nghJ tUq;fhy itg;Gepjpapy; re;jh kw;Wk; jpUk;gpr;nrYj;jpa tptuk;

ngau;: gjtp:
gzpGupAk; gs;sp:
GPF fzf;F vz;

jpUk;g epYitf;
t.vz; khjk; re;jh njhif & jtiz nkhj;jk; &
nrYj;jpaJ & Fwpg;G

1 khh;r; 0 0 0
2 Vg;uy; 0 0 0
3 Nk 0 0 0
4 [Pd; 0 0 0
5 [Piy 0 0 0
6 Mf 0 0 0
7 nrg; 0 0 0
8 mf; 0 0 0
9 et 0 0 0
10 brk; 0 0 0
11 [d 0 0 0
12 gpg;u 0 0 0
13 khh;r; 0 0 0
14 Vg;uy; 0 0 0

nkhj;jk; 0 0 0
khepy fzf;fhau; rPl;bd;gb ,Ug;G & 0
Kjy; tiu nrYj;jpaJ & 0
nkhj;jk; & 0
,ilapy; ngw;wJ & 0
,Wjp ,Ug;G & 0
,Ug;gpy; 75% njhif & 0
Ke;ija fld; njhif & 0
jpUk;g nrYj;jpaJ & 0
jw;Nghija epYit & 0
NfhUk; Kd;gzk; & 0
jw;Nghija fld; njhif & 0
nrYj;j Ntz;ba jtizfs; 36
khjk; nrYj;j Ntz;baJ & 0
 0
jiyikMrpupau; mtu;fspd; nray;Kiwfs;

Kd;dpiy :

%.K.vz;: ehs;:

nghUs;: nghJ Nrkeyepjp fzf;F vz; 0 jw;fhypf Kd;gzk; Nfhup

0 tpz;zg;gk; xg;gspg;G toq;fg;gLjy rhu;ghf

ghu;it: 1. G.O.Ms No.1606 FINANCE (FUNDS) DEPT.,Dt 07/02/1979

2. G.O.Ms No.551 FINANCE (FUNDS) DEPT.,Dt 18/04/1980
3. md;dhupd; tpz;zg;gk; ehs;:
1. jkpo;ehL nghJ Nrkeyepjp Gj;jfk; 14(i) v (ii) (iii) rp (i) (ii) fspd;gb fzf;F vz; 0
ypUe;J jw;fhypf Kd;gzkhf & 0 (&: kl;Lk;)
,g;gs;spapy; gzpGupAk; 0 jdJ nrytpw;F MFk;
nrytpdq;fSf;fhf xg;gspg;G toq;fg;gLfpwJ.
2. md;dhUf;F ,g;gs;spj; jiyikahrpupau; mtu;fspd; nray;Kiwfs; %.K vz;;
d;gb toq;fpa & 0 y; & 0 (&: kl;Lk;)
ghf;fpAs;sJ. Nkw;gb njhifAld; jw;NghJ Kjy; gj;jpapy; toq;fpa jw;fhypf Kd;gzj;ijr; Nru;j;jhy;
& 0 nkhj;j njhifahfpwJ. ,e;jj; njhifia md;dhupd; rk;gsg;gl;baypypUe;J
36 khj jtizfspy; khjk; & 0 ( &: kl;Lk; )
tPjk; gbj;jk; nra;ag;gLk; ( tpguk; ,izg;gpd;gb)
3. ,e;j mYtyUf;F fle;j MW khj fhy ,ilntspapy; nghJNrkey epjpapy; ve;jtpj
jw;fhypf Kd;gzNkh gFjp ,Wjp gzNkh toq;fg;gltpy;iy
4. ,e;j nryTj;njhif '805 khepy Nrkeyepjp V>rp apy; Kd;gzq;fs; nghJ Nrkeyepjp
fPo;f;fz;l jiyg;gpd; fPo; fzf;fplg;gl Ntz;baJ.
5.Nkw;fz;l njhif khjk; Kjy; gpbj;jk; nra;ag;gLk;.
fzf;Fj;jiyg;G
8009-khepy Nrk ey epjp rptpy; -101-nghJ Nrk ey epjp - Kd;gzk; - cg tpjp 15 V (8009-01-101-VV-004)
,izg;G
1. rk;gsk; & 0
2. ,d;iwa ehspy; fzf;F ,Ug;gpy; cs;s njhifiag; gw;wpait
m) 0 Mz;L khepy fzf;fhau; fzf;Fr; rPl;bd;gb & 0
M) 0 Kjy; 0 tiu re;jh kw;Wk; jpUk;g nrYj;jpaJ & 0
nkhj;jk; & 0
,) ,jw;fpilNa ngw;w Kd;gzj;njhif & 0
<) ,d;iwa fzf;fpy; ,Ug;G & 0

3. epYitapy; cs;s jw;fhypf Kd;gzk;> toq;fg;gl;l fhuzk; Mfpaitgw;wp tpguk;

toq;fg;gl;l njhif toq;fg;gl;l fhuzk; epYitj; njhif
%.K.vz;: 0
ehs;: 0 nryT & 0
& 0
efy;: 1. rhu;epiyf; fUT+y mYtyu;> jpUg;gj;J}u; 3. rk;ke;jg;gl;ltu;
2. khepyf; fzf;fhau; mtu;fs;> nrd;id 4.gl;bay;
gpwe;j Njjp: Xa;T ngWk; Njjp
 nghJ tUq;fhy NrkepjpapypUe;J jw;fhypf Kd;gzk;
ngWtjw;fhd tpz;zg;gk;

1. re;jhjhuupd; ngau; 0

2. fzf;F vz; 0

3. jFjp 0

4. rk;gsk;> mftpiyg;gb kw;Wk; ,ju gbfs; BP + GP &

DA &
HRA &
MA &
4.1. nkhj;jk; & 0
4.2. tpz;zg;gpf;Fk; khjj;jpy; gpbj;jq;fs; TOT DEDUCT &
epfuj; njhif ( 4.1 - 4.2 ) & 0
5. ,d;iwa ehspy; fzf;F ,Ug;gpy; cs;s njhifiag; gw;wpait
m) 0 Mz;L khepy fzf;fhau; fzf;Fr; rPl;bd;gb & 0
M) 0 Kjy; 0 tiu re;jh kw;Wk; jpUk;g nrYj;jpaJ & 0
nkhj;jk; & 0
,) ,jw;fpilNa ngw;w Kd;gzj;njhif & 0
<) tpz;zg;g ehspy; fzf;fpy; ,Ug;Gj;njhif & 0

6. epYitapy; cs;s jw;fhypf Kd;gzk;> toq;fg;gl;l fhuzk; Mfpaitgw;wp tpguk;

toq;fg;gl;l njhif toq;fg;gl;l fhuzk; epYitj; njhif
%.K.vz;: 0
ehs;: 0 nryT & 0
& 0

7. NfhUk; Kd;gzj; njhif & 0

8. Kd;gzk; NfhUtjw;fhd fhuzk;

Nrkeyepjp tpjpfs;; 14(i) v (ii) (iii) rp (i) (ii) fspd;gb kidtpapd; kUj;Jt

9. jw;NghJ xd;W jpul;ba njhif & 0

gpbj;jk; nra;ag;gl Ntz;ba khjhe;jpu jtizj; njhif & 0

10. jw;fhypf Kd;gzk; NfhUtjw;fhd re;jhjhuupd;

#o;epiyfSk; fhuzq;fSk; gw;wpa KO tpguk; 0

tpz;zg;gjhuupd; ifnahg;gk;
 TAMIL NADU TREASURY CODE FORM NO 40 - A 8009-State Provident Funds 01-Civil
{ see instructions 4-(i) to (iii) under Treasury Rule 17 } 101-General Provident Fund SA-15A
BILL FOR WITHDRAWAL FORM GENERAL AND OTHER PROVIDENTFUNDS ( MADRAS )
District: Sub Account: 15A Voucher No: of 2014
State Provident Fund GENERAL Provident Fund Rupee Branch EDUCATION
Bill for withdrawing Final Payment/Advance/Other withdrawals from the General provident Fund of 0 0
for the month of the establishment of the office of
Nature of withdrawal
Name and Designation of Pay Fund account
Serial No. Number and date of sanction letter of authority Final Acquitances Remarks
Subscriber Rs. Number Advances Others
Payments

0 R C NO
1 0 0 0 0
0 DATE

0
0

Total 0
Deduct amounts short drawn in this bill
Particulars of amount refunded Net Amount 0
Fund Net Amount required for Payments 0 /-
Serial Name and Designation of Particulars of
account Date of Drawal Amount now refunded
Number Subscriber amount drawn
Number
Only)

(Rs. Only)

Signature of the Drawing Officer

Rs.

Designation
Total
UNDER Rs. 1 /-

Contents Received Please issued the

Amount to Individual ECS Account
Station: 0 Please pay to

Date: 0 Signature
T N TC 40 A
1.Certified that I have satisfied my self that all sums included in bills (Form No.40-A) drawn one month/two months/three months previous to this date favour of Thiru/Tmt 0
Account No. 0 with the exception of those detailed'(of which the total has been refunded by deduction in this bill) have been disbursed to the proper person
that their "acquitances" have been taken and field in my office with receipt stamps duly cancelled for every payment in excess of Rs.20.

2. Certified that the balance in the funded my credit on the date of withdrawel covers the sum drawn in the bill.
he credit of the subscribe

3. Certified that the policy / policies detailed below has / have already been assigned in favour of the Governer of Tamilnadu and forwarded to the accounts officers for safe custoty / the
detail of the policy / policies proposed to be taken up have been communicated and accepted by the account officers in his letter. No. dated.

Name of the Subscriber with

Name of the
Serial No. providentend fund Account No. of Policy Amount of Premium Due date of Premium Stock No.
Company
Number
1 2 3 4 5 6 7
1 Certified that the amount was not drawn and paid before,
2 Certificate that exceed of six month of Temp.Advance / one year of partfinal withdrawal.
3
4

4. Certified that in respect of withdrawals made in bills ( Form.No.40-A ) one month / two months / three months previous to this date towards payment of insurance premia, the original
premia receipt have been with in one month of the date of withdrawal forwarded to the accountant General Madras for security with the exception to those relating to for
Rs. , and that necessary endorsements have been made on the receipts to the effect that no abatement of incometax is admissiable.

5. (A) Certified that the number of the policies financed from the providendent fund does not exceed four
(B) or Certified that the number of the policies financed from the providendent fund which exceed four, Signature
6.(a) certified that this amount drawn in this bill is for payment of the first premium to take up a fresh policy.
(b) certified that the policy is / policies are full force and free from encumbrance. Pay to
Examined and entered Accountant ( Rupees )

for use on Audit Office Treasury / Accounts / Officers

Rs. Item Of Details of Objection if any

Admitted

Objected __________

Total Auditor Accountant

NOTE:- The bills for withdrawal of advances / final withdrawal should be supported by a duly certified copy of the sanction in the proper from the letter of authority issued by the Audit Office in the cse of
non-gazetted Government Servants, the copy should by the Head of Office. In the case of bills for withdrawal for payment of insurance premia reference to the letter of authority issued by the Audit officer
permitting the withdrawal should be quoted as also reference in this stock number alloted to the policy assigned in favour of the Governer of Tamilnadu and sent to the Audit officer for safe custoty.
Certificate 05(a) or 5(b) may be retained according as the number of policies does not exceed or exceed four in each individual case. The drawing officers should not present and Treasury Officers
should not honour the bills in respet of claims made after the expiry of the period of grace allowed from the due date for payment of pemium specified in the statement in the statement below the
certificate ( 2). The period of grace should invariably be mentioned in the bill.