25

21149.00

15454.30

21149.00

21149.00

7100.00

7100.00 7100.00

0

CH

Total of Unit -- 875 & 192

5188.1 0.00

0

33

109223

1911.90

5188.10

7100.00

148

434560

7606.60

20642.40

28249.00

Please make cheque for P.F. Rs.

pf

1911.90 ROUND-OFF

0

88787 /-

E.S.I. Rs. 28249 /-

1 2

One Two

0

Rs.

Only esi

Rs.

0 0 0

Only

0 0 0 0

3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95

Three Four Five Six Seven Eight Nine Ten Eleven Twelve Thirteen Fourteen Fifteen Sixteen Seventeen Eighteen Nineteen Twenty Twentyone Twentytwo Twentythree Twentyfour Twentyfive Twentysix Twentyseven Twentyeight Twentynine Thirty Thirtyone Thirtytwo Thirtythree Thirtyfour Thirtyfive Thirtysix Thirtyseven Thirtyeight Thirtynine Forty Fortyone Fortytwo Fortythree Fortyfour Fortyfive Fortysix Fortyseven Fortyeight Fortynine Fifty Fiftyone Fiftytwo Fiftythree Fiftyfour Fiftyfive Fiftysix Fiftyseven Fiftyeight Fiftynine Sixty Sixtyone Sixtytwo Sixtythree Sixtyfour Sixtyfive Sixtysix Sixtyseven Sixtyeight Sixtynine Seventy Seventyone Seventytwo Seventythree Seventyfour Seventyfive Seventysix Seventyseven Seventyeight Seventynine Eighty Eightyone Eightytwo Eightythree Eightyfour Eightyfive Eightysix Eightyseven Eightyeight Eightynine Ninety Ninetyone Ninetytwo Ninetythree Ninetyfour Ninetyfive

96 97 98 99

Ninetysix Ninetyseven Ninetyeight Ninetynine

MONTHYEAR EM'EE 9 10 11 12 1 2 arr1 3 4 5 6 7 8

0 1 1 1 0 0 1 0 0 0 0 0 0 0 1 1 1

9 0 1 2 1 2 0 3 4 5 6 7 8 9 0 1 2

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7

591

WAGES 1408176

12% 170571

3.67% 51804

1.1%

8.33%

15490

117207

0.5% 7041

0.01% open join 140

424 181

left 14

close 591

BANK STATE BANK OF INDIA

CHEQUE 439997

DT OF CHEQUE 10/13/2003

DATE OF REMITANCE 10/17/2003

MONTH SEPTEMBER ' 2003 OCTOBER ' 2003 NOVERMBER ' 2003 DECEMBER '2003 JANUARY ' 2004 FEBURARY ' 2004 ARR OF OCTOBER' 2003 MARCH ' 2004 APRIL ' 2004 MAY ' 2004 JUNE ' 2004 JULY ' 2004 AUGUST ' 2004 SEPTEMBER ' 2004 OCTOBER ' 2004 NOVERMBER ' 2004 DECEMBER '2004

MONTH

ESI STRENGH

ESI-WAGE

E'EE CONTRI

E'ER CONTRI

TLT-CONTRI

DECEMBER '2007

247

670910

11744.55

31869.45

43614.00

1

JANUARY ' 2007

2

FEBURARY ' 2004

3

MARCH ' 2004

4

APRIL ' 2004

5

MAY ' 2004

6

JUNE ' 2004

7

JULY ' 2004

8

AUGUST ' 2004

9

SEPTEMBER ' 2004

0.00

10

OCTOBER ' 2004

0.00

11

NOVERMBER ' 2004

0.00

DECEMBER '2004

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

CHEQUE NO

Dt. Of Cheque

bank

80321

1/10/2004

State Bank of India

ENTER MONTH :

8

COMBINED CHALLAN OF A/C No. 1,2,10,21 & 22 Original / Duplicate / Triplicate / Quadruplicate STATE BANK OF INDIA

EMPLOYEE'S PROVIDENT FUND ORGANISATION (USE SEPARATE CHALLAN FOR EACH MONTH)

HR / FD / 10381

ESTABLISHMENT CODE NO. DUES FOR THE MONTH OF:

ACCOUNT GROUP NO

Employees Share

0

Employer Share

TOTAL NO. OF SUBSCRIBERS TOTAL WAGES DUE SL. PARTICULARS

8

0

0

8

0

………...……

7 7

A/c 1

PAID BY CHEQUE / CASH D

DATE OF PAYMENT

D 19

A/c 10 A/C No. 1

A/C No 2. A/C No. 10 …………….……. AMOUNT

M

……………..……… M

6

Y

Y 2009

A/c 21 A/C No. 21 A/C No.22 ………...…………

TOTAL

(IN RUPEES)

1 EMPLOYER'S SHARE OF CONT.

0

2 EMPLOYEE'S SHARE OF CONT.

0

3 ADM. CHARGES

0

4 INSP. CHARGES 5 PENAL DAMAGES 6 MISC. PAYMENT (PAST ACCUMULATIONS ONLY) TOTAL

0 (AMOUNT IN WORDS) Rs.

0

Only [FOR BANK'S USE ONLY]

NAME OF ESTABLISHMENT:

MANOJ KUMAR

ADDRESS: GURGAON, HARAYANA. NAME OF DEPOSITOR ……………………………..…………………………………. SIGNATURE OF THE DEPOSITOR ………………...…………………………………

AMOUNT RECEIVED Rs……...………..……….. FOR CHEQUES ONLY….……………………….. DATE OF PRESENTATION………....……….….. DATE OF REALISATION ……………..…………. BRANCH NAME …….……...…….…...………….. BRANCH CODE NO………….….………………..

(TO BE FILLED IN BY EMPLOYER) NAME OF THE BANK -------------

-------- CHEQUE NO

--------------------------

DATE

6/19/2009 19

8 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 :Dundahera, Udyog Vihar, Gurgaon

Date

6/19/2009

Particulars of Cash / Cheque

Rs. P.

Cheque No.

/-

Station :Dundahera, Udyog Vihar, Gurgaon Particulars of Cash / Cheque

6/19/2009 Rs. P.

Cheque No.

/-

TOTAL

Date

/-

/-

TOTAL

Paid into the credit of the employee's State Insurance Fund A/c No.01 Rs. /Rupees: Rs. Only

Paid into the credit of the employee's State Insurance Fund A/c No.01 Rs. /Rupees: Rs. Only

in Cash / by Cheque (on realisation) for Payment of Contribution as per details given below under the Employee's State Insurance Act,1948 for the Month of :AUGUST ' 2004

in Cash / by Cheque (on realisation) for Payment of Contribution as per details given below under the Employee's State Insurance Act,1948 for the Month of :AUGUST ' 2004

: 13 / 24431 / 23 : MANOJ KUMAR

Employer's Code No Name & Address of Factory / Establishment

Deposited By

Employer's Code No Name & Address of Factory / Establishment

UDYOG VIHAR, GURAON - 122016 No. of Employee's

:

Total Wages

:

/-

Deposited By UDYOG VIHAR, GURAON - 122016

No. of Employee's

:

Total Wages

:

/-

Employee's Contribution Rs.

Employee's Contribution Rs.

Employer's Contribution Rs.

Employer's Contribution Rs.

Total Contribution Rs.

Total Contribution Rs.

(For use in Bank)

(To be filled by depositor)

(For use in Bank)

ACKNOWLEDGEMENT

drawn in State Insurance Fund Account No.01 Sl. No. in Bank's Scroll ………

(To be filled by depositor) ACKNOWLEDGEMENT

Err:502

Dated: …………………

: 13 / 24431 / 23 : MANOJ KUMAR

Err:502

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

lan No. ……..

01

6/19/2009 Rs. P. /-

/-

given below under

Deposited By

e filled by depositor)

avour of Employee's

horised Signatory the receiving Bank

8

FORM 12 - A ( REVISED)

Only for Un-Exempted Establishments

(To be filled in by the EPFO)

Employees' Provident Fund and Miscllaneous Provisions Act, 1952 Employees' Pension Scheme [Paragraph 20(4)]

Establishment Status Group Code.

Currency Period from 1st April 2004 to 31st March 2005

.

Statement of contributions for the month of AUGUST ' 2004 Statutory rate of contribution - 12% Name & Address of the Establishment M/s MANOJ KUMAR

Code No. HR / FD / 10381 GURGAON, HARYANA - 122016

PARTICULARS

Wages on which Contributions are Payable

Amount of Contribtion Recovered from the Workers

Amount of contribution Remitted

Payable by the Worker's Share Employer

Employer's Share

Amount of Administrative Charges Due

Amount of Administrative Charges Remitted

NIL

NIL

Date of Remittance (Enclose Triplicate copies of Challan)

E.P.F. A/c No.01

Pension Fund A/c No. 10

NIL

NIL

D.L.I. A/c No. 21

NIL

NIL

Total No. of Employee's (a)

Contract

5

(b)

Rest

0

(c)

Total

5

Details of Subscribers No. of subscribers as per last month No. of New subscribers (Vide Form 5) No. of subscribers left service (Vide Form 10)

Security Guards covered under code no. DL-5431 M/s S.D.S. Security Pvt. Ltd.

E.P.F.

Pension Fund

E.D.L.I.

Name & Address of the Bank in which the amount is remitted

State Bank of India Dundahera, Gurgaon Harayana - 122016

(Nett.) Total No. of Subscriber

0

0

0

Signature of the Employer with official (Seal)

ENTER MONTH :

10

COMBINED CHALLAN OF A/C No. 1,2,10,21 & 22 Original / Duplicate / Triplicate / Quadruplicate STATE BANK OF INDIA

EMPLOYEE'S PROVIDENT FUND ORGANISATION (USE SEPARATE CHALLAN FOR EACH MONTH)

Vide your Letter no HR / GGN / Circle: 1 / HR / 10381 / CA / 8050 Dt. 19-11-2003 under section 7Q and 14B ESTABLISHMENT CODE NO. HR / FD / 10381 ACCOUNT GROUP NO ………...…… PAID BY CHEQUE / CASH DUES FOR THE MONTH OF:

Employees Share

D DATE OF PAYMENT

Employer Share

TOTAL NO. OF SUBSCRIBERS TOTAL WAGES DUE

A/c 1

SL. PARTICULARS

D 26

M 11

A/c 10 A/C No. 1

M

……………..……… Y

Y 2003

A/c 21

A/C No 2. A/C No. 10 …………….……. AMOUNT

A/C No. 21 A/C No.22 ………...…………

TOTAL

(IN RUPEES)

1 EMPLOYER'S SHARE OF CONT.

0

2 EMPLOYEE'S SHARE OF CONT.

0

3 ADM. CHARGES

0

4 INSP. CHARGES

0

5 PENAL DAMAGES

129

4

8

69

6 MISC. PAYMENT (PAST ACCUMULATIONS ONLY) TOTAL

129

4

8

69

0

210

0

0

0

210

(AMOUNT IN WORDS) Rs. [FOR BANK'S USE ONLY] NAME OF ESTABLISHMENT:

MANOJ KUMAR

ADDRESS: GURGAON, HARAYANA. NAME OF DEPOSITOR ……………………………..…………………………………. SIGNATURE OF THE DEPOSITOR ………………...…………………………………

AMOUNT RECEIVED Rs……...………..……….. FOR CHEQUES ONLY….……………………….. DATE OF PRESENTATION………....……….….. DATE OF REALISATION ……………..…………. BRANCH NAME …….……...…….…...………….. BRANCH CODE NO………….….………………..

(TO BE FILLED IN BY EMPLOYER) NAME OF THE BANK -------------

-------- CHEQUE NO

--------------------------

DATE

VLOOKUP($H$2,DATA!$A$3:$AM$15,18,0)

6/19/2009 19