Single format · FV10-G11-11

Employee register

A single format from the OSH Formats pack. content of Form XIII, OSH (Central) Rules 2026, deemed satisfied by Form I of the CW Rules.

Length
1 page
Blanks to fill
80
Files
Word and PDF
Law stated to
12 September 2026

What it covers

  1. 1Employee registercontent of Form XIII, OSH (Central) Rules 2026, deemed satisfied by Form I of the CW Rules80 blanks

Read the opening

The first part of the format, as it downloads. Blanks are highlighted.

Maintained in retrievable and non-editable electronic form; preserved 5 years after the last entry

[COMPANY NAME] PRIVATE LIMITED
Establishment: [Address of the establishment] | Registration number (s.3, OSH Code): [OSH Code registration number]
Register as at [Register as at date] | Maintained by: [name and designation]

Sl.

Employee code, name and identifiers

Personal particulars

Employment particulars

Wages

Social security

Exit

[1]

[code]
[full name]
Aadhaar (optional): [__]
PAN: [__]
UAN: [__]
ESI no.: [__]

DOB: [DD.MM.YYYY]
Father's / spouse's name: [__]
Sex: [__]
Address: [__]
Mobile: [__]
Nominee: [__]

Designation: [__]
Category of skill: [__]
Type of employment: [Regular / Fixed term / Contractual]
Date of joining: [DD.MM.YYYY]
Date of confirmation: [__]
Department / place: [__]
Appointment letter issued on: [DD.MM.YYYY]; acknowledged on: [DD.MM.YYYY]

Basic: [__]
DA: [__]
Other components: [__]
Total remuneration: [__]
s.2(y) wage base: [__]
Last revision: [DD.MM.YYYY]

PF: [Y/N]
ESI: [Y/N]
Gratuity service from: [DD.MM.YYYY]
Bonus eligible: [Y/N]
Maternity intimation (s.71) served on: [DD.MM.YYYY]

Date of exit: [__]
Reason: [__]
F&F paid on: [DD.MM.YYYY]
(within 2 working days — s.17 CW)

[2]

[__]

[__]

[__]

[__]

[__]

[__]

[3]

[__]

[__]

[__]

[__]

[__]

[__]

4 more paragraphs and tables follow in the full format.

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