WAGE SLIP

Employee name		Employee ID
Father's, mother's or spouse's name		Wage period (from–to)
Designation		Department
Date of joining		Work state
PAN		UAN
ESIC IP no. (if covered)		Bank A/C no.
Tax regime (New / Old)		Days in month
LOP days		Paid days

Earnings	Monthly rate (₹)	This month (₹)	Deductions	Amount (₹)
Basic			EPF, employee
Dearness allowance (DA)			ESI, employee
Special allowance			Professional tax
House rent allowance (HRA)			Income tax (TDS)
Conveyance			Labour Welfare Fund
Other allowance			Loan or advance recovery
Overtime wages
Arrears (name the month)			Other deduction
Gross earnings			Total deductions

Reimbursements (not wages), paid with salary, outside gross earnings

Net pay in words: __________________________________________________

Wages for PF and ESI (basic + DA + retaining allowance, plus exclusions above half of pay)

Paid by the employer, not deducted

EPS, employer
EPF, employer balance
ESI, employer
Employer contributions

Issued under the Code on Wages, 2019, s.50 (in force 21 Nov 2025); the Payment of Wages Act, 1936 is repealed. Paid days = days in month less LOP days. PF and ESI are worked on wages as the Code on Social Security, 2020 defines them, not on gross; a special allowance counts. EPF wage ceiling: ₹15,000 to 16 Sep 2026, ₹25,000 from 17 Sep 2026 (September 2026 is split on calendar days). Professional tax and LWF are state levies (PT at most ₹2,500 a year, Article 276(2)). HRA is tax-exempt only under the old regime. All deductions together stay within 50% of wages (Code on Wages, 2019, s.18). Reimbursements repay a cost and are not wages for PF or ESI. The Central Rules prescribe a wage slip form (Form V), issued electronically, for central-sphere establishments; your state's rules may prescribe their own form. Check this layout against it. Checked 30 Sep 2026. A format, not payroll advice or a compliance guarantee.