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GA 76 New Form No. GA 36 C

GFAR 189 Rule 150(1)

Reference No:45163126 Government of Rajasthan Month/Year:Mar/2023

Surrender Bill (Inner Sheet)
Detailed Surrender Bill of Permanent/Temporary establishment of : Dr. S.N. Medical College, Jodhpur OfficeID:1910
Name of DDO:OFFICE OF THE PRINCIPAL CONTROLER DR SN MEDICAL COLLAGE DDO Code:1910

Bill No & Date:45163126-28/03/2023 Demand No:26 TAN No:JDHD01770G Object Head:01

Budget Head:2210-05-105-01-05/SF/V SF:0.00 Non Plan:0.00 CA: 0.00 NA: 0.00
SR No. Gpf/PRAN No. Name -------{Pay Allowance}------ Gross --{Pay Deduction }---- Sum Of Net Total

r
Date Of Birth Designation Amount Deduction

e
Belt No. Employee ID
PAN No.

ag
Bank A/C. No.
St. Ins. NO.
Pay Scale Aadhar No.

an
Basic Pay Sanction No./Date
GradePay/DP
1 667266- RAMANAND GEHLOT DP 98 2987.00 50379.00 50379.00
03/08/1958
914 RJJO199124020723
51039268614

ay M NPA
Basic
99

S
100
1195.00
5975.00

P
695194
10000-325-15200

11950
DA

IF M
104 40222.00

0/5975

For the Financial Year of : 2022-2023

Gross Amount: 50379.00 Deduction Amount:0.00 Net Amount:50379.00
Amount in words:FIFTY THOUSAND THREE HUNDRED SEVENTY NINE ONLY

Certificates:
1. All Required information including bank account details in this bill has been checked and verified.
2. Certified that I Personally examined and satisfied myself about the genuineness of the claim that the pay and allowance of the employee included in this bill are strictly
in accordance with rules and that the said employee are entitled to such pay and allowance.
3. Encash of above leave has been entered in Service Book of employee(s) with RED Ink.
4. It is certify that I have carefully examined and verified the master data of the said claim

Enclosures(System generated/Scanned)^
0
Sign(With Seal)/e-Sign/Digital ESign of DDO
Enclosures marked(^) are to be printed in the bill as per selection from dropdown menu according to the requirements defined under relevant rules

Disclaimer : All contents related to this bill are provided by Head of Office/DDO and he/ she is solely responsible for it.
S/W Courtsey National informatics centre, Rajasthan State Unit (http://paymanager.raj.nic.in) Group Name: MCG260Print Date & Time : 29/03/2023 13:03 PM