G.P.S. 75/11-10,000 Nos.
LAST PAY CERTIFICATE
Last Pay Certificate of Non-Gazetted Officer
1. Last Pay Certificate of ______________________________________________________________
Of the ___________________________________________________________________________
Proceeding _______________________________________________________________________
2. He has been paid up to ________________________to the following Rates___________________
Particulars Rate
Substantive Pay
Officiating Pay
Education
3. His General Provident Fund Account No. is maintained by the Accountant General.
4. He made over charge of the office forenoon/afternoon.
5. Recoveries are to be made from the pay of the Government servant as detailed on the reverse.
6. He has been paid leave salary as detailed below. Deduction has been made as noted on the reverse.
Period Rate Amount
From To at Rs.
From To at Rs.
From To at Rs.
7. He is entitled to draw the following :
8. He is also entitled to joining time for ______________________________________days.
9. He finances the Insurance Policy detailed below from the Provident Fund.
Name of Insurance Co. No. of Policy Amount of Date due for payment
of premium
10. The details of the income tax recovered from him up to date from the beginning to the current year noted on
the reverse.
11. Whether transfer made at the request of officer or for his advantage or in consequence of any fault on his
part or on grounds of public convenience only(See Arts.9 and 33) J&K C.S.R.
Dated: ____________20
Signature/Designation
Note: - Against Serial No. 9 the information should be incorporated by the Head of the office in case of
Non-Gazetted Government Servant and the Treasury Officer himself in case of Gazetted Office in addition when
a Government Servant is transferred from one Audit Circle to another the name of the Accounts Officer who
will maintain his General Provident Fund Account after transfer should be recorded in the case of Gazetted
Officer by the Accountant General while countersigning the Last Pay Certificate and by the Head of the Office in
the case of Non-Gazetted Government Servant.
DETAILS OF RECOVERIES
Name of recovery__________________________________________________________________________
Amount Rs. _______________________________________________________________________________
To be recovered in ________________________________________________________________Instalments
DEDUCTIONS MADE FROM LEAVE SALARY
From__________To___________on a/c of ________________________ Rs.___________________________
From__________To___________on a/c of ________________________ Rs.___________________________
From__________To___________on a/c of ________________________ Rs.___________________________
Name of the months Pay Grauity Funds and Amount of Remarks
Fee etc. other income Tax
DeductionRecovered
April 20
May 20
June 20
July 20
August 20
September 20
October 20
November 20
December 20
January 20
February 20
March 20
Forenoon
1. Date of taking over ____________________________________________________________________
2. Designation or Office which transferred ___________________________________________afternoon
3. Monthly rate or pay scale and (allowances to be shown separately of the office to which transferred)
____________________________________________________________________________________
4. Distance mile between the two stations ___________________________________________________
Dated_______________________the ______________________ Head of the Office(Treasury Officer)
to which transferred