G.A. - 62 GOVERNMENT OF RAJASTHAN New Form No. G.A.

- 35
GFAR- 162 jktLFkku ljdkj Rule 62

Office - Lokeh foosdkuUn jktdh; ekWMy Ldwy ek/;fed

Department f'k{kk foHkkx
dk;kZy; foHkkx
Book No. - ------------------------- Last Pay Certificate S. No. - ------------------
iqLrd la[;k xr Hkqxrku izek.k i= Øe la[;k

1 Last Pay Certificate of Shri/Smt./ Ms Jh y[kfoUnz flag eku of the Department

f'k{kk foHkkx
xr Hkqxrku izek.k i= foHkkx
of the
Jh@Jherh@lqJh
LFkkukUrj.k Proceeding on
Lokeh fo0jk0ekW0Ldwy vuwix< to jkmekfo vuwix<+
tks ij ls dks tk jgs gSa
2 He has been paid upto 14-10-2020 at the following rates :-
budks Hkqxrku fnukad rd fuEufyf[kr nj ls fd;k tk pqdk gS %&

Perticulers foxr Rates nj Gross Salary

(i) Substantive Pay ewy osru 20368.00 dqy osru
(ii) Officiating Pay LFkkukiUu osru ------------
(iii) Int. All. 713.00
28862.00
(iv) Allowance HkÙks 17% 3463.00
(a)
¼eg¡xkbZ HkÙkk½
House edku 8% 1629.00
(b) @ 10 %
Horse/Camel ?kksM+k@Å¡V ------------
(c) govt. NPS 2383.00
(d) Dep. All. 306.00
Deductions dVkSfr;k¡ 8620.00

3 He made over charge of the office of 14 vDVwcj 2020 on the B.N. / A.N. of e/;kà i'pkr
mUgksaus foHkkx dk dk;ZHkkj fnukad dh e/;kà ds igys@ihNs lkSai
4 Recoveries
fn;k gSAare to be made from the pay of government Servent as details on Reverse.
fiNys i`"B ij fy[ks vuqlkj deZpkjh ls olwfy;k¡ djuh gSA
5 He has been paid leave salary as detailed below. budks fuEufyf[kr vodk'k osru ns fn;k gSA
Deductions have been made as noted on the reverse. fiNys i`"B ij fy[kh dVkSfr;k¡ dj yh xbZ gSA
Period vof/k Rate nj Amount jde
From --------------------------------- to ----------------------- at Rs. ------------------------------ a month ------------------
fnukad ls fnukad rd nj :- ekgokj
" --------------------------------- " ----------------------- " ------------------------------ " ------------------
" --------------------------------- " ----------------------- " ------------------------------ " ------------------
" --------------------------------- " ----------------------- " ------------------------------ " ------------------

6 He is entitled to draw the folowwing amount. ;g fuEufyf[kr jde ysus ds gdnkj gSA

7 He is entitled to joining time for 0 days.

budks nwljh txg dk;ZHkkj laHkkyus ds fy;s fnu rd dk le; fey ldrk gSA
8 He finances the insurance policies detailed below from the provident fund.
budkh fuEufyf[kr ikWfyfl;ksa dk Hkqxrku izksfoMsUV Q.M ls fd;k tkrk gSA
Name of Insurance Company Number of Amount of Due date for the
or State Insurance Department Policy Premium Payment of Premium
chek dk uke ;k jktdh; chek foHkkx ikWfylh uEcj fd'r dh jkf'k fd'r Hkqxrku dk fnukad
1 2 3 4
GOVT NPS 110014182821 2383.00 14-10-2020
EMP NPS 110014182821 2383.00 14-10-2020
SIP 1169898 3000.00 14-10-2020
CM CORONA 854.00 14-10-2020

9 The details of Income Tax recovered from him up to date from the bigining of the current year are noted on the Reverse.
vk;dj dh foxr] tks pkyw o"kZ esa vkt rd olwy gqvk gS fiNys i`"B ij fyf[kr gSA

Date : 10-11-2020 Signature & Designation

fnukad gLrk{kj ,oa in
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 LAST PAY CERTIFICATE
xr Hkqxrku izek.k i=
Reverse
Details of Recoveries (Part- 4) olwfy;ksa dh foxr
Total Amount No. of Amount already Balance
Nature of Recovery Recoverable Installments Recovered Recoverable
olwyh dh foxr olwyh ;ksX; fd'rksa dh olwy dh 'ks"k olwyh
dqy jde la[;k xbZ jde ;ksX; jde
(i) & Nil - - -
(ii) & Nil - - -
(iii) & Nil - - -
(iv) & Nil - - -

Deductions made from Leave Salary (Part- 5) vodk'k osru ls dh xbZ dVkSfr;ksa dh foxr

From to an account of Rs.

fnukad ls fnukad rd ckcr :-
" " " "

" " " "

" " " "

Income Tax Deductions (Part- 6) vk;dj dVkSfr;k¡ dh foxr

Gratuity Fund and Insurance Amount of Income Tax

Name of Month Pay Fees etc. other Deductions Premium Recovered Remarks
uke eghuk osru vkuqrksf"kd Q.M o chek vk;dj jde tks fo'ks"k fooj.k
Qhl vkfn vU; dVkSfr;k¡ fd'r olwy dh xbZ

April 2020 21194 _ _ _ 0 SALARY OF MAR

May 2020 43800 _ _ _ 0 SALARY OF APR

June 2020 43800 _ _ _ 1000 SALARY OF MAY

July 2020 43800 _ _ _ 1000 SALARY OF JUNE

August 2020 45100 _ _ _ 1000 SALARY OF JULY

September 2020 45100 _ _ _ 1000 SALARY OF AUG

October 20---- 45100 _ _ _ 0 SALARY OF SEP

November 20---- 20368 _ _ _ 0 SALARY OF OCT

December 20----

January 20----

February 20----

March 20----

Date : 10-11-2020 Signature of DDO

fnukad (with Seal)

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 G.A. - 62 GOVERNMENT OF RAJASTHAN New Form No. G.A. - 35
GFAR- 162 jktLFkku ljdkj Rule 62

Office - s ek/;fed
Department f'k{kk foHkkx
dk;kZy; foHkkx
Book No. - ------------------------- Last Pay Certificate S. No. - ------------------
iqLrd la[;k xr Hkqxrku izek.k i= Øe la[;k

1 Last Pay Certificate of Shri/Smt./Jherh

Ms of the Department
gjfoUnz dkSj] o0'kk0f'k0 f'k{kk foHkkx
xr Hkqxrku izek.k i= foHkkx
of the
Jh@Jherh@lqJh
LFkkukUrj.k Proceeding on
Lokeh fo0jk0ekW0Ldwy vuwix< to jkmekfo dkyokM+
tks ij ls dks tk jgs gSa
2 He has been paid upto 09-10-2021 at the following rates :-
budks Hkqxrku fnukad rd fuEufyf[kr nj ls fd;k tk pqdk gS %&

Perticulers foxr Rates nj Gross Salary

(i) Substantive Pay ewy osru 12339.00 dqy osru
(ii) Officiating Pay LFkkukiUu osru ------------
(iii) Int. All. 419.00
19484.00
(iv) Allowance HkÙks 25% 3825.00
(a)
¼eg¡xkbZ HkÙkk½
House edku 9% 1110.00
(b) @ 10 %
Horse/Camel ?kksM+k@Å¡V ------------
(c) govt. NPS 1617.00
(d) Dep. All. 174.00
Deductions dVkSfr;k¡ 3815.00

3 He made over charge of the office of 09-10-2021 on the B.N. / A.N. of e/;kà i'pkr
mUgksaus foHkkx dk dk;ZHkkj fnukad dh e/;kà ds igys@ihNs lkSai
4 Recoveries
fn;k gSAare to be made from the pay of government Servent as details on Reverse.
fiNys i`"B ij fy[ks vuqlkj deZpkjh ls olwfy;k¡ djuh gSA
5 He has been paid leave salary as detailed below. budks fuEufyf[kr vodk'k osru ns fn;k gSA
Deductions have been made as noted on the reverse. fiNys i`"B ij fy[kh dVkSfr;k¡ dj yh xbZ gSA
Period vof/k Rate nj Amount jde
From --------------------------------- to ----------------------- at Rs. ------------------------------ a month ------------------
fnukad ls fnukad rd nj :- ekgokj
" --------------------------------- " ----------------------- " ------------------------------ " ------------------
" --------------------------------- " ----------------------- " ------------------------------ " ------------------
" --------------------------------- " ----------------------- " ------------------------------ " ------------------

6 He is entitled to draw the folowwing amount. ;g fuEufyf[kr jde ysus ds gdnkj gSA

7 He is entitled to joining time for 0 days.

budks nwljh txg dk;ZHkkj laHkkyus ds fy;s fnu rd dk le; fey ldrk gSA
8 He finances the insurance policies detailed below from the provident fund.
budkh fuEufyf[kr ikWfyfl;ksa dk Hkqxrku izksfoMsUV Q.M ls fd;k tkrk gSA
Name of Insurance Company Number of Amount of Due date for the
or State Insurance Department Policy Premium Payment of Premium
chek dk uke ;k jktdh; chek foHkkx ikWfylh uEcj fd'r dh jkf'k fd'r Hkqxrku dk fnukad
1 2 3 4
GOVT NPS 110112268496 1617.00 12-11-2021
EMP NPS 110112268496 1617.00 12-11-2021
SIP 1361550 0.00 12-11-2021

9 The details of Income Tax recovered from him up to date from the bigining of the current year are noted on the Reverse.
vk;dj dh foxr] tks pkyw o"kZ esa vkt rd olwy gqvk gS fiNys i`"B ij fyf[kr gSA

Date : Signature & Designation

fnukad gLrk{kj ,oa in
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 LAST PAY CERTIFICATE
xr Hkqxrku izek.k i=
Reverse
Details of Recoveries (Part- 4) olwfy;ksa dh foxr
Total Amount No. of Amount already Balance
Nature of Recovery Recoverable Installments Recovered Recoverable
olwyh dh foxr olwyh ;ksX; fd'rksa dh olwy dh 'ks"k olwyh
dqy jde la[;k xbZ jde ;ksX; jde
(i) & Nil - - -
(ii) & Nil - - -
(iii) & Nil - - -
(iv) & Nil - - -

Deductions made from Leave Salary (Part- 5) vodk'k osru ls dh xbZ dVkSfr;ksa dh foxr

From to an account of Rs.

fnukad ls fnukad rd ckcr :-
" " " "

" " " "

" " " "

Income Tax Deductions (Part- 6) vk;dj dVkSfr;k¡ dh foxr

Gratuity Fund and Insurance Amount of Income Tax

Name of Month Pay Fees etc. other Deductions Premium Recovered Remarks
uke eghuk osru vkuqrksf"kd Q.M o chek vk;dj jde tks fo'ks"k fooj.k
Qhl vkfn vU; dVkSfr;k¡ fd'r olwy dh xbZ

April 2021 41300 _ _ _ 1000 SALARY OF MAR

May 2021 41300 _ _ _ 1000 SALARY OF APR

June 2021 41300 _ _ _ 2000 SALARY OF MAY

July 2021 41300 _ _ _ 2000 SALERY OF JUNE

August 2021 42500 _ _ _ 2000 SALERY OF JULY

September 2021 42500 _ _ _ 2000 SALERY OF AUG

October 2021 42500 _ _ _ 2000 SALERY OF SEP

November 2021 12339 _ _ _ 581 SALERY OF OCT

December 2021 _ _ _ _ _ _

January 2021 _ _ _ _ _ _

February 2021 _ _ _ _ _ _

March ARREAR _ _ _ _ _ _

Date : 30-12-1899 Signature of DDO

fnukad (with Seal)

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