PAYSLIP COMPANY NAME Payslip for the month of (Month /Year ) Employee Code Employee Name Designation Date

of Joining Location Level Bank Name Account Number Pan Number EPF Number ESI Number Loan Balance Days Payable LOP Days New Joinee Arrear Days Previous Month Adjustment days Previous Month Arrear days

Earnings Basic HRA Conveyance CCA Special Allowance

Actual

Earned

Deductions PF Prof Tax Income Tax

Amount

Reimbursement Details for the Month of __ Reimbursement Medical Reimbursement Vehicle Reimbursement PDR Reimbursement Telephone Reimbursement Attire Reimbursement Net Reimbursements

Amount

Net Transfer: In Words: Leave Details Description Balance Availed

This is a computer generated pay slip and hence signature not required.