REVERSE
DETAILS OF RECOVERIES
Nature of recovery ……………………………………………..
Amount Rs. …………………………………………………………
To be recovered in ……………………………………………..
Deduction made from leave salary
From to on the account of Rs.
From to on the account of Rs.
From to on the account of Rs.
Name of Pay Gratuity etc. Funds and Amount of Remarks
Month other Income-tax
deductions recovered
1. She is a regular subscriber to her PRAN Account No. 110072955844 and her
NPS deduction has been made till 17.11.2020
2. Professional Tax @ Rs.200/- (Rupees two hundred) only has been deducted
from her salary and deposited up to the Month of November-2020
3. She has taken Festival Advance of Rs. 20000/-( Rupees Twenty Thousand)
Only recoverable in 10 (Ten) equal monthly installments of Rs.2000/-, out
of which Rs. 2000/- (Rupees Two Thousand) only in 01 (One) installment
has been recovered from her salary up to November-2020. The rest 09
(Nine) installments amounting to Rs. 18000/- ( Rupees eighteen Thousand)
only is to be recovered in her new station.
4. She has been allotted with Govt. Quarter at New Revenue Colony, Bargarh
and She is still in possession of the same. House Rent@ Rs. 290/- PM has
been deducted from her salary up to November-2020.
5. 40% and 10% arrear arising out of ORSP Rules,2017 have already been
drawn and rest 50% arrear will be drawn in her new station.
6. Her S.B A/C No. is 31906866051.
7. Any deviation arise will be intimated later.
Tahasildar,Bheden
Schedule LIII Form No. 195 (O.T.C Form)
Last pay Certificate
OBSERVE
LAST PAY CERTIFICATE OF Smt. Monica Dharua,Senior Revenue Assistatant of this office proceeding
on transfer to transfer to Block Office,Bheden.
2. She has been paid up to 17.11.2020 (A.N) as the following rate.
3. Her Permanent Retirement Account No. 110072955844.
Particulars
Paid up to 17.11.2020
Pay : Rs.16263/- Pay : Rs.28700/-
D.A : Rs. 2765/- D.A : Rs. 4879/-
Deductions
4. She made over charge of her seat on the After Noon of 28.12.2020.
5. Recoveries are to be made from the pay of the Government Servants as detailed on the
reverse.
6. She has been paid leave salary as detailed below. Deductions have been made as mentioned
reverse.
PERIOD RATE AMOUNT
FROM TO Rs. a month
FROM TO Rs. a month
FROM TO Rs. a month
7. She is entitled to draw the following :-
8. She is entitled to joining time as admissible.
9. She finances the insurance policies detailed below:
Name of the insurance policies Company - NO. of Policy –
Amount of Premium Rs. .Due date for payment of premium every month.
10. The details of the income tax recovered from her up to the date from the beginning of the
current year noted on the reverse, if any .
Tahasildar,Bargarh
Schedule LIII Form No. 195 (O.T.C Form)
Last pay Certificate
OBSERVE
LAST PAY CERTIFICATE OF Sri. Sunil Kumar Rana,Senior Revenue Assistatant of this office proceeding
on transfer to transfer to Tahasil Office,Bheden.
2. He has been paid up to 17.11.2020 (A.N) as the following rate.
3. Her Permanent Retirement Account No. 110072955844.
Particulars
Paid up to 17.11.2020
Pay : Rs.16263/- Pay : Rs.28700/-
D.A : Rs. 2765/- D.A : Rs. 4879/-
Deductions
4. She made over charge of her seat on the After Noon of 28.12.2020.
5. Recoveries are to be made from the pay of the Government Servants as detailed on the
reverse.
6. She has been paid leave salary as detailed below. Deductions have been made as mentioned
reverse.
PERIOD RATE AMOUNT
FROM TO Rs. a month
FROM TO Rs. a month
FROM TO Rs. a month
7. She is entitled to draw the following :-
8. She is entitled to joining time as admissible.
9. She finances the insurance policies detailed below:
Name of the insurance policies Company - NO. of Policy –
Amount of Premium Rs. .Due date for payment of premium every month.
10. The details of the income tax recovered from her up to the date from the beginning of the
current year noted on the reverse, if any .
Tahasildar,Bargarh
REVERSE
DETAILS OF RECOVERIES
Nature of recovery ……………………………………………..
Amount Rs. …………………………………………………………
To be recovered in ……………………………………………..
Deduction made from leave salary
From to on the account of Rs.
From to on the account of Rs.
From to on the account of Rs.
Name of Pay Gratuity etc. Funds and Amount of Remarks
Month other Income-tax
deductions recovered
1. She is a regular subscriber to her PRAN Account No. 110072955844 and her
NPS deduction has been made till 17.11.2020
2. Professional Tax @ Rs.200/- (Rupees two hundred) only has been deducted
from her salary and deposited up to the Month of November-2020
3. She has taken Festival Advance of Rs. 20000/-( Rupees Twenty Thousand)
Only recoverable in 10 (Ten) equal monthly installments of Rs.2000/-, out
of which Rs. 2000/- (Rupees Two Thousand) only in 01 (One) installment
has been recovered from her salary up to November-2020. The rest 09
(Nine) installments amounting to Rs. 18000/- ( Rupees eighteen Thousand)
only is to be recovered in her new station.
4. She has been allotted with Govt. Quarter at New Revenue Colony, Bargarh
and She is still in possession of the same. House Rent@ Rs. 290/- PM has
been deducted from her salary up to November-2020.
5. 40% and 10% arrear arising out of ORSP Rules,2017 have already been
drawn and rest 50% arrear will be drawn in her new station.
6. Her S.B A/C No. is 31906866051.
7. Any deviation arise will be intimated later.
Tahasildar,Bheden
Schedule LIII Form No. 195 (O.T.C Form)
Last pay Certificate
OBSERVE
LAST PAY CERTIFICATE OF Sri Subash Kumar Sahu,WEO of this office proceeding on transfer to
Sub-Collector Office , Pallahara being promoted to the post of ADWO.
[Link] has been paid up to 09.12.2020 (A.N) at the following rate.
[Link] General Provident Fund Account Number 29252MSD(O) maintained by Accountant General,
Odisha
Particulars
Paid up to 09.12.2020
Pay : Rs.19742/- Pay : Rs.68000/-
D.A : Rs. 3356/- D.A : Rs. 11560/-
HRA : Rs. 341/- HRA : Rs. 1173/-
Deductions
4. He made over charge of her seat on the After Noon of 09.12.2020.
5. Recoveries are to be made from the pay of the Government Servants as detailed on the
reverse.
6. He has been paid leave salary as detailed below. Deductions have been made as mentioned
reverse.
PERIOD RATE AMOUNT
FROM TO Rs. a month
FROM TO Rs. a month
FROM TO Rs. a month
7. He is entitled to draw the following :-
8. He is entitled to joining time as admissible.
9. He finances the insurance policies detailed below:
Name of the insurance policies Company - xxxxxxxxxxxNO. of Policy –xxxxxxxxxx
Amount of Premium Rs. xxxxxxxxxx .Due date for payment of premium every month.
10. The details of the income tax recovered from her up to the date from the beginning of the
current year noted on the reverse, if any .
Block Development Officer
Bheden
REVERSE
DETAILS OF RECOVERIES
Nature of recovery ……………………………………………..
Amount Rs. …………………………………………………………
To be recovered in ……………………………………………..
Deduction made from leave salary
From to on the account of Rs.
From to on the account of Rs.
From to on the account of Rs.
Name of Pay Gratuity etc. Funds and Amount of Remarks
Month other Income-tax
deductions recovered
1. Professional Tax @ Rs.200/- (Rupees two hundred) only has been deducted
from his salary and deposited up to the Month of December-2020
2. He is a regular subscriber of GPF bearing No.29252MSD(O). Rs. 10,000/-
has been deducted & deposited up to the month of December-2020.
3. Income tax @1000/- each per month has been deducted from the month
of May 2020 to November 2020(7 Months)
4. 40% and 10% arrear arising out of ORSP Rules,2017 have already been
drawn and rest 50% arrear will be drawn in his new station.
5. His S.B A/C No. is [Link] Code SBIN0011576
6. Any deviation arise will be intimated later.
Block Development Officer
Bheden
Schedule LIII Form No. 195 (O.T.C Form)
Last pay Certificate
OBSERVE
LAST PAY CERTIFICATE OF Sri Niranjan Nayak,Ex-JE of this office proceeding on transfer to
Sohela Block Office.
2. He has been paid up to 22.09.2020 (A.N) as the following rate.
3. His Permanent Retirement Account Number is 110185272565
Particulars
Paid up to 22.09.2020
Pay : Rs.27573/- Pay : Rs.37,600/-
D.A : Rs. 4687/- D.A : Rs. 6392/-
HRA : Rs. 495/- HRA : Rs. 675/-
Deductions
4. He made over charge of her seat on the After Noon of 28.09.2020.
5. Recoveries are to be made from the pay of the Government Servants as detailed on the
reverse.
6. He has been paid leave salary as detailed below. Deductions have been made as mentioned
reverse.
PERIOD RATE AMOUNT
FROM TO Rs. a month
FROM TO Rs. a month
FROM TO Rs. a month
11. He is entitled to draw the following :-
12. He is entitled to joining time as admissible.
13. He finances the insurance policies detailed below:
Name of the insurance policies Company - xxxxxxxxxxxNO. of Policy –xxxxxxxxxx
Amount of Premium Rs. xxxxxxxxxx .Due date for payment of premium every month.
14. The details of the income tax recovered from her up to the date from the beginning of the
current year noted on the reverse, if any .
Block Development Officer
Bheden
REVERSE
DETAILS OF RECOVERIES
Nature of recovery ……………………………………………..
Amount Rs. …………………………………………………………
To be recovered in ……………………………………………..
Deduction made from leave salary
From to on the account of Rs.
From to on the account of Rs.
From to on the account of Rs.
Name of Pay Gratuity etc. Funds and Amount of Remarks
Month other Income-tax
deductions recovered
1. Professional Tax @ Rs.200/- (Rupees two hundred) only has been deducted
from his salary and deposited up to the Month of September-2020
2. His Permanent Retirement Account Number is 110185272565. But no
deduction has been made till date as the no. has been allotted recently.
3. His S.B A/C No. is [Link] Code SBIN0002012.
4. Any deviation arise will be intimated later.
Block Development Officer
Bheden
Last pay Certificate
OBSERVE
LAST PAY CERTIFICATE OF Sri Ram Prasad Kumar,Ex-JE(N) who had been ordered to draw the salary
of his working period of Barpali Block i.e from 14.09.2007 to 06.06.2008 at Bheden Block against the
existing vacancy of the JE Post.
2. He has been paid up to 06.06.2008 (A.N) at the following rate as per LPC of Gaisilet Block &
absentee statement received from Barpali Block .
3. His GPF Account Number is CDP(O) 14799 maintained by Accountant General(A&E)
Odisha,Bhubaneswar
Particulars
Paid up to 06.06.2008
Pay : Rs.1000/- Pay : Rs.5000/-
D.A : Rs. 670/- D.A : Rs. 3350/-
Deductions
4. He made over charge of her seat on the After Noon of -------------.
5. Recoveries are to be made from the pay of the Government Servants as detailed on the
reverse.
6. He has been paid leave salary as detailed below. Deductions have been made as mentioned
reverse.
PERIOD RATE AMOUNT
FROM TO Rs. a month
FROM TO Rs. a month
FROM TO Rs. a month
7. He is entitled to draw the following :-
8. He is entitled to joining time as admissible.
9. He finances the insurance policies detailed below:
Name of the insurance policies Company - xxxxxxxxxxxNO. of Policy –xxxxxxxxxx Amount of
Premium Rs. xxxxxxxxxx .Due date for payment of premium every month.
10. The details of the income tax recovered from her up to the date from the beginning the
current year noted on the reverse, if any .
Block Development Officer
Bheden
REVERSE
DETAILS OF RECOVERIES
Nature of recovery ……………………………………………..
Amount Rs. …………………………………………………………
To be recovered in ……………………………………………..
Deduction made from leave salary
From to on the account of Rs.
From to on the account of Rs.
From to on the account of Rs.
Name of Pay Gratuity etc. Funds and Amount of Remarks
Month other Income-tax
deductions recovered
1. Professional Tax @ Rs.75/- (Rupees Seventy five) only has been deducted
from his salary and deposited up to the Month of May 2008.
2. His S.B A/C No. is [Link] Code UCBA0000235
[Link] HRMS Id is 91333854
4. Any deviation arise will be intimated later.
Block Development Officer
Bheden