Declaration of the Employee for EHS Scheme

Iby name Mr. E.Sai Kumar, S/o Late Sri

E.Madhu, Junior Assistant O/o District Coordinator of
Hospital services, Chittoor vide Employee CFMS
ID:15078846 is hereby declare that my self-working
inO/o District Coordinator of Hospital services, Chittoor
wef 11.01.2021 to till to date as per the
records maintained in this office.

SL. CFMS ID First Last Mobile No Email id Date of Designation

No Name Name
joining
15078846 SAI ERAMUNI 8498823135 saikumareramuni@ 11.01.2021 Junior
KUMAR
gmail.com Assistant

Declaration of the Employee for the EHS Health card

Ideclare that the above information is true to the best of my
knowledge and submitting
to Dr. YSR. Aarogyasri Health Care trust for to
provide EHS Health card.

I certify that the above furnished information by the applicant is

found to be true and
recommend the Dr. YSR. Aarogyasri Health Care trust (EHS) authority for necessary action

tSai Lu siahatr
Employee
DDO/HOD/Controlling Officer Signature with seal
 SALARY CERTIFICATE
is drawing the following pay emoluments
that Sri.E.Sai Kumar, Junior Assistant, O/o, Dist, Coordinator of Hospital Services, Chittoor
Thsis to certify
below table.
for the nonths mentioned in the
Deductio NET
Other PT SWF EHS
Sl. CCA Gross GPF APGLI GIS
Month Sasic pay DA HRA
Allow.
No
225 455 35128
30 200
5193 4150 300 35583
1 October, 2022 25940

225 455 35128

30 200
2 November, 2022 25940 5193 4150 300 35583

50 225 505 35078

30 200
December, 2022 25940 5193 4150 300 35583
3
455 35128
30 200 225
4 January. 2023 25940 5193| 4150 300 35588

225 455 35128

35583 30 200
5 February, 2023 25940 5193 4150 300

200 20 225 475 35108

35583 30
6 March, 2023 25940 5193 4150 300

ASsistant Finance ffiter,

O/o. Dist.Co-ordinator of Hospitar sevice
Chittoor