Professional Documents
Culture Documents
Final Pension
Final Pension
824 HRA
GIS 60 APGLI
CCA 0 HMA 75 PP 95 FPI
STO
45 Years
Date of Retirement
Scale
Designation
Fathers/Husband Name
Permanent Address
Date of Birth
EMPLOYEE PAY PARTICULARS
Name of the Pension Disbursing Authority Jogipet
Sri.B.Narsimlu
Village: Tekmal
Post & Mandal Telkmal
Dist:Medak,502302
SBH
PS.Salojipally Post Held in
Basic Pay
Sri.B.Narsimlu Name of the Government Servant
B.Bagaiah
PENSIONERS SOFTWARE
SGT
www.prtumedak.org
Date of entering in to Serice
Sri.B.Narsimlu
Village: Tekmal
Post & Mandal Telkmal
Dist:Medak,502302
Address After Retirement
123456465
Jogipet
Account. No
NOMINEE DETAILS
Name of the Naominee Smt.Durgamma
Name of the Paying Bank
Relation ship with Govt Servant
Age
Branch Name
Wife
Date of Birth Relationship
Married/
Un-married
07.05.1965 WIFE Married
20.02.1989 SON Un-Married
04.05.1994 SON Un-Married
. . .
. . .
www.prtumedak.org
.
Office Address
The Mandal Educational Officer,
M.P.Tekmal,
Dist.Medak
.
. .
Manoj Kumar
Mahesh Kumar
Name of the Member
whether Employee or
not
Smt. Durgamma Yes
Not
Not
2. A mole on the righ Ear
OFFICE DETAILS
FAMILY MEMBERS DETAILS
Full Amount
Personal Identification Marks 1.Amole on the route of fore finger
Amount of Share payble
0
R.RAMESH
9989663755
EMPLOYEE PAY PARTICULARS
Jogipet
P
R
T
U
M
E
D
A
K
PS.Salojipally
0
30
Sri.B.Narsimlu
B.Bagaiah
PENSIONERS SOFTWARE
www.prtumedak.org
www.prtumedak.org
.
.
whether Employee or
not
Yes
Not
Not
P
R
T
U
M
E
D
A
K
2. A mole on the righ Ear
OFFICE DETAILS
FAMILY MEMBERS DETAILS
1.Amole on the route of fore finger
Lr. No Date :
From To
THE ACCOUNTANT GENERAL ( A&E )
Audit Officer,LFA,Hyderabd
Andhrparadesh.
Sir,
Proposals Submitted.
Iam to forward herewith the Service / Family Pension Papers of
Who is due to retire / retired /expired while in service on
The follwing documents are forwarded herewith for autorising Pensionery Benefits.
1. Part - I :
2. Part - II :
3. Part - II B :
4. Annexure - I :
5. Annexure -II :
6. Copy of Annexure - III :
7. Service Register of Govt.Servant. :
8. L.P.C :
9. Death Certificate (in case of Death) :
10. Legal heir Certificate (- do-) :
11
12
The receipt of above document may please be ackonwledge and arrangements may ne made to
issue the PPO / Gratuity Payment Order and Commutation authorisation early.
No.of enclosures ( )
1. Copy to Sri.B.Narsimlu,SGT
2. Copy to The Office File.
Prepared by R.Ramesh,Tekmal,Medak. 9989663755.www.prtumedak.org
Sanction Order of Pensionary Benefits.
Descriptive Roll
Nomination
Your's Faithfully
Information furnished by the Govt.Servant/Family Pension
Information filled in by the Pension Sanctioning Authority
Beeficiery
Ref : G.O.Ms.No 262 Fin & Plg. (FW-PSC ) Dept.Dt. 23-11-1998
G.O Ms.No 263 Fin & P;g. (FW-PSC ) Dept.Dt. 23-11-1998
Sub : Pension / Service Pension / Family Pension and other Retiring Benefits in respect of
(G.O.Ms.No.263 Dated 23-11-1998)
The Mandal Educational Officer,
M.P.Tekmal,
Dist.Medak
PENSION FORWARDING LETTER
Prepared by R.Ramesh,Tekmal,Medak. 9989663755.www.prtumedak.org
Sanction Order of Pensionary Benefits.
Descriptive Roll
Nomination
Your's Faithfully
Information furnished by the Govt.Servant/Family Pension
Information filled in by the Pension Sanctioning Authority
Ref : G.O.Ms.No 262 Fin & Plg. (FW-PSC ) Dept.Dt. 23-11-1998
G.O Ms.No 263 Fin & P;g. (FW-PSC ) Dept.Dt. 23-11-1998
Sub : Pension / Service Pension / Family Pension and other Retiring Benefits in respect of
(G.O.Ms.No.263 Dated 23-11-1998)
(a) (d)
Sl.N
o
Date of birth
Relationship
with
government
servant
Married or
unmarried
1 07.05.1965 WIFE Married
2 20.02.1989 SON Un-Married
3 04.05.1994 SON Un-Married
4 . . .
5 . . .
4. Address after retiremnt Sri.B.Narsimlu
Village: Tekmal
Post & Mandal Telkmal
Dist:Medak,502302
2. Name of the Applicant
(in case of death of government servant)
3. In case of death while service of Government servant,at the answer 'Married' in case of daughter
will be understood that the daughter is alteady married as on the date of death of the Government
servan
Sri.B.Narsimlu
FORM OF APPLICATION FOR SERVICE PENSION/FAMILY PENSION/
RETIREMENT GRATUITY/SERVICE GRATUITY/COMMUTATION
(To be furnished in duplicate)
G.O.MS No 623,Dated :23.11.1998
Part -I Information to be furnished by the Government Servant/Applicant
(The Pension Sanctioning Autthority shall forward the application duly processed
to the AG(A&E)/LF Authority within a period of 30 days)
1. a) Name of the Government Servant
b) Post held PS.Salojipally
STO,Jogipet
Sri.B.Narsimlu
Village: Tekmal
Post & Mandal Telkmal
Dist:Medak,502302
3. Permanent Address
5. Commutation of Pension
Yes
a) Whether willing to commute 40% of
monthly pension,subject to AP Civil
Pensions (Commutation) Rules,1944.
7. LIST OF FAMILY MEMBERS
( c ) (b) (e)
fraction less than 40%
6. a) Name of the Pension Disbursing Authority
b) If the answer is NO,specify the
Pension payment is desired by the
pensioner/family pensioner/gratuitant
Name ot the Bank and
Branch
S.B.Account No
123456465
SBH
Jogipet
b) Name of the Paying Bank from where
Mahesh Kumar
Name of the family member
whether employed or not .Give
details of employmment
Smt. Durgamma Yes
.
.
Not
Not
.
.
Instructions :
1. The Government servant is insructed to fill up the proforma cery carefully as the data furnished is vital for
sanction of family pensin.He/She may note that alterations of the data furnished at a later date is not
permissible.
2. The "family for the purpose mean "wife" or "husband" as the case may ne "sons"and "unmarried
daughters" as laid down in Rule 50(12) (for Family Pension) and Rule 46(5) (for gratuty) of AP Revised Pension
Rules,1980.
Manoj Kumar
Prepared by R.Ramesh,Tekmal,Medak. 9989663755.www.prtumedak.org
Sri/Smt --------------------------------------------- is / are under guardianship of
Sri/Smt ---------------------------------------------
1
2
3
Place :
Date : 5/11/2014
Governmnet servant.
1. I Undertake to refund the amount of Pension,Gratuty and Commutaion,if it is found subsequently
to be in execess of the amount to which I was entitled under the Rules.
2. I solemnly affirm that the particulars given by me in Part -I at item 7 are correct and true to the best
of my knowledge.If found false in future,Iam liable for suitable action as may be taken by the
Govermnet.
3. The particulars given above ae correct and true to the best of my knowlege.If found false in future
I may be liable for any action that may ne taken by the Governmnet.
PS.Salojipally
Date : 5/11/2014 Signature of the
Place :
TO BE FILLED IN BY THE HEAD OF THE OFFICE
1. Application for pension/gratuty etc.in Part I isreceived
(Date to be recorded)
2. Certified that the person/persons mentioned by the Government servant/Application in item 7 of
Prepared by R.Ramesh,Tekmal,Medak. 9989663755.www.prtumedak.org
Head of the officer
Signature of the