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

- 35
GFAR- 162 jktLFkku ljdkj Rule 62

Office - ------------------------- Department -----------------------------

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

1 Last Pay Certificate of Shri/Smt./ Ms -------------------------------------------- of the Department -----------------------------

xr Hkqxrku izek.k i= Jh@Jherh@lqJh foHkkx
of the ------------------------- Proceeding on ----------------------------------------- to -----------------------------
tks ij ls dks tk jgs gSa
2 He has been paid upto --------------------------------------------------------------- at the following rates :-
budks Hkqxrku fnukad rd fuEufyf[kr nj ls fd;k tk pqdk gS %&

Perticulers foxr Rates nj Gross Salary

(i) Substantive Pay ewy osru ----------------------------------------- dqy osru
(ii) Officiating Pay LFkkukiUu osru -----------------------------------------
(iii) Special Pay fo'ks"k osru -----------------------------------------
(iv) Allowance HkÙks ¼eg¡xkbZ HkÙkk½ @ % -----------------------------------------
(a) House edku @ % -----------------------------------------
(b) Horse/Camel ?kksM+k@Å¡V -----------------------------------------
(c) Conveyance lokjh -----------------------------------------
(d) Others vU; -----------------------------------------
Deductions dVkSfr;k¡ -----------------------------------------

3 He made over charge of the office of ----------------------------------- on the B.N. / A.N. of -----------------------------
mUgksaus foHkkx dk dk;ZHkkj fnukad dh e/;kà ds igys@ihNs lkSai fn;k gSA
4 Recoveries are to be made from the pay of government Servent as details on Reverse.
fiNys i`"B ij fy[ks vuqlkj deZpkjh ls olwfy;k¡ djuh gSA
5 He has been paid leave salary as detailed below. budks fuEufyf[kr vodk'k osru ns fn;k gSA
Deductions have been made as noted on the reverse. fiNys i`"B ij fy[kh dVkSfr;k¡ dj yh xbZ gSA
Period vof/k Rate nj Amount jde
From --------------------------------- to ----------------------- at Rs. ------------------------------ a month ------------------
fnukad ls fnukad rd nj :- ekgokj
" --------------------------------- " ----------------------- " ------------------------------ " ------------------
" --------------------------------- " ----------------------- " ------------------------------ " ------------------
" --------------------------------- " ----------------------- " ------------------------------ " ------------------
6 He is entitled to draw the folowwing amount. ;g fuEufyf[kr jde ysus ds gdnkj gSA
7 He is entitled to joining time for ----------------------------------- days.
budks nwljh txg dk;ZHkkj laHkkyus ds fy;s fnu rd dk le; fey ldrk gSA
8 He finances the insurance policies detailed below from the provident fund.
budkh fuEufyf[kr ikWfyfl;ksa dk Hkqxrku izksfoMsUV Q.M ls fd;k tkrk gSA
Name of Insurance Company Number of Amount of Due date for the
or State Insurance Department Policy Premium Payment of Premium
chek dk uke ;k jktdh; chek foHkkx ikWfylh uEcj fd'r dh jkf'k fd'r Hkqxrku dk fnukad
1 2 3 4
General Provident fund / E.Cpen.F.
State Insurance
R.P.M.F.
Life Insurance

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

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

(ii)

(iii)

(iv)

Deductions made from Leave Salary (Part- 5) vodk'k osru ls dh xbZ dVkSfr;ksa dh foxr
From to an account of Rs.
fnukad ls fnukad rd ckcr :-
" " " "

" " " "

" " " "

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

Gratuity Fund and Insurance Amount of Income Tax

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

April 20----

May 20----

June 20----

July 20----

August 20----

September 20----

October 20----

November 20----

December 20----

January 20----

February 20----

March 20----

Date ---------------- Signature of DDO

fnukad (with Seal)
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