PF & Esi Challan
PF & Esi Challan
PF & Esi Challan
Total of 875 & 192 175 337965 2250 40548 42798 12403 28145
Total of Unit -- 875 & 192 148 434560 7606.60 20642.40 28249.00
Please make cheque for P.F. Rs. 88787 /- E.S.I. Rs. 28249 /-
1 One
pf 0 2 Two
0 0 3 Three
0 4 Four
0 5 Five
6 Six
7 Seven
Rs. Only 8 Eight
9 Nine
esi 0 10 Ten
0 11 Eleven
0 12 Twelve
0 13 Thirteen
14 Fourteen
Rs. Only 15 Fifteen
16 Sixteen
17 Seventeen
18 Eighteen
19 Nineteen
20 Twenty
21 Twentyone
22 Twentytwo
23 Twentythree
24 Twentyfour
25 Twentyfive
26 Twentysix
27 Twentyseven
28 Twentyeight
29 Twentynine
30 Thirty
31 Thirtyone
32 Thirtytwo
33 Thirtythree
34 Thirtyfour
35 Thirtyfive
36 Thirtysix
37 Thirtyseven
38 Thirtyeight
39 Thirtynine
40 Forty
41 Fortyone
42 Fortytwo
43 Fortythree
44 Fortyfour
45 Fortyfive
46 Fortysix
47 Fortyseven
48 Fortyeight
49 Fortynine
50 Fifty
51 Fiftyone
52 Fiftytwo
53 Fiftythree
54 Fiftyfour
55 Fiftyfive
56 Fiftysix
57 Fiftyseven
58 Fiftyeight
59 Fiftynine
60 Sixty
61 Sixtyone
62 Sixtytwo
63 Sixtythree
64 Sixtyfour
65 Sixtyfive
66 Sixtysix
67 Sixtyseven
68 Sixtyeight
69 Sixtynine
70 Seventy
71 Seventyone
72 Seventytwo
73 Seventythree
74 Seventyfour
75 Seventyfive
76 Seventysix
77 Seventyseven
78 Seventyeight
79 Seventynine
80 Eighty
81 Eightyone
82 Eightytwo
83 Eightythree
84 Eightyfour
85 Eightyfive
86 Eightysix
87 Eightyseven
88 Eightyeight
89 Eightynine
90 Ninety
91 Ninetyone
92 Ninetytwo
93 Ninetythree
94 Ninetyfour
95 Ninetyfive
96 Ninetysix
97 Ninetyseven
98 Ninetyeight
99 Ninetynine
MONTHYEAR EM'EE WAGES 12% 3.67% 1.1% 8.33% 0.5% 0.01% open join left close
9 0 9 0 7 591 1408176 170571 51804 15490 117207 7041 140 424 181 14 591
10 1 0 0 7
11 1 1 0 7
12 1 2 0 7
1 0 1 0 7
2 0 2 0 7
arr1 1 0 0 7
3 0 3 0 7
4 0 4 0 7
5 0 5 0 7
6 0 6 0 7
7 0 7 0 7
8 0 8 0 7
0 9 0 7
1 0 0 7
1 1 0 7
1 2 0 7
BANK CHEQUE DT OF CHEQUE DATE OF REMITANCE MONTH
STATE BANK OF INDIA 439997 10/13/2003 10/17/2003 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
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)
ESTABLISHMENT CODE NO. HR / FD / 10381 ACCOUNT GROUP NO ………...…… PAID BY CHEQUE / CASH ……………..………
Employees Share 0 8 0 7 D D M M Y Y
DUES FOR THE MONTH OF:
Employer Share 0 8 0 7 DATE OF PAYMENT 19 6 2009
SL. PARTICULARS A/C No. 1 A/C No 2. A/C No. 10 A/C No. 21 A/C No.22 TOTAL
…………….……. AMOUNT (IN RUPEES) ………...…………
3 ADM. CHARGES 0
4 INSP. CHARGES
5 PENAL DAMAGES
19
8
Original / Duplicate / Original / Duplicate /
Triplicate / Quadruplicate E.S.I.C. Challan No. …….. 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 Station :Dundahera, Udyog Vihar, Gurgaon Date 6/19/2009
TOTAL /- TOTAL /-
Paid into the credit of the employee's State Insurance Fund A/c No.01 Rs. /- Paid into the credit of the employee's State Insurance Fund A/c No.01 Rs. /-
Rupees: Rs. Only Rupees: Rs. Only
in Cash / by Cheque (on realisation) for Payment of Contribution as per details given below under 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 the Employee's State Insurance Act,1948 for the Month of :AUGUST ' 2004
(For use in Bank) (To be filled by depositor) (For use in Bank) (To be filled by depositor)
ACKNOWLEDGEMENT ACKNOWLEDGEMENT
Err:502 Err:502
6/19/2009
Rs. P.
/-
/-
Deposited By
e filled by depositor)
avour of Employee's
horised Signatory
the receiving Bank
8
Only for Un-Exempted Establishments FORM 12 - A ( REVISED) (To be filled in by the EPFO)
Employees' Provident Fund and Miscllaneous Provisions Act, 1952 Establishment Status
Employees' Pension Scheme
[Paragraph 20(4)] 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
(c) Total 5
Pension
Details of Subscribers E.P.F. E.D.L.I.
Fund
No. of subscribers as per last month
No. of New subscribers (Vide Form 5)
No. of subscribers left service (Vide Form 10)
(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 ……………..………
Employees Share D D M M Y Y
DUES FOR THE MONTH OF:
Employer Share DATE OF PAYMENT 26 11 2003
SL. PARTICULARS A/C No. 1 A/C No 2. A/C No. 10 A/C No. 21 A/C No.22 TOTAL
…………….……. AMOUNT (IN RUPEES) ………...…………
3 ADM. CHARGES 0
4 INSP. CHARGES 0
19