Panchayat:Repo18/Law Manual Page0530

FORM II

(See Rules 14, 16)

Statement of Income of Labourers/Employees for the Half Year from 1-4-20... To 30-9-20... /1-10-20...- To 31-3-20....
15 Remarks . ....... .......... .
14 If out of station due to transfer, pension etc.,permanent address
13 If relieved, that date
12 Date of entry in service
11 Total Income
10 Other payment
9 Bonus
8 Other fixed Allowances
7 Dearness Allowance
6 Salary (including special pay & personal pay)
5 Code num
4 Official address (including Division Number,
3 Designation
2 Name
1 Serial No.