Page No.

: 1

GA 76 New Form No. GA 36 B

GFAR 189 Rule150(1)
Government Of Rajasthan
Da Arrear Bill (Inner Sheet)
Reference No. : 50412262 Month/Year : February / 2024
Detailed DA Arrear Bill of Permanent/Temporary establishment of : Principal Medical Officer SDH, Khetari (Jhunjhunu) (20408) Office ID : 20408
Name Of DDO : Principal Medical Officer SDH, Khetari DDO Code : 311287

Bill No. : 50412262 Bill Date : 05/02/2024 Demand No.: 27 TAN No. : JPRGO4036E Object Head : 01
Budget Head : 2210-01-110-03-01/SF/Voted SF: 0.00 CA: 0.00 NA: 0.00
GPF No. Employee Name Nominee Name Month Pay Allowance Pay Allowance Difference of Gross Pay Deduction Pay Deduction Difference of Net
Belt No. Designation Date of Death & already drawn to be drawn Gross Amount Amount already to be deducted Amount to be Amount to
Sr. St. Ins. No. Employee ID (Only where Payment is made Year to be drawn deducted deducted be paid

r
No PayScale to Nominee)

e
. DP/Grade Pay Name of Bank/
Basic Pay Name of Branch

ag
Bank Account No.
1 RJJJ2012230062 RAMNIWASH SAINI Jan-23 GPF GPF
Basic 27100.00 Basic 27100.00 27100.00

an
69 2004 1625.00 2004 2709.00 1084.00
STATE BANK OF INDIA DA 10298.00 DA 11382.00 1084.00 1084.00 0.00
RJJJ201223006269
1210442 (KHETRI)
L8 51101923072 () Feb-23 GPF GPF
Basic 27100.00 Basic 27100.00 27100.00

M
0/0 2004 1625.00 2004 2709.00 1084.00

ay
27900 DA 10298.00 DA 11382.00 1084.00 1084.00 0.00

MS
Mar-23 GPF GPF
Basic 27100.00 Basic 27100.00 27100.00

P
2004 1625.00 2004 2709.00 1084.00
DA 10298.00 DA 11382.00 1084.00 1084.00 0.00

2 RJJJ2015230227 Dr. MANISHA

69
Jan-23 Basic 67000.00
IF
Months Consolidated Gross Total :
Basic 67000.00 67000.00
3252.00
GPF
2004 4200.00
Months Consolidated Net Total :
GPF
2004 7416.00 3216.00
0.00

STATE BANK OF INDIA DA 30552.00 DA 33768.00 3216.00 3216.00 0.00

RJJJ201523022769
1232324 (SULTANA)
L14 61297924473 () Feb-23 GPF GPF
Basic 67000.00 Basic 67000.00 67000.00
0/0 2004 4200.00 2004 7416.00 3216.00
69000 DA 30552.00 DA 33768.00 3216.00 3216.00 0.00
Mar-23 GPF GPF
Basic 67000.00 Basic 67000.00 67000.00
2004 4200.00 2004 7416.00 3216.00
DA 30552.00 DA 33768.00 3216.00 3216.00 0.00

Months Consolidated Gross Total : 9648.00 Months Consolidated Net Total : 0.00

Note : Old DA Rate is38.0000 percent , New DA Rate is 42.0000 Percent

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) GroupName: SUB DIVISIONAL PLAN Print Date & Time : 05/02/2024 11:02 AM
 Page No. : 2
GPF No. Employee Name Nominee Name Month Pay Allowance Pay Allowance Difference of Gross Pay Deduction Pay Deduction Difference of Net
Belt No. Designation Date of Death & already drawn to be drawn Gross Amount Amount already to be deducted Amount to be Amount to
Sr. St. Ins. No. Employee ID (Only where Payment is made Year to be drawn deducted deducted be paid
No PayScale to Nominee)
. DP/Grade Pay Name of Bank/
Basic Pay Name of Branch
Bank Account No.
3 RJCR201512003 AKSHAY KUMAR Jan-23 GPF GPF
Basic 69000.00 Basic 69000.00 69000.00
871 2004 4200.00 2004 7512.00 3312.00
STATE BANK OF INDIA DA 31464.00 DA 34776.00 3312.00 3312.00 0.00
RJCR201512003871
1241060 (SITAPURA INDUST.
L16 AREA, JAIPUR ) Feb-23 GPF GPF
Basic 69000.00 Basic 69000.00 69000.00
0/0 61076192315 () 2004 4200.00 2004 7512.00 3312.00
75700 DA 31464.00 DA 34776.00 3312.00 3312.00 0.00
Mar-23 GPF GPF
Basic 69000.00 Basic 69000.00 69000.00
2004 4200.00 2004 7512.00 3312.00
DA 31464.00 DA 34776.00 3312.00 3312.00 0.00

Months Consolidated Gross Total : 9936.00 Months Consolidated Net Total : 0.00
4 568964

567683
L15
SATYAVEER
I
RJJJ198623012550
STATE BANK OF INDIA
(KHETRI)
Jan-23 Basic 86400.00

DA 32832.00
Basic 86400.00

DA 36288.00

g e r
86400.00

3456.00 3456.00
GPF 6150.00 GPF 9606.00 3456.00

0.00
0/0
89000
51051878408 () Feb-23

Mar-23
Basic 86400.00

DA 32832.00

Basic 86400.00
a a
Basic 86400.00

nDA 36288.00

Basic 86400.00
86400.00

3456.00

86400.00
3456.00
GPF 6150.00

GPF 6150.00
GPF 9606.00

GPF 9606.00
3456.00

3456.00
0.00

ay M DA 32832.00 DA 36288.00

S
3456.00 3456.00
Months Consolidated Gross Total : 10368.00 Months Consolidated Net Total :
0.00

0.00
5 848074

941685
L12
0/0
59500
DAYA KOR
II
RJTO199836003931
STATE BANK OF INDIA
(KHETRI)
51071980429 ()
P Jan-23

Feb-23
Basic 57800.00

DA 21964.00

Basic 57800.00

DA 21964.00
IF M
Basic 57800.00

DA 24276.00

Basic 57800.00

DA 24276.00
57800.00

2312.00

57800.00

2312.00
2312.00

2312.00
GPF 5000.00

GPF 5000.00
GPF 7312.00

GPF 7312.00
2312.00

2312.00
0.00

0.00
Mar-23 Basic 57800.00 Basic 57800.00 57800.00 GPF 5000.00 GPF 7312.00 2312.00

DA 21964.00 DA 24276.00 2312.00 2312.00 0.00

Months Consolidated Gross Total : 6936.00 Months Consolidated Net Total : 0.00
6 RJJJ2016230097 SAVITA KUMARI Jan-23 GPF GPF
Basic 43800.00 Basic 43800.00 43800.00
65 -II 2004 2850.00 2004 4602.00 1752.00
PUNJAB NATIONAL BANK DA 16644.00 DA 18396.00 1752.00 1752.00 0.00
RJJJ201623009765
1233364 (PILANI JHUNJHUNU)
L11 6892000100062785 () Feb-23 GPF GPF
Basic 43800.00 Basic 43800.00 43800.00
0/0 2004 2850.00 2004 4602.00 1752.00
45100 DA 16644.00 DA 18396.00 1752.00 1752.00 0.00

Note : Old DA Rate is38.0000 percent , New DA Rate is 42.0000 Percent

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) GroupName: SUB DIVISIONAL PLAN Print Date & Time : 05/02/2024 11:02 AM
 Page No. : 3
GPF No. Employee Name Nominee Name Month Pay Allowance Pay Allowance Difference of Gross Pay Deduction Pay Deduction Difference of Net
Belt No. Designation Date of Death & already drawn to be drawn Gross Amount Amount already to be deducted Amount to be Amount to
Sr. St. Ins. No. Employee ID (Only where Payment is made Year to be drawn deducted deducted be paid
No PayScale to Nominee)
. DP/Grade Pay Name of Bank/
Basic Pay Name of Branch
Bank Account No.
6 RJJJ2016230097 SAVITA KUMARI Mar-23 GPF GPF
Basic 43800.00 Basic 43800.00 43800.00
65 -II 2004 2850.00 2004 4602.00 1752.00
PUNJAB NATIONAL BANK DA 16644.00 DA 18396.00 1752.00 1752.00 0.00
RJJJ201623009765
1233364 (PILANI JHUNJHUNU)
Months Consolidated Gross Total : 5256.00 Months Consolidated Net Total : 0.00
7 RJJJ2016230077 NEELAM Jan-23 GPF GPF
Basic 43800.00 Basic 43800.00 43800.00
19 II 2004 2850.00 2004 4602.00 1752.00
STATE BANK OF INDIA DA 16644.00 DA 18396.00 1752.00 1752.00 0.00
RJJJ201623007719
1233365 (CHIRAWA)
L11 33541978637 () Feb-23 GPF GPF
Basic 43800.00 Basic 43800.00 43800.00
0/0 2004 2850.00 2004 4602.00 1752.00
45100 DA 16644.00 DA 18396.00 1752.00 1752.00 0.00
Mar-23 Basic 43800.00

DA 16644.00
Basic 43800.00

DA 18396.00

g e r
43800.00

1752.00 1752.00
GPF
2004 2850.00
GPF
2004 4602.00 1752.00
0.00

8 RJJJ2015230062 DR. SONAL THOLIA

11
STATE BANK OF INDIA
Jan-23 Basic 73200.00

DA 33379.00
a n a
Months Consolidated Gross Total :
Basic 73200.00

DA 36893.00
73200.00

3514.00
5256.00

3514.00
GPF
2004 4200.00
Months Consolidated Net Total :
GPF
2004 7714.00 3514.00
0.00

0.00

M
RJJJ201523006211
1263547 (CHIRAWA)
Feb-23 GPF GPF

ay
L16 61269828014 () Basic 73200.00 Basic 73200.00 73200.00
0/0 2004 4200.00 2004 7714.00 3514.00
78000 DA 33379.00
S
DA 36893.00 3514.00 3514.00 0.00

9 RJJJ2009230010 SAHI RAM VERMA

P Mar-23

Jan-23
Basic 73200.00

DA 33379.00

Basic 51400.00
IF M
Basic 73200.00

DA 36893.00

Basic 51400.00
73200.00

3514.00 3514.00
Months Consolidated Gross Total : 10542.00
51400.00
GPF
2004 4200.00

GPF
GPF
2004 7714.00 3514.00

Months Consolidated Net Total :

GPF
0.00

0.00

24 II 2004 2850.00 2004 4906.00 2056.00

STATE BANK OF INDIA DA 19532.00 DA 21588.00 2056.00 2056.00 0.00
RJJJ200923001024
1070586 (KHETRI)
L12 51051934736 () Feb-23 GPF GPF
Basic 51400.00 Basic 51400.00 51400.00
0/0 2004 2850.00 2004 4906.00 2056.00
52900 DA 19532.00 DA 21588.00 2056.00 2056.00 0.00
Mar-23 GPF GPF
Basic 51400.00 Basic 51400.00 51400.00
2004 2850.00 2004 4906.00 2056.00
DA 19532.00 DA 21588.00 2056.00 2056.00 0.00

Months Consolidated Gross Total : 6168.00 Months Consolidated Net Total : 0.00

Note : Old DA Rate is38.0000 percent , New DA Rate is 42.0000 Percent

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) GroupName: SUB DIVISIONAL PLAN Print Date & Time : 05/02/2024 11:02 AM
 Page No. : 4
GPF No. Employee Name Nominee Name Month Pay Allowance Pay Allowance Difference of Gross Pay Deduction Pay Deduction Difference of Net
Belt No. Designation Date of Death & already drawn to be drawn Gross Amount Amount already to be deducted Amount to be Amount to
Sr. St. Ins. No. Employee ID (Only where Payment is made Year to be drawn deducted deducted be paid
No PayScale to Nominee)
. DP/Grade Pay Name of Bank/
Basic Pay Name of Branch
Bank Account No.
10 0 SANDEEP MAAN Jan-23 GPF GPF
Basic 40100.00 Basic 40100.00 40100.00
II 2004 2850.00 2004 4454.00 1604.00
1382928 STATE BANK OF INDIA DA 15238.00 DA 16842.00 1604.00 1604.00 0.00
RJAL201602009494
L11 (BUHANA )
0/0 61157398188 () Feb-23 GPF GPF
Basic 40100.00 Basic 40100.00 40100.00
40100 2004 2850.00 2004 4454.00 1604.00
DA 15238.00 DA 16842.00 1604.00 1604.00 0.00
Mar-23 GPF GPF
Basic 40100.00 Basic 40100.00 40100.00
2004 2850.00 2004 4454.00 1604.00
DA 15238.00 DA 16842.00 1604.00 1604.00 0.00

Months Consolidated Gross Total : 4812.00 Months Consolidated Net Total : 0.00
11 RJJJ2008230506 SUSHILA KUMARI
94

1068934
-II
RJJJ200823050694
STATE BANK OF INDIA
(CHIRAWA)
Jan-23 Basic 43800.00

DA 16644.00
Basic 43800.00

DA 18396.00

g e r
43800.00

1752.00 1752.00
GPF
2004 2850.00
GPF
2004 4602.00 1752.00
0.00
L11
0/0
45100
61044051733 () Feb-23

Mar-23
Basic 43800.00

DA 16644.00

Basic 43800.00
a a
Basic 43800.00

nDA 18396.00

Basic 43800.00
43800.00

1752.00

43800.00
1752.00
GPF
2004 2850.00

GPF
GPF
2004 4602.00

GPF
1752.00
0.00

M
2004 5000.00 2004 6752.00 1752.00

ay
DA 16644.00 DA 18396.00 1752.00 1752.00 0.00

S
Months Consolidated Gross Total : 5256.00 Months Consolidated Net Total : 0.00
12 RJJJ2016230094 POONAM SAINI
26

1263568
L11
0/0
45100
II
RJJJ201623009426
STATE BANK OF INDIA
(KHETRI)
61065736698 ()
P Jan-23

Feb-23
Basic 43800.00

DA 16644.00

Basic 43800.00

DA 16644.00
IF M
Basic 43800.00

DA 18396.00

Basic 43800.00

DA 18396.00
43800.00

1752.00

43800.00

1752.00
1752.00

1752.00
GPF
2004 2850.00

GPF
2004 6954.00
GPF
2004 4602.00

GPF
2004 8706.00
1752.00

1752.00
0.00

0.00
Mar-23 GPF GPF
Basic 43800.00 Basic 43800.00 43800.00
2004 6954.00 2004 8706.00 1752.00
DA 16644.00 DA 18396.00 1752.00 1752.00 0.00

Months Consolidated Gross Total : 5256.00 Months Consolidated Net Total : 0.00
13 RJJJ2016230102 SUNITA GURJAR Jan-23 GPF GPF
Basic 43800.00 Basic 43800.00 43800.00
56 II 2004 2850.00 2004 4602.00 1752.00
STATE BANK OF INDIA DA 16644.00 DA 18396.00 1752.00 1752.00 0.00
RJJJ201623010256
1233367 (KHETRI)
L11 61227840030 () Feb-23 GPF GPF
Basic 43800.00 Basic 43800.00 43800.00
0/0 2004 2850.00 2004 4602.00 1752.00
45100 DA 16644.00 DA 18396.00 1752.00 1752.00 0.00

Note : Old DA Rate is38.0000 percent , New DA Rate is 42.0000 Percent

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) GroupName: SUB DIVISIONAL PLAN Print Date & Time : 05/02/2024 11:02 AM
 Page No. : 5
GPF No. Employee Name Nominee Name Month Pay Allowance Pay Allowance Difference of Gross Pay Deduction Pay Deduction Difference of Net
Belt No. Designation Date of Death & already drawn to be drawn Gross Amount Amount already to be deducted Amount to be Amount to
Sr. St. Ins. No. Employee ID (Only where Payment is made Year to be drawn deducted deducted be paid
No PayScale to Nominee)
. DP/Grade Pay Name of Bank/
Basic Pay Name of Branch
Bank Account No.
13 RJJJ2016230102 SUNITA GURJAR Mar-23 GPF GPF
Basic 43800.00 Basic 43800.00 43800.00
56 II 2004 2850.00 2004 4602.00 1752.00
STATE BANK OF INDIA DA 16644.00 DA 18396.00 1752.00 1752.00 0.00
RJJJ201623010256
1233367 (KHETRI)
Months Consolidated Gross Total : 5256.00 Months Consolidated Net Total : 0.00
14 RJJJ2016230089 SONU JANGIR Jan-23 GPF GPF
Basic 43800.00 Basic 43800.00 43800.00
39 -II 2004 2850.00 2004 4602.00 1752.00
STATE BANK OF INDIA DA 16644.00 DA 18396.00 1752.00 1752.00 0.00
RJJJ201623008939
1233362 (CHIRAWA)
L11 61317733300 () Feb-23 GPF GPF
Basic 43800.00 Basic 43800.00 43800.00
0/0 2004 5850.00 2004 7602.00 1752.00
45100 DA 16644.00 DA 18396.00 1752.00 1752.00 0.00
Mar-23 Basic 43800.00

DA 16644.00
Basic 43800.00

DA 18396.00

g e r
43800.00

1752.00 1752.00
GPF
2004 5850.00
GPF
2004 7602.00 1752.00
0.00

15 1101219018

1233322
DR. PRAVEEN KUMAR
SHARMA
STATE BANK OF INDIA
Jan-23 Basic 67000.00

DA 30552.00
a n a
Months Consolidated Gross Total :
Basic 67000.00

DA 33768.00
67000.00

3216.00
5256.00

3216.00
GPF
2004 4200.00
Months Consolidated Net Total :
GPF
2004 7416.00 3216.00
0.00

0.00

M
L14 (Singhana)
RJJJ201623026576 Feb-23 GPF GPF

ay
0/0 61321746018 () Basic 67000.00 Basic 67000.00 67000.00
69000 2004 4200.00 2004 7416.00 3216.00
DA 30552.00
S
DA 33768.00 3216.00 3216.00 0.00

16 RJCR201312013 HARSH SOBHARI

P Mar-23

Jan-23
Basic 67000.00

DA 30552.00

Basic 87800.00
IF M
Basic 67000.00

DA 33768.00

Basic 87800.00
67000.00

3216.00

Months Consolidated Gross Total :

87800.00
3216.00
9648.00
GPF
2004 4200.00

GPF
GPF
2004 7416.00 3216.00

Months Consolidated Net Total :

GPF
0.00

0.00

722 2004 6150.00 2004 10364.00 4214.00

STATE BANK OF INDIA DA 40037.00 DA 44251.00 4214.00 4214.00 0.00
RJCR201312013722
1182192 (RAJ BHAWAN ROAD,
L16 KOTA) Feb-23 GPF GPF
Basic 87800.00 Basic 87800.00 87800.00
0/0 61060398685 () 2004 6150.00 2004 10364.00 4214.00
90400 DA 40037.00 DA 44251.00 4214.00 4214.00 0.00
Mar-23 GPF GPF
Basic 87800.00 Basic 87800.00 87800.00
2004 6150.00 2004 10364.00 4214.00
DA 40037.00 DA 44251.00 4214.00 4214.00 0.00

Months Consolidated Gross Total : 12642.00 Months Consolidated Net Total : 0.00

Note : Old DA Rate is38.0000 percent , New DA Rate is 42.0000 Percent

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) GroupName: SUB DIVISIONAL PLAN Print Date & Time : 05/02/2024 11:02 AM
 Page No. : 6
GPF No. Employee Name Nominee Name Month Pay Allowance Pay Allowance Difference of Gross Pay Deduction Pay Deduction Difference of Net
Belt No. Designation Date of Death & already drawn to be drawn Gross Amount Amount already to be deducted Amount to be Amount to
Sr. St. Ins. No. Employee ID (Only where Payment is made Year to be drawn deducted deducted be paid
No PayScale to Nominee)
. DP/Grade Pay Name of Bank/
Basic Pay Name of Branch
Bank Account No.
17 0 MR. DEEPAK RANA Jan-23 GPF GPF
Basic 24100.00 Basic 24100.00 24100.00
2004 5000.00 2004 5964.00 964.00
1341386 STATE BANK OF INDIA DA 9158.00 DA 10122.00 964.00 964.00 0.00
RJRA201531028609
L5 (YAMUNA NAGAR)
0/0 51115001530 () Feb-23 GPF GPF
Basic 24100.00 Basic 24100.00 24100.00
24800 2004 5000.00 2004 5964.00 964.00
DA 9158.00 DA 10122.00 964.00 964.00 0.00
Mar-23 GPF GPF
Basic 24100.00 Basic 24100.00 24100.00
2004 5000.00 2004 5964.00 964.00
DA 9158.00 DA 10122.00 964.00 964.00 0.00

Months Consolidated Gross Total : 2892.00 Months Consolidated Net Total : 0.00
18 RJCT201311026 ANIL KUMAR JANGIR
581

1160975
RJCT201311026581
STATE BANK OF INDIA
(BEGUN)
Jan-23 Basic 84900.00

DA 38714.00
Basic 84900.00

DA 42790.00

g e r
84900.00

4076.00 4076.00
GPF
2004 6150.00
GPF
2004 10226.00 4076.00
0.00
L14
0/0
87400
61086487680 () Feb-23

Mar-23
Basic 84900.00

DA 38714.00

Basic 84900.00
a a
Basic 84900.00

nDA 42790.00

Basic 84900.00
84900.00

4076.00

84900.00
4076.00
GPF
2004 6150.00

GPF
GPF
2004 10226.00

GPF
4076.00
0.00

M
2004 6150.00 2004 10226.00 4076.00

ay
DA 38714.00 DA 42790.00 4076.00 4076.00 0.00

S
Months Consolidated Gross Total : 12228.00 Months Consolidated Net Total : 0.00
Gross Amount :₹ 130608.00

Amount In Words : ZERO ONLY

Certificates :
P IF M
Deduction Amount : ₹130608.00

1. All requlred information including bank account details in this bill has been checked and verified.
Net Amount : ₹0.00

2. Certified that i have personally examined and satisfied myself about the genulneness of claim that the pay and allowance of the employee(s) included in this bill are strictly in accordance
with rules and FD Circular No. FD Rule Paycomm 7 42 & Date 25/03/2023 and that the said employee(s) are entitled to such pay and allowance.
3. The entry of this arrear has been made in relevant records whose arrear drawn in this bill.(According GF & AR rule 186 & 187(2)).
4. It is certify that i have carefully examined & verified the master data of the said claim.
Enclosured (System generated/Scanned)^:
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.

Note : Old DA Rate is38.0000 percent , New DA Rate is 42.0000 Percent

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) GroupName: SUB DIVISIONAL PLAN Print Date & Time : 05/02/2024 11:02 AM