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LPC Computer Typed Editable

This document is a Last Pay Certificate for non-gazetted officers in Assam, detailing the officer's pay, allowances, deductions, and entitlements upon transfer. It includes sections for the officer's information, recoveries, and instructions for filing. The certificate must be signed by the Head of the Office and the Treasury Officer, and it does not require countersignature when transferred to another state.

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2 views2 pages

LPC Computer Typed Editable

This document is a Last Pay Certificate for non-gazetted officers in Assam, detailing the officer's pay, allowances, deductions, and entitlements upon transfer. It includes sections for the officer's information, recoveries, and instructions for filing. The certificate must be signed by the Head of the Office and the Treasury Officer, and it does not require countersignature when transferred to another state.

Uploaded by

ankdeka123
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd

ASSAM SCHEDULE II (SEC. D.

)
FORM No. 67
LAST PAY CERTIFICATE FOR NON-GAZETTED OFFICERS
Name of Officer: _______________________________________________________
Designation: __________________________________________________________
Proceeding to: _______________________________________________________
to join the appointment of: __________________________________________
Proceeding to officiate as: ________________________________________
on duty: _______________________________________________________
He has drawn pay as ______________________________ at the rate of Rs. __________________ a month
and acting allowance as __________________________ at the rate of Rs. __________________ a month,
less the deductions shown below up to the __________ day of __________________ 20______.
He made over charge of his duties on the __________ noon of the __________ 20______.
No recoveries are to be made from the pay of this officer.
The recoveries noted on the reverse are due.
He is entitled to draw the following:
____________________________________________________________________________________________
____________________________________________________________________________________________
He is also entitled to joining time for __________________ days.
The details of the Income-tax/Super-tax recovered from him up to the date from the beginning of the current year are
noted on the reverse.
Name and designation of Head of
DATE AT
Office in which pay was last drawn
The ______ 20______
Deduction—On account of:
_________________________________________________________________
Rs. __________________________
† The words not required should be scored through with a pen.
To be filed in the office to which transferred.
I have assumed charge of my duties in my office on the noon of the __________ 20______
and the pay of the appointment he fills in my office is Rs. __________________________.
Name and designation of Head of
DATE AT
Office to which transferred
The ______ 20______
Note 1. A last pay certificate should without fail be attached to the first bill in which a transferred man's name appears.
2. The last pay certificate of a non-Gazetted Officer should be granted by the Head of the Office he is leaving and by the
Treasury Officer and such a last pay certificate does not need the countersignature of the A. G. when the Officer is
transferred to another State.
3. If the Officer is being transferred otherwise than for the public convenience, the fact should be stated.
DETAILS OF RECOVERIES
In one sum or in
Nature of recovery etc. Amount of deduction Amount recovered
installments
April 20______
May 20______
June 20______
July 20______
August 20______
September 20______
October 20______
November 20______
December 20______
January 20______
February 20______
March 20______
Assam Govt. Press—III(I) F.67 No. 21/1617

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