{{ strtoupper($form ?? 'Form 15 Part 2') }} - {{ $report['establishment

(Prescribed under rules 87, 89)

REGISTER OF LEAVE WITH WAGES

(Part-I)

Name and full address of the Establishment: {{ $report['establishment_name'] ?? '' }}

{{ $report['address'] ?? '' }}

Name of the Employer/ Contractor / Managing Director: {{ $report['employer_name'] ?? '' }}

Managing Partner or Authorized Person with full Residential address: {{ $report['address'] ?? '' }}

Wage Period from: {{ $report['month'] ?? '01 - May-25' }} to {{ $report['month'] ?? '31-May-2025' }} (Monthly / Fortnightly / Weekly / Daily / Piece Rated)

Total number of persons employed
Men	Female	Male young person	Female young person
{{ count($rows ?? []) }}	0	None	None

@foreach(($rows ?? []) as $i => $r) @endforeach @if(count($rows ?? []) == 0) @for($i = 0; $i < 10; $i++) @for($j = 1; $j < 26; $j++) @endfor @endfor @endif

Serial Number (1)	Name of the worker (2)	Token / Badge Number (4)	Number of days worked (5)	Units of work done (6)	Rate (7)	Amount of wages earned (8)	Overtime earnings (9)	Gross wages (10)	Deductions											Net amount paid (22)	Date of payment (23)	Signature / thumb impression of the worker (24)	Initial of the contractor or his representative (25)	Remarks (26)
									Advances				Damages / Fine				Others
									(11)	(12)	(13)	(14)	(15)	(16)	(17)	(18)	(19)	(20)	(21)
{{ $i + 1 }}	{{ $r['name'] ?? '' }}	{{ $r['emp_code'] ?? '' }}	{{ $r['days_worked'] ?? '31.00' }}	{{ number_format($r['gross'] ?? 0, 2) }}	0.00	{{ number_format($r['gross'] ?? 0, 2) }}	{{ number_format($r['ot_wages'] ?? 0, 2) }}	0.00	0.00	0.00	0.00	0.00	~NA~	~NA~	~NA~	~NA~	0.00	{{ number_format($r['gross'] ?? 0, 2) }}	{{ number_format($r['net'] ?? 0, 2) }}	-	~NA~	-	-	-
{{ $i + 1 }}

Place: {{ $report['place'] ?? '' }}

Date: {{ $report['date'] ?? '' }}

Signature of Employer/Manager

{{ strtoupper($form ?? 'FORM 15') }}