Statement and operative paragraphs, employment and payroll
A single format from the CA Certificates for Grants and Incentives pack. Plugs into the master shell; for employment-linked incentives, domicile and category conditions.
- 2 pages
- 69
- Word and PDF
- 16 September 2026
What it covers
- 1Statement and operative paragraphs, employment and payrollPlugs into the master shell; for employment-linked incentives, domicile and category conditions
Read the opening
The first part of the format, as it downloads. Blanks are highlighted.
Annexure A — Statement of employment at the eligible unit for the period [Start of the employment period] to [End of the employment period]
Unit: [name and address] · EPF establishment code [Unit's EPF establishment code] · ESI code [Unit's ESI code] · Base date / base year per the criteria: [Base date or base year per the criteria]
Month | Employees on the rolls at month end | Of which: covered under EPF | EPF contribution remitted (Rs) | ECR / challan reference and date of remittance | Gross payroll (Rs) | Of which: domiciled in the State | Of which: women | Of which: SC / ST |
|---|---|---|---|---|---|---|---|---|
[Apr] | [ ] | [ ] | [ ] | [ ] | [ ] | [ ] | [ ] | [ ] |
[May] | [ ] | [ ] | [ ] | [ ] | [ ] | [ ] | [ ] | [ ] |
Average / total for the period | [ ] | [ ] | [ ] | [ ] | [ ] | [ ] | [ ] | |
Employment as at the base date [ ] | [ ] | [ ] | — | — | [ ] | [ ] | [ ] | |
Incremental employment | [ ] | [ ] | — | — | [ ] | [ ] | [ ] | |
Excluded from the above, as not falling within the definition of “employee” in [clause ___]: contract workers [ ]; apprentices and trainees [ ]; employees of group entities working at the unit [ ]; employees engaged for less than [ ] days [ ] | ||||||||