Aung San Suu Kyi nació en Birmania en 1945. Es hija del héroe nacional Aung San y defensora de la democracia en su país. En 1988 lideró protestas contra la junta militar y fundó la Liga Nacional para la Democracia, pero fue arrestada y puesta bajo arresto domiciliario de 1989 a 1995. Ganó el Premio Nobel de la Paz en 1991.
This document summarizes a study on marker assisted selection for disease resistance in legume crops. It discusses marker assisted selection (MAS) and its advantages over conventional breeding. MAS allows for indirect selection of traits using DNA markers linked to genes or traits of interest. It also describes specific examples of using MAS to develop disease resistance in pea and common bean crops by mapping genes conferring resistance to powdery mildew in pea and rust resistance in common bean. The studies aimed to validate DNA markers for use in MAS breeding programs to more efficiently develop legume varieties with improved disease resistance.
The document outlines guidelines established by the Government of Kerala for processing applications seeking exemption from land ceiling limits under Section 81(3) of the Kerala Land Reforms Act. It constitutes District Level Committees to scrutinize applications, led by the District Collector, and evaluate eligibility based on formulated guidelines and a checklist of required documents. The committees are tasked with ensuring exemptions are only granted in cases that will use land for public interest economic development activities, within a fixed period based on the purpose.
form for requisition for transfer of government land and building shanavas chithara
This document is a requisition form for the transfer of government land and buildings from one department to another. It provides details of the specific land parcel being transferred, including its location in Malappuram District, the purpose of the transfer to the Tourism Department for construction of a town square, and confirmation that the current occupying PWD Department has consented to the transfer for use by another service department.
This document discusses vegetable-based cropping systems. It begins with definitions of cropping system and cropping pattern. The basic principles of cropping systems are to choose crops that complement each other and utilize resources efficiently. Objectives are efficient resource utilization and maintaining stable production. Benefits include maintaining soil fertility and controlling pests. Cropping systems are classified based on whether one or multiple crops are grown, including sole cropping, multiple cropping, intercropping, mixed cropping, ratoon cropping, and crop rotation. Advantages and disadvantages of each system are provided. Factors that influence the selection of a cropping system are also discussed.
This document outlines the property relations between husband and wife under Philippine law. It discusses marriage settlements, donations between spouses, and different property regimes including absolute community of property and conjugal partnership of gains. Some key points:
- Marriage settlements signed before marriage can establish the property regime, otherwise absolute community of property applies.
- Donations between future spouses are allowed up to 1/5 of property; donations are void if marriage does not occur.
- Under absolute community, all property acquired during marriage belongs to the community unless excluded. The community is liable for debts incurred for the benefit of the family. Upon dissolution, net assets are divided equally unless otherwise agreed.
- Conjugal partnership of
Aung San Suu Kyi nació en Birmania en 1945. Es hija del héroe nacional Aung San y defensora de la democracia en su país. En 1988 lideró protestas contra la junta militar y fundó la Liga Nacional para la Democracia, pero fue arrestada y puesta bajo arresto domiciliario de 1989 a 1995. Ganó el Premio Nobel de la Paz en 1991.
This document summarizes a study on marker assisted selection for disease resistance in legume crops. It discusses marker assisted selection (MAS) and its advantages over conventional breeding. MAS allows for indirect selection of traits using DNA markers linked to genes or traits of interest. It also describes specific examples of using MAS to develop disease resistance in pea and common bean crops by mapping genes conferring resistance to powdery mildew in pea and rust resistance in common bean. The studies aimed to validate DNA markers for use in MAS breeding programs to more efficiently develop legume varieties with improved disease resistance.
The document outlines guidelines established by the Government of Kerala for processing applications seeking exemption from land ceiling limits under Section 81(3) of the Kerala Land Reforms Act. It constitutes District Level Committees to scrutinize applications, led by the District Collector, and evaluate eligibility based on formulated guidelines and a checklist of required documents. The committees are tasked with ensuring exemptions are only granted in cases that will use land for public interest economic development activities, within a fixed period based on the purpose.
form for requisition for transfer of government land and building shanavas chithara
This document is a requisition form for the transfer of government land and buildings from one department to another. It provides details of the specific land parcel being transferred, including its location in Malappuram District, the purpose of the transfer to the Tourism Department for construction of a town square, and confirmation that the current occupying PWD Department has consented to the transfer for use by another service department.
This document discusses vegetable-based cropping systems. It begins with definitions of cropping system and cropping pattern. The basic principles of cropping systems are to choose crops that complement each other and utilize resources efficiently. Objectives are efficient resource utilization and maintaining stable production. Benefits include maintaining soil fertility and controlling pests. Cropping systems are classified based on whether one or multiple crops are grown, including sole cropping, multiple cropping, intercropping, mixed cropping, ratoon cropping, and crop rotation. Advantages and disadvantages of each system are provided. Factors that influence the selection of a cropping system are also discussed.
This document outlines the property relations between husband and wife under Philippine law. It discusses marriage settlements, donations between spouses, and different property regimes including absolute community of property and conjugal partnership of gains. Some key points:
- Marriage settlements signed before marriage can establish the property regime, otherwise absolute community of property applies.
- Donations between future spouses are allowed up to 1/5 of property; donations are void if marriage does not occur.
- Under absolute community, all property acquired during marriage belongs to the community unless excluded. The community is liable for debts incurred for the benefit of the family. Upon dissolution, net assets are divided equally unless otherwise agreed.
- Conjugal partnership of
This document discusses the history and development of hybrid vigor and heterosis breeding in crops. It begins with early observations of hybrid vigor in tobacco and other plants in the 18th and 19th centuries. The term "heterosis" was coined in the early 20th century to describe the increased vigor seen in hybrid offspring. Several hypotheses for the genetic basis of heterosis are described, including dominance, overdominance, and physiological theories. The document outlines the major steps in heterosis breeding, including developing inbred lines, evaluating combining ability, and producing hybrid seeds. Different hybrid types and seed production methods are discussed, with a focus on mechanisms exploited commercially like male sterility, self-incompatibility, and emasculation.
KERALA GOVT. Office time and interval time should be displayed in Govt offices.------P&ARD circular uploaded by T J Joseph Additional Tahsildar Meenachil Mob 9447464502...11/11/2014
This document outlines the procedures for auctioning property under the Tamil Nadu Revenue Recovery Act 1968. Key points include:
1. The District Collector is responsible for overseeing the recovery of public dues through auctions. Authorized officers like tahsildars and village administrative officers are empowered to conduct auctions.
2. Auction notices must be served to the defaulter or someone in their family residing in the property. If no one is found, the notice can be posted prominently on the property.
3. If auction fails to recover dues, further recovery methods like attachment of crops or rents can be used as outlined in the Act. Detailed procedures for conduct of auctions
2. Estimation of variability parameters - Final.pptxSelvakumar715312
1) The document presents lint index data for 25 cotton genotypes evaluated in a randomized block design with 3 replications.
2) It calculates components of variance, including phenotypic variance (Vph), genotypic variance (Vg), and environmental variance (Ve), for the lint index data.
3) The phenotypic coefficient of variation (PCV) and genotypic coefficient of variation (GCV) were found to be moderate, indicating a moderate level of variability and low environmental influence.
Brinjal (Solanum melongena) is a plant species grown for its edible fruit. It is commonly called eggplant. Several varieties of brinjal are cultivated in India, with different fruit shapes, sizes, and colors. Bt brinjal was developed to resist the brinjal fruit and shoot borer by inserting a gene from Bacillus thuringiensis. It was approved for commercialization in India but faced public opposition, resulting in a moratorium. It was approved for release in Bangladesh.
1. The document discusses the KLR Act of 1963 in Kerala, which established land reforms related to ownership rights of tenants and fixing of ceilings on land holdings.
2. It outlines the various sections of the act, including those that came into force in 1964 and 1970. It also describes the objectives of the act in granting ownership rights to tenants and distributing surplus land.
3. The document provides details on exemptions to the land ceiling limits, the process for identifying excess land holdings and filing statements, serving notices, determining the extent and identity of land to be surrendered, and vesting of excess land in the government.
FREE Sample demand letter under consumer legal remedies act for californiaLegalDocsPro
This FREE sample demand letter under the Consumer Legal Remedies Act for California is sent pursuant to the Consumer Legal Remedies Act contained in sections 1750 through 1784 of the California Civil Code. The sample is 4 pages and contains brief instructions and must be sent by Certiified Mail, Return Receipt Requested. legal action at least 30 days before filing any legal action.
This document discusses anther culture and summarizes 4 experimental studies on anther culture. The first study examines the effect of cultivar and media supplementation on callus induction and root formation in red cabbage. The second study looks at callus induction, embryo induction, and plantlet initiation in red cabbage using different media. The third study analyzes the effect of macronutrient and agar concentration on callus induction and embryo formation in different cucumber varieties. The fourth study evaluates androgenesis induction, callogenesis, regeneration and cytogenetics in tomato haploids.
This document provides details about the botany and breeding of eggplant (Solanum melongena). It describes the plant's classification, origin in India, common varieties, nutritional benefits, morphology, flowering characteristics, pollination, breeding objectives such as disease resistance and yield, and breeding methods used including pure line selection, mass selection, backcrossing, hybridization and induced mutations. Popular eggplant varieties developed in India using these methods are mentioned.
Indiana's Public Access Counselor says Indiana Attorney General Todd Rokita's Office must turn over documents requested by Indy Politics publisher Abdul-Hakim Shabazz regarding Shabazz being banned from Rokita's news conferences.
Adam Sharp is suing AAA Trucking, Inc. for injuries sustained in a rear-end collision with a truck driven by Paul Williams, an employee of AAA Trucking, in Minneapolis, Minnesota on January 7, 2011. Sharp alleges he suffered injuries to his back and left leg from the accident. He is seeking over $75,000 in damages from AAA Trucking to cover medical expenses totaling $15,749.54 as well as general damages of $60,000. Sharp filed this complaint in the United States District Court for the District of Minnesota, asserting diversity jurisdiction as Sharp resides in Minnesota while AAA Trucking is located in Illinois.
Reverse Breeding: a tool to create homozygous plants from the heterozygous po...Sanjay Kumar
This document provides an overview of reverse breeding, a novel plant breeding technique to directly produce homozygous parental lines from any heterozygous plant. It discusses how reverse breeding uses RNA interference to suppress meiotic recombination and produce doubled haploids from gametes, generating homozygous parental lines. The document summarizes a case study applying this to Arabidopsis thaliana and discusses applications like reconstructing hybrids, breeding at the chromosome level, and implications for food safety. Limitations and future research directions are also outlined.
Link chi tiết: http://boardgame.vn/all-games/pandemic-us-628
Pandemic được nhắc đến như là một trong những game co-op đồng đội hay nhất hiện nay. Trong game này, bạn và mọi người cùng nhau chung sức để giải cứu thế giới khỏi nguy cơ diệt vong, bằng cách tìm ra phương thuốc chữa trị cho 4 loại bệnh dịch khác nhau.
The document is a form for a UTI Mutual Fund unitholder to change their address and contact details in their folio. It requests the unitholder provide their folio number, old address, new address, and proofs of new address, old address, and identity. The unitholder must declare and sign the form, and submit copies of the address and identity proofs along with the original documents for verification.
1. The document is a STRIP (Systematic Transfer Investment Plan) enrollment form for transferring funds systematically from one UTI mutual fund scheme to another.
2. It provides fields for the applicant name, PAN, mobile number, email, and details of the source and destination schemes such as scheme name, plan, option, transfer amount, frequency and dates.
3. The applicant declares that they have read and understood the SID and KIM of both schemes and agree to the terms of STRIP, and provides signatures to authorize the systematic transfers.
The document is a form for requesting a shift in the PRAN (Permanent Retirement Account Number) association under the National Pension System (NPS) in India. It contains the following key information:
1) Sections for providing general subscriber information such as name, existing and proposed PRAN association details, and PAN (Permanent Account Number).
2) Additional sections for subscribers shifting between government and other sectors for providing employment details, KYC documents, and scheme preference information.
3) Instructions for filling the form, explaining the various sections and requirements such as mandatory fields, documents needed, and process followed after form submission.
This document is Form 27A which is used to furnish information for tax deducted at source statements filed on computer media. The form includes sections for:
1) Basic identifying information like tax deduction account number, PAN, financial year, etc.
2) Particulars of the deductor such as name, address and contact details.
3) Name and contact details of the person responsible for tax deduction.
4) Control totals including the number of deductee records, amounts paid and taxes deducted/collected.
5) Verification signed by the person responsible for tax deduction.
1. Azhar Mehmood is claiming reimbursement from the UN for travel expenses incurred during an official visit to Islamabad with Mr. Edward.
2. The total claim amount is Rs. 28,600 for a two night stay in Islamabad and travel between Peshawar and Islamabad by land.
3. The certifying officer, Edward Rees, approved the full amount claimed finding the travel to be authorized and in conformity with the actual journey.
This document is a request form to transfer dual-use equipment to Palestinian Authority areas, providing shipment details like the invoice number and date as well as price in Israeli currency. It lists the sender and receiver company details like name, VAT/ID number, city, and contact person mobile number. Documents required to attach to the request include a copy of the invoice, technical specifications of the equipment, and a picture of the equipment.
Eldeco Edge Sector 119 Noida Application Form Location Map Floor Plan Layout ...Aliva Kar
The document is an application for allotment of a residential unit in the "Eldeco Edge" housing project located in Sector 119, Noida, Uttar Pradesh. The applicant requests allotment of a unit under the Construction Linked Payment Plan or Down Payment Plan and agrees to pay installments/down payment and other charges as stipulated. The applicant declares that the information provided is true and correct and understands that any false or misleading information could lead to rejection of the application or termination of allotment. Key terms like common areas, common facilities and complex are also defined.
This document provides guidelines for completing travel reservations for military and government customers. It outlines 10 steps for agents to follow, including selecting the correct customer account, booking flights and rental cars using government rates, offering hotels, collecting payment and security information, and ensuring proper back-office reporting. Adhering to these standards helps reduce costs and provides excellent customer service.
This document discusses the history and development of hybrid vigor and heterosis breeding in crops. It begins with early observations of hybrid vigor in tobacco and other plants in the 18th and 19th centuries. The term "heterosis" was coined in the early 20th century to describe the increased vigor seen in hybrid offspring. Several hypotheses for the genetic basis of heterosis are described, including dominance, overdominance, and physiological theories. The document outlines the major steps in heterosis breeding, including developing inbred lines, evaluating combining ability, and producing hybrid seeds. Different hybrid types and seed production methods are discussed, with a focus on mechanisms exploited commercially like male sterility, self-incompatibility, and emasculation.
KERALA GOVT. Office time and interval time should be displayed in Govt offices.------P&ARD circular uploaded by T J Joseph Additional Tahsildar Meenachil Mob 9447464502...11/11/2014
This document outlines the procedures for auctioning property under the Tamil Nadu Revenue Recovery Act 1968. Key points include:
1. The District Collector is responsible for overseeing the recovery of public dues through auctions. Authorized officers like tahsildars and village administrative officers are empowered to conduct auctions.
2. Auction notices must be served to the defaulter or someone in their family residing in the property. If no one is found, the notice can be posted prominently on the property.
3. If auction fails to recover dues, further recovery methods like attachment of crops or rents can be used as outlined in the Act. Detailed procedures for conduct of auctions
2. Estimation of variability parameters - Final.pptxSelvakumar715312
1) The document presents lint index data for 25 cotton genotypes evaluated in a randomized block design with 3 replications.
2) It calculates components of variance, including phenotypic variance (Vph), genotypic variance (Vg), and environmental variance (Ve), for the lint index data.
3) The phenotypic coefficient of variation (PCV) and genotypic coefficient of variation (GCV) were found to be moderate, indicating a moderate level of variability and low environmental influence.
Brinjal (Solanum melongena) is a plant species grown for its edible fruit. It is commonly called eggplant. Several varieties of brinjal are cultivated in India, with different fruit shapes, sizes, and colors. Bt brinjal was developed to resist the brinjal fruit and shoot borer by inserting a gene from Bacillus thuringiensis. It was approved for commercialization in India but faced public opposition, resulting in a moratorium. It was approved for release in Bangladesh.
1. The document discusses the KLR Act of 1963 in Kerala, which established land reforms related to ownership rights of tenants and fixing of ceilings on land holdings.
2. It outlines the various sections of the act, including those that came into force in 1964 and 1970. It also describes the objectives of the act in granting ownership rights to tenants and distributing surplus land.
3. The document provides details on exemptions to the land ceiling limits, the process for identifying excess land holdings and filing statements, serving notices, determining the extent and identity of land to be surrendered, and vesting of excess land in the government.
FREE Sample demand letter under consumer legal remedies act for californiaLegalDocsPro
This FREE sample demand letter under the Consumer Legal Remedies Act for California is sent pursuant to the Consumer Legal Remedies Act contained in sections 1750 through 1784 of the California Civil Code. The sample is 4 pages and contains brief instructions and must be sent by Certiified Mail, Return Receipt Requested. legal action at least 30 days before filing any legal action.
This document discusses anther culture and summarizes 4 experimental studies on anther culture. The first study examines the effect of cultivar and media supplementation on callus induction and root formation in red cabbage. The second study looks at callus induction, embryo induction, and plantlet initiation in red cabbage using different media. The third study analyzes the effect of macronutrient and agar concentration on callus induction and embryo formation in different cucumber varieties. The fourth study evaluates androgenesis induction, callogenesis, regeneration and cytogenetics in tomato haploids.
This document provides details about the botany and breeding of eggplant (Solanum melongena). It describes the plant's classification, origin in India, common varieties, nutritional benefits, morphology, flowering characteristics, pollination, breeding objectives such as disease resistance and yield, and breeding methods used including pure line selection, mass selection, backcrossing, hybridization and induced mutations. Popular eggplant varieties developed in India using these methods are mentioned.
Indiana's Public Access Counselor says Indiana Attorney General Todd Rokita's Office must turn over documents requested by Indy Politics publisher Abdul-Hakim Shabazz regarding Shabazz being banned from Rokita's news conferences.
Adam Sharp is suing AAA Trucking, Inc. for injuries sustained in a rear-end collision with a truck driven by Paul Williams, an employee of AAA Trucking, in Minneapolis, Minnesota on January 7, 2011. Sharp alleges he suffered injuries to his back and left leg from the accident. He is seeking over $75,000 in damages from AAA Trucking to cover medical expenses totaling $15,749.54 as well as general damages of $60,000. Sharp filed this complaint in the United States District Court for the District of Minnesota, asserting diversity jurisdiction as Sharp resides in Minnesota while AAA Trucking is located in Illinois.
Reverse Breeding: a tool to create homozygous plants from the heterozygous po...Sanjay Kumar
This document provides an overview of reverse breeding, a novel plant breeding technique to directly produce homozygous parental lines from any heterozygous plant. It discusses how reverse breeding uses RNA interference to suppress meiotic recombination and produce doubled haploids from gametes, generating homozygous parental lines. The document summarizes a case study applying this to Arabidopsis thaliana and discusses applications like reconstructing hybrids, breeding at the chromosome level, and implications for food safety. Limitations and future research directions are also outlined.
Link chi tiết: http://boardgame.vn/all-games/pandemic-us-628
Pandemic được nhắc đến như là một trong những game co-op đồng đội hay nhất hiện nay. Trong game này, bạn và mọi người cùng nhau chung sức để giải cứu thế giới khỏi nguy cơ diệt vong, bằng cách tìm ra phương thuốc chữa trị cho 4 loại bệnh dịch khác nhau.
The document is a form for a UTI Mutual Fund unitholder to change their address and contact details in their folio. It requests the unitholder provide their folio number, old address, new address, and proofs of new address, old address, and identity. The unitholder must declare and sign the form, and submit copies of the address and identity proofs along with the original documents for verification.
1. The document is a STRIP (Systematic Transfer Investment Plan) enrollment form for transferring funds systematically from one UTI mutual fund scheme to another.
2. It provides fields for the applicant name, PAN, mobile number, email, and details of the source and destination schemes such as scheme name, plan, option, transfer amount, frequency and dates.
3. The applicant declares that they have read and understood the SID and KIM of both schemes and agree to the terms of STRIP, and provides signatures to authorize the systematic transfers.
The document is a form for requesting a shift in the PRAN (Permanent Retirement Account Number) association under the National Pension System (NPS) in India. It contains the following key information:
1) Sections for providing general subscriber information such as name, existing and proposed PRAN association details, and PAN (Permanent Account Number).
2) Additional sections for subscribers shifting between government and other sectors for providing employment details, KYC documents, and scheme preference information.
3) Instructions for filling the form, explaining the various sections and requirements such as mandatory fields, documents needed, and process followed after form submission.
This document is Form 27A which is used to furnish information for tax deducted at source statements filed on computer media. The form includes sections for:
1) Basic identifying information like tax deduction account number, PAN, financial year, etc.
2) Particulars of the deductor such as name, address and contact details.
3) Name and contact details of the person responsible for tax deduction.
4) Control totals including the number of deductee records, amounts paid and taxes deducted/collected.
5) Verification signed by the person responsible for tax deduction.
1. Azhar Mehmood is claiming reimbursement from the UN for travel expenses incurred during an official visit to Islamabad with Mr. Edward.
2. The total claim amount is Rs. 28,600 for a two night stay in Islamabad and travel between Peshawar and Islamabad by land.
3. The certifying officer, Edward Rees, approved the full amount claimed finding the travel to be authorized and in conformity with the actual journey.
This document is a request form to transfer dual-use equipment to Palestinian Authority areas, providing shipment details like the invoice number and date as well as price in Israeli currency. It lists the sender and receiver company details like name, VAT/ID number, city, and contact person mobile number. Documents required to attach to the request include a copy of the invoice, technical specifications of the equipment, and a picture of the equipment.
Eldeco Edge Sector 119 Noida Application Form Location Map Floor Plan Layout ...Aliva Kar
The document is an application for allotment of a residential unit in the "Eldeco Edge" housing project located in Sector 119, Noida, Uttar Pradesh. The applicant requests allotment of a unit under the Construction Linked Payment Plan or Down Payment Plan and agrees to pay installments/down payment and other charges as stipulated. The applicant declares that the information provided is true and correct and understands that any false or misleading information could lead to rejection of the application or termination of allotment. Key terms like common areas, common facilities and complex are also defined.
This document provides guidelines for completing travel reservations for military and government customers. It outlines 10 steps for agents to follow, including selecting the correct customer account, booking flights and rental cars using government rates, offering hotels, collecting payment and security information, and ensuring proper back-office reporting. Adhering to these standards helps reduce costs and provides excellent customer service.
This document contains Form 30 for reporting the transfer of ownership of a motor vehicle. It has two parts: Part I is for the previous owner (transferor) to declare the sale of the vehicle and surrender of registration documents. Part II is for the new owner (transferee) to declare the purchase and request updating of registration. The registering authority section at the end is for endorsing the transfer of ownership on the vehicle registration certificate and in office records.
This document provides guidance on properly filling out a DD Form 1351-2 travel claim. It details what information should be included in each box, such as the member's personal information, travel details, expenses, and required approvals. Special statements may need to be included for different types of claims or travel. All expenses claimed must be supported by valid receipts showing payment. Filling out the form completely and accurately helps ensure timely reimbursement.
This document is a form for reporting the transfer of ownership of a motor vehicle. Part I is for the previous owner (transferor) to provide their details, details of the vehicle, and to declare that they have sold the vehicle and handed over documentation to the new owner. Part II is for the new owner (transferee) to provide their details, confirm purchase of the vehicle, and request that ownership is recorded under their name. Both parties must sign to complete the transfer, and the registering authority will then record the change of ownership on the vehicle registration documents.
This document is an amendment to a solicitation or contract modifying the terms. It obligates $96,977,056 for the first two months of services at the South Texas Family Residential Center for up to 2,400 beds. Attachments provide the staffing plan, labor standards, and performance requirements. Invoicing instructions and requirements for supporting documentation are also included.
The document is an application form for provisional allotment of a residential flat in a group housing project located in Sector 37-D, Gurgaon, Haryana. It includes details such as instructions for completing the form, applicant information, unit details, payment plan options, total price details, and declarations. The applicant is applying for provisional allotment of a flat measuring approximately ___ square feet and is paying a booking amount of Rs. ____ through a bank draft/cheque.
1) The document is an application form from the Defence Housing Authority (DHA) Lahore for allotment of residential or commercial plots in Phase VIII.
2) It requests applicant details like name, address, CNIC number, occupation, contact details as well as next of kin information.
3) The payment schedule outlines processing fees and down payments required based on plot size, and installments for successful applicants. The last date to submit applications is March 22, 2010.
SEBI - Standardised norms for transfer of securities in physical mode - 06 No...Venkatesh Prabhu
The document provides standardized norms for transferring securities in physical mode in India. Key points:
- Requirements for physical security transfers prescribed by SEBI have led to varying documentation demands across registrars. This causes difficulties for transferees.
- Standardized process introduced: allows transfers without transferor PAN if before 2015; additional documents like passport/marriage certificate needed for PAN-name mismatches.
- For unsigned/mismatched transfers, registrars must make efforts to contact transferor. If not possible, transferee provides indemnity bond and securities are locked for 6 months, with details published.
- Address mismatches also allowed if bank attests new address. Overall aims to ease physical
Limo Service Chicago - Best Limo Services And Rates In Chicago ILLimo Chicago
This document is a contract for limousine or transportation services from Chicago Limousine & Cars. It collects information about the event date, number of hours reserved, vehicle type, number of passengers, pickup/drop-off addresses and times. It outlines the base rental rate, additional fees like gratuity, deposits required, and payment terms including balances due and acceptable payment methods. The contract also lists rules regarding passenger conduct, responsibility for damages, cancellation policies, and signatures agreeing to the terms.
This document is a request form for a local hearing regarding a red light violation. It contains information about the driver, vehicle, and violation notice. It also provides contact information for the local court or hearing officer where the request is being submitted. The affidavit portion of the form indicates that by submitting this request, the driver waives the right to contest delivery of the violation notice. It explains hearing and penalty procedures, including fines and registration holds if the violation is affirmed or the driver fails to appear. The driver signs to affirm their understanding of the legal stipulations.
Travelling allowance is granted to employees to reimburse expenses incurred for official travel. It includes expenses for transportation by rail, road, air or sea, accommodation charges, and food charges. Employees are entitled to travelling allowance for official tours, transfers, training courses, attending examinations or court hearings, and other authorized travel. The rates of daily allowance depend on the employee's pay level and reimburse accommodation, food, and local travel costs. Travelling allowance claims must follow guidelines regarding permissible expenses, required documentation like tickets and bills, approval processes, and time limits for submission.
1. The policyholder is requesting cancellation of their life insurance policy within the freelook period and a refund of premiums paid.
2. The policyholder cites disagreement with the policy's terms and conditions as the reason for cancellation.
3. The form collects the policyholder's details, policy information, bank account information, and signatures for processing the cancellation and refund.
RIEMA provides grant programs and reimbursements to subgrantees for homeland security projects. All grants require quarterly progress and fiscal reports even if no funds were spent in a quarter. Reimbursements require detailed invoices, attendance records, and proof individuals were paid. Grants must meet NIMS requirements including training, resource typing, credentialing, and the NIMSCAST report.
Similar to Government of India -various forms used in central government offices uploaded by t james joseph (20)
േരള ബിൽഡിംഗ് ടാക്സ് ആക്ട് 1975- *ഫാക്ടറിയുടെ അനുബന്ധ ആവശ്യങ്ങൾക്ക് ഉപയോഗിക്കുന്ന ബാക്കി പ്രദേശവും കെട്ടിട നികുതി അടക്കുന്നതിൽ നിന്ന് ഒഴിവാക്കിയിട്ടുണ്ട് എന്ന് വ്യക്തമാക്കി കൊണ്ടുള്ള കേരള ഹൈക്കോടതി വിധി.*👆👆
Kerala Building Tax Act 1975 Remaining Area Used For Ancillary Purposes Of Factory Also Exempted From Payment Of Building Tax kerala High Court order
Handbook for Presiding Officers Election 2024 James Joseph Adhikarathil Joint secretary OISCAKottayam Kerala
A veryusefulguidetopresidingofficers in election to parliament 2024
The petitioner owns a landed property in Nadama Village comprised of resurvey number 46. After a resurvey, the actual extent of the property was found to be 11.56 acres rather than the previously recorded 8.39 acres. However, the petitioner is only being charged basic tax on 8.39 acres. Relying on reports from the Village Officer and puramboke register, the petitioner argued the entire 11.56 acres should be recognized as her property. The court directed the revenue authorities to accept basic tax on the full 11.56 acres and update relevant records accordingly.
The document appears to be a scanned receipt from a restaurant showing a total of $58.82 paid with a credit card. It lists items purchased including drinks, appetizers and entrees. The receipt details the date, time, payment method and includes the restaurant's logo and contact information.
- The document discusses the Kerala Building Tax Act of 1975 and rules regarding the assessment and collection of building tax in Kerala.
- Building tax is assessed based on the plinth area of buildings and is calculated using slab rates. There are separate rates for residential and other buildings.
- Exemptions are provided for some portions of residential buildings as well as for certain categories of other buildings like religious institutions and factories.
- The assessment process involves filing of returns, issuance of notices, hearings and order. Appeals and revisions are allowed against the assessment order.
Michabhoomi Clarification Pattayam Kമിച്ചഭൂമി പതിവ്, പതിവ് കാലാവധിക്ക് മുൻപുള്ള കൈമാറ്റം, പട്ടയം നഷ്ടപെടൽ, പർച്ചേസ് പ്രൈസ് അടക്കാത്തവരുടെ പ്രശ്നം, മിച്ച ഭൂമിയിലെ അന്യകൈവശക്കാർ , മിച്ച ഭൂമിയിലെ കരം അടവ് James Joseph Adhikarathil
The document is a scanned image of a receipt from a restaurant called "The Coffee Bean & Tea Leaf" dated March 15, 2022. It lists items purchased including a latte, chai tea latte, and banana bread for a total of $16.45. The receipt includes a thank you message and reminds customers that they can earn rewards by joining the loyalty program.
AHMR is an interdisciplinary peer-reviewed online journal created to encourage and facilitate the study of all aspects (socio-economic, political, legislative and developmental) of Human Mobility in Africa. Through the publication of original research, policy discussions and evidence research papers AHMR provides a comprehensive forum devoted exclusively to the analysis of contemporaneous trends, migration patterns and some of the most important migration-related issues.
Combined Illegal, Unregulated and Unreported (IUU) Vessel List.Christina Parmionova
The best available, up-to-date information on all fishing and related vessels that appear on the illegal, unregulated, and unreported (IUU) fishing vessel lists published by Regional Fisheries Management Organisations (RFMOs) and related organisations. The aim of the site is to improve the effectiveness of the original IUU lists as a tool for a wide variety of stakeholders to better understand and combat illegal fishing and broader fisheries crime.
To date, the following regional organisations maintain or share lists of vessels that have been found to carry out or support IUU fishing within their own or adjacent convention areas and/or species of competence:
Commission for the Conservation of Antarctic Marine Living Resources (CCAMLR)
Commission for the Conservation of Southern Bluefin Tuna (CCSBT)
General Fisheries Commission for the Mediterranean (GFCM)
Inter-American Tropical Tuna Commission (IATTC)
International Commission for the Conservation of Atlantic Tunas (ICCAT)
Indian Ocean Tuna Commission (IOTC)
Northwest Atlantic Fisheries Organisation (NAFO)
North East Atlantic Fisheries Commission (NEAFC)
North Pacific Fisheries Commission (NPFC)
South East Atlantic Fisheries Organisation (SEAFO)
South Pacific Regional Fisheries Management Organisation (SPRFMO)
Southern Indian Ocean Fisheries Agreement (SIOFA)
Western and Central Pacific Fisheries Commission (WCPFC)
The Combined IUU Fishing Vessel List merges all these sources into one list that provides a single reference point to identify whether a vessel is currently IUU listed. Vessels that have been IUU listed in the past and subsequently delisted (for example because of a change in ownership, or because the vessel is no longer in service) are also retained on the site, so that the site contains a full historic record of IUU listed fishing vessels.
Unlike the IUU lists published on individual RFMO websites, which may update vessel details infrequently or not at all, the Combined IUU Fishing Vessel List is kept up to date with the best available information regarding changes to vessel identity, flag state, ownership, location, and operations.
UN WOD 2024 will take us on a journey of discovery through the ocean's vastness, tapping into the wisdom and expertise of global policy-makers, scientists, managers, thought leaders, and artists to awaken new depths of understanding, compassion, collaboration and commitment for the ocean and all it sustains. The program will expand our perspectives and appreciation for our blue planet, build new foundations for our relationship to the ocean, and ignite a wave of action toward necessary change.
Indira awas yojana housing scheme renamed as PMAYnarinav14
Indira Awas Yojana (IAY) played a significant role in addressing rural housing needs in India. It emerged as a comprehensive program for affordable housing solutions in rural areas, predating the government’s broader focus on mass housing initiatives.
Contributi dei parlamentari del PD - Contributi L. 3/2019Partito democratico
DI SEGUITO SONO PUBBLICATI, AI SENSI DELL'ART. 11 DELLA LEGGE N. 3/2019, GLI IMPORTI RICEVUTI DALL'ENTRATA IN VIGORE DELLA SUDDETTA NORMA (31/01/2019) E FINO AL MESE SOLARE ANTECEDENTE QUELLO DELLA PUBBLICAZIONE SUL PRESENTE SITO
RFP for Reno's Community Assistance CenterThis Is Reno
Property appraisals completed in May for downtown Reno’s Community Assistance and Triage Centers (CAC) reveal that repairing the buildings to bring them back into service would cost an estimated $10.1 million—nearly four times the amount previously reported by city staff.
Jennifer Schaus and Associates hosts a complimentary webinar series on The FAR in 2024. Join the webinars on Wednesdays and Fridays at noon, eastern.
Recordings are on YouTube and the company website.
https://www.youtube.com/@jenniferschaus/videos
Jennifer Schaus and Associates hosts a complimentary webinar series on The FAR in 2024. Join the webinars on Wednesdays and Fridays at noon, eastern.
Recordings are on YouTube and the company website.
https://www.youtube.com/@jenniferschaus/videos
A Guide to AI for Smarter Nonprofits - Dr. Cori Faklaris, UNC CharlotteCori Faklaris
Working with data is a challenge for many organizations. Nonprofits in particular may need to collect and analyze sensitive, incomplete, and/or biased historical data about people. In this talk, Dr. Cori Faklaris of UNC Charlotte provides an overview of current AI capabilities and weaknesses to consider when integrating current AI technologies into the data workflow. The talk is organized around three takeaways: (1) For better or sometimes worse, AI provides you with “infinite interns.” (2) Give people permission & guardrails to learn what works with these “interns” and what doesn’t. (3) Create a roadmap for adding in more AI to assist nonprofit work, along with strategies for bias mitigation.
A Guide to AI for Smarter Nonprofits - Dr. Cori Faklaris, UNC Charlotte
Government of India -various forms used in central government offices uploaded by t james joseph
1. - t r j -
FORMPLUS
A Compilation of Blank Forms used in
Central Government Departments.
For inclusion, please mail a copy
to
scorp692003@yahoo.co.in
Compiled by T Reji John.
2. - t r j -
Sub Bill No.______________ No. 02
Travelling Allowance Bill for Tour
Note : This bill should be prepared in duplicate, one for payment and the other as office copy.
PART – A
[To be filled by the Government Servant]
1. Name of Officer / Official
2. Designation
3. Pay Rs.
4. Head Quarter
5. Details and Purpose of Journey(s) performed As under
Departure Arrival
Date &
Time
From Date &
Time
To
Mode of travel
& Class of
Accommodation
Fare
Paid
Rs.
Distance
in Kms.
1. 2. 3. 4. 5. 6. 7.
Purpose of Journey
Performed
3. - t r j -
6. Mode of Journey
(i) Air
(a) Exchange voucher arranged by office Yes / No
(b) Ticket / Exchange voucher arranged by
(ii) Rail
(a) Whether travelled by Mail / Express / Ordinary
Train ?
Yes / No
(b) Whether return tickets available ? Yes / No
Yes / No(c) If available whether return tickets purchased ?
If not state reasons.
(iii) Road
Mode of conveyance used i.e. by Government transport, by
taking a Taxi, a single seat in a bus or other public con-
veyance, by sharing with another Government Servant in a
car belonging to him/her or to a third person to be specified
7. Dates of absence from Place of halt, on account of :
(a) Restricted Holiday & Casual Leave
(b) Not being actually in camp on Sundays and Holidays
8. Dates on which free Boarding and / or Lodging by the State or any organization financed by State
Funds :
(a) Boarding only
(b) Lodging only
(c) Boarding and Lodging
9. Particulars to be furnished along with Hotel receipts etc, in cases where higher rate of D.A. is
claimed for stay in hotel/other establishments providing board and/or lodging at scheduled tariffs :
Period of Stay
From To
Name of the Hotel Daily rate of
lodging
charge
Total Amount
Paid
4. - t r j -
10. Particulars of journey(s) for which higher class of accommodation than the one which the
Government servant is entitled was used :
Date Name of Place Fare of the
entitled
class
71
From
2
To
3
Mode of
Conveyance
used
4
Class to
which
entitled
5
Class by
which
travelled
6
Rs. Ps.
Total
If the journey by higher class of accommodation has
been performed with the approval of the Competent
Authority, No. and date of the sanction may be quoted.
11. Details of Journey(s) performed by road between places connected by Rail :
Date Name of Place
1
From
2
To
3
Fare Paid
Rs. Ps.
Total
12. Amount of Advance of Travelling Allowance, if any, drawn Rs.
Certified that the information, as given above, is true to the best of my knowledge and belief.
[ ]
Date : ______________ Signature of the Government Servant
5. - t r j -
PART – B
[ To be filled in the Bill Section ]
The net entitlement on account of Travelling Allowance works out to Rs. ________________ as
detailed below : (Amount in Rs.)
(a) Railway / Air / Bus / Steamer Fare
(b) Road mileage for ______________kms @ ______________ per km.
(c) Daily Allowance
TimeDate
From To
Hrs./Min. Stay /
Journey
Rate of
D.A.
(d) Actual Expenses :
Auto/Taxi/Other
(e) Gross Amount
(f) Less : Amount of T.A. Advance if any drawn vide Voucher No.
__________________dated ________________.
(g) Net Amount
The Expenditure is debitable to T. A. Account.
Signature of Drawing & Disbursing Officer
Signature of the Controlling Officer
Passed for Payment of Rs. ____________ only.
Remarks :
6. - t r j -
Sub Bill No.______________ No. 03
Travelling Allowance Bill for Transfer
Note : This bill should be prepared in duplicate, one for payment and the other as office copy.
PART – A
[To be filled by the Government Servant]
1. Name of Officer / Official
2. Designation
3. Pay at the time of transfer Rs.
Old4. Head Quarter
New
Residential Address
Old Address
5.
New Address
6. Particulars of the members of the family as on the date of transfer :
Sr. No. Name of the family member Age Relationship with the Govt. Servant
7. Details of Journey(s) performed by Government servant as well as members of his/her family :
Departure Arrival
Date &
Time
From Date &
Time
To
Mode of
travel &
Class
No. of
fares
Fare Paid Distance
in Kms
by Road
7. - t r j -
8. Transportation charges of personal effects (Money receipts to be attached) :
STATIONDate Mode
From To
Weight in
Kgs.
Rate Amount Remarks
9. Transportation charges of personal conveyance ( Money receipt to be attached ) :
a. Mode of Transport and Station to which transported
b. Amount
10. Amount of advance if any drawn
11. Particulars of journey(s) for which higher class of accommodation than the one to which the
Government servant is entitled was used :
Date Name of Place Fare of the
entitled class
7
1
From
2
To
3
Mode of
Conveyance
used
4
Class to
which
entitled
5
Class by
which
travelled
6 Rs. Ps.
TotalIf the journey by higher class of accommodation has
been performed with the approval of the Competent
Authority, No. and date of the sanction may be quoted.
12. Details of journey(s) performed by Road between places connected by Rail :
Date Name of Places
From To
Fare Paid
Certified that the information, as given above, is true to the best of my knowledge and belief.
[ ]
Date : ______________ Signature of the Government Servant
8. - t r j -
PART – B
[ To be filled in the Bill Section ]
The net entitlement on account of Travelling Allowance works out to Rs. ________________ as
detailed below : (Amount in Rs.)
(a) Railway / Air / Bus / Steamer Fare
(b) Road mileage for ______________kms @ ______________ per km.
(c) Transfer Grant
(d) Transfer Incidentals
(D.A. for ___________ day(s) @ Rs. _________ per day)
(e) Transportation of personal effects
Calculation:
(f) Transportation of private conveyance
Calculation:
Gross Amount
(g) Less amount of advance, if any drawn vide Voucher No. ____________
Dated ________________
Net Amount
The Expenditure is debitable to T. A. Account.
Signature of Drawing & Disbursing Officer
Signature of the Controlling Officer
Passed for Payment of Rs. ____________ only.
Remarks :
9. - t r j -
Form for giving intimation or seeking previous sanction under Rule 18(3) of the CCS (Conduct)
Rules, 1964 for transaction in respect of moveable property.
1. Name of the Government Servant
2. Scale of pay and present pay
3. Purpose of application/ sanction for transaction/
intimation of transaction
4. Whether the property is being acquired or
disposed off ?
a. Probable date of acquisition or disposal
of property.
5.
b. If the property is already acquired/
disposed off, actual date of transaction.
a. Description of the property (e.g. Car/
Scooter/ Motor Cycle/ Jewellery/ Loans
etc.
6.
b. Make, Model No. and also Registration
No., in case of vehicles where necessary.
7. Mode of acquisition/disposal (Purchase/Sale,
Gifts, mortgage lease or otherwise)
8. In case of acquisition, source or sources from
which financed/ proposed to be financed :
(a) Personal Savings
(b) Other sources giving details
9. Sale/Purchase price of the property (Market
value in the case of gifts)
10. In the case of disposal of property, was requisite
sanction/intimation obtained/given for its
acquisition ? (A copy of the sanction/
acknowledgement should be attached.)
a. Name and Address of the party, with
whom transaction is proposed to be
made/ has been made.
b. Is the party related to the applicant ? If
so, state the relationship.
c. Did the applicant have any dealings with
the party in his official capacity at any
time, or is the applicant likely to have
any dealing with him in the near future ?
d. Nature of official dealings with the party.
11.
e. How was the transaction arranged ?
(Whether through any statutory body or a
private agency/ through advertisements
or through friends and relatives. Full
particulars to be given.)
12. In the case of acquisition by gifts, whether
sanction is also required under Rule 13 of the
CCS (Conduct) Rules, 1964 ?
13. Any other relevant fact which the applicant may
like to mention.
10. - t r j -
DECLARATION
I, ___________________________________________________________ hereby declare that the
particulars given above are true. I request that I may be given permission to acquire/dispose of
property as described above from/to the party, whose name is mentioned in Item 11 above.
OR
I, ___________________________________________________________ hereby intimate the
acquisition/ disposal of property by me, detailed above. I declare that the particulars given above
are true.
Station : Signature: ___________________
Date : Designation : _________________
Note: 1. In the above form, different portions may be used according to requirement.
2. Where prior sanction is asked for, the application should be submitted at least 30 days before
the proposed date of the transaction.
11. - t r j -
T. R.-25 G.A.R.-14
[See Treasury Rule 277(1)] [See Rules 66(1) & 90(1)(1)]
Consolidated Travelling Allowance Bill of the Ministry/Department/ Office of the
_______________________________________________ for the month of _________________, _____________.
1. Bill No. and date
2. Token No. and date
3. Voucher No. & date
Head of account
Major Head
Minor Head
4.
Detailed Head
5. (A) Details of T. A. Claims :
Sr.
No.
Sub-Bill
No.
Name & Designation of Govt.
Servant
Gross
Claim
Advance Net
Amount
Payable
Remarks
1. 2. 3. 4. 5. 6. 7.
Total (A)
(B)
Deduct: Undisbursed travelling allowance
refunded as per details below. (A-B)
Net sum required for payment by -
1. Cheque for self Rs.
2. Cheque in favour of officers as indicated in Column No. 3 Rs.
3. Cheque/Bank Draft in favour of Rs.
Appropriation for the F. Y.
Rs.
Expenditure including this bill
Rs.
Balance Rs.
12. - t r j -
Passed for payment of Rs. ______________/- (Rupees _____________________________________________
_____________________________________________________________________ only)
Certified that the claims included in the bill have not already been paid and office copies of the sub-bills
have been suitably cancelled to avoid double payment.
Received Contents
Drawing and Disbursing Officer
6. (B) Details of undisbursed T. A. refunded
Bill No./Sub-bill No. and date Name and designation of Govt. Servant Amount (Rs.)
Total
Drawing and Disbursing Officer
For use in Pay and Accounts Office
Pre-check enfacement
Pay Order
Pay Rs. _____________/- (Rupees ______________________________________________________________________
only) to _____________________________________________(D.D.O. by designation/vide details given in the bill) by
______________ Cheque/Bank draft after disallowing Rs. _________________ (for reasons to be communicated) No. and
date of cheque delivered _________________________________________________.
J.A.O. P.A.O.
Post-check of vouchers received from cheque drawing D.D.Os. Post check of pre-checked vouchers
Admitted Rs._________________________.
Objected Rs. _________________________.
(With brief reasons)
J.A.O. P.A.O. J.A.O. P.A.O.
Note:
1. Claims for journeys on tour and transfer should be grouped and shown separately in the consolidated bill. L.T.C.
claims are to be drawn on separate bills, as these payments are chargeable to the head “Salaries”.
2. Objections, if any, on individual claims be got settled by personal contact on phone or otherwise as far as possible.
On cases where delay is anticipated, the affected claims may be ignored and the bills passed for payment in respect
of other claims found in order.
13. - t r j -
Form T.R. 27 – A
(See Rule 281 A)
Medical charges Reimbursement bill (Non Gazetted) Establishment.
Bill No. Voucher No.
for ______________________
Detailed Medical Bill of the Establishment of the ____________________________________
___________________________________________(specify Head of Office/Department) for the
month/s of _________________________.
Head of Account : Grant No.:
Major Head :
Appropriation
Group Head
Detailed Head :
Voted Charges :
Sr.
No.
Section or Establishment and
Name of the incumbent
Gross
Claim
Recovery
of Advance
Net
Amount
Payable
Remarks
1 2 3 4 5 6
14. - t r j -
Certified that I have satisfied myself that the amount included in bills drawn 1st
/2nd
months/3rd
months previous to this date with the exception of those detailed below (of which the total amount has
been refunded by deduction from this bill) have been disbursed to the Government servants therein
named and their receipts taken in the office copy of the bill or in a separate acquaintance roll.
Details of Medical Charges refunded
PeriodSection of establishment and name of
incumbent From To
Amount
Appropriation for the year
_______________. Rs.
Expenditure (including this
bill) Rs.
Balance Rs.
Passed for Rs. ________________________
Signature of the Controlling Officer
Station :
Date : Received Contents
Examined & Entered
Treasury Accountant
Signature of the Drawing Officer
Date :
Pay Rs. __________________
For Use in the Audit Office
Admitted for Rs.
Objected to Rs.
Reasons for the objections :
Auditor Superintendent
(Gazetted Officer)
Signature of the Drawing Officer
15. - t r j -
APPLICATION FOR GRANT OF FESTIVAL ADVANCE
1. Name of applicant (in capital) Shri /Smt. / Kum.
2 Designation
3 Section to which attached
4 Particulars of Permanent / Quasi-permanent
post held, if any.
If temporary
a. Whether surety bond from another
Govt. Servant has been attached
5
b. Particulars of the surety
6 Present Pay excluding Allowances Rs.
7 Amount of advance required Rs.
8 Festival for which advance is applied for
9 If on leave, specify the nature and
particulars of leave.
10 Whether the applicant has drawn any
festival advance earlier during the current
calendar year.
Yes / No / N.A.
11 Whether any festival advance drawn in the
previous calendar year has been fully
recovered or not. If not, give particulars.
12 Whether advance for Government
sponsored trip in hill station has been taken
during the current year.
Yes / No / N.A.
I certify that the facts stated above are true to the best of my knowledge and belief.
Signature of the applicant with date
Section.
16. - t r j -
Sub Bill No.______________ No. 04
Leave Travel Concession Bill
For the Block Year ___________ to ____________
Note : This bill should be prepared in duplicate, one for payment and the other as office copy.
PART – A
[To be filled by the Government Servant]
1. Name of Officer / Official
2. Designation
3. Pay Rs.
4. Head Quarter
5. Nature and period of leave sanctioned E. L./C.L./E.O.L./R.H. from : _________ to _________
6. Particulars of members of family in respect of whom the LTC has been claimed.
Sr. No. Name Age Relationship with the
Govt. Servant.
7. Details of Journey(s) performed by Government Servant and the members of his/her family :
Departure Arrival
Date &
Time
From Date &
Time
To
Distance
in Kms.
Mode of travel
& Class of
Accommo-
dation
No. of
Fares
Fare Paid
Rs.
1. 2. 3. 4. 5. 6. 7. 8.
Remarks /Ticket Nos
8. Amount of Advance, if any drawn… Rs.
17. - t r j -
9. Particulars of Journey(s) for which higher class of accommodation than the one which the
Government Servant is entitled, was used (Sanction No. & date to be given).
Place
From To
Mode of
Conveyance
Class to which
entitled
Class by
which
actually
travelled
No. of
fares
Fare of the
entitled
class.
1 2 3 4 5 6 7
10. Particulars of Journey(s) performed by Road between places connected by Rail.
Name of Place
From To
Class to which
entitled
Railway Fare
1 2 3 4
Certified that the :
1. Information as given above is true to the best of my knowledge and belief, and
2. The my wife/husband is not employed in Government Service/ that my wife/husband is
employed in Government Service and the concession has not been availed of by her/him
separately for herself/himself or for any of the family members for the concession block of
_______________ years.
Signature of the Government Servant
Date ______________________
18. - t r j -
PART – B
[ To be filled in the Bill Section ]
The net entitlement on account of Leave Travel Concession works out to Rs. ________________ as
detailed below :
(a) Railway/Air/Bus/Steamer Fares
(b) Less : Amount of Advance drawn vide
Voucher No. Dated
(c) The Expenditure is debitable to Account.
Net Amount Rs.
Initials of the Bill Clerk
Signature of Drawing & Disbursing Officer
Signature of Controlling Officer
Certified that necessary entries have been made in the Service Book of Shri/Smt./Miss.
________________________.
Signature of the Officer authorised to
attest entries in the Service Book.
19. - t r j -
APPENDIX - I
[Certificate to be given by the Controlling Officer]
Certified that :
1. Shri/Smt./Kum. _____________________________________________ has rendered
continuous service for one year or more on the date of commencing of outward
journey.
2. Necessary entries as required under para (52) of the scheme have been made in the
Service Book of Shri/Smt./Kum.
_________________________________________________.
3. Para 1(6) of MMA O.M. No. 43/1/55.Est.(A).Pt.II dated 11th
October, 1956.
Signature of the Controlling Officer
[Certificate to be given by a Government Servant]
1) I have not submitted any other claim so far for Leave Travel Concession in respect
of myself or family members for the Block Year ____________________.
2) I have already drawn T.A. for the Leave Travel Concession in respect of a Journey
performed by me/with my spouse/ with children. This claim is in respect of the
journey performed by my spouse/ myself with my spouse/ and/or children / none of
whom travelled with the pary on the earlier occasion.
3) The journey has been performed by me and my spouse with children to the
declared “Home Town” / Other than Home Town viz. ____________________.
4) That my spouse is not employed in Government Service and the concession has not
been availed of by him/her separately for himself/herself or for any other family
member of the concerned block of two years.
5) Certified that my spouse for whom Leave Travel Concession is claimed by me is
not employed in any Public Sector Undertaking/ Corporation/ Autonomous Body
financed wholly or partly by the Central Government or a local body which
provides LTC facilities to its employees and their families.
Signature of the Govt. Servant.
20. - t r j -
APPLICATION FOR ADVANCE FROM PROVIDENT FUND
1 Name of the subscriber
2 Account No.
3 Designation
4 Pay
Balance at credit of the subscriber on
the date of application as below
i) Closing balance as per statement
for the year ___________ .
ii) Credit from March ________ to
________, _______ on account of
monthly subscription.
iii) Refund.
iv) Withdrawals during the period from
__________ to ___________.
5
v) Net Balance at credit.
6 Amount of advance / outstanding if any,
and the purpose for which advance was
taken.
7 Amount of advance required
a. Purpose for which the advance is
required.
8
b. Rules under which the request is
covered.
9 Amount of the consolidated advance
(Items 6 & 7), number of monthly
installments in which consolidated advance
is proposed to be repaid.
10 Full particulars of the peculiar
circumstances of the subscriber,
justifying the application for the
advance.
Signature:_____________
Name :_______________
Designation :___________
21. - t r j -
PROFORMA FOR APPLICATION FOR WITHDRAWAL FROM PROVIDENT FUND
Ministry of :
Department of :
Office :
1 Name of the subscriber
2 Account No.
3 Designation
4 Pay
5 Date of joining and date of
superannuation.
Balance at credit of the subscriber on
the date of application as below
i) Closing balance as per statement
for the year ___________ .
ii) Credit from March ________ to
________, _______ on account of
monthly subscription.
iii) Refund made to the fund after
closing balance vide ( i ) above.
iv) Withdrawals during the period from
__________ to ___________.
6
v) Net Balance at credit at the time
of application.
7 Amount of withdrawal required.
a. Purpose for which the withdrawal is
required.
8
b. Rules under which the request is
covered.
9 Whether any withdrawal was taken for
the same purpose earlier, if so indicate
the amount and the year.
10 Name of the Accounts Officer
maintaining the Provident Fund Account.
Signature: ____________
Name: _______________
Designation:_______________
22. - t r j -
FORM T. R. 58 - A
[See Rule 606 (1) and 609 – A]
Ministry/Department of _____________________________ Adjustable by __________________
Voucher No. ___________________
Dated _________________________
Bill for WITHDRAWING Final Payment/Advance/Other withdrawals/Payment under Deposit Linked
Insurance Scheme from General Provident Fund
For the month of__________________________
Sr.
No.
Name of Subscriber and Pay General
Provident
Fund Account
No.
No. and date of
sanction letter of
Authority
Final Payment/
Advance/ Other
Withdrawals/
Payment under
Deposit Linked
Insurance
Scheme
Amount Payable
Total Rs.
Net amount required for payment (in words) Rupees
_______________________________________________________________________________________________ only.
Space for classification
Signature : ______________________________________
Designation of DDO ______________________________
Station : _____________________
Date : ______________________
Contents received.
Pay to
Signature of Drawing Officer __________________
Admitted Rs.
Objected Rs.
Accountant
Pay and Accounts Officer
Pay Rs.______________/-
(Rupees ___________________________________
__________________________________________)
Treasury Officer/
Pay & Accounts Officer
Examined and Entered
Treasury Officer/
Pay & Accounts Officer
23. - t r j -
CERTIFICATE
1. Certified that I have satisfied myself that all sums included in bills in Form T. R. 58-A drawn 1
month/ 2 months/ 3 months previous to this date in favour of Mr./Mrs./Kum.
_______________________________________________________________ Account No.
_____________________ with the exception of those detailed below (of which the total has been
refunded by deduction from this bill) have been disbursed to the proper persons, and that their
acquittances have been taken in this bill/filled in my office with receipts stamp duly cancelled for
every payment in excess of Rs. 20. Certified also that the amount withdrawn previously on the
same account has been utilised by the subscriber for the purpose for which it was intended and
that the relevant premium receipt/receipts has/have been duly enfaced by me.
2. Certified that the balance at the credit of the subscriber on the date of the withdrawal covers the
sums drawn in the bill. Certified also that the amount asked for in this bill is required to meet the
premium due on _____________ in respect of Policy No. ________________________ with
the_____________________________________ and that the policy in question has been assigned
to the President of India and is in the custody of the Accounts Officer ________________________
_________________________________ (or the details of the policy proposed to be taken have been
communicated to the Pay and Accounts Officer
______________________________________________ and accepted by him in his letter No.
___________________________________ dated _______________________________). Certified
that the presentation of this claim/application for withdrawal of this amount has been/was made
within three months from the date of payment of the said premium.
3. Certified also that the number of policies financed from the General Provident Fund does not
exceed four/the number of policies financed from General Provident Fund exceed four as these
were accepted prior to 22nd
June, 1975.
4. Certified that the amount claimed in this bill on account of dues under the Deposit Linked
Insurance Scheme is in accordance with the scales laid down in Ministry of Finance, Department
of Expenditure O.M. No. F. 9(10)(B)/7 dated 8th
January, 1975 as amended from time to time.
Signature : _________________________________________________
Designation : _______________________________________________
24. - t r j -
APPLICATION FOR ADVANCE FOR PURCHASE OF CYCLE
1. Name
2. Designation
3. Office in which working
4. Whether permanent/temporary
5. If temporary, name and designation of
the permanent Government Servant
who stands as surety (enclose Surety
Bond)
6. Basic Pay + Stagnation Increment
7. Anticipated price of the cycle
8. Amount of advance applied for
9. No. of instalments in which the advance
is desired to be repaid
a. Whether applied for first time
b. If not, details of cycle advance
drawn during the last three years -
(i) The date of drawal
10.
(ii) Justification for fresh advance
[ In case of loss of cycle purchased previously, particulars of the report to the police also to be
mentioned ]
I declare that the particulars furnished above are correct and true to the best of
my knowledge.
Station :
Date : Signature of the Government Servant.
25. - t r j -
APPLICATION FOR AN ADVANCE FOR PURCHASE OF MOTOR CYCLE/MOTOR
CAR/SCOOTER/MOPED/PERSONAL COMPUTER.
1. Name of the Applicant
2. Applicant’s Designation
3. District and Station
4. Basic pay + NPA + SI
5. Anticipated price of motor car/ motor cycle/
personal computer
6. Amount of advance required
7. Date of superannuation or retirement or date of
expiry of contract in case of a contract officer
8. No. of instalments in which the advance is desired to
be repaid
9. Whether advance for similar purpose was obtained
previously and if so -
(i) Date of drawal of the advance
(ii) The amount of advance and/or interest
thereon still outstanding, if any
10. Whether the intention is to purchase -
a. A new or an old motor car/motor
cycle/personal computer
b. If the intention is to purchase motor
car/motor cycle/ personal computer through a
person other than a regular or reputed dealer
or agent, whether previous sanction of the
competent authority has been obtained as
required under Rule 18(3) of the Central Civil
Services (Conduct) Rules, 1964
Whether the officer is on leave or is about to
proceed on leave -
a. The date of commencement of leave
11.
b. The date of expiry of leave
12. Are any negotiations or preliminary enquiries being
made so that delivery may be taken of the motor
car/motor cycle/personal computer within one
month from the date of drawal of the advance
a. Certified that the information given above is complete and true13.
b. Certified that I have not taken delivery of the motor car/motor cycle/personal computer on
account of which I apply for the advance, that I shall complete negotiations for the purchase
of, pay finally and take possession of the same before the expiry of one month from the date
of drawal of the advance
Date : Signature of the Applicant.
26. - t r j -
Med. 97
FORM OF APPLICATION FOR MEDICAL CLAIMS
Form of Application for claiming refund of medical expenses incurred in connection with
medical attendance and/or treatment of Central Government Servants and their families - For
medical attendance/treatment taken both from an Authorized Medical Attendant and a Hospital.
1. Name & Designation of Government
Servant (in Block letters).
(i) Whether married or unmarried.
(ii) If married, the place where wife/ husband
is employed.
2. Office in which employed.
3. Pay of the Government Servant as defined
in the Fundamental Rules and any other
emoluments which should be shown
separately.
4. Place of duty
5. Actual Residential address
6. Name of the patient and his/her
relationship to the Government Servant.
N.B.- in case of children state age also.
7. Place at which the patient felt ill.
8. Details of the amount claimed -
I. Medical Attendance -
(i) Fees for consultation indicating -
(a) the name and designation of the Medical
officer consulted and the Hospital or
dispensary to which attached.
(b) the number and date of consultation and
the fee paid for each consultation
(c) the number and dates of injection and fee
paid for each injection
(d) whether consultations and/or injections
were had at the hospital, at the consulting
room of the Medical Officer or at the
residence of the patient.
(ii) Charges for Pathological, Bacteriological,
Radiological, or other similar tests
undertaken during diagnosis indicating –
(a) the name of the hospital or laboratory
where undertaken; and
27. - t r j -
(b) Whether the tests were undertaken on the
advice of the Authorised Medical
Attendant. If so, a certificate to that effect
should be attached
(iii) Cost of medicines purchased from the
market (Cash memos and the Essentiality
Certificates should be attached)
II. Hospital Treatment
Name of the Hospital
Charges for hospital treatment, indicating
separately, the charges for -
(i) Accommodation
(State whether it was according to the
status or pay of the Government Servant
and in cases where the accommodation is
higher than the status of the Government
Servant, a certificate should be attached to the
effect that the accommodation to which he
was entitled was not available)
(ii) Diet
(iii) Surgical operation or medical treatment
or confinement.
(iv) Pathological, Bacteriological, Radio-
logical or other similar tests, indicating -
(a) the name of the hospital or laboratory at
which undertaken; and
(b) whether undertaken on the advice of the
Medical Officer in charge of the case at
the hospital. If so, a certificate to that
effect should be attached.
(v) Medicines
(vi) Special medicines (Cash memos and the
Essentiality Certificates should be attached)
(vii) Ordinary nursing
(viii) Special nursing, i.e. nurses, specially
engaged for the patient. State whether
they are employed on the advice of the
Medical Officer in charge of the case at
the hospital or at the request of the
Government Servant or patient. In the
former case a certificate from the Medical
Officer in charge of the case and
countersigned by the Medical
Superintendent of the hospital should be
attached.
(ix) Ambulance charges (State the journey – to
and fro – undertaken)
28. - t r j -
(x) Any other charges, e.g. Charges for
electric light, fan, heater, air-conditioning,
etc. State also whether the facilities
referred to are a part of the facilities
normally provided to all patients and no
choice was left to the patient.
Note 1 If the treatment was received by the Government Servant at his residence under Rule 7 of the
CS (MA) Rules, 1944, give particulars of such treatment and attach a certificate from the
Authorised Medical Attendant as required by these rules.
Note 2 If the treatment was received at a hospital other than a Government Hospital, necessary
details and the certificate of the Authorised Medical Attendant that the requisite treatment
was not available in any nearest Government Hospital should be furnished.
III. Consultation with Specialist
Fees paid to a Specialist or a Medical
Officerother than the Authorised Medical
Attendant, indicating -
(a) the name and designation of the Specialist
or Medical Officer consulted and the
hospital to which attached.
(b) number and dates of consultations and the
fees charged for each consultation.
(c) whether consultation was had at the
Hospital, at the consulting room of the
Specialist or Medical Officer or at the
residence of the patient; and
(d) whether the Specialist or Medical Officer
was consulted on the advice of the
Authorised Medical Attendant and the
prior approval of the Chief Administrative
Medical Officer of the State was obtained.
If so, a certificate to that effect should be
attached.
9. Total Amount claimed Rs.
10. Less advance taken on Rs.
11. Net Amount claimed Rs.
List of Enclosures :12.
29. - t r j -
DECLARATION TO BE SIGNED BY THE GOVERNMENT SERVANT
I hereby declare that the statements in the application are true to the best of my knowledge and
belief and that the person for whom medical expenses were incurred is wholly dependent upon me.
Signature of the Government Servant
and the office to which attached
30. - t r j -
Med. 97-A
FORM OF APPLICATION FOR MEDICAL CLAIMS
Form of Application for claiming refund of medical expenses incurred in connection with
medical attendance/treatment of Central Government Servants or their families for treatment in
a Hospital.
1. Name & Designation of Government
Servant (in Block letters).
(i) Whether married or unmarried.
(ii) If married, the place where wife/ husband is
employed.
2. Office in which employed.
3. Pay of the Government Servant as defined in
the Fundamental Rules and any other
emoluments which should be shown
separately.
4. Place of duty
5. Actual Residential address
6. Name of the patient and his/her
relationship to the Government Servant.
N.B.- in case of children state age also.
7. Place at which the patient felt ill.
8. Details of the amount claimed -
I. Hospital Treatment -
Name of the Hospital
Charges for hospital treatment, indicating
separately, the charges for -
(i) Accommodation (State whether it was
according to the status or pay of the
Government Servant and in cases where the
accommodation is higher than the status of the
Government Servant, a certificate should be
attached to the effect that the accommodation to
which he was entitled was not available)
(ii) Diet
(iii) Surgical operation or medical treatment
or confinement.
(iv) Pathological, Bacteriological, Radio-logical
or other similar tests, indicating -
(a) the name of the hospital or laboratory at
which undertaken; and
31. - t r j -
(b) whether undertaken on the advice of the
Medical Officer in charge of the case at the
hospital. If so, a certificate to that effect
should be attached.
(v) Medicines
(vi) Special medicines (Cash memos and the
Essentiality Certificates should be attached)
(vii) Ordinary nursing
(viii) Special nursing, i.e. nurses, specially
engaged for the patient. State whether they
are employed on the advice of the Medical
Officer in charge of the case at the hospital
or at the request of the Government Servant
or patient. In the former case a certificate
from the Medical Officer in charge of the
case and countersigned by the Medical
Superintendent of the hospital should be
attached.
(ix) Ambulance charges (State the journey - to
and fro – undertaken)
(x) Any other charges, e.g. Charges for electric
light, fan, heater, air-conditioning, etc. State
also whether the facilities referred to are a
part of the facilities normally provided to all
patients and no choice was left to the
patient.
Note 1 If the treatment was received by the Government Servant at his residence under Rule 7 of the
CS (MA) Rules, 1944, give particulars of such treatment and attach a certificate from the
Authorised Medical Attendant as required by these rules.
Note 2 If the treatment was received at a hospital other than a Government Hospital, necessary details
and the certificate of the Authorised Medical Attendant that the requisite treatment was not
available in any nearest Government Hospital should be furnished.
II. Consultation with Specialist
Fees paid to a Specialist or a Medical
Officerother than the Authorised Medical
Attendant, indicating -
(a) the name and designation of the Specialist
or Medical Officer consulted and the
hospital to which attached.
(b) number and dates of consultations and the
fees charged for each consultation.
(c) whether consultation was had at the
Hospital, at the consulting room of the
Specialist or Medical Officer or at the
residence of the patient; and
32. - t r j -
(d) whether the Specialist or Medical Officer
was consulted on the advice of the
Authorised Medical Attendant and the prior
approval of the Chief Administrative
Medical Officer of the State was obtained. If
so, a certificate to that effect should be
attached.
9. Total Amount claimed Rs.
10. Less advance taken on Rs.
11. Net Amount claimed Rs.
List of Enclosures :12.
DECLARATION TO BE SIGNED BY THE GOVERNMENT SERVANT
I hereby declare that the statements in the application are true to the best of my knowledge and
belief and that the person for whom medical expenses were incurred is wholly dependent upon me.
Signature of the Government Servant
and the office to which attached
33. - t r j -
Med. 97-B
FORM OF APPLICATION FOR MEDICAL CLAIMS
Form of Application for claiming refund of medical expenses incurred in connection with
medical attendance and/or treatment of Central Government Servants and their families - For
Medical Attendance by Authorized Medical Attendant.
1. Name & Designation of Government
Servant (in Block letters).
(i) Whether married or unmarried.
(ii) If married, the place where wife/ husband is
employed.
2. Office in which employed.
3. Pay of the Government Servant as defined
in the Fundamental Rules and any other
emoluments which should be shown
separately.
4. Place of duty
5. Actual Residential address
6. Name of the patient and his/her
relationship to the Government Servant.
N.B.- in case of children state age also.
7. Place at which the patient felt ill.
8. Details of the amount claimed -
I. Medical Attendance -
(i) Fees for consultation indicating -
(a) the name and designation of the Medical
officer consulted and the Hospital or
dispensary to which attached.
(b) the number and date of consultation and
the fee paid for each consultation
(c) the number and dates of injection and fee
paid for each injection
(d) whether consultations and/or injections
were had at the hospital, at the consulting
room of the Medical Officer or at the
residence of the patient.
(ii) Charges for Pathological, Bacteriological,
Radiological, or other similar tests
undertaken during diagnosis indicating –
(a) the name of the hospital or laboratory
where undertaken; and
34. - t r j -
(b) whether the tests were undertaken on the
advice of the Authorised Medical
Attendant. If so, a certificate to that effect
should be attached
(iii) Cost of medicines purchased from the
market (Cash memos and the Essentiality
Certificates should be attached)
II. Consultation with Specialist -
Fees paid to a Specialist or a Medical
Officerother than the Authorised Medical
Attendant, indicating -
(a) the name and designation of the Specialist
or Medical Officer consulted and the
hospital to which attached.
(b) number and dates of consultations and the
fees charged for each consultation.
(c) whether consultation was had at the
Hospital, at the consulting room of the
Specialist or Medical Officer or at the
residence of the patient; and
(d) whether the Specialist or Medical Officer
was consulted on the advice of the
Authorised Medical Attendant and the
prior approval of the Chief Administrative
Medical Officer of the State was obtained.
If so, a certificate to that effect should be
attached.
9. Total Amount claimed Rs.
10. Less advance taken on Rs.
11. Net Amount claimed Rs.
List of Enclosures :12.
DECLARATION TO BE SIGNED BY THE GOVERNMENT SERVANT
I hereby declare that the statements in the application are true to the best of my knowledge and
belief and that the person for whom medical expenses were incurred is wholly dependent upon me.
Signature of the Government Servant
and the office to which attached
35. - t r j -
ESSENTIALITY CERTIFICATES
C E R T I F I C A T E – ‘A’
(To be completed in the case of patients who are not
admitted to hospital for treatment)
Certificate granted to Mr./Mrs./Miss __________________________________,
husband/wife/son/daughter of Mr./Mrs./Miss ___________________________________ employed in
the _________________________________________.
I, Dr. _________________________________________________ hereby certify
(a) that I charged and received Rs._______________ for ______________ consultations on
_________________________ (dates to be given) at my consulting room/ at the residence of the
patient;
(b) that I charged and received Rs.____________ for administering intra-venous/Intra-muscular/
subcutaneous injections on_______________________(dates to be given) at _________________ my
consulting room/at the residence of the patient;
(c) that the injections administered were not/were for immunizing or prophylactic purposes;
(d) that the patient has been under treatment at __________________________ hospital/my consulting
room and that the undermentioned medicines prescribed by me in this connection were essential for the
recovery/prevention of serious deterioration in the condition of the patient. The medicines are not
stocked in the_________________(name of hospital) for supply to private patients and do not include
proprietary preparations for which cheaper substances of equal therapeutic value are available nor
preparations which are primarily foods, toilets or disinfectants.
Name of Medicines Price
(e) that the patient is/was suffering from ______________________________ and is/was under
treatment from _________________ to _____________________.
(f) that the patient is/was not given pre-natal or post-natal treatment.
(g) that the X-ray, laboratory test, etc., for which an expenditure of Rs. ____________ /- was incurred
was necessary and were undertaken on my advice at ________________________________ (name of
the Hospital or laboratory).
36. - t r j -
(h) that I referred the patient to Dr. _____________________ for Specialist Consultation and that the
necessary approval of the _________________(name of the Chief Administrative Officer of the State)
as required under the rules was obtained.;
(i) that the patient did not require/required hospitalisation
Date:
Signature of A.M.A./ Designation of the
Medical Officer and hospital/
dispensary to which attached
N.B. - Certificates not applicable should be struck off. Certificate (e) is compulsory and must be filled
in by the Medical Officer in all cases.
Note-1 : In case where double the rates of consultation fees are charged by the AMA for night visit
(between 10 p.m. and 6 a.m.) The AMA should furnish a certificate showing why the night
consultation was necessary.
[G.I., M.H.,O.M.No. F - 28-57/60-H.I dated the 4th April, 1962]
Note-2 : The above certificate may be deemed to be regular receipt for the payment received by the
Medical Officers who will be required to affix a revenue stamp on Essentiality Certificate itself when
the payment exceeds Rs.20. Separate receipt(stamped where necessary) would however be
necessary from the Specialist for consultation with them, who do not sign the Essentiality
Certificate.
[G.I., M.H., O.M.No. F - 28-8/60-H.I. dated the 30th January, 1961]
Note-3 Where the receipt issued by the Government Hospitals are on authorised forms(printed and
numbered) and amount of these receipt is incorporated in the body of the Essentiality Certificate,
countersignature of such receipt need not be insisted upon.
[G.I., M.H., O.M.No.F - 61(1)-E.V/60 dated the 29th February, 1960]
37. - t r j -
C E R T I F I C A T E – ‘B’
(To be completed in the case of patients who are
admitted to hospital for treatment)
Certificate granted to Mr./Mrs./Miss __________________________________,
husband/wife/son/daughter of Mr./Mrs./Miss ___________________________________ employed in
the _________________________________________.
PART – A
I, Dr. _________________________________________________ hereby certify
(a) that the patient was admitted to ________________________________________ hospital on the
advice of _______________________________________ (name of the Medical Officer)/on my
advice;
(b) that the patient has been under treatment at __________________________ hospital/my consulting
room and that the undermentioned medicines prescribed by me in this connection were essential for the
recovery/prevention of serious deterioration in the condition of the patient. The medicines are not
stocked in the____________________________(name of hospital) for supply to private patients and
do not include proprietary preparations for which cheaper substances of equal therapeutic value are
available nor preparations which are primarily foods, toilets or disinfectants.
Name of Medicines Price
(c) that the injections administered were /were not for immunizing or prophylactic purposes;
(d) that the patient is/was suffering from ______________________________ and is/was under
treatment from _________________ to _____________________;
(e) that the X-ray, laboratory test, etc., for which an expenditure of Rs. ____________ /- was incurred
was necessary and were undertaken on my advice at ________________________________ (name
of the hospital or laboratory);
38. - t r j -
(f) that I called on Dr. _____________________ for Specialist Consultation and that the necessary
approval of the _________________(name of the Chief Administrative Officer of the State) as
required under the rules was obtained;
Date:
Signature and Designation of the Medical
Officer in charge of the case at the hospital
PART – B
I certify that the patient has been under treatment at the __________________________
hospital and that the service of the special nurses for which an expenditure of Rs. _____________ was
incurred, vide bills and receipts attached, were essential for the recovery/prevention of serious
deterioration in the condition of the patient.
Signature of the Medical Officer
in charge of the case at the hospital
39. - t r j -
COUNTERSIGNED
Medical Superintendent
______________________ Hospital
I, certify that the patient has been under treatment at _______________________
_________________________________ hospital and that the facilities provided were the minimum
which were essential for the patient’s treatment.
Place : Medical Superintendent
_____________Hospital
Note:- Certificate not applicable should be struck off. Certificate (d) is compulsory and must be filed in
by the Medical Officer in all cases
40. - t r j -
APPLICATION FOR ADVANCE OF PAY ON
TRANSFER
1. Name of the Officer/ Official.
2. Designation & Office.
3. Whether permanent / temporary.
4. If temporary, name and designation of
the permanent Government Servant
furnishing the surety bond.
5. Station in which working.
6. Station to which transferred.
7. Pay* drawn at the time of transfer.
8. No. & Date of transfer order/s.
9. Whether transfer is in public interest.
10. Amount of advance required.
I declare that the particulars furnished above are correct.
Station :
Signature of the Government Servant.
Date :
41. - t r j -
APPLICATION FOR ADVANCE OF T.A. ON TOUR
1. Name of the Officer/ Official.
2. Designation.
3. Whether permanent / temporary.
4. Office/Section in which working.
5. Basic Pay + NPA + SI.
6. Places to be visited and period of halt
at each station.
7. Purpose of tour.
8. Has the tour programme been
approved by competent authority ?
9. Duration of journey (in days).
10. Rail/Road fare by the entitled class by
which the Government Servant
proposes to travel for both outward
and inward journeys.
11. Daily allowance entitled -
(i) For journey period Rs.
(ii) For the halts Rs.
Total Rs.
12. Total T.A. + D.A. ( 10 + 11)
13. Amount of Advance required
14. Whether any earlier advance is
outstanding. If so, the date on which
T.A. bill was submitted.
I declare that the particulars furnished above are correct.
Station :
Signature of the Government Servant.
Date :
42. - t r j -
APPLICATION FOR ADVANCE OF T.A. ON
TRANSFER
1. Name of the Officer/ Official.
2. Designation.
3. Whether temporary / permanent.
4. Office/Station in which working.
5. Basic Pay + NPA + SI.
6. Station to which transferred.
7. No. & Date of the transfer order.
8. Details of family members alongwith
their age and relationship.
Family Particulars Age Relationship
9. Whether the advance is required for.
(a) Self alone, or
(b) Self and family, or
(c) Family alone
10. Amount of advance required
I declare that the particulars furnished above are correct.
Station :
Signature of the Government Servant.
Date :
43. - t r j -
APPLICATION FOR ADVANCE OF T.A. ON
RETIREMENT
1. Name of the Officer/ Official.
2. Designation.
3. Office in which working.
4. Station in which working.
5. Whether permanent/temporary.
6. Basic Pay + NPA + SI.
7. Details of family members alongwith
their age and relationship.
Family Particulars Age Relationship
8. Station at which desires to settle after
retirement.
9. Date from which the official is on LPR
(Leave Preparatory to Retirement).
10. Date of superannuation.
11. Date on which journey is proposed to
be performed.
12. Amount of advance required.
I declare that the particulars furnished above are correct and true to the best of
my knowledge.
Station :
Signature of the Government Servant.
Date :
[ NOTE – Advance admissible only if the journey is performed during LPR ]
44. - t r j -
APPLICATION FOR ADVANCE OF T. A. TO THE FAMILY
OF A DECEASED EMPLOYEE
1. Name of the Applicant.
2. Relationship with the deceased
Government Servant.
3. Name of the deceased Government
Servant.
4. Post held by the deceased Government
Servant.
5. Headquarters of the deceased
Government Servant.
6. Basic Pay + NPA + SI drawn by the
deceased Government Servant.
7. Details of family members alongwith
their age and relationship.
Family Particulars Age Relationship
8. Place at which the family members
desire to settle.
9. Whether surety from a permanent
Government Servant is enclosed.
10. Amount of advance required.
I declare that the particulars furnished above are correct and abide by the
conditions for the recovery of advance. I am also enclosing the surety bond from a permanent
Central Government Servant.
Station :
Signature of the Applicant.
Date :
45. - t r j -
FORM GFR 37
APPLICATION FOR FLOOD/DROUGHT ADVANCE
Name of the Ministry/Deptt./Office
1. Name of the Applicant.
2. Designation
3. Basic Pay + SI
4. Whether Permanent/Temporary
5. Section/Office to which attached
6. Permanent Address
7. Present Residential Address
Details of the property movable /
immovable affected or damaged by the
natural calamity -
8.
(i) Name of the place which has
been affected by the natural
calamity and the details of the
property immovable as well as
movable (to be shown separately
in two lists) damaged.
46. - t r j -
(ii) Whether any advance was
drawn on earlier occasion and if
so, the date of drawal and
amount.
(iii) Whether the earlier advance was
drawn for damage to the same
movable or immovable property
and if so, the nature of further
damage to the movable or
immovable property to be
indicated precisely
(iv) If reply to item (iii) is in the
affirmative the details of damage
that has now occurred requiring
fresh assistance (list to be
attached indicating details)
8.
(v) Whether the recovery of
advance has since been
completed.
9. Amount of advance required.
______________________
Dated (Signature of Applicant)
Declaration
I, ___________________________, do hereby declare that the statements furnished in
item 8 above are correct.
______________________
Dated (Signature of Applicant)
Warning - If at any stage the information furnished above is found untrue, the sanctioning
authority may take disciplinary action against the official under the rules.
47. - t r j -
APPLICATION FOR L.T.C. ADVANCE
1. Name of the official (in Block Letters).
(a) Designation and Staff No.2.
(b) Permanent or Temporary.
[ If not permanent, Surety Bond
from a permanent official to be
enclosed with the Application ]
3. Unit/Office to which attached.
4. Basic Pay + NPA + SI in the present
Grade.
5. Date of appointment in the Department.
6. Place of home town as declared in the
Service Book.
7. Particulars of LTC availed for previous
Block Years.
8. Block Year for which now proposed to
avail.
9. Whether avails CL or EL (Nature of
Leave to be mentioned).
10. Whether LTC advance already taken has
been settled in full or pending settlement,
date of the settlement of the previous
case.
11. Place of visit (farthest point).
12. Proposed Date of onward journey.
13. Probable Date of return journey.
14. Particulars of family members availing
the facility.
S. No. Name Relationship Age Whether dependant
15. Class of accommodation proposed to be
availed in the Railway journey.
16. Amount of advance required.
Date (Signature & Design. of Official)
48. - t r j -
DECLARATIONS
I, _____________________________, hereby certify that the above particulars furnished
by me are true and correct.
I also undertake to refund the LTC advance in full immediately in case of failure to
perform the proposed journey for which advance was taken.
I also declare that I will not visit other than the place mentioned in the application
without obtaining prior approval of the competent authority.
I also agree to refund one half of the advance if the return journey could not be
performed within 60 days from the date of the advance.
I also agree to credit forthwith to the office any excess amount of advance left with me for
any reason whatsoever.
I also agree to produce evidence of purchase of tickets, etc., for myself/members of my
family, as the case may be, for the forward journey within 10 days or before the commencement
of the journey, whichever is earlier, from the date of drawing the advance. I am aware that
failure to comply with the above requirement will entail recovery of the advance in one lumpsum
from the next drawal of my salary, together with the penal interest @ 21/2
% over and above the
normal interest.
I am aware that if I do not submit LTC bills within one month from the date of return
journey the outstanding LTC advance is recoverable in one lumpsum from my next salary
together with the penal interest @ 21/2
% over and above the normal interest.
I am also aware that my claim will be forfeited if I fail to submit the bills within 1 month
from the date of completion of journey.
I also understand that if the LTC is availed for self, the cost is reimbursable only when
the journey is performed after availing any kind of leave and not during week-end
holidays/other holidays/RH alone.
Signature: ________________
Designation: _______________
REMARKS OF THE UNIT OFFICER
Forwarded. Official applied CL/EL as at Col. 9 and the same has been sanctioned.
Unit Officer
49. - t r j -
APPLICATION FOR LEAVE SALARY ADVANCE
1. Name.
2. Designation
3. Office / Section to which attached
4. Basic Pay + NPA + SI
5. Nature and period of leave sanctioned
and Sanction Order No. and date
6. Total Pay and Allowances entitled (i.e.
Pay, DA, HRA, CCA, etc., per mensem)
7. Total recoveries per mensem
8. Amount of advance applied for
I declare that the particulars furnished above are correct.
Station :
Signature of the Government Servant.
Date :
50. - t r j -
APPLICATION FOR ADVANCE FOR MEDICAL
TREATMENT
1. Name.
2. Designation and Office in which working.
3. Basic Pay + NPA + SI
4. Whether permanent or temporary.
5. Name of the patient and relationship with
the Government Servant.
6. Nature of illness.
7. Whether treatment is received as In-
patient or Out-patient.
8. Name of the Hospital in which patient is
treated and whether it is a recognised
one.
9. Whether necessary certificate from the
Medical Officer or Specialist of the
recognised hospital is enclosed.
10. Anticipated cost of treatment as certified
by the Medical Officer/Specialist.
11. Amount of advance required.
I declare that the particulars furnished above are correct.
Station :
Signature of the Government Servant.
Date :
51. - t r j -
FORM OF APPLICATION FOR CLAIMING REFUND OF MEDICAL TREATMENT
INCURRED IN CONNECTION WITH MEDICAL ATTENDANCE AND/OR TREATMENT
OF CENTRAL GOVT. SERVANTS AND THEIR FAMILIES.
1. Name and designation of the
Government Servant (in block letters)
2. Office in which employed
3. Pay & Allowance to be shown
separately –
Pay, DA, CCA, HRA = Total
4. Place of Duty
5. Actual Residential Address
6. Name of patient and his/her
relationship to the Govt. Servant
7. Place at which the patient fell ill
8. Details of Amount claimed
(i) Medical Attendance :
(a) Name, Address & Designation of the
Medical Officer consulted and the
hospital or dispensary in which
attached.
(b) No. & date of consultation and fees
paid for each consultation.
(c) No. & date of injections and fees
paid for each injection.
(d) Whether consultation or injections
were had at the hospital/consulting
room or at the residence of the
patient.
(ii) Indoor Hospital Treatment
(iii) Medicines purchased from the
market. (List of medicines, cash memo
& essentiality certificate should be
attached)
9. Total Amount Claimed
1. Doctor’s prescription(s)
2. Cash Memo(s)
3. Essentiality Certificate
10 List of Enclosures
4. Other (Please Specify) _______________________
52. - t r j -
DECLARATION TO BE SIGNED BY THE GOVERNMENT SERVANT
I hereby declare that the statements in the application are true to the best of my knowledge and
belief and that the person for whom Medical Expenses were incurred is wholly dependent upon me.
Place :
Signature of the Government Servant.
Certificate granted to ____________________________________ son/daughter/wife/husband
of Mr./Mrs. _________________________________ employed in the __________________________
department at _______________________.
C E R T I F I C A T E
(To be completed in the case of patients who are not admitted in the hospital for treatment)
I, Dr. ______________________________________________ hereby certify that
(a) I charged and received Rs. ____________ for consultation/s on ___________________.
(b) I charged and received Rs. ____________ for administering __________________
intramuscular injections or subcutaneous on ______________ at my consulting room / the
residence of the patient. (dates to be given)
(c) That the injections administered were/not for immunizing or prophylactic purposes,
(d) That the patient has been under treatment at ____________________________ hospital/my
consulting room and the undermentioned medicines prescribed by me in this connection were
essential for the recovery/prevention of serious deterioration in the condition of the patient and
the medicines are not stocked in the _________________ (name of hospital) for supply to
private patients and do not include proprietary preparations for which cheaper substances of
equal therapeutic value are available; no preparations which are primarily foods, toilets or
disinfectants;
53. - t r j -
Name of the Medicines Price
(e) that the patient is suffering from _______________________________ and is under my
treatment from __________________ to ___________________;
(f) that the patient is/was not given pre-natal or post-natal treatment;
(g) that the X-ray, Laboratory tests, etc., for which an expenditure of Rs. ___________________
has been incurred was necessary and were undertaken on my advice at ___________________.
(h) That I referred the patient to Dr. __________________________________ for specialists
consultation and that the necessary approval of the ______________________________ (Name
of the Chief/Administrative/Medical Officer of State) under the rules was obtained;
(i) That the patient did not require/required hospitalisation.
Place :
Signature of the Authorised Medical Attendant
Date :
54. - t r j -
FORM OF APPLICATION FOR FINAL PAYMENT/TRANSFER TO
CORPORATE BODIES/OTHER GOVERNMENTS OF BALANCES IN THE
GENERAL PROVIDENT FUND ACCOUNT.
To
The Accounts Officer,
_____________________________
_____________________________
_____________________________
Submitted through the Head of Office
Sir,
I am to retire/have retired/have proceeded on leave preparatory to retirement for ________
months/have been discharged/dismissed/have been permanently transferred to
_________________________/have resigned finally from Government service/have resigned service
under Central Government to take up appointment with _________________ and my resignation has
been accepted with effect from _______________forenoon/afternoon. I joined service with
________________ on _______________forenoon/afternoon.
2. My Provident Fund Account No. is _______________________.
3. I desire to receive payment through my office/through the _____________________
Treasury/Sub-Treasury. Particulars of my personal marks of identification, left hand thumb and finger
impressions (in the case of illiterate subscribers) and specimen signature (in the case of literate
subscribers) in duplicate, duly attested by a Gazetted Officer of the Government, are enclosed.
PART-I
[ To be filled in when the application for final payment
is submitted up to one year prior to retirement.]
4. I request that the amount of Rs. ________________/- standing to the credit in my Provident
Fund Account as indicated in the Accounts Statement issued to me for the year _________________
(enclosed)/as appearing in my ledger account being maintained by you
______________________________ Treasury/Sub-Treasury/Head of Office, may please be arranged
to be paid to me as first instalment of final payment.
55. - t r j -
5. After payment of the first instalment of my Provident Fund balance. I will apply for the
payment of subsequent instalments in Part II of the Form immediately on retirement.
Yours faithfully,
Signature __________________
Station :______________ Name ___________________
Date :________________ Address ___________________
( This applies only when payment is not desired through the Head of Office. )
(FOR USE BY HEADS OF OFFICES)
Forwarded to the Accounts Officer, Zonal Accounts Office, CBDT, Ahmedabad for necessary action.
2. The Provident Fund Account No. of Shri/Shrimati/Kumari
__________________________________(as certified from the Statements furnished to him/her from
year to year) is ____________________.
3. He/She is due to retire from Government service on _____________________.
4. Certified that he/she had taken the following advances in respect of which _______________
instalment of Rs. __________________________________ are yet to be recovered and credited to the
Fund Account. The details of the final withdrawals granted to him/her are also indicated below :
Temporary Advances Final Withdrawals
1.
2.
3.
4.
[Signature of the Head of Office]
56. - t r j -
PART-II
[To be submitted by the Subscriber immediately after his retirement. This
Part is also applicable in the case of subscribers who apply for final payment
for the first time after the date of superannuation, discharge, resignation, etc. ]
In continuation of my earlier application, dated ______________, for the final payment of
Provident Fund balances, I request that the entire balance at my credit with interest due under the rules
may be paid to me.
Or
I request that the entire amount at my credit with interest due under the rules may be paid to
me/transferred to __________________________________________________.
Signature : ___________________
Name : ______________________
Address : ____________________
(FOR USE BY HEADS OF OFFICES)
Forwarded to the Accounts Officer, Zonal Accounts Office, CDBT, Ahmedabad for necessary
action/in continuation of Endorsement No. _____________________________ dated
_______________.
2. He/She has finally retired/will proceed on leave preparatory to retirement for
____________________ months/has been discharged/dismissed/has been permanently transferred to
___________________/has resigned finally from Government service/has resigned service under
____________________ Government to take up appointment with ________________ and his/her
resignation has been accepted with effect from _____________________ forenoon/afternoon. He joined
service with _____________________ on ___________________ forenoon/afternoon.
57. - t r j -
3. The last fund deduction was made from his/her pay in this Office Bill No.
____________________ dated ______________________ for Rs. ______________ (Rupees
______________________________________________________________ only) cash voucher No.
_________________ of __________________ Treasury, the amount of deduction being Rs.
________________ and recovery on account of refund of advance Rs. _________________.
4. Certified that he/she was neither sanctioned any temporary advance nor any final withdrawal
from his/her Provident Fund Account during the 12 months immediately preceding the date of his/her
quitting service under ___________________ Government/proceeding on leave preparatory to
retirement or thereafter.
Or
Certified that the following temporary advances/final withdrawals were sanctioned to him/her
and drawn from his/her Provident Fund Account during the 12 months immediately preceding the date
of his/her quitting service under __________________ Government/proceeding on leave preparatory
to retirement or thereafter.
Amount of advance/
Withdrawal
Date Voucher
Number
1.
2.
3.
5. It is certified that no demands/following demands of Government are due for recovery.
6. Certified that he/she has not resigned from Government service with prior permission of the
Central Government to take up an appointment in another Department of the Central Government or
under a State Government or under a body corporate owned or controlled by the State.
____________________________________
(Signature of Head of Office/Department.)
58. - t r j -
REIMBURSEMENT OF TUITION FEE
Certified that the child/children mentioned below in respect of whom reimbursement of
tuition fee/s is claimed is/are wholly dependent upon me :
Name of the Child Date of
Birth
School in which studying Class in
which
Studying
Monthly
tuition fee
actually
payable
Tuition
fee
actually
payable
for the
year
Amount of
reimburse-
ment
1 2 3 4 5 6 7
2. Certified that the tuition fee/s indicated against the child/each of the children had actually been
paid by me. (Cash receipts, Bank credit vouchers, etc., to be attached with the initial claim only).
3. Certified that : -
i) My wife/husband is not a Central / State Government Servant.
ii) My wife/husband is a Central / State Government servant, but she/he will not claim the
reimbursement of tuition fee in respect of our child/children.
iii) My wife/husband is employed with __________________________________. She/he is
not entitled to reimbursement of tuition fees in respect of our child/children.
4. Certified that during the period covered by this claim, the child/children attended the school(s)
regularly and did not absent himself/herself/themselves from the school(s) without proper leave for
a period of exceeding one month.
5. Certified that the child/children mentioned has/have not been studying in the same class for more
than two years.
6. Certified that I or my wife/husband have/has not claimed and will not claim the Children’s
Educational Allowance in respect of the child/children mentioned above.
7. Certified that my child/children in respect of whom reimbursement of tuition fee is claimed is/are
studying in the school(s) which is/are recognised school(s).
8. In the event of any change in the particulars above which effect my eligibility for reimbursement of
tuition fees, I undertake to intimate the same promptly and also to refund excess payments, if any
made.
Signature of the Govt. Servant.
Place : Name in block letters ___________________________
Date : Designation & Office __________________________
59. - t r j -
MSO (T)16
LAST PAY CERTIFICATE
(See Appendix B)
Last Pay Certificate of Shri/Smt./Kum.______________________________________ of the
__________________________________ proceeding on transfer/promotion/retirement to the office of
______________________________________.
2. He/She has been paid up to _____________, 20 at the following rates :
Earnings Deductions
Particulars Rate (%) Amount Particulars Amount
Substantive/Officiating/
Basic Pay
Income-tax Deduction
Dearness Pay
General Provident Fund
Contribution
Dearness Allowance C.G.H.S.
House Rent Allowance C.G.I.S./ N.G.I.S.
City Comp. Allowance
House Bldg. Advance /
Interest.
Transport Allowance
Conveyance / Computer
Advance / Interest.
Personal Pay Festival Advance
Special Pay
General Provident Fund
Advance
Washing Allowance License Fee
Interim Relief Water Charges
Medical Allowance Other Deduction/s
Leave Travel Allowance
Any Other / Salary
Advance
Other (Please specify) Professional Tax
Total Earnings Total Deductions
Net Salary Paid
3. His/Her General Provident Fund Account No. _______________ is maintained by Accounts
Officer/Accountant General ____________________________, _________________________.
60. - t r j -
4. He/She made over the charge of the office of _________________________________ on the
Forenoon/Afternoon of _________________________.
5. Recoveries are to be made from the pay of the Government Servant as detailed below :
Nature of Recovery Amount to be
recovered
In No. of
instalments
Out of total
instalments of
6. He/She has been paid Leave Salary as detailed below.
Period Rate @ Rs. Per Month Amount
From To
7. Deductions has been made from the Leave Salary as noted below :
Period of Leave Salary On Account of Amount
From To
8. He/She is also entitled to a joining time for ______________________days.
9. He/She has availed Casual Leave____________ and/or Restricted Holiday ________________.
61. - t r j -
10. He/She finances the insurance policies detailed below from Provident Fund :
Name of the Insurance
Company
No. of Policy Amount of Premium Due date for the date
of Premium
11. The details of the Income tax recovered from him/her upto the date from the beginning of the
current Financial Year are noted in the reverse.
Place :
Date :
______________________________________
Signature of Drawing & Disbursing Officer
62. - t r j -
Total
Feb.
Jan.
Dec.
Nov.
Oct.
Sep.
Aug.
Jul.
Jun.
May.
Apr.
Mar.
Month/
Year
Gross
Salary
GPF
Cont.
GPF
Adv.
Income
Tax
HBAConv.
Adv.
CGISCGHSWtr.
Chrg.
Lcn.
Fees
Fest.
Adv.
Comp.
Adv.
Prof.
Tax
Other
Ded.
DetailsofDeductionsmadeduringthecurrentFinancialYear
63. - t r j -
FORM NO. 37-B
Bill No.________________
Dated : ________________
Head of Account : " 2071 - Pension & Gratuity - Retirement
Benefits, Other Benefits etc."
Received the sum of Rs.______________/- (Rupees
_____________________________________________________________________only) due to
Shri. / Smt._________________________________________________________________ being the
amount of D.C.R.G. / Comm. Value of Pension / Family Pension /Provisional Pension sanctioned
vide Order / Letter No. _____________________________________ dated ___________ for Rs.
____________________________.
Bill Amount
Rs.
Total Deduction
Rs.
Net Amount Payable
Rs.
Rupees
______________________________________
Signature of Drawing & Disbursing Officer
Countersigned for Rs. _______________.
______________________________________
Signature of Drawing & Disbursing Officer
For use in the Zonal Accounts Office
Audited Rs. _____________
Objected Rs. ____________
Reasons for Objection.
Auditor Sup. Accounts Officer
Date: Date: Date:
64. - t r j -
FORM T. R. - 42
(See Rule 406)
Head of Account
Bill No. :_________________
Date : ___________________
Received the sum of Rs.________________/- (Rupees
_______________________________________________________________ only) being the
advance for purchase of Motor Car/Motor Cycle/Scooter/Moped/Computer/Bicycle for F.Y.
________________ sanctioned by the __________________________________________ vide his
order No. ___________________________________________________ dated _____________
(copy/copies enclosed) in respect of Shri/Smt./Kum. _________________________________.
Grant for the Year ___________________ Rs.
Expenditure upto this Bill Rs.
Balance Rs.
Signature of Drawing & Disbursing Officer
Countersigned for Rs._______________
FOR USE IN PRE-CHECK UNIT
Pay Rs.
Examined
Accountant Accounts Officer.
FOR USE IN ZONAL ACCOUNTS OFFICE
Admitted Rs.____________
Objected Rs.____________
Reasons for objection :
Auditor Superintendent Gazetted Officer.
65. - t r j -
FORM T. R. - 42
(See Rule 406)
Head of Account
Bill No. :_________________
Date : ___________________
Received the sum of Rs.________________/- (Rupees
_______________________________________________________________ only) being the House
Building Advance for purchase of a Flat/House/Plot of Land or for constructing/reconstructing a
flat/house for F.Y. ________________ sanctioned by the
__________________________________________ vide his order No.
___________________________________________________ dated _____________ (copy/copies
enclosed) in respect of Shri/Smt./Kum. _________________________________.
Grant for the Year ___________________ Rs.
Expenditure upto this Bill Rs.
Balance Rs.
Signature of Drawing & Disbursing Officer
Countersigned for Rs._______________
FOR USE IN PRE-CHECK UNIT
Pay Rs.
Examined
Accountant Accounts Officer.
FOR USE IN ZONAL ACCOUNTS OFFICE
Admitted Rs.____________
Objected Rs.____________
Reasons for objection :
Auditor Superintendent Gazetted Officer.
66. - t r j -
A N N E X U R E “C”
Received the sum of Rs.______________ (Rupees
_____________________________________ only ) being the total of entitlement of Rs.
______________ from the insurance Fund and/or of Rs. ____________ from the Savings Fund,
accrued to _____________________________________ Designation _____________ Group
A/B/C/D under the Central Government Employees' Group Insurance Scheme.
Date : Signature(s) of Recipient(s)
(Name in block letters)
FOR USE IN DEPARTMENTAL OFFICE
(A) Relevant Bio data of the Members Type or Group
(Viz. “A”, “B”, “C”, “D”)
Type : -I Type or Group of the Member (i.e. lowest group on initially
joining the scheme on …
2. Year of acquiring Membership of the higher group : Group “C” on
Group “B” on
Group “A” on
(B) Countersigned for payment of Rs. _________________ /-
(Rupees _______________________________________________________________ only)
to claimant(s). Crossed Cheque/Demand Draft to be issued in favour of claimant(s).
Signature of Drawing & Disbursing Officer
FOR USE IN PAY AND ACCOUNTS OFFICE.
Passed for payment of Rs. ______________/- (Rupees
__________________________________________________) Payment through Cheque(s) No.(s)
__________________________ dated ______________.
PAY & ACCOUNTS OFFICER.
67. - t r j -
FORM T. R. - 42
(See Rule 406)
Head of Account
Bill No. :_________________
Date : ___________________
Received the sum of Rs.________________/- (Rupees
_______________________________________________________________ only) being the
amount payable under the "DEPOSIT LINKED INSURANCE SCHEME" sanctioned by the
__________________________________________ vide his order No.
___________________________________________________ dated _____________ (copy/copies
enclosed) in respect of Shri/Smt./Kum. _________________________________.
Grant for the Year ___________________ Rs.
Expenditure upto this Bill Rs.
Balance Rs.
Signature of Drawing & Disbursing Officer
Countersigned for Rs._______________
FOR USE IN PRE-CHECK UNIT
Pay Rs.
Examined
Accountant Accounts Officer.
FOR USE IN ZONAL ACCOUNTS OFFICE
Admitted Rs.____________
Objected Rs.____________
Reasons for objection :
Auditor Superintendent Gazetted Officer.
68. - t r j -
Application for Leave
1. Name of the Applicant.
2. Post held.
3. Department, Office & Section.
4. Pay
5. House Rent Allowance & other compensatory
allowances drawn in the present post.
6. Nature & period of leave applied for and date
from which required.
7. Sundays & holidays, if any, proposed to be
prefixed/suffixed to Leave.
8. Grounds on which the leave is applied for.
9. Date of return from last leave and the nature
and period of that leave.
10. I propose/do not propose to avail myself of
Leave Travel Concession for the block years
___________ during the ensuing leave.
11. Address during the Leave period.
_________________________
Signature of the Applicant
12. Remarks and/or recommendation of the
Controlling Officer.
69. - t r j -
CERTIFICATE REGARDING ADMISSIBILITY OF LEAVE
13. Certified that _________________(nature of leave) for ________________(period) from
_______________________ to ______________________ is admissible under Rule _____________
of the Central Civil Services Leave Rules, 1972.
Signature of recommending Officer
14. Remarks / Orders of the authority competent to grant the leave.
Signature of the Sanctioning Authority