West Bengal Labour Welfare Board

Shramik Kalyan Bhawan, P-3, C.I.T Scheme VIIM Kankurgachi, Kolkata-54
Receipt No. : WBLWB_CONTRIB78--RHMP8415866834 Receipt Date. : 14/01/2020
Received in online Date 14/01/2020 a sum of NINE HUNDRED AND THIRTY ONE RUPEES ONLY
From ADAPTIO FACILITY MANAGEMENT PRIVATE LIMITED [Code : ON200078] Address P-71,,DAKSHINE CO-OPERATIVE HOUSING SOCIETY,KOLKATA,700105,P.S.-PRAGATI MAIDAN employing employees on account of :-
1. (a) Employer's Contribution   Rs 765.00
(b) Employee's Contribution for the period ending on Dec-2019 Rs 153.00
2. Interest for delayed payment Rs 13
3. (a) Fines realised from employees for the period/quarter ending on Rs
(b) Fines realised from employers by Court for the period Rs
4. (a) Hiring of auditorium of Rs  
5. Seat rent of Holiday Home at Rs  
6. Sales proceed of Rs  
7. Rs  
Total Rs.       931.00
Period No of Employee Rate Employer
Contribution
Employee
Contribution
Employer Fine Employee Fine Total Paid
  Empr Emp  
Dec-2019 51 Rs. 15 Rs. 3 765 153 11 2 931

This is a computer generated document and doesnot require any signature. Do not send form-D further.