LAST PAY CERTIFICATE

Last Pay certificate of ..

Of the ..
Proceedings on
On
He /She has paid been up to ..
At the following rates:
PARTICULARS
1) Substantive pay
2) Officiating Pay
3) D.A.
4) H.R.A.
5) C.C.A.
6) Exchange Compensation Allowances.

RATES
Rs
Rs:
Rs:
Rs:.
Rs :
Rs:.

Deductions
.

3. He made over charge of the office of

.
On the ..noon of
4) Recoveries are to be made from the pay of the Government servant as detailed on the
reverse.
5. He has been paid leave salary as detailed below. Deductions have been made as noted on
the
Reverse
PERIOD

RATE

AMOUNT

From. To .

At Rs :..

Amount

From. To .

At Rs :..

Amount

From. To .

At Rs :..

Amount

6. He is entitled to draw the following:

..

7. He is also entitled to joining time for .. Days.

8. The details of the Income Tax recovered from up the date from him to beginning of the
current
Year are noted on the reverse.

Date:2009

Signature.
Designation.

DETAILS OF RECOVERIES
Nature of recovery ..
Amount Rs:..
To be recovered in .

DEDUCTIONS MADE FROM LEAVE SALARY

From to . On account of Rs:
From to . On account of Rs:
From to . On account of Rs:

C.L.ACCOUNT
Elegible
C.Ls

SPL C.Ls

O.Hs

Availed

Balance

NO DUES CERTIFICATE
Certified that there are no dues to be recovered from Sri./Smt

Date:

Signature and Designation of

the officer.