FORM 21 A

REGISTER OF UNPAID WAGES

(Referred to in paragraphs 10.2.4(d) and 10.2.28(a)

Name of Work .

Cash
Muster Roll Name of Fathers Period to which Amount Initials of
Sl.No. Amount due Voucher Remarks
No. Labour Name amount relates paid S.D.O.
No. & Date
1 2 3 4 5 6 7 8 9 10

Note The name of work should be mentioned at the top before recording the entries relating to that work.