श्रम आयुक्त 
*(Prescribed under Rule 78A)
Overtime Slip for Overtime Work
Month ending..................20
| No. in Register | Name | Department | Dates on which overtime work has been done | Extent of C.T. work on each date | Total C.T. work or prdts in case of piece workers | Normal Hours | Normal rate of Pay | Overtime rate of pay | Normal earning | Overtime earning | Total earning | Dates on which overtime payments made
|
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 |