A.P.T.

C FORM-49
(See subsidiary rule 13 under Treasury rule 10)
PERIODICAL INCREMENT CERFIFICATE
ANNEXURE
1) Certified that every Govt servant(s) named below has have been earned and proscribed periodical increment from date/dates noted in column (10) and either I(a)
has/have the incumbent are the appointment indicated against his name/their names for a period not less than____years since the dates in column (5) or (if he has /they
have been suspended for misconduct column(7) after deducting the periods between the dates showing in columns(8) and has(9) and has been subjected in any order of
stoppage of increments has penalty during the periods and durings the periods of leave on average pay taken at a time from ______________to ________and
from____________to _________which has/have been counted for increaments/ in the case officiating Govt servants/servants named below the/they would have affiliated
in the post/posts but for his/ their going on leave ______________________________________________
Leave without pay

Date from which increment may

Whether substantive /officiating
and in the case of

Date from which present pay is

suspension for misconduct

those holding the

Amount of increment
pose temporarily are
in an officiating
capacity all kinds of

Scale of pay

Present Pay

Future Pay
Appointment

be given
leave other than
leave an average pay

drawn
Name of the during which they
SNO
employee would have
continued to officiate
in the post but the for
their going on leave
upto a maximum of
four moths of such
leave taken at time
From To From To          
1 2 5 6 7 8 9 10 11 12 13 14
3

Dr K Satyanarayna,
Officiating
Regular

Principal, 18-April- 1-April- 57100- Rs. Rs.

1 -- -- -- -- Rs. 58680/-
GJC-Sompeta, 2021 2022 147760 57100/- 1580/-
Srikakulam Dist.

Note: 1. When an increment claimed operates to carry Government Servant over an efficiency have the claim should be supported by a declaration from the competent authority that it has
satisfied itself that the character and efficiency of the Government Servant concerned are such that he is fit to pass the above columns 5 & 10 to 14 should be filled up in red ink.
2. The terms leave on average pay up to a maximum 4 months wherever occurring from includes earned leave up to a maximum of 100 days or 50 days or 30 days the case may be far as
Government Servant governed by the Andhra Pradesh Leave Rules 1988 are concerned.
3. Certified that the incumbent is subscriber of APGLI policy bearing no:2712354_A
4. Certified that the incumbent is exempted from passing the Special Language Test in Telugu

Signature of the DDO