Calender year of Service | Wage Period
From……… To………... | Wages earned during the wages period | No. of days of work performed | No. of days of day-off | No. of days of maternity leave | No. of days leave enjoyed | Total of col. 4 to 7 | Balance of leave from preceding year | Leave earned during the year mentioned in col. 1 | Total of cols. 9 to 10 | Whether leave in accordance with scheme under section 79(8) was refused | Leave enjoyed
From…….. to…………..
No. of days………………….. | Balance of leave to credit | Normal rate of wages | Cash equivalent of advantage according through concessional sale of food grains & other articles | Rate of wages for the leave period (total of cols. 15 & 16) | Remarks |
