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NAME DESIGNATION BANK A/C NO INCR.

MONTH

DEPT BASIC RATE BLD. GROUP

MM-YYYY CATEGORY DA

EARNINGS ELMENT AMOUNT BASIC DA HRA TA MEDICAL ALLOWANCE OVERTIME/EXTRA TIME BONUS INCENTIVE LEAVE ENCASHMENT CONV. REIMBURSEMENT OTHER ALLOWANCE MISC. EARNING TOTAL EARNINGS LOAN DETAILS (IF ANY) SL REMARKS AMOUNT

DEDUCTIONS ELEMENT AMOUNT PF DONATION PROFESSIONAL TAX DEVELOPMENT FEES LATE FINE EXTRA LEAVE LOAN SALARY ADVANCE

TOTAL DEDUCTIONS LEAVE DETAILS TYPE TOTAL LEAVED PL CL ML

REMAIN

SUMMARY GROSS EARNINGS TOTAL DEDUCTIONS NET PAY NEGLIGIBLE AMOUNT AMOUNT PAYABLE AMOUNT PAYABLE IN WORD REMARKS

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