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Salary Certificte - Format - 27

Vcivhij

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rakeshmishrarkm
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39 views3 pages

Salary Certificte - Format - 27

Vcivhij

Uploaded by

rakeshmishrarkm
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Annexure-2

(From Of Salary Certificate)


A. DETAILS OF SERVICE
1. Name
2. PEN Number
3. Date of Birth and Age
4. Date from which continuous service begins
5. Date of Retirement
6. PF Account Number
7. Whether KSR Part III Pensioner / NPS /
Other scheme (if other please specify)
8. Name and address of Financial Institution
9. Whether Loan / Chitty
10. Whether Debtor/ Surety/ Guarantee
11. If surety / Guarantee specify the
relationship with principal debtor
12. Loan / Chitty Principal Amount
13. Monthly installment
All Columns must be filled by the employee before submitting it to DDO

B. DETAILS OF SALARY
Sri/ Smt
(Name and Full Residential Address) who has signed below is permanent officiating
/ acting (Designation)

in the (Name of Office and Official Address)

1
(1) SCALE OF PAY
(2) Earnings : (3) Deduction / Recoveries

1. (a) Basic Pay 1. Provident Fund

(b) Personal 2. Life Insurance


Pay Premium
2. Dearness 3. Income Tax
Allowance
3. H.R.A 4. House Loan

4. Compensatory 5. Festival Advance


Allowance
5. Other Allowance 6. Other Recoveries
(specify)
(i) (i) GPF Loan

(ii) (ii) GIS

(iii) (iii) SLI

(iv) 7. Attachments

(v) (i) Co-operative /


KSFE / Bank / Other
Financial
Institutions
(vi) (ii) Court
Attachments
Total (2) Total (3)
(4) Net Salary (Total 2 –
Total 3):
(5) Details of employment certificate issued
previously to employee, if any Yes/ No
If Yes Specify
details

Place Signature
Date Name & Designation of Head
Of Office / Drawing officer (Office Seal)

2
AGREEMENT FOR RECOVERY FROM SALARY

I
(Name, Designation, Office & Department) here by agree that in case of default
of payment to monthly installment in Chitty / HP / Loan No. held / availed by me
/ Sri./Smt. in the branch of
(Name of Financial Institution),
recoveries of such amount as may be fixed by the company from time be made
from my salary at source.

Signature of the Employee with date

I age to effect the above recoveries subject to condition stipulated in GO(P)


9/2021/Fin dtd 13/01/2021 and in the instance monthly payments are stopped for
6 continuous months, Financial Institutions are required to send recovery notice
compulsorily to DDO’s of all concerned parties (Principal debtor & Sureties) for
starting recovery equally from the monthly salary of principal Borrower / Surety.
This office shall not take any action on a Recovery Notice received after 12
consecutive months of failed monthly payment. Even after receiving a Recovery
notice against an employee, in the instance of Suspension from Service / Removal
from Service / Demise of an Employee or Employee going into Unauthorized
absence / leave without allowance, this office is not liable for effecting recovery
against her / him.

Place Signature
Date Name & Designation of Head
Of Office / Drawing officer (Office Seal)

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