SERVICE
PENSION FORWARDING LETTER
(G.O.Ms. No. 263 Date 23-11-1981
Lr.No
.
From Date
.
____________________ To
____________________ The Accountant General (A&E)
____________________ Audit Officer, LFA, District_____
Andhra Pradesh
Sir,
Sub: Pension/Service Pension/Family pension and other Retiring Benefits in respect of Sri/Smt. _______________________________ proposals Submitted.
Ref: G.O. Ms. No. 262 Fin & Plg. (FW-PSC) Dept.
Dt. 23-11-98
G.O. Ms. No. 263 Fin & Plg. (FW _ PSC) Dept. Dt.
23-11-98
I am to forward herewith the Service/Family Pension Papers of Sri/Smt ______________________________ who is due to retire/retired/expired while in service on _______________________________ the following documents are forwarded herewith for authorising pensionery Benefits.
1. Part 1 : Information furnished by the Govt. Servant/Family Pension Beneficiery.
2.
Part - IIA : Information filled in by
the Pension Sanctioning Authority.
3.
Part II B : Sanction Order of
Pensionary Benefits.
4.
Annexure I : Discriptive 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. _________________________
The receipt o;f above documents may please be acknowledged and arrangements may be made to issue the PPO/Gratuity Payment Order and commutation Authorisation early.
No. of enclosures ( ) Yours
faithfully
1.
Copy to
Sri/Smt____________________________
2.
Copy to the
_______________________________
For
information
ANNEXURE III
By REGISTERED POST
From
___________________-
___________________
(Pension sanctioning
authority)
To
The_______________________
Disciplinary Authority/
Appointing Authority/
Head of the Department.)
Sub:
Pension Sanction of Pension and other Retiring Benefits in respect o;f Sri/Smt.
__________________ Designation_________________ Regarding.
I am to inform you that the Pension/Family Pension application form of Sri/Smt. _______________ retired/retiring on __________ as _________________ was forwarded to AGAP/LEA on _____________ As per the records held by me no disciplinary/judicial proceedings are pending/contemplated against the above retiring/retired government employee. I request you to verify whether any such case is pending against the above employee which entials 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 issued of this letter for withholding pensionary 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 & Planning (FW -Pen.I) Department, dt. 4-7-1998. Copied of such orders shall also be sent to the concerned Treasury officers/Ppo for withholding the pensionary benefits. In this connection the instruction issued in Para 2, Part II B of G.O Ms. No. 263, Finance & Planning (FW-PSC) Department, dt. 23-11-1998 may by scruplously followed.
Station :
Date: (HEAD
OF OFFICE)
12
Dated_____________ Day of
______________20_____________at______________
1.
Signature name :
and
Address
2.
Signature name :
And
Address
Name:
Designation :
Office Seal :
Signature
of 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 of the family as difined 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 in corporated
or not.
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
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)
Sons including step
sons, posthumous son, and adopted sons (whose personal law permits such
adoption)
iv)
Unmarried daughters
including step daughters, posthumous daughters and adopted daughter. (Whose
personal law permits such adoption)
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
ofr 18 years including step brothers
ix)
Unmarried sisters and
widowed sisters including step sister
x)
Married daughters, and
xi)
Children of pre-deceased
son.
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Certified that Sri/Smt____________________________________ SGT. Asst was not sanctioned 130-250/150-300 grade under trained graduate teacher and no amount is to be recoverable from her/his under act 14 of 1992.
Signature
Certified that Sri/Smt. _________________________________ has not availed any leave/had availed the following kind of leave during the period of his/her service.
1.
2.
3.
Signature
Certified that Sri/ smt. ____________________________ has not been suspended
any time during his/her service
Signature
I ____________________________s/o _____________________ retd as ____________________S/o The ____________________ do here by 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:
ATTESTED
CERTIFICATE
NO ALLEGATIONS CERTIFICATE
Certified that no allegations are pending against Sri/Smt.____________________________- (Designation) _______________________________School_________________________
Signature
NO DUE CERTIFICATE
Certified that no Govt. dues are recoverable from Sri/Smt. ____________________________ SG.Asstt./S.Asst. ___________________________ Govt. ____________________________ towards the :
1) Sales proceedings of A.P Trading Corporation.
2) Nationalised text books and notebooks as they are not supplied/supplied to him
Signature
AUDIT OBJECTIONS CERTIFICATE
Certified that there are no audit objections are pending in respect of Sri/Smt______________ __________________________________________________________________________
Signature
RECOVERIES UNDER ACT 14 OF 1992
Certified that Sri/Smt _______________________________________________________ (Arts Graduates) was sanctioned 130-250/150-300 grade W.E.F though he/she was untrained graduates 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 not been recovered .
c) Not applicable.
Signature
D. LEFT HAND THUMB AND FINGER IMPRESSIONS OF SERVICE PENSIONER/FAMILY PENSIONER/GRATUITANT/ GUARDIAN OF MINOR OR HANDCAPPED CHILD : (TO BE GIVEN BY THE ILLETERATE OR THOSE UNABLE TO SIGN AND FOR OTHERS IT IS OPTIONAL) |
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Details |
Thumb finger |
Fore finger |
Middle finger |
Ring finger |
Little finger |
Service Pensioner |
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Family Pensioner/ |
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Gratuitant/ |
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Guardian of Minor Handicapped child. |
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Place: Attested by Date: Signature: Name : Designation : Office Seal: (Attestation has to be done by a Gazetted Officer of
AP State Government in Service) Note: 3copies will be forwarded to
Accountant General /Local Fund Audit officer by pension Sanctioning Authority
and one will be retained by the Pension Sanctioning Authority. |
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ANNEXURE II NOMINATION
(The Government servant may use separate forms, if
he wishes to make different nominations 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 Arrears of Pension, Retirement Gratuity that may
be sanctioned by government, in the event of my death while in service and
right to receive on my death 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 at my death.. |
Name and address of Nominee (s) Relationship with government Servant. Age Amount of share payable to each in Col.1 Contingencies on the happening of which the
nomination shall become invalid. (Death need not be mentioned) Name and address, relationship and age of. the
alternative nominee(s) in Col. 1shall pass in the event of nomination to
him/her/them becoming ineffective. Amount or share payable to each in Col. 6 |
1
2 3 4 5 6 7 |
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This nomination supercedes the nomination made by me
earlier on ______________ NB: The Government Servant shall draw lines across the blank space
below the last entry to prevent the insertions of any name after he/she has
signed. |
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DETAILS OF RECOVERIES
Nature of recovery
_______________________________________________________
Amount
Rs_____________________________________________________________
To be recovered in _________________________________
installments.
DEDUCTIONS
MADE FROM LEAVES SALARY
From______________ To________________ on account of
__________Rs.___________
From______________ To________________ on account of
__________Rs.___________
From______________ To________________ on account of __________Rs.___________
Name of month |
Pay Rs Ps |
Gratuity Fee etc Rs. Ps. |
Fund and other deductions Rs. Ps. |
Amount of income tax recovered Rs. Ps |
Remarks |
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April May June July Aug Sep Oct. Nov Dec. Jan. Feb. March. |
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Last pay
certificate_____________________________________________________________
Of the
_______________________________________________________________________
Proceeding on_________________________________________________________________
2.he/she
has been paid upto ____________________ at the following rates
PARTICULARS Rs.
Ps DEDUCTIONS Rs. Ps
Substantive |
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Officiating Pay |
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3.
He/She made over charge
of the Office of___________________________________
___________________________on the ________________noon
of ______________
4.
Recoveries are to be
made from the pay of Government Servant as detailed on the reverse.
5.
He/She has been paid
leave salary as detailed above deductions have been made as noted on the
reverse.
PERIOD RATE AMOUNT
From _____________ to ________________ at Rs.
_______________a month ___________
From _____________ to ________________ at Rs.
_______________a month ___________
From _____________ to ________________ at Rs.
_______________a month ___________
6.
He/She is entitled to
draw the following
7.
He/She is also entitled
to joining time for__________________________________
8.
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.
Date______________________ Signature :_______________________________
Name:
______________________________
Designation:
______________________________