Application Form For Issue Last Pay Certificate Ready Made
Application Form For Issue Last Pay Certificate
To
Mandal: …………………………………
Subject: Application form for Issuing Last Pay Certificate -Reg
Refference :
1. G.O.Ms.No. 5 SE (Ser-II) Dept. Dt. 25.01.2023
2. G.O.Ms.No. 9 SE (Ser-II) Dept. Dt. 07.02.2023
3. Director of School Education Rc.No. 565/Trans/Ser-IV-2/2022 Dt. 07.02.2023
4. Procgs of the C&DSE TS Rc.No565/Ser.IV/2022-2. date 07.06.2024
5. Lr. No. 565lTranslSer.IY-212022,Dt.27.05.2024 addressed to the Government
6. Proc Rc No: 1356/Transfers/2024, Dated : 2024-06-19 vide DEO SIDDIPET;
7. Proc Rc No : .................., Dated :19-06-2024 ( Relieving Order );
8. Proc Rc No: ............... , Dated : 19-06-2024 ( Joining Order );
Sir / Madam !:
As per subject and references cited above , Iam requesting you that ,I ( …………………………………
) has been working as a …………………….., at ………………………………. transferred to ………………………………….., Mandal: ..............................., Dist ………………………….. relieved from old station on and joined at new station on …..-06-2024
So , Please issue Last Pay Certificate to me further action.
Thanking You Sir / Madam .....
Yours faithfully
……………………….
Design:………………………
Enclosers:
1. Promotion Order
2. Relieving Order
3. Joining Order
LAST PAY CERTIFICATE
Last Pay Certificate of Sri/Smt:
…………………………….,… Design:…..……………. , Employee ID: ………………, working at …………………………..,
Mandal:………………………, Dist: …………………………. has been transferd to …………………………, Mandal:…………….,
Dist: …………………………………….. vide Proc.No: ........................... date
.../06/2024 vide DEO …………………………
The Pay and Allowances have
been paid to him/her up to June 2024 at the follownig rates
|
EARNINGS |
DEDUCTIONS |
||
|
Scale: |
……….. |
CPS |
……….. |
|
Basic Pay |
TSGLI |
||
|
HRA @.... |
GIS |
||
|
DA |
P.T |
||
|
Reader Allowance |
FA |
||
|
HM Allowance |
IT |
||
|
PHCA |
PF Loan |
||
|
CCA |
Other |
||
|
TS Incr |
|||
|
IR @ 5 % |
|||
|
TOTAL |
|
TOTAL |
|
Net Drawn:- ………………….. in words...Rs
……………………………………………………………... Only
1. CPS No: ……………………….
2.TSGLI
No: ………………………
3.Name of the Bank (Salary): …………………………..,
4. A/C No: ……………………………….
5.Entitlements
of CLs & Spl.CLs : …….., OHs: …….. , CCLs: …………..
Details of recoveries which are recovered in the salary:................
Sign of the Complex Headmaster
Place:
Date: ....-06-2024
NON DRAWN CERTIFICATE
This is to certify that, Sri/Smt: ……………………………, Design:
………………… , Employee ID: ………………………, working at ……………………………, Mandal:………………...,
Dist: ……………………………………… is paid salary upto ............ only.His/Her salary is
not paid from ........... to ...........at this end.
So His/Her salary for the
above period may be at your end.
Sign of the Complex Headmaster
Mandal: …………………..,
Dist: ……………………….
Place:…………………………….
Date: ....-06-2024
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