LPC Last Pay Certificate Forms

 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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