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Form guide · Source checked 21 October 2026

ESIC Form 6: register of employees

Published by Finin2min

The Regulation32 employee register, with one complete six-month employee row and reconciliation controls for every employee and contractor.

Identified 1950 Regulations form / saved transition and online procedure; checked 21 October 2026

Download and read the completed example

Download filled sample PDF

Completed fictional register of employees for Illustration Office Services Pvt Ltd (fictional), 14 Example Park, New Delhi 110001. Synthetic identifiers cannot be used for filing or medical care.

Fictional, unsigned completed illustration. It demonstrates this form’s fields; it is not a filed return, medical opinion, official order or proof of an actual transaction.

When and how this form is used

Regulation32 requires a register for every employee. The model completes every prescribed monthly field for one employee; the actual employer keeps a corresponding full row for every other covered employee. The linked Form5 model demonstrates all20 employees, not an unexplained one-person return for a20-person workforce.

An immediate employer must maintain the same Form6 records and submit them to the principal employer before settlement under saved section41(1). The principal employer reconciles the actual deployed workforce, wage basis, IP identity and paid contributions before closing the contractor bill.

Preserve the filled register for five years from its last entry. The employee’s inspection right is to their own entries once in each calendar month, without fee, under Regulation32(3); do not expose the full workforce register as a public sample of real data.

Retained practical control from the richer original page: compare gate/muster attendance, payroll/wage register and monthly ESIC contribution records. If a contractor’s gate list has48 workers but only44 IP records appear, identify the four differences individually—joiners, valid exclusion, wrong IP or missed contribution—before approving the contractor reconciliation. A headcount match alone does not prove wage or contribution accuracy.

The completed fields

Register identity / employee columns1–6

Prescribed field / sectionCompleted fictional entry
Period / serial / insurance / name1 April–30 September2026; serial1; [synthetic IP DEMO-0001; not a valid insurance number]; Ravi Kumar (fictional)
3-A. Dispensary /4. Occupation /5. Department and shiftAssigned ESIC dispensary, New Delhi; accounts assistant; accounts,09:00–17:30 with30-minute break
6. Appointment / leavingAppointed1 January2026; continues throughout contribution period; leaving N/A

Every month: prescribed paid-day / wage / EE-contribution columns

Prescribed field / sectionCompleted fictional entry
April2026: columns7–930 paid days; wages ₹20,000; employee contribution ₹150. Employer share ₹650; grand total ₹800; paid 10 May2026, synthetic transaction DEMO-APRIL, not a receipt.
May2026: columns10–1231 paid days; wages ₹20,000; employee contribution ₹150. Employer share ₹650; grand total ₹800; paid 10 June2026, synthetic transaction DEMO-MAY, not a receipt.
June2026: columns13–1530 paid days; wages ₹20,000; employee contribution ₹150. Employer share ₹650; grand total ₹800; paid 10 July2026, synthetic transaction DEMO-JUNE, not a receipt.
July2026: columns16–1831 paid days; wages ₹20,000; employee contribution ₹150. Employer share ₹650; grand total ₹800; paid 10 August2026, synthetic transaction DEMO-JULY, not a receipt.
August2026: columns19–2131 paid days; wages ₹20,000; employee contribution ₹150. Employer share ₹650; grand total ₹800; paid 10 September2026, synthetic transaction DEMO-AUGUST, not a receipt.
September2026: columns22–2430 paid days; wages ₹20,000; employee contribution ₹150. Employer share ₹650; grand total ₹800; paid 10 October2026, synthetic transaction DEMO-SEPTEMBER, not a receipt.

Period totals / daily wage

Prescribed field / sectionCompleted fictional entry
25. Total paid days183 days:30+31+30+31+31+30
26. Total wages₹1,20,000
27. Total employee contribution₹900
28. Daily wage₹655.74 = ₹1,20,000÷183, rounded to two decimals
Period employer share / grand total / paid on₹3,900 / ₹4,800; corresponding six monthly paid-on dates shown above, not one substituted half-year payment

Supporting records and reconciliation

Complete employee-wise muster, payroll, IP register, monthly contribution return/challans, contractor deployment register and bill-settlement reconciliation; restricted employee inspection log. Keep actual records private.

Worked calculation: 183 days; wages₹1,20,000; employee₹150×6=₹900; employer₹650×6=₹3,900; grand₹4,800; daily₹655.74.

Official source and version

Tripura High Court official-hosted ESI Regulations compilation, Form 6; PDF pages 67–69 (printed 208–210)

ESIC compilation as on 11 January 2024: Regulations 17,26,31,32,57–68,89B,110; specific applicability identified below

ESIC A Guide for Employers, PDF pages 3,8–9,11: e-Pehchan, 0.75%/3.25%, monthly online contributions and generated half-year return

Gazette274902,13 July2026 ESIC draft General Regulations: preamble invites45-day objections; not final substitution

Code on Social Security2020 section164(2)(b): saved ESI rules/regulations, one year to extent consistent

Download the official source pages containing this form. Adjacent prescribed forms can share a source page; use the heading and rule identified above.

These are the identified ESI (General) Regulations 1950 forms and the online procedures described by ESIC. Code on Social Security section164(2)(b) saves the earlier ESI rules/regulations for one year from commencement to the extent consistent. The 13 July 2026 instrument published in Gazette274902 is expressly a DRAFT inviting objections; it cannot by itself substitute these forms. The examples are source-checked on 21 October 2026 within the identified transition, not a claim that an old paper layout is the current portal screen.

Practical questions

Can I submit the sample as my own completed form?

No. Replace the fictional facts with accurate records, use the competent filing or record-keeping route described above and complete genuine signatures or certifications where required.

What makes the example specific to this form?

The Regulation32 employee register, with one complete six-month employee row and reconciliation controls for every employee and contractor.