Settlement papers of

ALURI ELIA
Department: COMMERCIAL

Designation: CHIEF COMMERCIAL INSPECTOR /CHIEF

COMMERCIAL SUPERVISOR(CCS)

IPAS Employee No: 24505580444

Medical Facility being availed at present: CGHS

Medical Facility Would Like to avail, after retirement: RELHS

 DECLARATION FOR NON ACCEPTING COMMERCIAL EMPLOYMENT

I note that I cannot accept any commercial employment before the expiry of one year from the date of retirement, or
any employment under a government outside India at any time without prior sanction of the President of India. I cannot
seek employment as contractor for or in connection with the execution of public works (Whether on the Railways, or
under P.W.D. or Defence Forces) or employment of such contractors, within one year of my retirement, without the prior
permission of the President of India.

DECLARATION FOR NON RECEIPT OF PENSIONARY BENEFITS

I hereby declare that I have neither applied for nor received any ordinary Gratuity/Pension/Death-cum- retirement
Gratuity in respect of any portion of the service included in this application and in respect of which ordinary
Gratuity/Pension/Death-cum-Gratuity is claimed herein, nor shall I submit an application hereafter without quoting a
reference to this application and to the orders which may be passed there on.

Employee's Signature:(ALURI ELIA)

Witness 1:

Name : A V R HARI PRASAD

Designation : CHIEF COMMERCIAL CUM RESERVATION SUPERVISOR (CC)

RUID No : 24505589745

Witness 2:

Name : : N SUSEELA

Designation : CHIEF COMMERCIAL CUM RESERVATION SUPERVISOR (CC)

RUID No : 24505588509

Note : After vacating the government accommodation, employee may apply for refund of withheld gratuity in prescribed
performa, along with all required documenta. In case of Directorate of Estate's accommodation, the retiring employee has
to apply online for obtaining the "No Demand Certificate".

HRMS-ID: (JSNOQB)
 Joint photograph, specimen signature, fingerprint, identification marks of employees/spouse

1. Name and Designation of Employee : ALURI ELIA

2. Father/Husband's Name : A RAGHAVA RAO

3. For taking option under CTSE:-

RELHS Amount to be deducted for pay
Rs 78000
Yes
(As per grade pay and entitled for RELHS including cost of cards)

4. Three specimen signature, Identification mark(s) and Finger Impression of left hand of the
Railway Employee :
a) Specimen Signature :

b) Identification Marks (i) A MOLE ON THE RIGHT HEAD

(ii) A BLACK MOLE ON MIDDLE OF THE CHEST
c) Finger Impression of Left Hand
Thumb Index Finger Middle Finger Ring Finger Little Finger

5. Identification Marks of Spouse (i) A BLACK MOLE ON LEFT COLLARE BONE

(ii) A BALCK MOLE ON RT ARM
Place : GUNTAKAL Date : Employee's Signature(ALURI ELIA)

Certified that the joint photograph pasted at pre-page ( Column 2) is of Smt.& Shri ALURI ELIA and the information
declared from Column No.1 to 5 by the Railway employee are believed to be true and both person signed and put finger
impressions before me.

Signature of the Gazetted Officer

HRMS-ID: (JSNOQB)

Digitally Signed.
Name:
BUKKAPATNAM
MADHU SUDANA
RAO (MKLELI)
Date: 19-Sep-2024
17:17:37
17:17:46
Location: GTLD/SCR
 LETTER OF AUTHORITY UNDERTAKING FOR DRAWAL OF PENSION THROUGH PUBLIC SECTOR BANK WITH
PERMANENT ADDRESS & MODE OF PAYMENT

1. I hereby authorize Manager, STATE BANK OF INDIA Bank to receive my monthly pension and credit the same to
my saving bank account(pension) on the first working day of every month as per particulars given
Amount of pension per month at the time of retirement:
2. I agree to undertake that any amount excess/wrong payment of pension if credited to my above savings bank
account may be recovered or withdrawn from the said savings bank account by the public sector bank.
3. The authority shall remain inforce until due notice in writing is given by me.

Employee's Signature :

Witness 1:
Digitally Signed.
Name: CAPRIL ARORA
(PPCOOY)
Name : A V R HARI PRASAD NameDate: 24-Sep-2024
: ALURI ELIA
15:42:26
Location: GTLD/SCR

Designation : CHIEF COMMERCIAL CUM RESERVATION SUPERVISOR (CC) Designation : CHIEF

COMMERCIAL
INSPECTOR
/CHIEF
COMMERCIAL
SUPERVISOR(CCS)
RUID No : 24505589745 Aadhar No : 461526657911

Mobile No : 8333000399

:
Email ID
[email protected]

Witness 2:
Permanent Address after
Retirement :

Name : N SUSEELA F NO.501 TIRUPATI TOWERS ,

NEW INDRA NAGAR, TIRUPATI,
Designation : CHIEF COMMERCIAL CUM RESERVATION SUPERVISOR (CC) CHITTOOR, ANDHRA
PRADESH(OLD), 517501
RUID No : 24505588509

Date :

Place : GUNTAKAL

HRMS-ID: (JSNOQB)
 PAYEE'S LETTER OF AUTHORITY

I request that my Provident Fund and Death-cum-Retirement Gratuity/Compassionate * gratuity/Leave

Encashment/SRPF/CGEGIS/Pension Commutation amount may be remitted to me through ECS/RTGS/NEFT.

I agree that the remittance made in the aforesaid manner shall be at my sole risk and shall be a complete discharge
of Government from all liability on the amount behalf remitted by ECS/NEFT/RTGS/Money Order/Cheque/Bank Draft
forwarded by registered post, as the case may be.

PRE-RECIEPT

Recieved from Pay and Accounts Officer, ..................................................... a sum of Rs. .............................................
as full and final settlement of my claim to Provident Fund Amounts/Gratuity/Compassionate Gratuity/ Leave
Encashment/GIS/Pension on Commutation Value:
Digitally Signed.
Name: CAPRIL ARORA
(PPCOOY)
Date: 24-Sep-2024 15:42:26
Location: GTLD/SCR

Signature of Employee

Revenue Stamp ( to be duly

signed across by the
employee)

Signed Before:

Signature of Witness :

Name : A V R HARI PRASAD

Designation :CHIEF COMMERCIAL CUM RESERVATION SUPERVISOR (CC)

RUID No 24505589745

Signature of Head of Office

(Stamp)

*Head of Office, means a Gazetted officer whome the appointing authority may, by order declare as Head of Office and includes
such other authority or person whom the appointing authority may specify in the like manner.

HRMS-ID: (JSNOQB)
 LETTER OF UNDERTAKING BY PENSIONER

To,
The Branch Manager
STATE BANK OF INDIA
IFSC - SBIN0021060
BRANCH - STVNAGARTIRUPATHI
ADDRESS - N14121STVNAGARAIRBYPASSRATIRUPATHI
Dear Sir,
Payment of Pension under A/C No 32300384465 through your Bank.

In consideration of your having, at my request, agreed to make payment of pension due to me every month by credit to
my account with you, I the undersigned agree and undertake to refund or make good any amount to which I am not
entitled, or any amount which may be credited to my account in excess of the amount to which I am or would be entitled.
I further hereby undertake and agree to bind myself and my heirs, successor, executors and administrators to indemnify
the bank from and against any loss, suffered or incurred by the bank in so crediting my pension to my account under the
scheme and to forthwith pay the same to the bank and irrevocably authorize the bank to recover the amount due by
debit to my said account or any other account/deposits belonging to me in the possession of the bank.

Yours faithfully,

ALURI ELIA
HRMS-ID:JSNOQB
Aadhar No:461526657911

Employee's Signature:

Witness 1:

Name : A V R HARI PRASAD Name : ALURI ELIA

Designation : CHIEF COMMERCIAL CUM RESERVATION SUPERVISOR (CC) Designation : CHIEF

COMMERCIAL
INSPECTOR
/CHIEF
COMMERCIAL
SUPERVISOR(CCS)
Witness 2:

Name :N SUSEELA

Designation : CHIEF COMMERCIAL CUM RESERVATION SUPERVISOR (CC)

Digitally Signed.
Name:
BUKKAPATNAM
MADHU SUDANA
RAO (MKLELI)
Date: 19-Sep-2024
17:17:37
17:17:46
Location: GTLD/SCR
 FORM 6
[See rule 75(15)(a)]

Details of Family

1. Name of railway servant :ALURI ELIA

:CHIEF COMMERCIAL INSPECTOR /CHIEF
2. Designation
COMMERCIAL SUPERVISOR(CCS)
3. Date of Birth :14/09/1964
4. Details of the members of family as on: :

Names of the members of Relationship with the Date of Marital Dated Signature of head of
S.No Remarks
family Officer Birth Status Office
1 2 3 4 5 6 7
1 TENALI SIREESHA WIFE 10/06/1973 MARRIED
2 A ROHITH RAGHAV SON 11/03/1994 BACHELOR
3 ALURI NIKHILA DAUGHTER 09/05/1997 BACHELOR

I hereby undertake to keep the above particulars up-to-date by notifying to the Head of the Office any addition or
alteration.

Place: GUNTAKAL
Date :
Signature

Note 1. -The original Form submitted by the railway servant is to be retained. All additions/alterations are to be recorded
in this Form under the signature of Head of Office in Col 7. No new Form will substitute the original

Form. However, the retiring railway servant should submit the details of family afresh along with Form 8. Note 2. -The
details of spouse, all children and parents (whether eligible for family Pension or not) and disabled siblings (brothers and
sisters) may be given.

Note 3. -The Head of Office shall indicate the date of receipt of communication regarding addition or alteration in the
family in the âRemarksâ column. The fact regarding disability or change of marital status of a family member should also
be indicated in the âRemarks'

Note 4. -Wife and Husband shall include judicially separated wife and husband.â

(Authority: File No. 2015/F(E)III/1(1)/4 dt.17.06.16 â¦â¦.RB NO.70

 FORM 8
[See Rule 79(1)(c) and 81(1)]
[Also See rules 6(2), 13, 14(3), 15(1) and 16(3) of Railway Services (commutation of Pension) Rules, 1993]

Particulars to be obtained by the Head of Office from the retiring railway servant six months before the date of his
retirement

1. Name : ALURI ELIA

2. (a) Permanent Account Number for Income Tax (PAN) : AEMPA0845F
(b) Aadhaar No., if available : 461526657911
3. Specify a few marks of identification, not less than two if possible
(i) A MOLE ON THE RIGHT HEAD
(ii) A BLACK MOLE ON MIDDLE OF THE CHEST
4. Height(in Cms) :
: F NO.501 TIRUPATI TOWERS , NEW INDRA
Address after retirement/permanent address for future
5. NAGAR, TIRUPATI, CHITTOOR, ANDHRA
correspondence
PRADESH(OLD), 517501
6. Bank Account No. to which pension is to be credited: : 32300384465
(Joint Account, either or survivor, with the spouse)
(In case the Head of Office is satisfied that it is not possible for
the retiring railway servant to open a joint account for reason
beyond his control, this requirement may be relaxed).
Name of the branch of the Bank through which the pension is to
7.
be drawn
(a) BSR code of the branch :
(b) IFSC code of the branch : SBIN0021060
Indicate whether family pension is also admissible from any other
source- Military or State Government or a public sector
8. :
undertaking or autonomous body or local fund under the Central
or a State Government -
I desire to commute 40%(up to 40%) of my superannuation
9. pension in accordance with the provisions of the Railway
Services (Commutation of Pension) Rules, 1993.
I am aware that future good conduct of the pensioner or family
pensioner shall be an implied condition for every grant of pension
or family pension and its continuance.
Enclosure as per check-list are enclosed.
Place: GUNTAKAL
Employee's Signature
Date :
Designation: CHIEF COMMERCIAL INSPECTOR /CHIEF COMMERCIAL SUPERVISOR(CCS)
Mobile No:8333000399
Ministry/Department/office: GUNTAKAL
[email protected]
EmailId: Signed.
Name:
Note1: Commutation of pension is optional. Item 9 may be struck off if the retiring railwayBUKKAPATNAM
servant does not desire to
commute a percentage of pension. MADHU SUDANA
RAO (MKLELI)
Note 2: A separate application for commutation of superannuation pension in Form 2 of Railway Services (Commutation
Date:
of Pension) Rules, 1993 is requires to be submitted in case the retiring railway servant desires to 19-Sep-2024
apply for Commutation
of Pension after submission of this form but three months before retirement. 17:17:37
17:17:46
Location:
Note 3: It is in the interest of the railway servant to provide e-mail ID and mobile number, whichGTLD/SCR
facilitates future
correspondence.
 Check list of Documents to be submitted along with Form 8

Whether
S.No. Description of documents to be enclosed
enclosed
Two specimen signatures (to be furnished in a separate sheet)

Additional information only in case of an illiterate or disabled railway servant):-

1.(a)

Two slips each bearing the left hand thumb and finger impressions duly attested may be furnished by a
person who is not literate and cannot sign his name. If such a railway servant on account of physical
(b)
disability is unable to give left hand thumb and finger impression he may give thumb and finger
impressions of right hand. Where a railway servant has lost both the hands, he may give his toe
impressions. Impressions should be duly attested by a Gazetted Government servant.
Three copies of passport size joint photograph with wife or husband.
Where it is not possible for a railway servant to submit a photograph with his wife or her husband, he or
2. she may submit separate photographs. The photographs shall be attested by the Head of Office.
Three copies of passport size photograph of disabled child/siblings/dependent parents, if applicable.
(To be attested by the head of Office)

3. Details of the family in Form 6.

4. Written statement for counting of period of service under rule 79(1) (a), if any

5. Undertaking for refunding any excess payment made by the pension disbursing Bank.

6. Nomination for gratuity, CGEGIS and SRPF in Common Nomination Form.

Nomination for arrears of pension and commuted value of pension (if applied for commutation of
7.
pension) in Common Nomination Form.
8. Form for submitting details under Anubhav (optional)

(Authority: File No. 2015/F(E)III/1(1)/4 dt.17.06.16 â¦â¦.RBE NO.70/2016