Download pdf - Final Pension

D.A % 24.824 HRA

GIS 60 APGLI

CCA 0 HMA 75 PP 95 FPI

STO

45 Years

Date of Retirement

Scale

Designation

Fathers/Husband Name

Permanent Address

Date of Birth

EMPLOYEE PAY PARTICULARS

Name of the Pension Disbursing Authority Jogipet

Sri.B.Narsimlu

Village: Tekmal

Post & Mandal Telkmal

Dist:Medak,502302

SBH

PS.SalojipallyPost Held in

Basic Pay

Sri.B.NarsimluName of the Government Servant

B.Bagaiah

PENSIONERS SOFTWARE

SGT

www.prtumedak.org

Date of entering in to Serice

Sri.B.Narsimlu

Village: Tekmal


Dist:Medak,502302

Address After Retirement

123456465

Jogipet

Account. No

NOMINEE DETAILS

Name of the Naominee Smt.Durgamma

Name of the Paying Bank

Relation ship with Govt Servant

Age

Branch Name

Wife

http://www.prtumedak.org/

Date of Birth Relationship Married/

Un-married

07.05.1965 WIFE Married

20.02.1989 SON Un-Married

04.05.1994 SON Un-Married

. . .

. . .

www.prtumedak.org

.

Office AddressThe Mandal Educational Officer,

M.P.Tekmal,

Dist.Medak

.

. .

Manoj Kumar

Mahesh Kumar

Name of the Memberwhether Employee or

not

Smt. Durgamma Yes

Not

Not

2. A mole on the righ Ear

OFFICE DETAILS

FAMILY MEMBERS DETAILS

Full Amount

Personal Identification Marks 1.Amole on the route of fore finger

Amount of Share payble

http://www.prtumedak.org/

0

R.RAMESH

9989663755

EMPLOYEE PAY PARTICULARS

Jogipet

P

R

T

U

M

E

D

A

K

PS.Salojipally

0

30

Sri.B.Narsimlu

B.Bagaiah

PENSIONERS SOFTWARE

www.prtumedak.org

www.prtumedak.org

.

.

whether Employee or

not

Yes

Not

Not

P

R

T

U

M

E

D

A

K


OFFICE DETAILS

FAMILY MEMBERS DETAILS

1.Amole on the route of fore finger

Lr. No Date :

From To

THE ACCOUNTANT GENERAL ( A&E )

Audit Officer,LFA,Hyderabd

Andhrparadesh.

Sir,

Proposals Submitted.

Iam to forward herewith the Service / Family Pension Papers of

Who is due to retire / retired /expired while in service on

The follwing documents are forwarded herewith for autorising Pensionery Benefits.

1. Part - I :

2. Part - II :

3. Part - II B :

4. Annexure - I :

5. Annexure -II :

6. Copy of Annexure - III :

7. Service Register of Govt.Servant. :

8. L.P.C :

9. Death Certificate (in case of Death) :

10. Legal heir Certificate (- do-) :

11

12

The receipt of above document may please be ackonwledge and arrangements may ne made to

issue the PPO / Gratuity Payment Order and Commutation authorisation early.

No.of enclosures ( )

1. Copy to Sri.B.Narsimlu,SGT

2. Copy to The Office File.

Prepared by R.Ramesh,Tekmal,Medak. 9989663755.www.prtumedak.org

Sanction Order of Pensionary Benefits.

Descriptive Roll

Nomination

Your's Faithfully

Information furnished by the Govt.Servant/Family Pension

Information filled in by the Pension Sanctioning Authority

Beeficiery

Ref : G.O.Ms.No 262 Fin & Plg. (FW-PSC ) Dept.Dt. 23-11-1998

G.O Ms.No 263 Fin & P;g. (FW-PSC ) Dept.Dt. 23-11-1998

Sub : Pension / Service Pension / Family Pension and other Retiring Benefits in respect of

(G.O.Ms.No.263 Dated 23-11-1998)

The Mandal Educational Officer,

M.P.Tekmal,

Dist.Medak

PENSION FORWARDING LETTER


Sanction Order of Pensionary Benefits.

Descriptive Roll

Nomination

Your's Faithfully

Information furnished by the Govt.Servant/Family Pension

Information filled in by the Pension Sanctioning Authority

Ref : G.O.Ms.No 262 Fin & Plg. (FW-PSC ) Dept.Dt. 23-11-1998

G.O Ms.No 263 Fin & P;g. (FW-PSC ) Dept.Dt. 23-11-1998

Sub : Pension / Service Pension / Family Pension and other Retiring Benefits in respect of

(G.O.Ms.No.263 Dated 23-11-1998)

(a) (d)

Sl.N

oDate of birth

Relationship

with

government

servant

Married or

unmarried

1 07.05.1965 WIFE Married

2 20.02.1989 SON Un-Married

3 04.05.1994 SON Un-Married

4 . . .

5 . . .

4. Address after retiremnt Sri.B.Narsimlu

Village: Tekmal


Dist:Medak,502302

2. Name of the Applicant

(in case of death of government servant)

3. In case of death while service of Government servant,at the answer 'Married' in case of daughter

will be understood that the daughter is alteady married as on the date of death of the Government

servan

Sri.B.Narsimlu

FORM OF APPLICATION FOR SERVICE PENSION/FAMILY PENSION/

RETIREMENT GRATUITY/SERVICE GRATUITY/COMMUTATION(To be furnished in duplicate)

G.O.MS No 623,Dated :23.11.1998

Part -I Information to be furnished by the Government Servant/Applicant

(The Pension Sanctioning Autthority shall forward the application duly processed

to the AG(A&E)/LF Authority within a period of 30 days)

1. a) Name of the Government Servant

b) Post held PS.Salojipally

STO,Jogipet

Sri.B.Narsimlu

Village: Tekmal


Dist:Medak,502302

3. Permanent Address

5. Commutation of Pension

Yes a) Whether willing to commute 40% of

monthly pension,subject to AP Civil

Pensions (Commutation) Rules,1944.

7. LIST OF FAMILY MEMBERS

( c )(b) (e)

fraction less than 40%

6. a) Name of the Pension Disbursing Authority

b) If the answer is NO,specify the

Pension payment is desired by the

pensioner/family pensioner/gratuitant

Name ot the Bank and

BranchS.B.Account No

123456465SBH

Jogipet

b) Name of the Paying Bank from where

Mahesh Kumar

Name of the family memberwhether employed or not .Give

details of employmment

Smt. Durgamma Yes

.

.

Not

Not

.

.

Instructions : 1. The Government servant is insructed to fill up the proforma cery carefully as the data furnished is vital for

sanction of family pensin.He/She may note that alterations of the data furnished at a later date is not

permissible.

2. The "family for the purpose mean "wife" or "husband" as the case may ne "sons"and "unmarried

daughters" as laid down in Rule 50(12) (for Family Pension) and Rule 46(5) (for gratuty) of AP Revised Pension

Rules,1980.

Manoj Kumar


Sri/Smt --------------------------------------------- is / are under guardianship of

Sri/Smt ---------------------------------------------

1

2

3

Place :

Date :5/11/2014

Governmnet servant.

1. I Undertake to refund the amount of Pension,Gratuty and Commutaion,if it is found subsequently

to be in execess of the amount to which I was entitled under the Rules.

2. I solemnly affirm that the particulars given by me in Part -I at item 7 are correct and true to the best

of my knowledge.If found false in future,Iam liable for suitable action as may be taken by the

Govermnet.

3. The particulars given above ae correct and true to the best of my knowlege.If found false in future

I may be liable for any action that may ne taken by the Governmnet.

PS.Salojipally

Date : 5/11/2014 Signature of the

Place :

TO BE FILLED IN BY THE HEAD OF THE OFFICE

1. Application for pension/gratuty etc.in Part I isreceived

(Date to be recorded)

2. Certified that the person/persons mentioned by the Government servant/Application in item 7 of


Head of the officer

Signature of the

∕∕

Part I are legally entitled to receive the pension/share in gratury.

3. Guarianship cerificate : (to be filled in wherever necessary)

This is to certify that the following minors of ht deceased Govermnet servant Late

Date of BirthName

DECLARATION

Rs 10740/-

From To Till Death

From To

From To

Total

Note: Information with conditions will not be accepted by Pension Authority.Amounts for recovery should be specify and

should be in whole rupees.Absence of information will be understood as no dues for recovery

H) Festival Advance i) Education Advacne

Total

g) Telephone/Trunk call Charges

j) Computer Advacne k) Other Government Dues

f) Dues on Account of Government Quarters

b) Enhanced Family Pension

19. Government dues to be recovered in respect a) House Building Advacne

c) Normal Family Pension

c) Marriage Advance

e) Advance salary on Transfer d) Advance Leave Salary

11. Net qualifying service (9-10)

12. Weightage,if any

57Years -2Months- 6Days

c) Dies-non

d) Boy service

e) Any other service not qualifying for pension

Nil

Nil Total non-qualifying service (a to e)

Nil

Part II (A) Information to be filled up the Pension Sactioning Authority

Rule 46 Retirement Gratuty

Rule 50 Family Pension

Rule 33 Superanuation Pension (Rule 42)

3. Name of the Applicant

( in case of death of government servant)

Government servant retires/tetired/died

8. The rule applicatble

a) The relevant Rule under the AP Revised

1. Name of the Government Servant and Post held

a) E.O.L

B.Bagaiah2. Father's Name/Husband's Name

4. Date of Birth of Government servant

5. Date of entering in to service

number(s) applicable and strike out the rest)

6. Date of retitement/death

7. Designation and officer from which the

(B.Px30/100)

B.P: Rs 35800, [email protected]%= Rs 8887

57 Years 2 Months 6 Days Years

35800x33/66=17900

( 35800+8887) x 66 x 1/4 = Rs 737336

Rs 17900/-

Admissible.Rs700000/-

(B.P x 33/66)

13. Total qualifyilng service for calculation of

pension (11+12)

14. Last pay drawn ( Rule 31,46(4),50 (12)( C ) of

APRPRs,1980) Para 4 of G.O Ms.No 87 Fin & Plg

17. Calculation of Family Pension

16. Calculation of Retirement gratuty ( Rule 46

APRPRs,1980)

15. Calculation of service pension/service Gratuty

(Rule 45 of APRPRs,1980)

1-3-2011 a) Service Pension

a) Enhanced family Pension

b) Normal Family Pension

18. Period of Payment of Pension

Pension Rules.1980 applicable (tick the rule

Sri.B.Narsimlu,SGT

28.2.2011

22.12.1953

58 Years10.2.1953

Nil

Nil

Nil

Nil

SGT

57Years -2Months- 6Days

b) Motor Car/Cycle Advance

InterestPrincipal

b) Whether ANTICIPATORY PENSION is being

sancioned in terms of Rule - 51.

b) Suspension period

9. Total service (6-5)

10. Period of non-qualifying service

d) Any other rule applicable

14860-39540 / Rs 35800/-

Nil

Rs 17900/-

Note1

Note2

Note3

.

Note5

Prepared by R.Ramesh,Tekmal,Medak.9989663755.www.prtumedak.org

Heads of Departments are those listed in Appendix-I mentioned in Article 6 of A.P. Financial Code

Volume -I / Subsidary Rule 32(ii) of FR 9.

Rs 17900/-

Rs 10740/-

If there is any likelihood of delay.Anticipatory Pension/Anticipatory Gratuty as per Rule 51 of A.P.

Revised Pension Rules 1980 shall be drawn and paid by the Head of Office to the beneficiary

withour any delay.

Office Seal

a) Enhanced Family Pension

Pensionary benefits including commutation found admissible under the rules may be authorised.

It is verified from the records in my custody and certify that no diciplinary or judicial proceedings

are pending/contemplated against retiring/retired governmnet servant to whom I am the authority

for sanction of Pension.

i) Service Pension

If the Pensionary benefits are not to be releasede Part-II-B(b) shall be struck off.

Signature and Designation of

Pension Sanctioning Authority

This is to be prepared in duplicate by the Pension Sanctioning Authority.One for the record of

Pension Sanctioning Authority and the other one to be sent to Accountant General/Local fund Audit

Officer.

The Pension Sanctioning Authority should satisfy about the correctness of the pariculars of family

furnished by the Government Servant/Appicant in Part-I

(Strike off whichever is not applicable)

b) Normal Family Pension

Rs 17900/-

( 35800+8887) x 66 x 1/4 = Rs 737336

b) Sanction Order :

iv) Family Pension

Admissible.Rs700000/- ii) Retiring Gratuity

iii) Commutation (Rs 17900/-x40/100)x12x8.371=Rs 719237/--

ii) Iam the next Gazetted Authority in the heirachy to the Head of the office in this case who is a non

gazzetted officer and hence,I am copetent to accord sanction under the powers delgated Vide G.O.

Ms.No 262,Finance & Planning (FW-PSC) Department dated 23.11.1998

i) I am declaared by the Head of the Department to be the Head of an officer to accord sanction in

this case under the powers delegated Vide G.O.Ms.No.262,Finance & Planning (FW-PSC)

Department dated 23.11.1998

OR

20. LPC is enclosed/LPC will be sent after retirement LPC Enclosed

PART - II (B)

a) Certificate of comentency to accord sanction (appicable in case of sanction of Pesnion to non

gazetted officers including Class - IV employees)

SANCTION OF PENSION


Son/Wife/Daugher of

1

2

3

Wife/Husband/Son/Daughter/Guardian of

1

2

3

(i) Service Pensioner : Sri/Smt/Kum

Prepared by R.Ramesh ,Tekmal,Medak.9989663755.www.prtumedak.org

( Attestation has to be done across the Photos by a Gazetted Officer of AP Government in Service)

B. SPECIMEN SIGNATURE OF : (I) - Service Pensioner :

(II) Family Pensioner/Gratuitant/Guarian of Minor or Handicapped Child:

C. PERSONAL IDENTIFICATION MARKS OF :Service Pensioner : Sri/Smt/Kum Sri.B.Narsimlu SGT

1.Amole on the route of fore finger


ANNEXURE - I

DESCRIPTIVE ROLLS

A. SPACE FOR PHOTOGRAPHS

Service Pensioner/Family

Pensioner/Grauitant/Guardian of

Minor or Handicapped Child.

Joint Photo of Service Pensioner with Family

Pension beneficiary/Guardian with Minor or

Handicapped Child.

Speicimen Signature of Sri.B.Narsimlu

Son/Wife/Daughter of B.Bagaiah

Specimen Signature of Sri/Smt/KumSmt.Durgamma

Wife/Husband/Son/Daughter/Guardian of Sri.B.Narsimlu

(ii) Family Pensioner/Gratuitant/Guardian of Minor or Handicapped Child :

Sri/Smt/Kum Smt.Durgamma

SIGNATURE OF GAZZETTED OFFICER

Ring finger Little finger

LEFT HAND THUMB AND FINGER IMPRESSIONS OF SERVICEPENSIONER/FAMILY

PENSIONER/GRATUITANT/GUARDIAN OF MINOR OR HANDICAPPED CHILD:(TO BE

GIVEN BY THE ILLETERATE OR THOSE UNABLE TO SIGN AND FOR OTHERS IT IS

OPTIONAL)

Details Thumb finger Fore finger Middle finger

Service

Pensioner

Family

Pensioner

Gratuitant

Guardian of

Minor/Handicap

ped Child.

Place

Date

Attested by

Signature

Prepared by R.Ramesh,Tekmal,Medak,9989663755.www.prtumedak.org

Note 3 Copies will be forwarded to Accountant General/Local Fund Audit Officer by

Pension Sanctioning Authority and one will be retained by the Pension Sanctioning

Authority.

Name

Designation

Office Seal:

(Attestaion has to be done by a Gazetted Officer of AP State Government in Service )

Nam

e an

d a

dd

ress

of

No

min

ee(s

).

Rel

atio

nsh

ip w

ith

Go

vern

me

nt

Serv

ant

Age

Am

ou

nt

of

shar

e p

ayb

le t

o e

ach

in C

ol.1

Co

nti

nge

nci

es o

n t

he

hap

pen

ing

of

wh

ich

th

e

no

min

atio

n s

hal

l bec

om

e in

valid

(D

eath

nee

d n

ot

be

men

tio

ned

Nam

e an

d a

dd

ress

,rel

atio

nsh

ip a

nd

age

of

the

alte

nat

ive

no

min

ee(s

) to

wh

om

th

e ri

ght

con

fere

d o

n

the

no

min

ee(s

) in

Co

l.1. s

hal

l pas

s in

th

e ev

ent

of

no

min

atio

n t

o h

im/h

er/t

hem

bec

om

ing

inef

fect

ive

1 2 3 4 5 6

ANNEXURE

NOMINATION ( The Government servant may use separate forms,if he wishes to make different nomination for each

type of payment mentioned below)

I hereby nominate the person/persons mentioned below and confer on him/her/them

the right to receive Life Time Arreas of Pension,Retirement Gratuty that may be sanctioned by

governmet,in the event of my death while in service and right to receive on my death Life Time Arrears of

Pension,Retirement Gratuty,commuted value of pension.Death Relief which having become admissible to

me on retirement which may remain unpaid at my death.

Smt.

Du

rgam

ma

Wif

e

45

Year

s

Full

Am

ou

nt

7

This nomination supersedes the nomination by me earlier on------------

Am

ou

nt

or

shar

e p

ayb

le t

o e

ach

in C

ol.6

NB: The Government Srvant shall draw lines across the blank space below the last entry to

prevent the inserions of any name after he/she has signed.


Dated this At PS.Salojipally

Witness:-

1. Signature Name :

and Address

2. Signature Name

and Address

Designation

Office

Date :

Note (1) :

Note (2) :

Note (3) :

Note (4) :

Note (5)

i)

ii)

iii)

iv)

v)

vi) Father

vii) Mother

viii)

ix)

x)

xi)

Husband, in the case of a female Government servant.

Sonns including step sons, posthumous son, and adopted sons (whose personal law permits such

Unmarried daughters including step daughters, posthumous daughters and adapted daughters.

Widowed daughters including step daughters and adopted daughters

Married daughters, and

Children of apre deceased son

including adoptive partents in the case of individuals where whose personal law

Permits adoption

Brothers below the age of 18 years including step brothers.

Unmarried sisters and widowed sisters including step sisters.

Countersigned

Singnature of the Government Servant


Signature of Heade of Office/Department:

Name and Designation :

This nomination form is to be submitted by the employees in triplicate, one for use of the

pension sanctioning authority and two copies to be forwarded to the forwarded to the Account

General Local Fund Audit Offices.

Office Seal

The Governmnet servant who has a family may nominate one member or more than one

member of the family as difined in Rule 46(5) of AP Revised Pension Rules, 1980



The Government servant may not that the nomination with signature of two witnesses shall only

have the legal validity of a WILL.

For the purpose of Rules 46, 47, 48 and 49 of Revised Pension Rules 1980, family in to a

Government servant means:-

Wife or wives in the case of a male Government servant.

Am

ou

nt

or

shar

e p

ayb

le t

o e

ach

in C

ol.6


Husband, in the case of a female Government servant.

Sonns including step sons, posthumous son, and adopted sons (whose personal law permits such

Unmarried daughters including step daughters, posthumous daughters and adapted daughters.

Widowed daughters including step daughters and adopted daughters

Married daughters, and

Children of apre deceased son

including adoptive partents in the case of individuals where whose personal law

Permits adoption

Brothers below the age of 18 years including step brothers.

Unmarried sisters and widowed sisters including step sisters.

Singnature of the Government Servant


This nomination form is to be submitted by the employees in triplicate, one for use of the

pension sanctioning authority and two copies to be forwarded to the forwarded to the Account

General Local Fund Audit Offices.





The Government servant may not that the nomination with signature of two witnesses shall only

have the legal validity of a WILL.

For the purpose of Rules 46, 47, 48 and 49 of Revised Pension Rules 1980, family in to a

Government servant means:-

Wife or wives in the case of a male Government servant.

From

To

THE ACCOUNTANT GENERAL ( A&E )

Audit Officer,LFA,Hyderabd

Andhrparadesh.

Station :

Date :


retired on as was forwarded to AGAPLFA on As per the records held by me no disciplinary/judicial priceedings

are pending/contemplated against the above retiring/retired governmnet employee. I request you to verify

whether any such case is pending against the above employee which entials withholding or withdrawing pensin

or part of pension permanently or for specified period as laid down under Rule 9 of RPRs 1980.If so the AG ( A &

E )/Dy.Accountant General (pension ),O/o the AG (A&E) ,AP Hyderabad/Local Fund Officer may be intimated

accordingly by name either by Registered post or through a spoecial messenger within one month from the dae

of issue of this letter for withholing opensionary benefits as contemplated in Govt,Memo / No 33764-

A/55/PSC/93,Finance & Planning ( FW-PSC) Department,dt.15-10-1993 and reiterated in government memo .no

37254/361/A2/Pen-I/98,Finance & Palanning (FW-Pen,1) Department,dt 4-7-1998.Copies of such orders shall

also be sent to to the connection the instructions issued in Para 2,Part-II B of G.O .Ms.No 263,Finance & Planning

( FW-PSC) Department,dt.23-11-1998 may be scruplously followed.

( HEAD OF OFFICE )

ANNEXURE - III

BY REGISTERED POST

( Pension Sanction authority )

I am to inform you that Pension / Family Pension appicable form ofSri.B.NarsimluSGT

Sub: Pension -- Sanction Pension and Other Retiring Benefits in respect of Sri.B.Narsimlu

Designation SGT Regarding.

The Mandal Educational Officer,

M.P.Tekmal,

Dist.Medak

retired on as was forwarded to AGAPLFA on As per the records held by me no disciplinary/judicial priceedings

are pending/contemplated against the above retiring/retired governmnet employee. I request you to verify

whether any such case is pending against the above employee which entials withholding or withdrawing pensin

or part of pension permanently or for specified period as laid down under Rule 9 of RPRs 1980.If so the AG ( A &

E )/Dy.Accountant General (pension ),O/o the AG (A&E) ,AP Hyderabad/Local Fund Officer may be intimated

accordingly by name either by Registered post or through a spoecial messenger within one month from the dae

of issue of this letter for withholing opensionary benefits as contemplated in Govt,Memo / No 33764-

A/55/PSC/93,Finance & Planning ( FW-PSC) Department,dt.15-10-1993 and reiterated in government memo .no

37254/361/A2/Pen-I/98,Finance & Palanning (FW-Pen,1) Department,dt 4-7-1998.Copies of such orders shall

also be sent to to the connection the instructions issued in Para 2,Part-II B of G.O .Ms.No 263,Finance & Planning

( FW-PSC) Department,dt.23-11-1998 may be scruplously followed.

ANNEXURE - III

BY REGISTERED POST

I am to inform you that Pension / Family Pension appicable form ofSri.B.NarsimluSGT

Sub: Pension -- Sanction Pension and Other Retiring Benefits in respect of Sri.B.Narsimlu

Designation SGT Regarding.

: : Rs.60=00

: : Rs.0=00

: : Rs.200=00

: :

: :

: :

: :

HMA : Rs.75=00

OTHERS :

: : Rs.260=00

From…………… To……………

From…………… To……………

From…………… To……………

TOTAL

GIS

APGLIS

PT

PP

TOTAL

Rs.3580=00

Rs.8887=00

--

--

Rs.95=00

Rs.48437=00

Rs.35800=00

CCA

FPI

Scale

Basic Pay

HRA

DA

PARTICULARS

Last pay certificate of Sri.B.NarsimluSGT of the PS.Salojipally proceeding on retirement

due to Superannuation

LAST PAY CERTIFICATE

He /She has been paid up to --------------- at the following rates

DEDUCTIONS

14860-39540

He/She made over charge of the Officer of PS.Salojipallyon the after noon of,28.2.2011

PERIOD RATE

The details of the income-tax recovered from him/her upto the date from the beginning

of the current year are noted on the reverse

He/She is entitled to draw the following

He/She is also entitled to joining time for

Recoveries are to be made from the pay Government Servant as detailed on the reverse

He/She has been paid leave salary as detailed above deduction have been made as

noted on the reverse.

To ………….. From……………

AMOUNT

From……………..

To ………….. From…………… To……………. From……………..


To ………….. From…………… To……………. From……………..

To…………….

Nature of recovery

Amount Rs

To be recovered in I nstalment

From to on account of Rs



Rs Ps Rs Ps Rs Ps Rs Ps

May

June

April

Jan


July

Aug

Feb

Mar

Sep

Oct

Nov

Dec

DETAILS OF RECOVERIES

instalment.

PayGratuity Fee etc.

Fund and other

deductions

amount of

Income Tax RemarksName of

the month

DEDUCTIONS MADE FROM LEAVES SALARY

1

2

3

Signature

Signature

RESPONSIBILITY CERTIFICATE

I Sri.B.Narsimlu,S/O B.Bagaiah to be retired as SGTO/o ThePS.Salojipally do

here by declare that,if any amount to be excess paid,due to erroneous calculation, noticed

at a later date,I shall be ready to refund the same without any objection in the matter


Station

Date

CERTIFICATE UNDER ACT OF 1982

Certified that Sri.B.Narsimlu SGT.Asst was not sanctioned 130-250/150-300

grade under trainedgraduate teacher and no amount is to be recoverable from under act

14 of 1982

LEAVE CERTIFICATE

Certified that Sri.B.Narsimlu, SGT ,PS.Salojipally has not availed any leave / has

availed the following kind of leave during the period.of his/her service

Signature

SUSPENSION CERTIFICATE

Certified that Sri.B.Narsimlu,SGT,PS.Salojipallyhas not been suspended any

time during his/her service

Drawing officerPensionerAttested

a) The amount has been recovered and recorded in the SB at Page No ( )

b) The amount has been recovered

c) Not Applicable

NO DUES CERTIFICATE

Signature

AUDIT OBJECTIONS CERTIFICATE

Certified that here are no audit objections are pending in respect of Sri.B.NarsimluSGT

Signature

Certified that No Govt dues are recoverable from Sri.B.NarsimluSGTGovt towards the:

1) Sales proceedings of A.P Trading Corporation.

2) Nationalised Text books and note books as they are not supplied/supplied to him

Signature


Certified that Sri.B.NarsimluSGT(Arts Graduates) was Sanctioned 130-250/150-300 grade

W.E.F through he /She was untrained graduaes by virtue of Court order / Department order claim

amount is recoverable from him as per act 14 of 1992

RECOVERIES UNDER ACT 14 OF 1992

NO ALLEGATIONS CERTIFICATE

Certified that no allegations are pending

againstSri.B.Narsimlu,(Designation)SGT,PS.Salojipally