Documents › Formats › Salary slips
Shops and establishments with a handful of staff rarely have payroll software, but the Shops and Establishments Act and the Payment of Wages Act expect a wage slip, and employees need it for loans, rented rooms and government schemes. This format covers what an inspector or a bank looks for.
SALARY SLIP — October 2026
Employer: Bluehill Medicals, 14/221 Palarivattom, Kochi 682025 · GSTIN 32ABCPS5678K1Z5 · Shop & Establishment Regn. No. EKM/2019/4567
Employee: Mini Rajan, Sales Assistant · Employee No. 04 · ESI No. 3100123456 · UAN 100123456789 · Paid days: 26 of 27 working days (1 unpaid leave)
Earnings — Basic Rs. 12,000 · DA Rs. 2,000 · HRA Rs. 2,500 · Overtime (8 hrs) Rs. 600 · Total earnings Rs. 17,100
Deductions — PF (employee 12% of basic + DA) Rs. 1,680 · ESI (0.75%) Rs. 128 · Unpaid leave (1 day) Rs. 540 · Total deductions Rs. 2,348
Net pay Rs. 14,752 (Rupees Fourteen Thousand Seven Hundred Fifty Two only), paid by bank transfer on 1 November 2026
Employer's signature · Employee's signature
Names, numbers and dates above are examples. Replace them with yours.
No stamp. Keep a signed copy for 3 years (wage register requirement). Paying by bank transfer or UPI avoids disputes and is required above Rs. 10,000 cash in many states.
Not compulsory below the thresholds (PF 20 employees, ESI 10 in most states), but employees may ask to opt in voluntarily; leave those rows blank if not applicable.
The Payment of Wages Act and most state Shops Acts require a wage slip or register; a monthly slip satisfies it.
Under the Payment of Bonus Act, establishments with 20+ employees pay 8.33–20% annual bonus; show it in the month paid.
This page is a template and general guidance for a common situation, not legal advice. Rules differ by state and office; check with the office that asked for the document. Last reviewed October 2026.