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Signed (1) - 240403 - 124801
Signed (1) - 240403 - 124801
Case No. 1023552965 Place of Payment (Treasury/ Sub Treasury) DISTRICT TREASURY OFFICER, FARIDKOT
3. Gender Male
(v) PAN
6. Date of Birth of the Govt. Employee 03/03/1966
10. Pay Band & GP/Level Last held 29700-94100 & LEVEL-08
14. Debitable to Head of Account 2071-Pension & Other Retirement Benefits 01-Civil
(iv)Date of restoration of Pension The commuted portion of pension will be restored after 15 years from the
month following the month of payment.
19. (i) Emoluments for DCRG, Service Gratuity(if
applicable) with break up i.e Pay,DA,NPA etc.
(ii) Basic Pay+Grade Pay+IR, if any 56900/-
Total: 76246/-
Instructions:
1. Until further notice and on the expiry of every month, please pay to SHRI RAJ KUMAR, the above said Pension (as set
out in part I & II of this order) the amount of Dearness Relief as admissible from time to time there on after due identification
of the Pensioner, subject to the condition(s) below and Punjab Govrment (FD) Notification dated 17.08.2009 (can be seen at
www.agpunjab.gov.in or www.pbfinance.gov.in).
3. Dearness Relief is payable with reference to the amount of pension before commutation.
In the event of death of SHRI RAJ KUMAR, Family Pension at Rs 17070/- Per month (normal rate of Family Pension)
4. may be paid to Shrimati KAMLESH RANI as per condition mentioned in Punjab Civil Services Rules Volume-II
PART-IV
(For Pension Disburshing Authority-Record of Initial pension and revision there of) Amount of
Pension at the time of Retirement (Rs.).....................
Amount of Dearness Relief (DR) at the time of Retirement...................................................
Total Montthly Initial of the
Letter No. Date of Amount of Revised Brief Reason Amount of
Pension Plus Remarks Designated
and Date effect Pension(Rs) of Revision Revised DR(Rs)
DR(Rs) Officer
PART-V
Record of Transfer of PPO from one Pension Disbursing Authority to another, if any:
Sr. No. Full Particulars of PDA at Date upto which Pension Full particulars of PDA Date and Signature of
which Pension is Drawn before has been paid to which PPO is authorized officer of
transfer transferred transferring PDA
PART-VI
Periodical Identification of the Pensioner
(To be done annually in the month of November each year)
Sr. Ack No. of Life Initial of the Remarks Sr. Ack No. of Life Initial of the Remarks
No. Certificate Received designated No. Certificate Received designated
physically/electronically officer physically/electronically officer
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PART-VII
Record of disbursement
(To be maintained by the Bank in the following proforma)
Month for which Basic Pension OAA IR DR FMA Total Date of Initials
Pension is due (Rs.) Payment
Standing Instruction :
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Specfic Instruction :
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