ANNEXURE- 1(cont.)
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Name of the School:
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Arrear for the
period from : _____________________________ Rs _____________________
Arrear due to account of To be Credited to
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Basic
Pay
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DA
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HRA
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MA
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Gross
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CPF/GPF
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Date of receipt of 1st Grant-in-aid by the school ______
Lamp _______ Grant w.e.f ________________ salary
deficit
scheme.
Reason For Arrear:
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P.Tax
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G.PF/CPF
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Other
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Net Claim
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Less any ad-hoc
payment made
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1.
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2.
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3.
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4.
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Actual claim
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Certified that :
Certified that :
1. The
amount claimed in this bill not drawn before.
2. The
office copy agrees with the copy of the bill.
3. The
claim has been preferred with reference to Acquittance Roll & Other Office
records.
4. Necessary
notes have been kept in the o/c of the bill from which it was omitted in order
to avoid double payment in future.
5. The
incumbent has not enjoyed ay E.O.L during the period of arrear claimed/has
enjoyed any E.O.L in the month/s of as stated in the remarks column.
6. I.Tax,
P.Tax,G.P.F if any, will be deducted & deposited through chalan.
7. The admissibility of the arrear claim has been
checked with reference to Govt. order other relevant records and found in
order.
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Passed for Rs ________________________
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(Rupees
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only)
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Checked,
verified and found the claim as admissible and correct.
A.D. / D.D
(Account)
Shaftech2u
Signature of the Secy.
D.I Of Schools
Next Part Anixter
ANNEXURE-I
Name of the School: _______________________________________________________________________
Name of the Employee : __________________________________________________________________
Arrear for the period from : ___________________________________
Scale admissible:__________________________________________________Scale
Drawn:
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Month
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BasicPay
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G. Pay
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D.A
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HRA
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MA
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Gross
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CPF
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PT
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GPF
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Cash
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Net
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Remarks
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Admissible
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Drawn
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Due
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Admissible
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Drawn
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Due
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Admissible
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Drawn
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Due
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Admissible
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Drawn
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Due
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Admissible
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Drawn
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Due
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Admissible
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Drawn
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Due
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Admissible
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Drawn
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Due
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Admissible
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Drawn
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Due
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Admissible
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Drawn
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Due
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Admissible
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Drawn
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Due
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Admissible
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Drawn
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Due
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Total Balance b/d
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Signature
of Head of the Institute
