Employee ID : Employee Name :Department : Designation :Joining Date : PF Account Num :Days Worked : ESI Account Num :Bank Acc/Cheque Num : Father’s/ Husband’s Name :Paid Leaves : Causal Leave :

Earnings Amount Deductions AmountBasic Pay 00000.00 Employee State Insurance 000.00Dearness Allowance 0000.00 Provident Fund 00.00Medical Allowance 0000.00 Professional Tax 000.00Overtime 00000.00 Others 000.00House Rent Allowance 0000.00Conveyance Allowance 0000.00

Total Earnings 0000000.00 Total Deductions 000.00Previous Balance 000.00 Net Pay Rounded 000.00Carry Over Round Off 000.00

Company Name HereCompany Address with City, State and Zip Code

Phone: 555-555-555555, Fax: 123-456-49165955

DD/MM/YYYY

Pay Slip for the Period of _____________, 20______

_____________________________Employer’s Signatures

_____________________________Employer’s Signatures

Employee Pay Slip Template