Académique Documents
Professionnel Documents
Culture Documents
Below ` 28693
Certified
(i) that the Pay and allowance of the previous month have been disbursed to the proper persons and stamped
acquittance has been obtained and filed in my office.
(ii) that every Goverment servent on whose behalf of pay or leave is claimed in this bill has actually been on duty or
authorised leave, as the case may, during the period for which his pay or leave for which his pay or leave salary is
claimed.
(iii) that the eligibility of the claims preferred in this bill are verified with the relevant rules.
(iv) that the employees for whom the HRA is claimed in this bill, were not provided with Government quarters during the
period for which HRA is claimed.
(v) that the profession tax for the half year ending on................... has been recovered from the incumbents and
remitted.
(vi) that the arrears of DA sanctioned as per G.O.(P)............................Fin./dated.................. has been drawn and
credited to the GPF accounts of the incumbents concerned.
Place :
Signature
: ...........................................
Name
: ..........................................
. EST
[See Rule 169(b) of KTC Vol 1]
CODE
01
22
23
24
*
*
*
*
*
*
*
*
` ...................................................................................................
` ...................................................................................................
` ...................................................................................................
Balance
` ...................................................................................................
Rupees
Code
301
302
303
304
305
307
309
311
314
315
321
327
Description
FBS
House Rent
LIC
PDA Hantex
Hanveev
PLI
AIS GI
Income Tax
CCD
CrCD
TC to SB
DTO PD
Code
102
105
107
109
110
116
117
118
119
120
121
123
Description
HBA
MCA
Other Conveyance
Int.Free Advance
Warm Clothing
Int on HBA
Int on MCA
Co-operative dues
KPEC & PPSPF
KASEPF
NMRPF
KPCSPF
Code
123
124
126
127
128
325
701
129
324
704
705
28692
NIL
28692
Tot B
NIL
Received `
28692
Total in `
NIL
NIL
NIL
NIL
NIL
NIL
NIL
B. DEDUCTIONS
GPF/ADA
GIS
SLI
Cycle Advance
HBA
MCA
FBS
*
*
*
*
*
*
*
*
Total A Gross
Total B
Total = A - B
Signature
Code
01
22
23
24
04
03
90
08
99
98
002
001
Total in ` CODE
701
28692
129
324
704
102
105
301
A. DUES
Pay/LS/SP/Wages/TP
DA/ADA
House Rent Allowance
CCA
Special Leave Salary
In Cash/Cheque......................(Rupees..........................................................................................................................only)
Description
KPCNSPF
Panchayat Emp. PF
contri.Prov.Pension Fund
KASRSEPF
contingency Emp.Pf
Pension contri./LS of LB
GPF
SLI
Group Insurance
Cycle Advance
Mosquito Net Advance