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Calc 2017240001

The document outlines the calculations required to assess the financial assistance needs of the family of a deceased or prematurely retired employee, as per a government notification. It includes sections for personal details of the employee, their salary breakdown, family income, and other financial considerations. The goal is to determine the qualifying amount for assistance based on various income sources and allowances.

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Debojyoti Mukherjee
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13 views

Calc 2017240001

The document outlines the calculations required to assess the financial assistance needs of the family of a deceased or prematurely retired employee, as per a government notification. It includes sections for personal details of the employee, their salary breakdown, family income, and other financial considerations. The goal is to determine the qualifying amount for assistance based on various income sources and allowances.

Uploaded by

Debojyoti Mukherjee
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLS, PDF, TXT or read online on Scribd
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Calculations to determine whether family of deceased or prematurely retired employee is in need of

immediate Financial Assistance as per Notification No.251-EMP dated. 03-12-2013 of Labour


Department, Govt. of West Bengal.
Name of the District/Unit
Employee Year Month Day Candidate applied
Age on Death/Premature
Date of Birth 0 0 0 for Post :
Retirement
Total Service Length of
Date of Joining 0 0 0
Date of Death/Premature Employee
Cause of Death
Retirement
Name of the Applicant Qualification
1. Gross Monthly Salary of the Employee before death or Premature Retirement :
Basic Pay + Grade Pay : Rs.
Dearness Pay / Dearness Allowance : Rs.
House Rent Allowance : Rs.
Medical Allowance : Rs.
Ration Allowance : Rs.
Others : Rs.
Gross Monthly Salary : Rs. 0
(i) 90% of above Gross Monthly Salary : Rs. 0
(ii) Minimum salary of Group-D Employee : Rs. 0
(iii) Minimum salary of Group-C Employee : Rs. 0
Qualifying Amount : Rs. 0
(For Group-D Employee (i) or (ii) which ever is higher
For other categories,(i) or (iii) which ever is higher)
2. Monthly income of the Family :
(a) Total Family Pension per Month [with break up] :
(i) Basic : Rs.
(ii) DP : Rs.
(iii) DA : Rs.
(iv) MA : Rs.
(v) Others Rs.
Total : Rs. 0
(b) (i) Amount received / receivable :
Gratuity : Rs.
Leave Encashment : Rs.
GIS/any other payments(except GPF) : Rs.
Total : Rs. 0
(ii) Medical Expences[Indoor Patient](-) : Rs.
( With Original Receipts/Cash Memo/Hospital Discharge Certificate)
Net Amount [ (i)-(ii) ] : Rs. 0
Monthly Interest Income @8% p.a.
: Rs. 0
= Net Amount x 8 / 100x12
(c) Monthly Income from Movable / Immovable Property :
[ Family members to submit declaration ]
(i) Monthly Income from Movable Property : Rs.
[ NSC / KVP / FD / PO etc.]
(ii) Monthly Income from Immovable Property : Rs.
Total monthly income from Property[ (i)+(: Rs. 0
(d) Monthly income of dependents of employee : : Rs.
Total monthly income of family =(a+b+c : Rs. 0
3.

Countersigned

( Signature of Appointing Authority ) ( Signature of Officer )


( With Full Name, Designation & Office seal ) ( With Full Name, Designation & Office seal )
GR-07042016

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