उत्तर प्रदेश पुलिस नॉमिनल रोल प्रणाली

LAST PAY CERTIFICATE

Last  Pay certificate of ................................. .............................of...............................................the............................. .................................. Proceeding on........................ ............................................ to....................................................................................................................................................

2. He has been paid upto.........................................................................................................................................................................................
following rates.

Particular
.....................................................................................................................................................................................................................................

.....................................................................................................................................................................................................................................

.....................................................................................................................................................................................................................................

__________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________

3- His Provident Fund account number etc. are given below

Name of the fund

Account No.

Withe A.G. maintains the Account

 

 

 

4-He made over charge of the office of.................................................................................. on the.................................................................................. noon of ..................................................................................

 

5- Recoveries are to be made from the pay of the Government servant as per details on the reverse.

6- He has been paid leave salary as detailed below. Deductions have been made as noted on the reserves

           
Period                                                     Rate                                        Amount
From ................ to ................................ at Rs. ...................................... A month ......................................
From ................ to ................................ at Rs. ...................................... A month ......................................
From ................ to ................................ at Rs. ...................................... A month ......................................

7- He is entitled to draw the following :

8- He is also entitled to joining time for ............................................. Days.

9- He finances as the Insurance Police detailed below from Provident Funds

Name of Insurance Company Number of Policy Amount of Premium Date for the payment of premium

 

 

 

 

10- The details of the Income tax recovered from him up to the date from the beginning of the current year are noted on the reverse.

                                                                                                                                      Signature ......................................
Date………….200                                                                                                              Designation...................................

Against serial No.8 the information should be incorporated by the head of the office in case of non-gazetted Govt. servants and by the Treausry Officers himself in the case of Gazetted Officers in addition when a Govt. servant is transferred from one Audit Circle to another, the name of the Accounts Officer who will maintain his Provident Fund Account after transfer, also be recorded in the case of Gazetted Officer by the Account General while countersigning the Last Pay Certificate and by the head of the case of non-gazetted Govt. Servants, if possible.
[ ] When filing this item of the Last Pay Certificate the scale of pay etc. as authorized by the Accountant General Pay slips or in the cases of non-gazetted Govt. Servant by competent authorities and the date of increament and of the cessation or change in the rate of pay should be invariably show against this item with a view to unable the disbursing officers of the new district to disburse the pay etc. admissible also the date up to which the payment has been shown in this certificate.

 

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