newpension 24[1].03

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PENSIONERS SOFTWARE Name of the Government Servant Sri K.L.RAVINDRANADH Fathers/Husband Name K.VENKATRAO Designation SCHOOL ASSISTANT Post Held in ZPHIGH SCHOOL JAGGAPURAM Date of Birth DATE MONTH YEAR OFFICE DETAILS THE HEAD MISTRESS ZP HIGH SCHOOL JAGGAPURAM EDLAPADU MANDAL GUNTUR DIST EMPLOYEE PAY PARTICULARS Basic Pay 27700 D.A % 24.824 HRA Scale 18030-43630 GIS 60 APGLI 125 CCA 75 HMA PP 95 FPI 0 Name of the Pension Disbursing Authority STO CHILAKALURIPET Permanent Address K.L.RAVINDRANADH pandaripuram d.no.4-4/4 BEHIND SRINIVAS THEATRE CHILAKALURIPET 522616 Address After Retirement pandaripuram d.no.4-4/4 Behind srinivas theatre chilakaluripet Name of the Paying Bank SBI Branch Name & Code Chilakaluripet 1195 PRINT SHEETS Account. No 123456465 NOMINEE DETAILS Name of the Nominee Smt.prameela Wife Age 45 Years Amount of Share payble Full Amount FAMILY MEMBERS DETAILS Name of the Member Date of Birth Relationship whether Employee or not Smt.prameela 07.05.1963 WIFE Married Yes Ramakrishana 20.02.1989 SON Un-Married Not krishnavamsi 04.05.1994 SON Un-Married Not Date of entering in to Serice Date of Retirement K.V.NAGARAJU, ZPHIGH SCHOOL, JAGGAPURAM 9441173101,8121813151 K.L.Ravindranadh Relation ship with Govt Servant Married/ Un- married PRTU GUNTUR LETTER ANNEXURE-I PART-II(A),(B) APPLICATION Dtls of Recoveries ANNEXTURE-III THUMB IMPRESSIONS certificates LPC NOMINATION

Transcript of newpension 24[1].03

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PENSIONERS SOFTWARE

Name of the Government Servant Sri K.L.RAVINDRANADH

Fathers/Husband Name K.VENKATRAO

Designation SCHOOL ASSISTANT

Post Held in ZPHIGH SCHOOL JAGGAPURAM

Date of BirthDATE MONTH YEAR

OFFICE DETAILS

THE HEAD MISTRESS

ZP HIGH SCHOOL

JAGGAPURAM

EDLAPADU MANDAL

GUNTUR DIST

EMPLOYEE PAY PARTICULARS

Basic Pay 27700 D.A % 24.824 HRA 30

Scale 18030-43630 GIS 60 APGLI 125

CCA 75 HMA PP 95 FPI 0

Name of the Pension Disbursing Authority STO CHILAKALURIPET

Permanent Address

K.L.RAVINDRANADH

pandaripuram d.no.4-4/4

BEHIND SRINIVAS THEATRE

CHILAKALURIPET 522616

Address After Retirement

K.L.Ravindranadh pandaripuram d.no.4-4/4Behind srinivas theatre

chilakaluripet

Name of the Paying Bank SBI

Branch Name & Code Chilakaluripet 1195 PRINT SHEETS

Account. No 123456465

NOMINEE DETAILS

Name of the Nominee Smt.prameela

Wife

Age 45 Years

Amount of Share payble Full Amount

FAMILY MEMBERS DETAILS

Name of the Member Date of Birth Relationship whether Employee or not

Smt.prameela 07.05.1963 WIFE Married Yes

Ramakrishana 20.02.1989 SON Un-Married Not

krishnavamsi 04.05.1994 SON Un-Married Not

Date of entering in to Serice

Date of Retirement

K.V.NAGARAJU, ZPHIGH SCHOOL, JAGGAPURAM 9441173101,8121813151

Relation ship with Govt Servant

Married/ Un-married

PRTU GUNTURPRTU GUNTUR

LETTER

ANNEXURE-I

PART-II(A),(B)

APPLICATION Dtls of Recoveries

ANNEXTURE-III

THUMB IMPRESSIONS

certificates

LPC

NOMINATION

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.

.

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

2. A mole on the righ Ear

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FORM OF APPLICATION FOR SERVICE PENSION / FAMILY PENSION

RETIREMENT GRATUITY / SERVICE GRATUITY / COMMUTATION

( To be furnished in duplicate )

G.O.Ms.No. 100,Finance(Pension.I) dated: 06 - 04 - 2010G.O.Ms.No. 101,Finance(Pension.I) dated: 06 - 04 - 2010

PART - I : Information to be furnished by Government Servant / Applicant

( The Pension Sanctioning Authority shall forward the application duly processed to theA.G.( A & E ) / L.F. Authority within a period of 30 days )

1. a) Name of the Government Servant K.L.RAVINDRANADH

b) Post heldSCHOOL ASSISTANT

ZPHIGH SCHOOLJAGGAPURAM

2. Name of the applicant ------- ( In case of death of Govrnment Servant )

3. Permanent Address K.L.RAVINDRANADHSCHOOL ASSISTANT

ZPHIGH SCHOOLJAGGAPURAM, EDLAPADU (MANDAL)

GUNTUR(DIST)

4. Address after retirement K.L.RAVINDRANADH pandaripuram d.no.4-4/4

BEHIND SRINIVAS THEATRECHILAKALURIPET 522616

5. Commutation of Pension

a) Whether willing to commute 1/3 rd or 40% of monthly pension subject to AP Willing 40% to commute, i.e., Civil Pension (Commutation) Rules,1944

Rs 13431/-

b) If the answer is 'NO', specify the --------- fraction less than 1/3 rd

6. a) Name of the Pension Disbursing Authority

b) Name of the bank paying from whereS.B.Account Number

Pension Payment is desired by the Pensioner/Family Pensioner/Gratuitant

SBI,Chilakaluripet123456465

1195

YES / NO

Name of the Bank and Branch & Code

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7. List of Family Members

a) b) c) d)

Sl.No. Name of the Family member Whether employed or not; Give details of employment

1 Smt.prameela 07.05.1963 Married Yes

2 Ramakrishana 20.02.1989 Un-Married Not

3 krishnavamsi 04.05.1994 Un-Married Not

4 0 0 0 0

5 0 0 0 0

Instructions:

1. The Government servant is instructed to fill up the proforma very carefully as the data furnished is vital for sanction of family pension. 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 be, "son" and "Unmarried daughters" as laid down in Rule 50(12)(for Family Pension) and Rule 46 (5)(for Gratuity) of A.P.Revised Pension Rules, 1980.3. In case of death while in service of the Government Servant, the answer "Married" in case of daughter will be understood that the daughter is already marriedas on the date of death of the Government Servant.

DECLARATION

1. I undertake to refund the amount of Pension, Gratuity and Commutation, if it is found subsequently to be excess 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, I am liable for suitable action as may be taken by the Government.

3. The particulars given above are correct and true to the best of my knowledge. If found false in future I may be liable for any action that may be taken by the Government.

Place: JAGGAPURAMSignature of the

Date: 9/Apr/2023 Government Servant / Applicant(K.L.RAVINDRANADH)SCHOOL ASSISTANT

ZPHIGH SCHOOLJAGGAPURAM, EDLAPADU (MANDAL)

Marital / Employment status of the children of the applicant/ deceased Govt.Servant

Date of Birth

Relationship with the

Government Servant

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TO BE FILLED IN BY THE HEAD OF THE OFFICE

1. Application for Pension / Gratuity etc. in Part - I is received on ____________________ ( date to be recorded )

2. Certified that the person / persons mentioned by the Government servant / Applicant in item 7 of Part - I are legally entitled to receive the pension/ share in gratuity.

3. GUARDIANSHIP CERTIFICATE: ( To be filled in wherever necessary )

This is to certify that the following minors of the deceased Government ServantLate. Sri / Smt. --- is / are under the guardian-ship of Sri / Smt. ----

Name Date of Birth1) -------

2) -------

3) --------

Place: JAGGAPURAM

Date:

Signature of the Head of the Office

Office Seal:

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1. Name of the Government Servant and K.L.RAVINDRANADH

Post held SCHOOL ASSISTANTZPHIGH SCHOOL,JAGGAPURAM

2. Father's Name / Husband's Name K.VENKATRAO

3. Name of the Applicant------

4. Date of Birth of the Govt.Servant 25.7.1982

5. Date of entering in to service 10.10.1980

29.11.2007

7. Designation and office from which the SCHOOL ASSISTANT Govt.Servant retires/retired/died ZPHIGH SCHOOL

JAGGAPURAM, EDLAPADU (MANDAL)GUNTUR(DIST)

Rule 34 Retiring Pesion (Rule 43/44) a) The relevant Rule under the A.P.Revised Rule 35 Pension on absorption under Pension Rules, 1980 applicable ( tick the a corporation rule numbers applicable and strike out Rule 37 Invalid Pension the rest ) Rule 38 Compensation Pension

Rule 39 Compulsory Retirement PensionRule 40 Compassionate RetirementPensionRule 43 Retirement on completion of 20years of qualifying serviceRule 44 Retirement on completion of 33years of qualifying serviceRule 46 Retirement GratuityRule 50 Family Pension

b) Whether ANTICIPATORY PENSION is being sanctioned in terms of Rule 51 ? c) Whether PROVISIONAL PENSION is being sanctioned in terms of Rule 9(4) read with Rule 52 ?

d) Any other Rule applicable NIL

9. TOTAL SERVICE ( 6 - 5 ) 27Years -1Months- 19Days

10. Period of non-qualifying service a) E.O.L. ( Exceeding 3 Years ) NILL b) Suspension Period NILL c) Dies - Non NILL d) Boy Service NILL e) Any other service not qualifying NILL for pension NILL

Total Non-Qualifying Service ( a to e ) NILL

PART - II ( A ) : Information to be filled up by the Pension Sanctioning Authority

( In case of death of Government servant )

6. Date of Retirement / Death

8. The rule applicable: Rule 33 Superannuation Pension (Rule 42)

YES / NO

YES / NO

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11. Net qualifying service ( 9 - 10 )27Years -1Months- 19Days

12. Weightage, if any 5.Years

13. Total qualifying service for calculation32 Years 1 Months 19 Days Years

pension ( 11 + 12 )14. Last Pay drawn ( Rule 31,46(4),50(12)(c) of APRPRs,1980) Para 4 of G.O.Ms.No.

Rs. 18030-43630 / Rs 27700/- 87,Fin.&Plg(FW-Pen.I)Dept.dt:25-05-1998

15. Calculation of Service Pension / Service Rs 13431/- Gratuity(Rule 45 of APRPRs,1980) 27700x64/66x1/2 =13431

(B.P x Service Units /66 x 1/2

16. Calculation of Retirement/death Gratuity B.P: Rs 27700, [email protected]%= Rs 6876 (Rule 46 of APRPRs,1980) ( 27700+6876) x 64 x1/4 = Rs 553216

.17. Calculation of Family Pension

a) Enhanced Family Pension Rs 13431/-

b) Normal Family Pension Rs 8310/- (B.Px30/100)

18. Period of Payment of Pension As applicable to the case under consideration

a) Service Pension From 1-12-2007 till death

b) Enhanced Family Pension From to

c) Normal Family Pension From to

19. Government dues to be recovered in respect of Principal Interest Total

a) House Building Advance

b) Motor Car / Cycle Advance

c) Marriage Advance

d) Advance Leave Salary

e) Advance Salary on Transfer

f) Dues on Account of Govt.Quarters

g) Telephone/Trunk Call Charges

h) Festival Advance

i) Education Advance

j) Computer Advance

k) Other Government Dues

TOTAL

Note: Information with conditions will not be accepted by Pension Issuing Authority.Amounts for recovery should be specified and should be in whole rupees.Absence of information will be understood as no dues for recovery.

20. L.P.C. enclosed / L.P.C. will be sent L.P.C. Enclosed after retirement

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PART - I I ( B )

SANCTION OF PENSION

a. Certificate of competency to accord Sanction ( applicable in case of sanction ofPension to non-gazetted officer including Class - IV employees ) :

i) I am declared by the Head of the Department to be the Head of Office to accordsanction in this case under the powers delegated vide G.O.Ms.No.262, Finance &Planning (FW-PSC) Department, dated: 23.11.1998.

ii) I am the next Gazetted Authority in the heirarchy to the Head of Office in this case who is a non-gazetted Officer and hence, I am competent to accord sanction under the powers delegated vide G.O.Ms.No.262, Finance & Planning (FW-PSC)Department, dated: 23.11.1998.

( Strike off whichever is not applicable )

b. SANCTION ORDER :

Pensionary benefits including commutation found admissible under the rules maybe authorised. It is verified from the records in my custody and certify that no disciplinary or judicial proceedings are pending / contemplated against retiring /retired government servant to whom I am the authority for sanction of Pension.

i) Service Pension: Rs 13431/-

ii) Retiring Gratuity: ( 27700+6876) x 64 x1/4 = Rs 553216

.

iii) Commutation: (Rs 13431/-x40/100)x12x9.182=Rs 591909/--

iv) Family Pension

a) Enhanced Family Pension Rs 13431/-

b) Normal Family Pension Rs. Rs 8310/-

Office Seal: Signature and Designation of Pension Sanctioning Authority

Date:

Note 1 : 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 the Accountant General /

Local Fund Audit Officer.

Note 2 : The Pension sanctioning Authority should satisfy about the correctness of the particulars

of family furnished by the Government Servant / Applicant in Part - I.

Note 3 : If the Pensionary benefits are not to be released, Part - I I (B)(b) shall be struck off.

Note 4 : If there is any likelihood of delay, Anticipatory Pension / Anticipatory Gratuity as per Rule

51 of A.P.Revised Pension Rules, 1980 shall be drawn and paid by the Head of Office to

the beneficiary without any delay.

Note 5 : 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.

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ANNEXURE - I

DESCRIPTIVE ROLLS

A. SPACE FOR PHOTOGRAPHS:

Single Photo Joint Photo

Service Pensioner / Family Pensioner / Joint Photo of Service Pensioner with

Gratuitant / Guardian of Minor or Family Pension beneficiary / Guardian

Handicapped Child. with Minor or Handicapped child.

( Attestation has to be done across the Photoes by a Gazetted Officer of A.P.Government Service )

B. SPECIMEN SIGNATURE OF :

i) Service Pensioner

Specimen Signature of Sri/Smt/Kum. K.L.RAVINDRANADH

K.VENKATRAO

1)

2)

3)

Son / Wife / Daughter of

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

Specimen Signature of Sri/Smt/Kum Smt.prameela

K.L.RAVINDRANADH

1)

2)

3)

C. PERSONAL IDENTIFICATION MARKS OF :

i) Service Pensioner: Sri/Smt/Kum K.L.RAVINDRANADH

1)

2)

ii) Family Pensioner / Gratuitant / Guardian of Minor Handicapped child :

Sri / Smt / Kum. Smt.prameela

1)

2)

Wife/Husband/Son/Daughter/Guardian of

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D. LEFT HAND THUMB AND FINGER IMPRESSION OF SERVICE PENSIONER / FAMILY

PENSIONER / GRATUITANT / GUARDIAN OF MINOR OR HANDICAPPED CHILD :

DetailsThumb Fore Middle Ring LittleFinger Finger Finger Finger Finger

Gratuitant

Place : JAGGAPURAM Attested bySignature:

Date:

Name:

Designation:

Office Seal :

(Attestation has to be done by a Gazetted Officer of A.P.State Government Service )

Note: 3 copies will be forwarded to Accountant General / Local Fund Audit Officer byPension Sanctioning Authority and one will be retained by the Pension SanctioningAuthority.

( to be given by the illeterate or those unable to sign and for others it is optional )

Service Pensioner

Family Pensioner

Guardian of minor/

Handicapped child

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ANNEXURE - I I

N O M I N A T I O N

( The Government servant may use separate forms, if he wishes to make different nomina- tions for each type of payment, mentioned below ) .

I here by nominate the person / persons mentioned below and confer on him/her/them the right to receive Life Time Arrears of Pension, Retirement Gratuity that may be san-ctioned by Government, in the event of my death while in service and right to receive on mydeath, Life Time Arrears of Pension, Retirement Gratuity, Commuted Value of Pension, Death Relief which having become admissible to me on retirement which may remain unpaid of my death.

1. Name and address of Smt.prameela Nominee (s)

2. Relationship with the Wife Government Servant

3. Age 45 Years

4. Amount of share payable to Full Amount each in column - 1

5.Contingencies on the happening of which the nomination shall become invalid ( Death need not be mentioned )

6.Name and address, relationship and

age of alternative nominee(s) to

whom the right conferred on the

nominee(s) in Col.1 shall pass in the

event of the nomination to him/her/

them becoming ineffective.

7. Amount of share payable to each in== NOT APPLICABLE == Col.6

This nomination supercedes the nomination made by me earlier on_________________

Note: The Government Servant shall draw lines across the blank space below the lastentry to prevent the insertions of any name after he/she has signed.

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Dated this ………………………… day of …………………… ,200…..

at …………………………………………………………………………..

WITNESS:1. Signature, Name and Address :

2. Signature, Name and Address :

Signature of the Government Servant

Name : K.L.RAVINDRANADH

Designation: SCHOOL ASSISTANTZPHIGH SCHOOLJAGGAPURAMEDLAPADU (Mandal)GUNTUR (District)

Signature of the Head of Office/Department :Date:

Name and Designation:

Office Seal:

Note:1) The Government Servant who has a family may nominate one member or more than one

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

Note:2) The Government Servant who has no family may nominate a person or persons, or a body

of individuals, whether incorporated or not.

Note:3) The Government servant may note that the nomination with signature of two witnesses

shall only have the legal validity of WILL.

Note:4) 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 Accountant General/

Local Fund Audit Officers.

Note:5) For the purpose of Rules 46,47, and 49 of AP Revised Pension Rules,1980, Family in

relation to a Government Servant means :

i) Wife or wives in the case of a male Government Servant.

ii) Husband in the case of a female Government Servant.

iii) Sons, including step sons, posthumous son and adopted sons ( whose personal law permits

such adoption.)

iv) Unmarried daughters, including step daughters, posthumous daughters, adopted daughters

( whose personal law permits such adoption )

v) Widowed daughters including step daughters and adopted daughters.

vi) Father including adoptive parents in the case of individuals whose personal law permits adoption

vii) Mother

viii) Brothers below the age of 18 years including step brothers.

ix) Unmarried sisters and widowed sisters including step sisters.

x) Married daughters, and

xi) Children of a pre-deceased son.

"Countersigned"

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BY REGISTERED POST

From:THE HEAD MISTRESSZP HIGH SCHOOLJAGGAPURAMEDLAPADU (Mandal)GUNTUR (District)

( Pension Sanctioning Authority )

To

The Accountant General ( A & E ),Andhra Pradesh, Hyderabad - 4.

( Disciplinary Authority / Appointing Authority / Head of the Department )

Sub:-

* * * * *

I am to inform you that the Pension / Family Pension application form of Sri./Smt./

Kum./ K.L.RAVINDRANADH 29.11.2007 as

SCHOOL ASSISTANT was forwarded to AGAP / LFA on _______________________as per the records held by me, no disciplinary / Judicial proceedings are against the above retiring / retired government employee. I request you to verify whether any such case is pending against the above employee which entails withholding or withdrawing pension 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 special messenger within one month from the date of issue of this letter for withholding pensionary benefits as contemplated in Govt.Memo No.33764-A/55/PSC/93, Fin.& Planning (FW-PSC) Department, dated: 15-10-1993 and reiterated in Govt.Memo.No.3725/361/A2/Pen-I/98, Finance & Planning (FW-Pen-I) Department, dated: 4-7-1998. Copies of such orders shall also be sent to the concerned Treasury Officers / PPO for with holding thepensionary benefits. In this connection the instructions issued in Para 2, Part-II B of G.O.Ms.No.263, Finance & Planning (FW-PSC ) Department, dated: 23-11-1998 may be scrupulo-usly followed.

Yours Sincerely,

Station: JAGGAPURAM

Date: PENSION SANCTIONING AUTHORITYTHE HEAD MISTRESS

ZP HIGH SCHOOLJAGGAPURAM

ANNEXURE - III

Pension - Sanction of Pension and other Retiring Benefits in respect of Sri / Smt / Kum. K.L.RAVINDRANADH ,Designation, SCHOOL ASSISTANT, ZPHIGH SCHOOL, JAGGAPURAM. Regarding

retired / retiring on

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Appendix - 2 ( Refered to Paper 21-1 )See Article 62, Hyderabada Civil Service Regulations, NEW APTC 161

Any Pay Manual of Pension 1975, see page No. 67

LAST PAY CERTIFICATE

1. Last Pay Certificate of K.L.RAVINDRANADH, SCHOOL ASSISTANT of the ZPHIGH SCHOOL JAGGAPURAM

2. He has been paid upto 29.11.2007 at the following rate:

Scale of pay 18030-43630

PARTICULARS: Deductions Basic Pay Rs.27700=00 GIS Rs.60=00 HRA Rs.2770=00 APGLIS Rs.125=00

D.A24.824% Rs.6876=00 PT Rs.200=00 CCA -- FPI -- PP Rs.95=00 HMA Rs.75=00 OTHERS TOTAL Rs.37516=00 TOTAL Rs.385=00

3. He made over charge of SCHOOL ASSISTANT ZPHIGH SCHOOL JAGGAPURAM

noun of 29.11.2007

4. Recoveries are to be made from the pay of the Government Servant as detailed on the recoveries.

5. He has been paid leave salary as detailed above Deductions has been made as :

PERIOD RATE AMOUNT

From _______________ to _____________________ to Rs. ___________ a month.

From _______________ to _____________________ to Rs. ___________ a month.

From _______________ to _____________________ to Rs. ___________ a month.

6. He is entitled to draw the following :

7. He is also entitled to joining time for _______________________________________

8. The details at the Income-Tax recovered from him/her upto the date from begininig to the current year are noted on the recovers.

Signature :

Name :

on the after

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Designation :

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DETAILS OF RECOVERIES

Name of the Recover ________________________________________

Amount of Rs. ______________________________________________

To be recovered in __________________________________ installments.

EDUCATING MADE FOR THE LEAVE SALARY

From ___________________ to _________________ to Rs.__________ a month.

From ___________________ to _________________ to Rs.__________ a month.

From ___________________ to _________________ to Rs.__________ a month.

Pay Gratuity Fee etc. Amount or Income Tax recoveredRemarks

Rs. Ps. Rs. Ps. Rs. Ps. Rs. Ps.

Apr-200

May-200

June-200

July-200

Aug-200

Sep-200

Oct-200

Nov-200

Dec-200

Jan-200

Feb-200

Mar-200

Name of month

Fund and other deductions

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NO ALLEGATIONS OF PENDING CHARGES CERTIFICATE

This is to certify that there are no any kind of allegations or pending charges against Sri./Smt./Kum K.L.RAVINDRANADH, SCHOOL ASSISTANT of the ZPHIGH SCHOOL JAGGAPURAM

NO AUDIT OBJECTIONS CERTIFICATE

This is to certify that there are no any kind of Audit Objections / paras pending against Sri./Smt./Kum. K.L.RAVINDRANADH, SCHOOL ASSISTANT of the ZPHIGH SCHOOL JAGGAPURAM

NO DUES CERTIFICATE

This is to certify that there are no any kind of dues to be recovered from Sri./Smt./K.L.RAVINDRANADH, SCHOOL ASSISTANT of the ZPHIGH SCHOOL JAGGAPURAM EDLAPADU (MANDAL)

1) Sales proceedings of A.P Trading Corporation.2) Nationalised Text books and note books as they are not supplied/supplied to him

NON - SUSPENSION CERTIFICATE

service from 10.10.1980 to 29.11.2007

RESPONSIBILITY CERTIFICATE

I , K.L.RAVINDRANADH S/o K.VENKATRAO to be retired asSCHOOL ASSISTANT from the office of ZP HIGH SCHOOL JAGGAPURAMdo hereby declare that, if any amount found 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: JAGGAPURAM

Date: Drawing Officer PensionerK.L.RAVINDRANADH

"ATTESTED' SCHOOL ASSISTANTZP HIGH SCHOOL

JAGGAPURAM

This is to certify that Sri./Smt./Kum/ K.L.RAVINDRANADH, SCHOOL ASSISTANT of the ZPHIGH SCHOOL JAGGAPURAM EDLAPADU (MANDAL) has not been suspended any time during his/her

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OFFICE OF THE ZP HIGH SCHOOLJAGGAPURAM

Rc.No. Date:

From: ToTHE HEAD MISTRESS The Accountant General ( A & E ),ZP HIGH SCHOOL Andhra Pradesh, Hyderabad - 4.JAGGAPURAMEDLAPADU (Mandal)GUNTUR (District)

Sir,

Sub:- Forwarding of Pension Papers of Sri K.L.RAVINDRANADHSCHOOL ASSISTANT ZP HIGH SCHOOL JAGGAPURAM -Regarding.

-x-x-x-x-

The following documents are sent herewith for authorising pensionery benefits of thepensioner.

1. Part - I : Information of the applicant.2. List of the Family Members of the applicant.3. Declaration.4. Proforma to be filled in by the Head of Office.5. Part - II ( A ).6. Part - II ( B ).7. Annexure - I : Descriptive rolls and ABCD.8. Annexure - I : Nomination.9. Annexure - III

10. Last Pay Certificate.11. i) No allegations and pending charges certificate.

ii) No audit objections certificate.iii) Other necessary certificates.

12. Service Register of the pensioner.

The receipt of the advance pension papers alongwith Service Register may pleasebe acknowledged and necessary arrangements may please be made for issue of PensionPayment Order, Gratuity Payment Order and Commutation Authorisation.

Yours faithfully,

THE HEAD MISTRESSZP HIGH SCHOOL

JAGGAPURAMCopy to :

Sri K.L.RAVINDRANADHZP HIGH SCHOOL

I am herewith forwarding the advance Pension Papers in quadruplicate of K.L.RAVINDRANADH, SCHOOL ASSISTANT of the ZPHIGH SCHOOL JAGGAPURAM EDLAPADU (MANDAL) who is to retire on 29.11.2007