T.R. FORM NO.

13
[LAST PAY CERTIFICATE (LPC)]
[See sub rule(1) of T. R. 4.081]
Name Of Office : Purulia Government Medical Collage & Hospital
Name Of DDO : Accounts Officer, Purulia Government Medical Collage & Hospital ( Hospital
LAST PAY CERTIFICATE (LPC) In Respect of

Employee No : 2020010076
Employee Name : PAYEL BOSE
GPF A/C No. MED/WB/103014
PAN :
Office : Accounts Officer, Purulia Government Medical Collage & Hospital ( Hospital Side)
D.D.O. Code : PUAHFH005
TAN of the D.D.O. : CALS17977B
Bill Head Of Accounts : HF-2210-01-110-00-082-01
Band Pay or Basic: 32500-Level 9 Min Pay Rs 29800
Proceeding on to : ()
2. Salary Paid up to : 31/10/2023 at the following rates : -

Earnings(Rs.) Deductions(Rs.) Out/Acc.Ded(Rs.)

Item Amount Cumulative Item Amount Cumulative Item Amount
BP 32500 256400 GISI87 12 96
DA 1950 15384 GISS87 28 224
HRA 2464 19712 GPF 2500 20000
MA 500 4000 PT 150 1200
OthA 10 80
UniAlNs 100 800
WASHALLN 150 1200

Recoveries of Loan (Rs.) / Advances (Rs.)

Item Current Received Sanctioned Cumulative Outstandng Installment Remarks
Inst.No. this month Amount Recovery Amount Breakup

Festival Recovery :

BP :Basic/ Band/ Deputation Pay * DA :Dearness Allowance * HRA :House Rent Allowance * MA :Medical Allowance * OthA :Other Allowance * UniAlNs
:Uniform Allowance Allowance for Nursing Staff * WASHALLN :Washing Allowance(Nursing Staff)
GISI87 :State GIS Insurance 1987 * GISS87 :State GIS Savings 1987 * GPF :G.P.F. FOR Honble Judges/ GR. ABC(Monthly Subscription) * PT
:Professional tax

Dated: 01/11/2023 12.42 PM Page 1 of 4

3. His GPF Account No. is maintained by DDO / PAG (A&E), West Bengal.
4. He made over charge of the office on 27/09/2023 Afternoon
5. Recoveries are to be made from his emoluments etc. as detailed above.
6. He is entitled to draw pay/allowances as mentioned above.
7. He has been sanctioned _______ leave proceeding joining time for _____ days.
8. He finances the insurance policies detailed above from the Provident Fund.
9. PLI Policy premium deduction done from paybill, if any is mentioned above.
10. The Details of the G.P.F./Income-Tax/Profession Tax deduction made from him upto the date from the beginning of
current financial year is in page 2.
11. The employee does not reside in Govt Residence
12. Bank Details : A/c No.: 39792191118 ,IFSC : SBIN0000022

Dated:
Accounts Officer, Purulia Government Medical
Collage & Hospital ( Hospital Side)
 Summary of the salary of :PAYEL BOSE **Amount In Rs.

Month Pay Allowance Gross Deduction Recovery Net Pay Token/TV

No.& Date
Mar BP : 31600 DA : 1896 36720 GISI87 : 12 34030 28300 17/03/2023
2023 HRA : 2464 GISS87 : 28
MA : 500 GPF : 2500
OthA : 10 PT : 150
UniAlNs 100
:
WASHA 150
LLN :
Apr BP : 31600 DA : 1896 36720 GISI87 : 12 34030 1425 27/04/2023
2023 HRA : 2464 GISS87 : 28
MA : 500 GPF : 2500
OthA : 10 PT : 150
UniAlNs 100
:
WASHA 150
LLN :
May BP : 31600 DA : 1896 36720 GISI87 : 12 34030 3402 26/05/2023
2023 HRA : 2464 GISS87 : 28
MA : 500 GPF : 2500
OthA : 10 PT : 150
UniAlNs 100
:
WASHA 150
LLN :
Jun BP : 31600 DA : 1896 36720 GISI87 : 12 34030 5759 28/06/2023
2023 HRA : 2464 GISS87 : 28
MA : 500 GPF : 2500
OthA : 10 PT : 150
UniAlNs 100
:
WASHA 150
LLN :
Jul BP : 32500 DA : 1950 37674 GISI87 : 12 34984 7912 27/07/2023
2023 HRA : 2464 GISS87 : 28
MA : 500 GPF : 2500
OthA : 10 PT : 150
UniAlNs 100
:
WASHA 150
LLN :
Aug BP : 32500 DA : 1950 37674 GISI87 : 12 34984 10457 25/08/2023
2023 HRA : 2464 GISS87 : 28
MA : 500 GPF : 2500
OthA : 10 PT : 150
UniAlNs 100
:
WASHA 150
LLN :
Sep BP : 32500 DA : 1950 37674 GISI87 : 12 34984 12798 22/09/2023
2023 HRA : 2464 GISS87 : 28
MA : 500 GPF : 2500
OthA : 10 PT : 150
UniAlNs 100
:
WASHA 150
LLN :
Oct BP : 32500 DA : 1950 37674 GISI87 : 12 34984 15585 11/10/2023
2023 HRA : 2464 GISS87 : 28
MA : 500 GPF : 2500
OthA : 10 PT : 150
 Summary of the salary of :PAYEL BOSE **Amount In Rs.

Month Pay Allowance Gross Deduction Recovery Net Pay Token/TV

No.& Date
UniAlNs 100
:
WASHA 150
LLN :
Total: 256400 41176 297576 21520 276056
Arrear(if any):

** Name of Treasury/PAO : Purulia

Dated:
Accounts Officer, Purulia Government

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