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					                                           PENSIONERS SOFTWARE
                                             www.prtumedak.org
Name of the Government Servant                        Sri.B.Narsimlu
Fathers/Husband Name                                  B.Bagaiah
Designation          SGT
Post Held in                       PS.Salojipally
Date of Birth        10            Jun                1953

Date of entering in to Serice                         27               Jun             1984

Date of Retirement                                    30               Jun             2011

                                         EMPLOYEE PAY PARTICULARS
Basic Pay             27700                           D.A %                  24.824       HRA
Scale                14860-39540                      GIS                     60         APGLI
  CCA    0                HMA                75               PP              95          FPI

  Name of the Pension Disbursing Authority                    STO                     Jogipet

                                   Sri.B.Narsimlu
                                   Village: Tekmal
Permanent Address                  Post & Mandal Telkmal
                                   Dist:Medak,502302

                                   Sri.B.Narsimlu
                                   Village: Tekmal
Address After Retirement
                                   Post & Mandal Telkmal
                                   Dist:Medak,502302

Name of the Paying Bank            SBH

Branch Name                        Jogipet

Account. No                        123456465

                                             NOMINEE DETAILS

Name of the Naominee               Smt.Durgamma

Relation ship with Govt Servant                       Wife
Age                       45       Years
Amount of Share payble                         Full Amount
                                   FAMILY MEMBERS DETAILS
                                                                     Married/        whether Employee or
    Name of the Member         Date of Birth      Relationship
                                                                    Un-married               not

Smt. Durgamma                  07.05.1965            WIFE             Married               Yes
Manoj Kumar                    20.02.1989            SON            Un-Married              Not
Mahesh Kumar                   04.05.1994            SON            Un-Married              Not
.                                    .                 .                   .                  .
.                                    .                 .                   .                  .

                                           OFFICE DETAILS
      Office Address
                            The Mandal Educational Officer,
                            M.P.Tekmal,
                            Dist.Medak



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

                                               2. A mole on the righ Ear



                                         www.prtumedak.org
1984               R.RAMESH
2011               9989663755


         20   30
              0

              0

ogipet




              P
              R
              T
              U
              M
              E
              D
              A
              K
             A
             K


whether Employee or
        not

       Yes
       Not
       Not
         .
         .
                                     PENSION FORWARDING LETTER
                                      (G.O.Ms.No.263 Dated 23-11-1998)
 Lr. No                                                                           Date :

 From                                                                 To
   The Mandal Educational Officer,                                    THE ACCOUNTANT GENERAL ( A&E )
   M.P.Tekmal,                                                        Audit Officer,LFA,Hyderabd
   Dist.Medak                                                         Andhrparadesh.


   Sir,

                  Sub : Pension / Service Pension / Family Pension and other Retiring Benefits in respect of
                          Sri.B.NarsimluProposals Submitted.

             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

   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                                             : Information furnished by the Govt.Servant/Family Pension
                                                             Beeficiery
   2. Part - II                                            : Information filled in by the Pension Sanctioning Authority
   3. Part - II B                                          : Sanction Order of Pensionary Benefits.
   4. Annexure - I                                         : Descriptive Roll
   5. Annexure -II                                         : Nomination
   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 ( )


                                                                                        Your's Faithfully

   1. Copy to              Sri.B.Narsimlu,SGT
   2. Copy to The          Office File.




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

         b) Post held                                             PS.Salojipally
2.         Name of the Applicant
           (in case of death of government servant)
3.          Permanent Address                                     Sri.B.Narsimlu
                                                                  Village: Tekmal
                                                                  Post & Mandal Telkmal
                                                                  Dist:Medak,502302
4.          Address after retiremnt                               Sri.B.Narsimlu
                                                                  Village: Tekmal
                                                                  Post & Mandal Telkmal
                                                                  Dist:Medak,502302
5.          Commutation of Pension
              a) Whether willing to commute 40% of
                                                                  Yes
                 monthly pension,subject to AP Civil
                 Pensions (Commutation) Rules,1944.

            b) If the answer is NO,specify the
               fraction less than 40%
 6.          a) Name of the Pension Disbursing AuthoritySTO,Jogipet
                                                                       Name ot the Bank and
                                                                                                             S.B.Account No
             b) Name of the Paying Bank from where                           Branch
                Pension payment is desired by the                              SBH
                                                                                                               123456465
                pensioner/family pensioner/gratuitant                        Jogipet

7.          LIST OF FAMILY MEMBERS

(a)                        (b)                                  (c)                         (d)                    (e)
                                                                      Relationship
Sl.N                                                                      with           Married or   whether employed or not .Give
             Name of the family member          Date of birth
 o                                                                    government         unmarried      details of employmment
                                                                        servant

     1             Smt. Durgamma                 07.05.1965              WIFE        Married                      Yes

     2              Manoj Kumar                  20.02.1989              SON         Un-Married                   Not

     3              Mahesh Kumar                 04.05.1994              SON         Un-Married                   Not

     4                      .                          .                   .         .                              .

     5                      .                          .                   .         .                              .




          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.
  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


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

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.



       Place :     PS.Salojipally
       Date :      7/15/2011                                              Signature of the
                                                                         Governmnet servant.



                           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
   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

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

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

                                 Name                                        Date of Birth


  1


  2
                                    ∕                                               ∕

  3




Place :
      :
Date 7/15/2011                                                              Signature of the
                                                                           Head of the officer
Prepared by R.Ramesh,Tekmal,Medak. 9989663755.www.prtumedak.org
           Part II (A) Information to be filled up the Pension Sactioning Authority
1. Name of the Government Servant and Post held                   Sri.B.Narsimlu,SGT
2. Father's Name/Husband's Name                                   B.Bagaiah
3. Name of the Applicant
  ( in case of death of government servant)
4. Date of Birth of Government servant                             10.6.1953 58 Years
5. Date of entering in to service                                 27.6.1984
6. Date of retitement/death                                       30.6.2011
7. Designation and officer from which the
                                                                  SGT
  Government servant retires/tetired/died
8. The rule applicatble                                           Rule 33 Superanuation Pension (Rule 42)
   a) The relevant Rule under the AP Revised                      Rule 46 Retirement Gratuty
      Pension Rules.1980 applicable (tick the rule                Rule 50 Family Pension
      number(s) applicable and strike out the rest)
  b) Whether ANTICIPATORY PENSION is being
      sancioned in terms of Rule - 51.
  d) Any other rule applicable
9. Total service (6-5)                                            27Years -0Months- 3Days
10. Period of non-qualifying service                                                Nil
   a) E.O.L                                                                         Nil
   b) Suspension period                                                             Nil
   c) Dies-non                                                                      Nil
   d) Boy service                                                                   Nil
   e) Any other service not qualifying for pension                                  Nil
       Total non-qualifying service (a to e)                                      Nil
11.   Net qualifying service (9-10)                               27Years -0Months- 3Days
12.   Weightage,if any                                            5.Years
13.   Total qualifyilng service for calculation of
                                                                  32 Years 0 Months 3 Days Years
      pension (11+12)
14.   Last pay drawn ( Rule 31,46(4),50 (12)( C ) of
                                                                  14860-39540 / Rs 27700/-
      APRPRs,1980) Para 4 of G.O Ms.No 87 Fin & Plg
15.   Calculation of service pension/service Gratuty              Rs 13431/-
       (Rule 45 of APRPRs,1980)                                   27700x64/66x1/2 =13431
                                                                  (B.P x Service Units /66 x 1/2
16. Calculation of Retirement gratuty ( Rule 46                   B.P: Rs 27700, DA@24.824%= Rs 6876
     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
   a) Service Pension                                             From         1-7-2011       To   Till Death
   b) Enhanced Family Pension                                     From                        To
   c) Normal Family Pension                                       From                        To
19. Government dues to be recovered in respect                       Principal       Interest    Total
   a) House Building Advacne
   b) Motor Car/Cycle Advance
   c) Marriage Advance
   d) Advance Leave Salary
   e) Advance salary on Transfer
   f) Dues on Account of Government Quarters
  g) Telephone/Trunk call Charges
  H) Festival Advance
   i) Education Advacne
   j) Computer Advacne
   k) Other Government Dues
                           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

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

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

                                                       PART - II (B)
                                              SANCTION OF PENSION
    a) Certificate of comentency to accord sanction (appicable in case of sanction of Pesnion to non
        gazetted officers including Class - IV employees)

    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
    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

                                        (Strike off whichever is not applicable)
    b) Sanction Order :
       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                                                          Rs 13431/-
                                                                     ( 27700+6876) x 64 x1/4 = Rs 553216
       ii) Retiring Gratuity
                                                                                        .
       iii) Commutation                                           (Rs 13431/-x40/100)x12x8.371=Rs 539629/--

      iv) Family Pension
            a) Enhanced Family Pension                                             Rs 13431/-
            b) Normal Family Pension                                               Rs 8310/-




              Office Seal                                                   Signature and Designation of
                                                                           Pension Sanctioning Authority

    Note1     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.
    Note2     The Pension Sanctioning Authority should satisfy about the correctness of the pariculars of family
              furnished by the Government Servant/Appicant in Part-I
    Note3     If the Pensionary benefits are not to be releasede Part-II-B(b) shall be struck off.
              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.
    Note5     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.




Prepared by R.Ramesh,Tekmal,Medak.9989663755.www.prtumedak.org
                                                  ANNEXURE - I
                                                DESCRIPTIVE ROLLS

  A. SPACE FOR PHOTOGRAPHS




            Service Pensioner/Family                                Joint Photo of Service Pensioner with Family
            Pensioner/Grauitant/Guardian of                         Pension beneficiary/Guardian with Minor or
            Minor or Handicapped Child.                             Handicapped Child.

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


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

                 Speicimen Signature of Sri.B.Narsimlu
                  Son/Wife/Daugher of
                 Son/Wife/Daughter of B.Bagaiah

                  1


                  2


                  3


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

                     Specimen Signature of Sri/Smt/KumSmt.Durgamma
                         Wife/Husband/Son/Daughter/Guardian of Sri.B.Narsimlu
               Wife/Husband/Son/Daughter/Guardian of

                  1

                  2

                  3



  C. PERSONAL IDENTIFICATION MARKS OF :
    (i)      Service Pensioner Sri/Smt/Kum
             Service Pensioner :: Sri/Smt/Kum Sri.B.Narsimlu SGT
             1.Amole on the route of fore finger

             2. A mole on the righ Ear

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

             Sri/Smt/Kum Smt.Durgamma


                                                                       SIGNATURE OF GAZZETTED OFFICER



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

Service
Pensioner



Family
Pensioner



Gratuitant



Guardian of
Minor/Handicap
ped Child.




Place                                                                   Attested by
                                                                         Signature
Date


                                                                 Name
                                                                 Designation



Office Seal:




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


       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.




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




                                                                                                                                                                                                        altenative nominee(s) to whom the right confered on
                                                                                                                                                   nomination shall become invalid (Death need not be




                                                                                                                                                                                                        nomination to him/her/them becoming ineffective
                                                                                                                                                                                                        the nominee(s) in Col.1. shall pass in the event of
                                                                                                                                                                                                        Name and address,relationship and age of the
                                                                                                                                                   Contingencies on the happening of which the




                                                                                                                                                                                                                                                                      Amount or share payble to each in Col.6
                                                                                                         Amount of share payble to each in Col.1
                                           Relationship with Government Servant
      Name and address of Nominee(s).




                                                                                                                                                   mentioned
                                                                                       Age




            1                                     2                                     3                       4                                                        5                                                        6                              7
                                                                                                                                                                                                                            sons NameManoj KumarMahesh Kumar
                                                                                                                                                                     On sub sequent requrst
     Smt.Durgamma




                                                                                                        Full Amount




                                                                                                                                                                                                                                                               Equal Share
                                                                                       45Years
                                          Wife




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

  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.




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




Dated this                                                                        At   PS.Salojipally
Witness:-
1. Signature Name :
   and Address




2. Signature Name
   and Address

                                                                      Singnature of the Government Servant
                                                                      Designation
                                                                      Office
                                             Countersigned

               Signature of Heade of Office/Department:
                                                             Date :
                                           Name and Designation :
                                                        Office Seal

 Note (1) : 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

 Note (2) : 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
 Note (3) : The Government servant may not that the nomination with signature of two witnesses shall only
            have the legal validity of a 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 forwarded to the Account
               General Local Fund Audit Offices.
  Note (5) For the purpose of Rules 46, 47, 48 and 49 of Revised Pension Rules 1980, family in 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) Sonns including step sons, posthumous son, and adopted sons (whose personal law permits such
          iv) Unmarried daughters including step daughters, posthumous daughters and adapted daughters.
           v) Widowed daughters including step daughters and adopted daughters
          vi) Father        including adoptive partents in the case of individuals where whose personal law
         vii) Mother        Permits adoption
        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 apre deceased son




Prepared by R.Ramesh,Tekmal,Medak,9989663755.www.prtumedak.org
                                                ANNEXURE - III
                                             BY REGISTERED POST

From
The Mandal Educational Officer,
M.P.Tekmal,
Dist.Medak
    ( Pension Sanction authority )


To
THE ACCOUNTANT GENERAL ( A&E )
Audit Officer,LFA,Hyderabd
Andhrparadesh.

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



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



 Station :
 Date     :

                                                                           ( HEAD OF OFFICE )



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


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

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



      PARTICULARS                                                 DEDUCTIONS

   Scale                          :   14860-39540           GIS         : Rs.60=00
   Basic Pay                      : Rs.27700=00             APGLIS      : Rs.0=00
   HRA                            : Rs.5540=00              PT          : Rs.200=00
   DA                             : Rs.6876=00                          :
  CCA                             : --                                  :
   FPI                            : --                                  :
   PP                             : Rs.95=00                            :
  HMA                             : Rs.75=00
  OTHERS                          :
  TOTAL                           :   Rs.40286=00          TOTAL        : Rs.260=00



          He/She made over charge of the Officer of PS.Salojipallyon the after noon of,30.6.2011

  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.


           PERIOD                                RATE                                 AMOUNT

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

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

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



         He/She is entitled to draw the following
      He/She is also entitled to joining time for
      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




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

  Nature of recovery
  Amount Rs
  To be recovered in                                             instalment.
                                                                           I         nstalment


                          DEDUCTIONS MADE FROM LEAVES SALARY

  From                    to                   on account of     Rs


  From                    to                   on account of     Rs


  From                    to                   on account of     Rs


                                                    Fund and other      amount of
 Name of                        Gratuity Fee etc.
                    Pay                               deductions       Income Tax        Remarks
the month
             Rs           Ps Rs                Ps Rs             Ps   Rs        Ps

    April

    May

   June

    July

    Aug

    Sep

    Oct

    Nov

    Dec

    Jan

    Feb

    Mar




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




                                                                   Signature

                                          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

     1
     2
     3




                                                                   Signature



                                      SUSPENSION CERTIFICATE


             Certified that Sri.B.Narsimlu,SGT,PS.Salojipallyhas not been suspended any
time during his/her service




                                                                   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


                    Attested                        Pensioner         Drawing officer
Prepared by R.Ramesh,Tekmal,Medak,9989663755.www.prtumedak.org
                                  NO ALLEGATIONS CERTIFICATE

                 Certified         that         no               allegations        are        pending
againstSri.B.Narsimlu,(Designation)SGT,PS.Salojipally




                                                                               Signature




                                         NO DUES CERTIFICATE

           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




                                 AUDIT OBJECTIONS CERTIFICATE


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




                                                                               Signature




                              RECOVERIES UNDER ACT 14 OF 1992


          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

 a) The amount has been recovered and recorded in the SB at Page No (                      )
 b) The amount has been recovered
 c) Not Applicable




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

				
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