Office of Supt.

Central Jail, Indore

Employee Code No : 170400167 M.P.T.C. Appendix 10
D.D.O. Code No : 1700302001 See Note 2 below Subsidiary Rules 220

LAST PAY CERTIFICATE

1. Last Pay Certificate of dq- fuf/k lksuh igjh
Office of the Central Jail Indore vVSp ftyk tsy bUnkSj
Proceeding on e/;izns’k 'kklu tsy foHkkx ea=ky; Hkksiky ds vkns’k Ø-
&1895@885696@rhu@tsy]Hkksiky fnukad
05-210-022 vuqlkjA
To. lc tsy 'kqtkyiqj
2. He has been paid up to Date 30.09.2022
Deductions at the following rates
Particulars Pay 21300
Pay.............
G.P...................
Pay............. D.A 7242
G.P.F. 2854 H.R NIL
G.I.S 200 U.A..................
P. Tax 166. C.A..................
H.R.A...............-............................... Total 28542.
Income Tax........-.............................
Total................3220................................
3. His General nps A/C t No. is 110134275158 Maintained by the
4. Accountant – General
He made over charge of the office of 14-09/2022
of the ..14-09-2022... Noon of
5. Recoveries are made from the pay of Government servant as detailed on the reverse
6. He has been paid leave salary as detail below deduction have been made as noted on the
Reveres.
From NIL to NIL at Rs NIL a month..........................
From NIL to NIL at Rs NIL a month..........................
From NIL to NIL at Rs NIL a month..........................
_____________________________________________________________________________
7. He Collect to draw following :-
8. He is also entided to joining time for................................................................................ days
9. The details of income tax recovered from his up to the date from beginning of the current year
are noted on the reveres.
Dated 30-10-2022 Signature and.......................................
Designation on Superintendent,
Central Jail Indore
______________________________________________________________________________
Note :- Against serial No. 3 of the information Should be incorporated by the head of office in case of
Gazetted Government servant and of the Treasury officer himself in case to Gazetted office in addition
when a Government servant is transferred from on and it circle to another the name of the account
officer will naviation his General provident Fund accountant officer transfer should also be record in
case of a Gazetted officer by the accountant General while countersigning the last pay certificate by
the head office in the case of Gazetted Government servant if possible.
 DETAILS OF RECOVERIES
Nature of recovery : NIL ¼ekg vizSy 2022 ls ekg flarcj 2022 rd izsQs’ku VsDV dkVk x;k
gS A ekg flrEcj 2022 es flfV vykmal 200@& ,oa /kqykbZ HkRrs :i;s 60@& dk
Hkqxrku ugha fd;k x;k gS A DEDUCTION FROM
LEAVE SALARY
Period Rate Amount
From NIL to NIL at Rs. a month
From NIL to NIL at Rs. a month
From NIL to NIL at Rs. a month

Name of month Pay Gratuity Fee etc. Funds and other Amount of income Remarks
deductions Tax recovered

April

May

June

July

August

September
---- NIL ----
October

November

December

January

February

March

lfVZfQdsV (CERTIFICATE)
e-iz- ’kklu foRr foHkkx Hkksiky ds Kkiu Øekad F/B/25.2.1994 fnukad 9.2.1995 ds vuqlkj
izekf.kr fd;k tkrk gS fd %&

1- lEcaf/kr deZpkjh ds vafre osru izek.k&i= dh izfr iznk; dh xbZ gSA

2- lsok iqfLrdk esa vko’;d izfof"B;ka dj nh xbZ gSA
3- mijksDr dVks=ks ds vfrfjDr vU; dksbZ dVks=k 'ks"k ugha gSA
 Office of Supt. Central Jail, Indore
Employee Code No : 170018671 M.P.T.C. Appendix 10
D.D.O. Code No : 1700302001 See Note 2 below Subsidiary Rules 220

LAST PAY CERTIFICATE

3. Last Pay Certificate of Smt. Amber Shukla
Office of the Central Jail Indore
Proceeding on e/;izns’k 'kklu tsy foHkkx ea=ky; Hkksiky ds vkns’k Ø-
&1892@871062@2022@rhu@tsy]Hkksiky fnukad 05-10-2022 A
To. dsUnzh; tsy Hkksiky
4. She has been paid up to Date
Deductions at the following rates
Particulars Rate Pay 33100
Pay............. G.P...................
Pay............. D.A 11254
N.P.S. 4,435 RS. H.R NIL
G.I.S 200 RS. U.A..................
P. Tax 208 RS. C.A..................
H.R.A.............................................. Total 44354 /-
Income Tax.....................................
Total........4843........................................
3. Her Account No. is - Maintained by the
4. Accountant – General ________
He made over charge of the office of 12-10-2022
of the .12-10-2022. Noon of
5. Recoveries are made from the pay of Government servant as detailed on the reverse
6. He has been paid leave salary as detail below deduction have been made as noted on the
Reveres.
From NIL to NIL at Rs NIL a month..........................
From NIL to NIL at Rs NIL a month..........................
From NIL to NIL at Rs NIL a month..........................
_____________________________________________________________________________
7. He Collect to draw following :-
8. He is also entided to joining time for....................................-............................................ days
9. The details of income tax recovered from his up to the date from beginning of the current year
are noted on the reveres.

Dated : 19-10-2022 Signature and.......................................

Designation on Superintendent,
Central Jail Indore
______________________________________________________________________________
Note :- Against serial No. 3 of the information Should be incorporated by the head of office in case of
Gazetted Government servant and of the Treasury officer himself in case to Gazetted office in addition
when a Government servant is transferred from on and it circle to another the name of the account
officer will naviation his General provident Fund accountant officer transfer should also be record in
case of a Gazetted officer by the accountant General while countersigning the last pay certificate by
the head office in the case of Gazetted Government servant if possible.

4-
Office of Supt. Central Jail, Indore
Employee Code No : 071013964 M.P.T.C. Appendix 10
D.D.O. Code No : 1700302001 See Note 2 below Subsidiary Rules 220

LAST PAY CERTIFICATE

1. Last Pay Certificate of Smt. Amber Shukla
Office of the Central Jail Indore
Proceeding on e/;izns’k 'kklu tsy foHkkx ea=ky; Hkksiky ds vkns’k Ø-
&1892@871062@2022@rhu@tsy] Hkksiky fnukad 05-10-2022 vuqlkjA
To...............................................
2. He has been paid up to Date 30.09.2022
Deductions at the following rates
Particulars Rate Pay 33100
Pay............. G.P...................
Pay............. D.A 11254
N.P.S. 4435 RS. H.R NIL
G.I.S 200 RS. U.A..................
P. Tax 208 RS. C.A..................
H.R.A.............................................. Total 44354 Rs.
Income Tax.....................................
Total................................................
3. Her General Provident Fund Account No. is - Maintained by the
4. Accountant – General -.
He made over charge of the office of 10/2022
of the ......................................... Noon of
5. Recoveries are made from the pay of Government servant as detailed on the reverse
6. He has been paid leave salary as detail below deduction have been made as noted on the
Reveres.
From NIL to NIL at Rs NIL a month..........................
From NIL to NIL at Rs NIL a month..........................
From NIL to NIL at Rs NIL a month..........................
_____________________________________________________________________________
7. He Collect to draw following :-
8. He is also entided to joining time for................................................................................ days
9. The details of income tax recovered from his up to the date from beginning of the current year
are noted on the reveres.

Dated : 20-10-2022 Signature and.......................................

Designation on Superintendent,
Central Jail Indore
______________________________________________________________________________
Note :- Against serial No. 3 of the information Should be incorporated by the head of office in case of
Gazetted Government servant and of the Treasury officer himself in case to Gazetted office in addition
when a Government servant is transferred from on and it circle to another the name of the account
officer will naviation his General provident Fund accountant officer transfer should also be record in
case of a Gazetted officer by the accountant General while countersigning the last pay certificate by
the head office in the case of Gazetted Government servant if possible.

DETAILS OF RECOVERIES
Nature of recovery : NIL ¼ekg vizSy 2022 ls ekg flarcj 2022 rd 208 :Ik;s izfrekg dVkS=k
izksQs’kuy VsDl dk fd;k x;k gSA vxkeh dk;ZOkkgh lqfu’fpr
djsA½
ekg flracj 2022 es fl-Vh- vykmal :Ik;s 200 Hkqxrku fd;k tkuk 'ks"k
gSA ½

DEDUCTION FROM LEAVE SALARY

Period Rate Amount
From NIL to NIL at Rs. a month
From NIL to NIL at Rs. a month
From NIL to NIL at Rs. a month

Name of month Pay Gratuity Fee etc. Funds and other Amount of income Remarks
deductions Tax recovered

April

May

June

July

August

September
---- NIL ----
October

November

December

January

February

March
 lfVZfQdsV (CERTIFICATE)

Office of Supt. Central Jail, Indore

Employee Code No : 170018672 M.P.T.C. Appendix 10
D.D.O. Code No : 1700302001 See Note 2 below Subsidiary Rules 220

LAST PAY CERTIFICATE

3. Last Pay Certificate of Jh /kesZUnz dVkjs izgjh
Office of the Central Jail Indore
Proceeding on e/;izns’k 'kklu tsy foHkkx ea=ky; Hkksiky ds vkns’k Ø-
&1895@885696@2022@rhu@tsy] Hkksiky fnukad 05-10-2022 vuqlkjA
To ftyk tsy eqjSuk
4. He has been paid up to Date 30.09.2022
Deductions at the following rates
Particulars Rate Pay 27000
Pay............. G.P...................
Pay............. D.A 9180
N.P.S. 3620. H.R NIL
G.I.S 200 RS. U.A..................
P. Tax 208 RS. C.A..................
H.R.A.............................................. Total .36180
Income Tax.....................................
Total.......4028.........................................
3. Her General Provident Fund Account No. is - Maintained by the
4. Accountant – General -.
He made over charge of the office of 14.10/2022
of the ......14-10-20222................................... Noon of
5. Recoveries are made from the pay of Government servant as detailed on the reverse
6. He has been paid leave salary as detail below deduction have been made as noted on the
Reveres.
From NIL to NIL at Rs NIL a month..........................
From NIL to NIL at Rs NIL a month..........................
From NIL to NIL at Rs NIL a month..........................
_____________________________________________________________________________
7. He Collect to draw following :-
8. He is also entided to joining time for................................................................................ days
9. The details of income tax recovered from his up to the date from beginning of the current year
are noted on the reveres.

Dated : 20-10-2022 Signature and.......................................

Designation on Superintendent,
Central Jail Indore
______________________________________________________________________________
Note :- Against serial No. 3 of the information Should be incorporated by the head of office in case of
Gazetted Government servant and of the Treasury officer himself in case to Gazetted office in addition
when a Government servant is transferred from on and it circle to another the name of the account
officer will naviation his General provident Fund accountant officer transfer should also be record in
case of a Gazetted officer by the accountant General while countersigning the last pay certificate by
the head office in the case of Gazetted Government servant if possible.

DETAILS OF RECOVERIES
Nature of recovery : NIL ¼ekg vizSy 2022 ls ekg flarcj 2022 rd 208 :Ik;s izfrekg dVkS=izksQs’kuy
VsDl dVks=k fd;k x;k gS A ekg 9] 2022 esa 200 flVh vykmal ,oa 60 onhZ vykmal dk Hkqxrku
'kS"k gS A vxkeh dk;ZOkkgh lqfu’fpr djsA½
ekg flracj 2022 es fl-Vh- vykmal :Ik;s 200 Hkqxrku fd;k tkuk 'ks"k gSA ½

DEDUCTION FROM LEAVE SALARY

Period Rate Amount
From NIL to NIL at Rs. a month
From NIL to NIL at Rs. a month
From NIL to NIL at Rs. a month

Name of month Pay Gratuity Fee etc. Funds and other Amount of income Remarks
deductions Tax recovered

April

May

June

July

August

September
---- NIL ----
October

November

December

January

February

March

fVZfQdsV (CERTIFICATE)
e-iz- ’kklu foRr foHkkx Hkksiky ds Kkiu Øekad F/B/25.2.1994 fnukad 9.2.1995 ds vuqlkj
izekf.kr fd;k tkrk gS fd %&

5- lEcaf/kr deZpkjh ds vafre osru izek.k&i= dh izfr iznk; dh xbZ gSA

 6- lsok iqfLrdk esa vko’;d izfof"B;ka dj nh xbZ gSA
7- mijksDr dVks=ks ds vfrfjDr vU; dksbZ dVks=k 'ks"k ugha gSA

Office of Supt. Central Jail, Indore

Employee Code No : 170018672 M.P.T.C. Appendix 10
D.D.O. Code No : 1700302001 See Note 2 below Subsidiary Rules 220

LAST PAY CERTIFICATE

5. Last Pay Certificate of Jh 'kEHkwyky vfgjokj] izgjh
Office of the Central Jail Indore ] vVsp dsUnh; tsy] Hkksiky
Proceeding on e/;izns’k 'kklu tsy foHkkx ea=ky; Hkksiky ds vkns’k Ø-
&1895@885696@2022@rhu@tsy] Hkksiky fnukad 05-10-2022 vuqlkjA
To...............................................
6. He has been paid up to Date 30-10.2022
Deductions at the following rates
Particulars Rate Pay 36200
Pay............. G.P...................
Pay............. D.A 12308
D.P.F./.N.P.S. -11000 H.R NIL
G.I.S 200. U.A..................
P. Tax 208. C.A..................
H.R.A.....................-......................... Total .48508
Income Tax..............-.......................
Total................11408........................
3. Her General Provident Fund Account No. is - Maintained by the
4. Accountant – General -.
He made over charge of the office of .10/2022
of the 12/2022 Noon of
5. Recoveries are made from the pay of Government servant as detailed on the reverse
6. He has been paid leave salary as detail below deduction have been made as noted on the
Reveres.
From NIL to NIL at Rs NIL a month..........................
From NIL to NIL at Rs NIL a month..........................
From NIL to NIL at Rs NIL a month..........................
_____________________________________________________________________________
7. He Collect to draw following :-
8. He is also entided to joining time for................................................................................ days
9. The details of income tax recovered from his up to the date from beginning of the current year
are noted on the reveres.

Dated : 30-10-2022 Signature and.......................................

Designation on Superintendent,
Central Jail Indore
______________________________________________________________________________
Note :- Against serial No. 3 of the information Should be incorporated by the head of office in case of
Gazetted Government servant and of the Treasury officer himself in case to Gazetted office in addition
when a Government servant is transferred from on and it circle to another the name of the account
officer will naviation his General provident Fund accountant officer transfer should also be record in
case of a Gazetted officer by the accountant General while countersigning the last pay certificate by
the head office in the case of Gazetted Government servant if possible.

DETAILS OF RECOVERIES
Nature of recovery : NIL ¼ekg vizSy 2022 ls ekg flarcj 2022 rd 208 :Ik;s izfrekg dVkS=izksQs’kuy
VsDl dVks=k fd;k x;k gS A ekg flrEcj]vEvksEcj 2022 esa 200 flVh vykmal ,oa 60 onhZ vykmal dk
Hkqxrku 'kS"k gS A vxkeh dk;ZOkkgh lqfu’fpr djsA½
ekg flracj 2022 es fl-Vh- vykmal :Ik;s 200 Hkqxrku fd;k tkuk 'ks"k gSA ½

DEDUCTION FROM LEAVE SALARY

Period Rate Amount
From NIL to NIL at Rs. a month
From NIL to NIL at Rs. a month
From NIL to NIL at Rs. a month

Name of month Pay Gratuity Fee etc. Funds and other Amount of income Remarks
deductions Tax recovered

April

May

June

July

August

September
--- NIL ----
October

November

December

January

February

March
 fVZfQdsV (CERTIFICATE)

Office of Supt. Central Jail, Indore

Employee Code No : 331017469 M.P.T.C. Appendix 10
D.D.O. Code No : 1700302001 See Note 2 below Subsidiary Rules 220

LAST PAY CERTIFICATE

7. Last Pay Certificate of Jh nhid fcMkjs] izgjh
8. Office of the Central Jail Indore vVsp ftyk tsy] bUnkSj
Proceeding on e/;izns’k 'kklu tsy foHkkx ea=ky; Hkksiky ds vkns’k Ø-
&1895@885696@2022@rhu@tsy] Hkksiky fnukad 05-10-2022 vuqlkjA
9. Tolc lc tsy dljkon
10. He has been paid up to Date 30.10.2022
Deductions at the following rates
Particulars Rate Pay 30300
Pay............. G.P...................
Pay............. D.A 10302
N.P.S. 4060. H.R NIL
G.I.S 200 . U.A..................
P. Tax 208. C.A..................
H.R.A.............................................. Total .40602
Income Tax.....................................
Total.........4468.......................................
3. Her General Provident Fund Account No. is - Maintained by the
4. Accountant – General -.
He made over charge of the office of 30.10/2022
of the ......................................... Noon of
5. Recoveries are made from the pay of Government servant as detailed on the reverse
6. He has been paid leave salary as detail below deduction have been made as noted on the
Reveres.
From NIL to NIL at Rs NIL a month..........................
From NIL to NIL at Rs NIL a month..........................
From NIL to NIL at Rs NIL a month..........................
_____________________________________________________________________________
7. He Collect to draw following :-
8. He is also entided to joining time for................................................................................ days
9. The details of income tax recovered from his up to the date from beginning of the current year
are noted on the reveres.
Dated : 20-10-2022 Signature and.......................................
Designation on Superintendent,
Central Jail Indore
______________________________________________________________________________
Note :- Against serial No. 3 of the information Should be incorporated by the head of office in case of
Gazetted Government servant and of the Treasury officer himself in case to Gazetted office in addition
when a Government servant is transferred from on and it circle to another the name of the account
officer will naviation his General provident Fund accountant officer transfer should also be record in
case of a Gazetted officer by the accountant General while countersigning the last pay certificate by
the head office in the case of Gazetted Government servant if possible.

DETAILS OF RECOVERIES
Nature of recovery : NIL ¼ekg vizSy 2022 ls ekg flarcj 2022 rd 208 :Ik;s izfrekg dVkS=izksQs’kuy
VsDl dVks=k fd;k x;k gS A ekg]flrEcj 2022 esa 200 flVh vykmal ,oa 60 onhZ vykmal dk Hkqxrku
'kS"k gS A vxkeh dk;ZOkkgh lqfu’fpr djsA

DEDUCTION FROM LEAVE SALARY

Period Rate Amount
From NIL to NIL at Rs. a month
From NIL to NIL at Rs. a month
From NIL to NIL at Rs. a month

Name of month Pay Gratuity Fee etc. Funds and other Amount of income Remarks
deductions Tax recovered

April

May

June

July

August

September
---- NIL ----
October

November

December

January

February

March
 fVZfQdsV (CERTIFICATE)
e-iz- ’kklu foRr foHkkx Hkksiky ds Kkiu Øekad F/B/25.2.1994 fnukad 9.2.1995 ds vuqlkj
izekf.kr fd;k tkrk gS fd %&

8- lEcaf/kr deZpkjh ds vafre osru izek.k&i= dh izfr iznk; dh xbZ gSA

9- lsok iqfLrdk esa vko’;d izfof"B;ka dj nh xbZ gSA
10- mijksDr dVks=ks ds vfrfjDr vU; dksbZ dVks=k 'ks"k ugha gSA

Office of Supt. Central Jail, Indore

Employee Code No : 090007353 M.P.T.C. Appendix 10
D.D.O. Code No : 1700302001 See Note 2 below Subsidiary Rules 220

LAST PAY CERTIFICATE

11. Last Pay Certificate of Jh lat; Fkkik] izgjh
12. Office of the Central Jail Indore vVsp dsUnzh; tsy] Xokfy;j
Proceeding on e/;izns’k 'kklu tsy foHkkx ea=ky; Hkksiky ds vkns’k Ø-
&1895@885696@2022@rhu@tsy] Hkksiky fnukad 05-10-2022 vuqlkjA
13. Tolc lc tsy dljkon
14. He has been paid up to Date 30.10.2022
Deductions at the following rates
Particulars Rate Pay 3200
Pay............. G.P...................
Pay............. D.A 10914
N.P.S. 4060. H.R NIL
G.I.S 200 RS. U.A..................
P. Tax 208 RS. C.A..................
H.R.A.............................................. Total .
Income Tax.....................................
Total................................................
3. Her General Provident Fund Account No. is - Maintained by the
4. Accountant – General -.
He made over charge of the office of .10/2022
of the ......................................... Noon of
5. Recoveries are made from the pay of Government servant as detailed on the reverse
6. He has been paid leave salary as detail below deduction have been made as noted on the
Reveres.
 From NIL to NIL at Rs NIL a month..........................
From NIL to NIL at Rs NIL a month..........................
From NIL to NIL at Rs NIL a month..........................
_____________________________________________________________________________
7. He Collect to draw following :-
8. He is also entided to joining time for................................................................................ days
9. The details of income tax recovered from his up to the date from beginning of the current year
are noted on the reveres.
Dated : 20-10-2022 Signature and.......................................
Designation on Superintendent,
Central Jail Indore
______________________________________________________________________________
Note :- Against serial No. 3 of the information Should be incorporated by the head of office in case of
Gazetted Government servant and of the Treasury officer himself in case to Gazetted office in addition
when a Government servant is transferred from on and it circle to another the name of the account
officer will naviation his General provident Fund accountant officer transfer should also be record in
case of a Gazetted officer by the accountant General while countersigning the last pay certificate by
the head office in the case of Gazetted Government servant if possible.

DETAILS OF RECOVERIES
Nature of recovery : NIL ¼ekg vizSy 2022 ls ekg flarcj 2022 rd 208 :Ik;s izfrekg dVkS=izksQs’kuy
VsDl dVks=k fd;k x;k gS A ekg vxLr]flrEcj 2022 esa 200 flVh vykmal ,oa 60 onhZ vykmal dk
Hkqxrku 'kS"k gS A vxkeh dk;ZOkkgh lqfu’fpr djsA

DEDUCTION FROM LEAVE SALARY

Period Rate Amount
From NIL to NIL at Rs. a month
From NIL to NIL at Rs. a month
From NIL to NIL at Rs. a month

Name of month Pay Gratuity Fee etc. Funds and other Amount of income Remarks
deductions Tax recovered

April
---- NIL ----
May

June
July

August

September

October

November

December

January

February

March

fVZfQdsV (CERTIFICATE)
e-iz- ’kklu foRr foHkkx Hkksiky ds Kkiu Øekad F/B/25.2.1994 fnukad 9.2.1995 ds vuqlkj
izekf.kr fd;k tkrk gS fd %&

11- lEcaf/kr deZpkjh ds vafre osru izek.k&i= dh izfr iznk; dh xbZ gSA
12- lsok iqfLrdk esa vko’;d izfof"B;ka dj nh xbZ gSA
13- mijksDr dVks=ks ds vfrfjDr vU; dksbZ dVks=k 'ks"k ugha gSA

Office of Supt. Central Jail, Indore

Employee Code No : 051001023 M.P.T.C. Appendix 10
D.D.O. Code No : 1700302001 See Note 2 below Subsidiary Rules 220

LAST PAY CERTIFICATE

15. Last Pay Certificate of Jh bZpjyky m?kksx v/kh{kd
16. Office of the Central Jail Indore ikcan
 Proceeding on e/;izns’k 'kklu tsy foHkkx ea=ky; Hkksiky ds vkns’k Ø-
&1892@8710626@2022@rhu@tsy] Hkksiky fnukad 05-10-2022
vuqlkjA
TodsUnzh; dsUnh; tsy Hkksky
17. He has been paid up to Date 30.09.2022
Deductions at the following rates
Particulars Rate Pay 55700
Pay............. G.P...................
Pay............. D.A 18938
G P F . 16000 H.R NIL
G.I.S 200 RS. U.A..................
P. Tax 208 RS. C.A..................
H.R.A.............................................. Total .746380
Income Tax.....................................
Total.......16408.........................................
3. Her General Provident Fund Account No. is - Maintained by the
4. Accountant – General -.
He made over charge of the office of 12.10/2022
of the 12-10-2022 Noon of
5. Recoveries are made from the pay of Government servant as detailed on the reverse
6. He has been paid leave salary as detail below deduction have been made as noted on the
Reveres.
From NIL to NIL at Rs NIL a month..........................
From NIL to NIL at Rs NIL a month..........................
From NIL to NIL at Rs NIL a month..........................
_____________________________________________________________________________
7. He Collect to draw following :-
8. He is also entided to joining time for................................................................................ days
9. The details of income tax recovered from his up to the date from beginning of the current year
are noted on the reveres.

Dated : 20-10-2022 Signature and.......................................

Designation on Superintendent,
Central Jail Indore
 DETAILS OF RECOVERIES
Nature of recovery : NIL ¼ ekg flarcj 2022 rd 208 :Ik;s izfrekg dVkS=izksQs’kuy VsDl dVks=k fd;k
x;k gS A ekg]flrEcj 2022 esa 200 flVh vykmal dk Hkqxrku 'kS"k gS A vxkeh dk;ZOkkgh lqfu’fpr
djsA

DEDUCTION FROM LEAVE SALARY

Period Rate Amount
From NIL to NIL at Rs. a month
From NIL to NIL at Rs. a month
From NIL to NIL at Rs. a month

Name of month Pay Gratuity Fee etc. Funds and other Amount of income Remarks
deductions Tax recovered

April

May

June

July

August

September
---- NIL ----
October

November

December

January

February

March

fVZfQdsV (CERTIFICATE)
e-iz- ’kklu foRr foHkkx Hkksiky ds Kkiu Øekad F/B/25.2.1994 fnukad 9.2.1995 ds vuqlkj
izekf.kr fd;k tkrk gS fd %&

1- lEcaf/kr deZpkjh ds vafre osru izek.k&i= dh izfr iznk; dh xbZ gSA

 2- lsok iqfLrdk esa vko’;d izfof"B;ka dj nh xbZ gSA
3- mijksDr dVks=ks ds vfrfjDr vU; dksbZ dVks=k 'ks"k ugha gSA

Office of Supt. Central Jail, Indore

Employee Code No : 170020848 M.P.T.C. Appendix 10
D.D.O. Code No : 1700302001 See Note 2 below Subsidiary Rules 220

LAST PAY CERTIFICATE

18. Last Pay Certificate of cS;tarh tkVo ] izgjh
19. Office of the Central Jail Indore
Proceeding on e/;izns’k 'kklu tsy foHkkx ea=ky; Hkksiky ds vkns’k Ø-
&1892@871062@2022@rhu@tsy] Hkksiky fnukad 05-10-2022 vuqlkjA
TodsUnzh; dsUnh; tsy Hkksiky
20. He has been paid up to Date 30.09.2022
Deductions at the following rates
Particulars Rate Pay 21900
Pay............. G.P...................
Pay............. D.A 7446
NPS . 2935 H.R NIL
G.I.S -200 U.A..................
P. Tax -166 C.A..................
H.R.A.............................................. Total 29349 7-00
 Income Tax.....................................
Total 3301
3. Her General Provident Fund Account No. is - Maintained by the
4. Accountant – General -.
He made over charge of the office of 14-10-2022
5. Recoveries are made from the pay of Government servant as detailed on the reverse
6. He has been paid leave salary as detail below deduction have been made as noted on the
Reveres.
From NIL to NIL at Rs NIL a month..........................
From NIL to NIL at Rs NIL a month..........................
From NIL to NIL at Rs NIL a month..........................
_____________________________________________________________________________
7. He Collect to draw following :-
8. He is also entided to joining time for................................................................................ days
9. The details of income tax recovered from his up to the date from beginning of the current year
are noted on the reveres.

Dated : 20-10-2022 Signature and.......................................

Designation on Superintendent,
Central Jail Indore
4- m
 Office of Supt. Central Jail, Indore
Employee Code No : 340014381 M.P.T.C. Appendix 10
D.D.O. Code No : 1700302001 See Note 2 below Subsidiary Rules 220

LAST PAY CERTIFICATE

1. Last Pay Certificate of Jh vtsUnz flag jkBkSj ] izgjh
Office of the Central Jail Indore
Proceeding on e/;izns’k 'kklu tsy foHkkx ea=ky; Hkksiky ds vkns’k Ø-
&1895@885696@rhu@tsy]Hkksiky fnukad 05-10-2022 vuqlkjA
To dsUnzh; tsy cMokuh
2. He has been paid up to Date 31.10.2022
Deductions at the following rates
Particulars Pay 30300
Pay.............
G.P...................
Pay............. D.A 10302
N.P.S. 4060 H.R NIL
G.I.S 200 U.A..................
P. Tax 208 C.A..................
H.R.A...............-............................... Total 40602
Income Tax........-.............................
Total................................................
3. His General nps A/C t No. is 110061227889 Maintained by the
4. Accountant – General
He made over charge of the office of 22-10-2022
of the 22-10-2022. Noon of
5. Recoveries are made from the pay of Government servant as detailed on the reverse
6. He has been paid leave salary as detail below deduction have been made as noted on the
Reveres.
From NIL to NIL at Rs NIL a month..........................
From NIL to NIL at Rs NIL a month..........................
From NIL to NIL at Rs NIL a month..........................
_____________________________________________________________________________
7. He Collect to draw following :-
8. He is also entided to joining time for fu;ekuqlkj days
9. The details of income tax recovered from his up to the date from beginning of the current year
are noted on the reveres.
Dated 07-11-2022 Signature and.......................................
Designation on Superintendent,
Central Jail Indore
______________________________________________________________________________
Note :- Against serial No. 3 of the information Should be incorporated by the head of office in case of
Gazetted Government servant and of the Treasury officer himself in case to Gazetted office in addition
when a Government servant is transferred from on and it circle to another the name of the account
officer will naviation his General provident Fund accountant officer transfer should also be record in
case of a Gazetted officer by the accountant General while countersigning the last pay certificate by
the head office in the case of Gazetted Government servant if possible.
 DETAILS OF RECOVERIES
Nature of recovery : NIL ¼ekg vizSy 2022 ls ekg vDVwcj 2022 rd izsQs’ku VsDV dkVk x;k gS
A ekg flrEcj o vDVwcj 2022 es flfV vykmal 200@& ,oa /kqykbZ HkRrk :i;s 60@& dk
Hkqxrku ugha fd;k x;k gS ½

DEDUCTION FROM LEAVE SALARY

Period Rate Amount
From NIL to NIL at Rs. a month
From NIL to NIL at Rs. a month
From NIL to NIL at Rs. a month

Name of month Pay Gratuity Fee etc. Funds and other Amount of income Remarks
deductions Tax recovered

April

May

June

July

August

September
---- NIL ----
October

November

December

January

February

March

lfVZfQdsV (CERTIFICATE)
e-iz- ’kklu foRr foHkkx Hkksiky ds Kkiu Øekad F/B/25.2.1994 fnukad 9.2.1995 ds vuqlkj
izekf.kr fd;k tkrk gS fd %&

1- lEcaf/kr deZpkjh ds vafre osru izek.k&i= dh izfr iznk; dh xbZ gSA

2- lsok iqfLrdk esa vko’;d izfof"B;ka dj nh xbZ gSA
3- mijksDr dVks=ks ds vfrfjDr vU; dksbZ dVks=k 'ks"k ugha gSA
 Office of Supt. Central Jail, Indore
Employee Code No :170020907 M.P.T.C. Appendix 10
D.D.O. Code No : 1700302001 See Note 2 below Subsidiary Rules 220

LAST PAY CERTIFICATE

1. Last Pay Certificate of Jh yDdh 'kekZ] izgjh
Office of the Central Jail Indore
Proceeding on e/;izns’k 'kklu tsy foHkkx ea=ky; Hkksiky ds vkns’k Ø-
&1895@885696@2022@rhu@tsy] Hkksiky fnukad 05-10-2022 vuqlkjA
To ftyk tsy ';ksiqj
2. He has been paid up to Date 31.10.2022
Deductions at the following rates
Particulars Pay 21900
Pay.............
G.P...................
Pay............. D.A 7446
N.P.S. 2935 H.R NIL
G.I.S 200 U.A..................
P. Tax 166 C.A..................
H.R.A...............-............................... Total 26045
Income Tax........-.............................
Total................................................
3. His General nps A/C t No. is 110162944532 Maintained by the
4. Accountant – General
He made over charge of the office of 22-10-2022
of the 22-10-2022 Noon of
5. Recoveries are made from the pay of Government servant as detailed on the reverse
6. He has been paid leave salary as detail below deduction have been made as noted on the
Reveres.
From NIL to NIL at Rs NIL a month..........................
From NIL to NIL at Rs NIL a month..........................
From NIL to NIL at Rs NIL a month..........................
_____________________________________________________________________________
7. He Collect to draw following :-
8. He is also entided to joining time for fu;ekuqlkj days
9. The details of income tax recovered from his up to the date from beginning of the current year
are noted on the reveres.
Dated 07-11-2022 Signature and.......................................
Designation on Superintendent,
Central Jail Indore
______________________________________________________________________________
Note :- Against serial No. 3 of the information Should be incorporated by the head of office in case of
Gazetted Government servant and of the Treasury officer himself in case to Gazetted office in addition
when a Government servant is transferred from on and it circle to another the name of the account
officer will naviation his General provident Fund accountant officer transfer should also be record in
case of a Gazetted officer by the accountant General while countersigning the last pay certificate by
the head office in the case of Gazetted Government servant if possible.

DETAILS OF RECOVERIES
Nature of recovery : NIL ¼ekg vizSy 2022 ls ekg vDVwcj 2022 rd izsQs’ku VsDV dkVk x;k gS
A ekg flrEcj o vDVwcj 2022 es flfV vykmal 200@& ,oa /kqykbZ HkRrk :i;s 60@& dk
Hkqxrku ugha fd;k x;k gS ½

DEDUCTION FROM LEAVE SALARY

Period Rate Amount
From NIL to NIL at Rs. a month
From NIL to NIL at Rs. a month
From NIL to NIL at Rs. a month

Name of month Pay Gratuity Fee etc. Funds and other Amount of income Remarks
deductions Tax recovered

April

May

June

July

August

September
---- NIL ----
October

November

December

January

February

March

lfVZfQdsV (CERTIFICATE)
e-iz- ’kklu foRr foHkkx Hkksiky ds Kkiu Øekad F/B/25.2.1994 fnukad 9.2.1995 ds vuqlkj
izekf.kr fd;k tkrk gS fd %&

1- lEcaf/kr deZpkjh ds vafre osru izek.k&i= dh izfr iznk; dh xbZ gSA

2- lsok iqfLrdk esa vko’;d izfof"B;ka dj nh xbZ gSA
3- mijksDr dVks=ks ds vfrfjDr vU; dksbZ dVks=k 'ks"k ugha gSA
 Office of Supt. Central Jail, Indore
Employee Code No : 340014381 M.P.T.C. Appendix 10
D.D.O. Code No : 1700302001 See Note 2 below Subsidiary Rules 220

LAST PAY CERTIFICATE

1. Last Pay Certificate of Jh lqUnjyky lksyadh] izgjh
Office of the Central Jail Indore
Proceeding on e/;izns’k 'kklu tsy foHkkx ea=ky; Hkksiky ds vkns’k Ø-
&1897@885696@rhu@2022@ tsy] Hkksiky fnukad 05-10-2022 vuqlkjA
To
2. He has been paid up to Date 31.10.2022
Deductions at the following rates
Particulars Pay 21300
Pay.............
G.P...................
Pay............. D.A 7242
N.P.S. 2854 H.R NIL
G.I.S 200 U.A..................
P. Tax 166 C.A..................
H.R.A...............-............................... Total 28542
Income Tax........-.............................
Total................................................
3. His General nps A/C t No. is 110143833491 Maintained by the
4. Accountant – General
He made over charge of the office of 21-10-2022
of the 21-10-2022. Noon of
5. Recoveries are made from the pay of Government servant as detailed on the reverse
6. He has been paid leave salary as detail below deduction have been made as noted on the
Reveres.
From NIL to NIL at Rs NIL a month..........................
From NIL to NIL at Rs NIL a month..........................
From NIL to NIL at Rs NIL a month..........................
_____________________________________________________________________________
7. He Collect to draw following :-
8. He is also entided to joining time for fu;ekuqlkj days
9. The details of income tax recovered from his up to the date from beginning of the current year
are noted on the reveres.
Dated 07-11-2022 Signature and.......................................
Designation on Superintendent,
Central Jail Indore
______________________________________________________________________________
Note :- Against serial No. 3 of the information Should be incorporated by the head of office in case of
Gazetted Government servant and of the Treasury officer himself in case to Gazetted office in addition
when a Government servant is transferred from on and it circle to another the name of the account
officer will naviation his General provident Fund accountant officer transfer should also be record in
case of a Gazetted officer by the accountant General while countersigning the last pay certificate by
the head office in the case of Gazetted Government servant if possible.
 DETAILS OF RECOVERIES
Nature of recovery : NIL ¼ekg vizSy 2022 ls ekg vDVwcj 2022 rd izsQs’ku VsDV dkVk x;k gS
A ekg flrEcj o vDVwcj 2022 es flfV vykmal 200@& ,oa /kqykbZ HkRrk :i;s 60@& dk
Hkqxrku ugha fd;k x;k gS ½

DEDUCTION FROM LEAVE SALARY

Period Rate Amount
From NIL to NIL at Rs. a month
From NIL to NIL at Rs. a month
From NIL to NIL at Rs. a month

Name of month Pay Gratuity Fee etc. Funds and other Amount of income Remarks
deductions Tax recovered

April

May

June

July

August

September
---- NIL ----
October

November

December

January

February

March

lfVZfQdsV (CERTIFICATE)
e-iz- ’kklu foRr foHkkx Hkksky ds Kkiu Øekad F/B/25.2.1994 fnukad 9.2.1995 ds vuqlkj
izekf.kr fd;k tkrk gS fd %&i

1- lEcaf/kr deZpkjh ds vafre osru izek.k&i= dh izfr iznk; dh xbZ gSA

2- lsok iqfLrdk esa vko’;d izfof"B;ka dj nh xbZ gSA
3- mijksDr dVks=ks ds vfrfjDr vU; dksbZ dVks=k 'ks"k ugha gSA
 Office of Supt. Central Jail, Indore
Employee Code No : 170019719 M.P.T.C. Appendix 10
D.D.O. Code No : 1700302001 See Note 2 below Subsidiary Rules 220

LAST PAY CERTIFICATE

1. Last Pay Certificate of KIRTI DHWAJ BHARGAV
Office of the Central Jail Indore
Proceeding on e/;izns’k 'kklu tsy foHkkx ea=ky; Hkksiky ds vkns’k Ø-
&1897@885696@rhu@2022@ tsy] Hkksiky fnukad 05-10-2022 vuqlkjA
To dsUnzh; tsy lkxj
2. He has been paid up to Date 31.10.2022
Deductions at the following rates
Particulars Pay 14581
Pay.............
G.P...................
Pay............. D.A 4957
N.P.S. 2320 H.R NIL
G.I.S 200 U.A..................
P. Tax 166 C.A..................
H.R.A...............-............................... Total 19538
Income Tax........-.............................
Total................................................
3. His General nps A/C t No. is 110007984471 Maintained by the
4. Accountant – General
He made over charge of the office of 10-2022
of the 10-2022. Noon of
5. Recoveries are made from the pay of Government servant as detailed on the reverse
6. He has been paid leave salary as detail below deduction have been made as noted on the
Reveres.
From NIL to NIL at Rs NIL a month..........................
From NIL to NIL at Rs NIL a month..........................
From NIL to NIL at Rs NIL a month..........................
_____________________________________________________________________________
7. He Collect to draw following :-
8. He is also entided to joining time for fu;ekuqlkj days
9. The details of income tax recovered from his up to the date from beginning of the current year
are noted on the reveres.
Dated 12-11-2022 Signature and.......................................
Designation on Superintendent,
Central Jail Indore
______________________________________________________________________________
Note :- Against serial No. 3 of the information Should be incorporated by the head of office in case of
Gazetted Government servant and of the Treasury officer himself in case to Gazetted office in addition
when a Government servant is transferred from on and it circle to another the name of the account
officer will naviation his General provident Fund accountant officer transfer should also be record in
case of a Gazetted officer by the accountant General while countersigning the last pay certificate by
the head office in the case of Gazetted Government servant if possible.
 DETAILS OF RECOVERIES
Nature of recovery : NIL ¼ekg vizSy 2022 ls ekg vDVwcj 2022 rd izsQs’ku VsDV dkVk x;k gS
A ekg flrEcj es fnukad 05-10-2022 ls fnukad 14-10-2022 rd vuqifLFkrh ds dkj.k osru jksdk x;k ]
'ks"k dk;Z fnol dk osru Hkqxrku fd;k x;k A ekg vDVwcj 2022 es flfV vykmal 200@& ,oa
/kqykbZ HkRrk :i;s 60@& dk Hkqxrku ugha fd;k x;k gS ½

DEDUCTION FROM LEAVE SALARY

Period Rate Amount
From NIL to NIL at Rs. a month
From NIL to NIL at Rs. a month
From NIL to NIL at Rs. a month

Name of month Pay Gratuity Fee etc. Funds and other Amount of income Remarks
deductions Tax recovered

April

May

June

July

August

September

October ---- NIL ----

November

December

January

February

March

lfVZfQdsV (CERTIFICATE)
e-iz- ’kklu foRr foHkkx Hkksky ds Kkiu Øekad F/B/25.2.1994 fnukad 9.2.1995 ds vuqlkj
izekf.kr fd;k tkrk gS fd %&i

1- lEcaf/kr deZpkjh ds vafre osru izek.k&i= dh izfr iznk; dh xbZ gSA

2- lsok iqfLrdk esa vko’;d izfof"B;ka dj nh xbZ gSA
 3- mijksDr dVks=ks ds vfrfjDr vU; dksbZ dVks=k 'ks"k ugha gSA
Office of Supt. Central Jail, Indore
Employee Code No : 170020907 M.P.T.C. Appendix 10
D.D.O. Code No : 1700302001 See Note 2 below Subsidiary Rules 220

LAST PAY CERTIFICATE

1. Last Pay Certificate of LUCKY SHARMA, WARDER
Office of the Central Jail Indore
Proceeding on e/;izns’k 'kklu tsy foHkkx ea=ky; Hkksiky ds vkns’k Ø-
&1895@885696@rhu@2022@ tsy] Hkksiky fnukad 05-10-2022 vuqlkjA
To ftyk tsy ';ksiqj
2. He has been paid up to Date 31.10.2022
Deductions at the following rates
Particulars Pay 21900
Pay.............
G.P...................
Pay............. D.A 7446
N.P.S. 2935 H.R NIL
G.I.S 200 U.A..................
P. Tax 166 C.A..................
H.R.A...............-............................... Total 29346
Income Tax........-.............................
Total................................................
3. His General nps A/C t No. is 110162944532 Maintained by the
4. Accountant – General
He made over charge of the office of 10-2022
of the 10-2022. Noon of
5. Recoveries are made from the pay of Government servant as detailed on the reverse
6. He has been paid leave salary as detail below deduction have been made as noted on the
Reveres.
From NIL to NIL at Rs NIL a month..........................
From NIL to NIL at Rs NIL a month..........................
From NIL to NIL at Rs NIL a month..........................
_____________________________________________________________________________
7. He Collect to draw following :-
8. He is also entided to joining time for fu;ekuqlkj days
9. The details of income tax recovered from his up to the date from beginning of the current year
are noted on the reveres.
Dated 14-11-2022 Signature and.......................................
Designation on Superintendent,
Central Jail Indore
______________________________________________________________________________
Note :- Against serial No. 3 of the information Should be incorporated by the head of office in case of
Gazetted Government servant and of the Treasury officer himself in case to Gazetted office in addition
when a Government servant is transferred from on and it circle to another the name of the account
officer will naviation his General provident Fund accountant officer transfer should also be record in
case of a Gazetted officer by the accountant General while countersigning the last pay certificate by
the head office in the case of Gazetted Government servant if possible.
 DETAILS OF RECOVERIES
Nature of recovery : NIL ¼ekg vizSy 2022 ls ekg vDVwcj 2022 rd izsQs’ku VsDV dkVk x;k gS
A 03 ekg dk vkokl HkRrk Hkqxrku ugh fd;k x;k gA ekg flracj o vDVwcj 2022 es flfV vykmal
200@& ,oa /kqykbZ HkRrk :i;s 60@& dk Hkqxrku ugha fd;k x;k gS ½

DEDUCTION FROM LEAVE SALARY

Period Rate Amount
From NIL to NIL at Rs. a month
From NIL to NIL at Rs. a month
From NIL to NIL at Rs. a month

Name of month Pay Gratuity Fee etc. Funds and other Amount of income Remarks
deductions Tax recovered

April

May

June

July

August

September

October ---- NIL ----

November

December

January

February

March

lfVZfQdsV (CERTIFICATE)
e-iz- ’kklu foRr foHkkx Hkksky ds Kkiu Øekad F/B/25.2.1994 fnukad 9.2.1995 ds vuqlkj
izekf.kr fd;k tkrk gS fd %&i

1- lEcaf/kr deZpkjh ds vafre osru izek.k&i= dh izfr iznk; dh xbZ gSA

2- lsok iqfLrdk esa vko’;d izfof"B;ka dj nh xbZ gSA
 3- mijksDr dVks=ks ds vfrfjDr vU; dksbZ dVks=k 'ks"k ugha gSA
Office of Supt. Central Jail, Indore
Employee Code No : 170020916 M.P.T.C. Appendix 10
D.D.O. Code No : 1700302001 See Note 2 below Subsidiary Rules 220

LAST PAY CERTIFICATE

5. Last Pay Certificate Jh ';ke izzrki flag
Office of the Central Jail Indore
Proceeding on e/;izns’k 'kklu tsy foHkkx ea=ky; Hkksiky ds vkns’k Ø-
&1895@885696@rhu@tsy]Hkksiky fnukad 05-10-2022 vuqlkjA
To. lc tsy lso<k
6. He has been paid up to Date 30.10.2022
Deductions at the following rates
Particulars Pay 21900
Pay.............
G.P...................
Pay............. D.A 7446
n-p- s- 2935 H.R NIL
G.I.S 200 U.A..................
P. Tax 166. C.A..................
H.R.A...............-............................... Total 29346
Income Tax........-.............................
Total................3301...............................
3. His General nps A/C t No. is 110172944540 Maintained by the
4. Accountant – General
He made over charge of the office of 10-11/2022
of the ..10-11-2022... Noon of
5. Recoveries are made from the pay of Government servant as detailed on the reverse
6. He has been paid leave salary as detail below deduction have been made as noted on the
Reveres.
From NIL to NIL at Rs NIL a month..........................
From NIL to NIL at Rs NIL a month..........................
From NIL to NIL at Rs NIL a month..........................
_____________________________________________________________________________
7. He Collect to draw following :-
8. He is also entided to joining time for................................................................................ days
9. The details of income tax recovered from his up to the date from beginning of the current year
are noted on the reveres.
Dated 10-2022 Signature and.......................................
Designation on Superintendent,
Central Jail Indore
______________________________________________________________________________
Note :- Against serial No. 3 of the information Should be incorporated by the head of office in case of
Gazetted Government servant and of the Treasury officer himself in case to Gazetted office in addition
when a Government servant is transferred from on and it circle to another the name of the account
officer will naviation his General provident Fund accountant officer transfer should also be record in
case of a Gazetted officer by the accountant General while countersigning the last pay certificate by
the head office in the case of Gazetted Government servant if possible.
 DETAILS OF RECOVERIES
Nature of recovery : NIL ¼ekg vizSy 2022 ls ekg flarcj 2022 rd izsQs’ku VsDV dkVk x;k
gS A ekg vDVkscj 2022 es flfV vykmal 200@& ,oa /kqykbZ HkRrs :i;s 60@& dk
Hkqxrku ugha fd;k x;k gS A DEDUCTION FROM
LEAVE SALARY
Period Rate Amount
From NIL to NIL at Rs. a month
From NIL to NIL at Rs. a month
From NIL to NIL at Rs. a month

Name of month Pay Gratuity Fee etc. Funds and other Amount of income Remarks
deductions Tax recovered

April

May

June

July

August

September
---- NIL ----
October

November

December

January

February

March

lfVZfQdsV (CERTIFICATE)
e-iz- ’kklu foRr foHkkx Hkksiky ds Kkiu Øekad F/B/25.2.1994 fnukad 9.2.1995 ds vuqlkj
izekf.kr fd;k tkrk gS fd %&

14- lEcaf/kr deZpkjh ds vafre osru izek.k&i= dh izfr iznk; dh xbZ gSA
15- lsok iqfLrdk esa vko’;d izfof"B;ka dj nh xbZ gSA
16- mijksDr dVks=ks ds vfrfjDr vU; dksbZ dVks=k 'ks"k ugha gSA
 Office of Supt. Central Jail, Indore
Employee Code No : 53028257317 M.P.T.C. Appendix 10
D.D.O. Code No : 1700302001 See Note 2 below Subsidiary Rules 220

LAST PAY CERTIFICATE

1. Last Pay Certificate Jh ckcqyky oekZ] izeq[k eq[; izgjh
Office of the Central Jail Indore
Proceeding on tsy eq[;ky; e/;izns’k Hkksiky dk vkns’k Ø-&2185@lkekU; LFkkiuk@Hkksiky
fnukad 29-12-2022 vuqlkjA
To. ftyk tsy nsokl
2. He has been paid up to Date 31.12.2022
Deductions at the following rates
Particulars Pay 51000
Pay.............
G.P...................
Pay............. D.A 17340
D.P.F. 10000 H.R 6728
G.I.S 200 U.A. 60
P. Tax 208 C.A..................
H.R.A...............-............................... Total 75128
Income Tax........-.............................
Total...............................................
3. His General D.P.F. A/C No. Maintained by the
4. Accountant – General
He made over charge of the office of 12/2022
of the 31.12.2022 Noon of
5. Recoveries are made from the pay of Government servant as detailed on the reverse
6. He has been paid leave salary as detail below deduction have been made as noted on the
Reveres.
From NIL to NIL at Rs NIL a month..........................
From NIL to NIL at Rs NIL a month..........................
From NIL to NIL at Rs NIL a month..........................
_____________________________________________________________________________
7. He Collect to draw following :-
8. He is also entided to joining time for................................................................................ days
9. The details of income tax recovered from his up to the date from beginning of the current year
are noted on the reveres.
Dated 01-2023 Signature and.......................................
Designation on Superintendent,
Central Jail Indore
______________________________________________________________________________
Note :- Against serial No. 3 of the information Should be incorporated by the head of office in case of
Gazetted Government servant and of the Treasury officer himself in case to Gazetted office in addition
when a Government servant is transferred from on and it circle to another the name of the account
officer will naviation his General provident Fund accountant officer transfer should also be record in
case of a Gazetted officer by the accountant General while countersigning the last pay certificate by
the head office in the case of Gazetted Government servant if possible.
 DETAILS OF RECOVERIES
Nature of recovery : NIL ¼ ekg flracj 2022 es flfV vykmal 200@& dk Hkqxrku ugha
fd;k x;k gS A ½
DEDUCTION FROM LEAVE SALARY
Period Rate Amount
From NIL to NIL at Rs. a month
From NIL to NIL at Rs. a month
From NIL to NIL at Rs. a month

Name of month Pay Gratuity Fee etc. Funds and other Amount of income Remarks
deductions Tax recovered

April

May

June

July

August

September
---- NIL ----
October

November

December

January

February

March

lfVZfQdsV (CERTIFICATE)
e-iz- ’kklu foRr foHkkx Hkksiky ds Kkiu Øekad F/B/25.2.1994 fnukad 9.2.1995 ds vuqlkj
izekf.kr fd;k tkrk gS fd %&

1- lEcaf/kr deZpkjh ds vafre osru izek.k&i= dh izfr iznk; dh xbZ gSA

2- lsok iqfLrdk esa vko’;d izfof"B;ka dj nh xbZ gSA
3- mijksDr dVks=ks ds vfrfjDr vU; dksbZ dVks=k 'ks"k ugha gSA
 Office of Supt. Central Jail, Indore
Employee Code No : 63002241684 M.P.T.C. Appendix 10
D.D.O. Code No : 1700302001 See Note 2 below Subsidiary Rules 220

LAST PAY CERTIFICATE

1. Last Pay Certificate Jh lqjsUnz dqekj ckFkys] izeq[k eq[; izgjh
Office of the Central Jail Indore
Proceeding on tsy eq[;ky; e/;izns’k Hkksiky dk vkns’k Ø-&2185@lkekU; LFkkiuk@Hkksiky
fnukad 29-12-2022 vuqlkjA
To. ftyk tsy bUnkSj
2. He has been paid up to Date 31.12.2022
Deductions at the following rates
Particulars Pay 54100
Pay.............
G.P...................
Pay............. D.A 18394
D.P.F. 10000 H.R 7228
G.I.S 200 U.A. 60
P. Tax 208 C.A..................
H.R.A...............-............................... Total 79782
Income Tax........-.............................
Total...............................................
3. His General D.P.F. A/C No. Maintained by the
4. Accountant – General
He made over charge of the office of 12/2022
of the 31.12.2022 Noon of
5. Recoveries are made from the pay of Government servant as detailed on the reverse
6. He has been paid leave salary as detail below deduction have been made as noted on the
Reveres.
From NIL to NIL at Rs NIL a month..........................
From NIL to NIL at Rs NIL a month..........................
From NIL to NIL at Rs NIL a month..........................
_____________________________________________________________________________
7. He Collect to draw following :-
8. He is also entided to joining time for................................................................................ days
9. The details of income tax recovered from his up to the date from beginning of the current year
are noted on the reveres.
Dated 01-2023 Signature and.......................................
Designation on Superintendent,
Central Jail Indore
______________________________________________________________________________
Note :- Against serial No. 3 of the information Should be incorporated by the head of office in case of
Gazetted Government servant and of the Treasury officer himself in case to Gazetted office in addition
when a Government servant is transferred from on and it circle to another the name of the account
officer will naviation his General provident Fund accountant officer transfer should also be record in
case of a Gazetted officer by the accountant General while countersigning the last pay certificate by
the head office in the case of Gazetted Government servant if possible.
 DETAILS OF RECOVERIES
Nature of recovery : NIL ¼ ekg flracj 2022 es flfV vykmal 200@& dk Hkqxrku ugha
fd;k x;k gS A ½
DEDUCTION FROM LEAVE SALARY
Period Rate Amount
From NIL to NIL at Rs. a month
From NIL to NIL at Rs. a month
From NIL to NIL at Rs. a month

Name of month Pay Gratuity Fee etc. Funds and other Amount of income Remarks
deductions Tax recovered

April

May

June

July

August

September
---- NIL ----
October

November

December

January

February

March

lfVZfQdsV (CERTIFICATE)
e-iz- ’kklu foRr foHkkx Hkksiky ds Kkiu Øekad F/B/25.2.1994 fnukad 9.2.1995 ds vuqlkj
izekf.kr fd;k tkrk gS fd %&

4- lEcaf/kr deZpkjh ds vafre osru izek.k&i= dh izfr iznk; dh xbZ gSA

5- lsok iqfLrdk esa vko’;d izfof"B;ka dj nh xbZ gSA
6- mijksDr dVks=ks ds vfrfjDr vU; dksbZ dVks=k 'ks"k ugha gSA
 Office of Supt. Central Jail, Indore
Employee Code No : 170019608 M.P.T.C. Appendix 10
D.D.O. Code No : 1700302001 See Note 2 below Subsidiary Rules 220

LAST PAY CERTIFICATE

7. Last Pay Certificate of dq eatw cjeu f’kf{kdk
Office of the Central Jail Indore
Proceeding on e/;izns’k 'kklu tsy foHkkx ea=kyk; Hkksiky ds vkns’k dzekad
404@1814047@2024@rhu@tsy Hkksiky fnukad 21-02-2024 ,oa tsy eq[;ky; Hkksiky dk vkn’k
dzekad 4918@lkekU; LFkk-@01-03-2024
To. dsUnzh; tsy mTtSu
8. He has been paid up to Date 29-02-2024
Deductions at the following rates
Particulars Pay 32100
Pay.............
G.P...................
Pay............. D.A 13482
nps 4558 H.R 984
G.I.S 200 U.A...nil....
P. Tax 208 C.A...200.
H.R.A...............-............................... Total 46766.
Income Tax........-.............................
Total.................4966.......................
3. His General nps A/C t No. is 110007280870 Maintained by the
4. Accountant – General
He made over charge of the office of 11-03-2024
of the ..14-09-2022... Noon of
5. Recoveries are made from the pay of Government servant as detailed on the reverse
6. He has been paid leave salary as detail below deduction have been made as noted on the
Reveres.
From NIL to NIL at Rs NIL a month..........................
From NIL to NIL at Rs NIL a month..........................
From NIL to NIL at Rs NIL a month..........................
_____________________________________________________________________________
7. He Collect to draw following :-
8. He is also entided to joining time for................................................................................ days
9. The details of income tax recovered from his up to the date from beginning of the current year
are noted on the reveres.
Dated 30-10-2022 Signature and.......................................
Designation on Superintendent,
Central Jail Indore
______________________________________________________________________________
Note :- Against serial No. 3 of the information Should be incorporated by the head of office in case of
Gazetted Government servant and of the Treasury officer himself in case to Gazetted office in addition
when a Government servant is transferred from on and it circle to another the name of the account
officer will naviation his General provident Fund accountant officer transfer should also be record in
case of a Gazetted officer by the accountant General while countersigning the last pay certificate by
the head office in the case of Gazetted Government servant if possible.
DETAILS OF RECOVERIES
Nature of recovery : NIL ¼ ekg vizsy 2023 es flfV vykmal 200@& ekg Qjojh 2024 rd dk
Hkqxrku fd;k x;k gS ½ ,oa vizsy 23 ;s 2@24 ds 208@& dVks=k fd;k x;k gS A
DEDUCTION FROM LEAVE SALARY
Period Rate Amount
From NIL to NIL at Rs. a month
From NIL to NIL at Rs. a month
From NIL to NIL at Rs. a month

Name of month Pay Gratuity Fee etc. Funds and other Amount of income Remarks
deductions Tax recovered

April

May

June

July

August

September
---- NIL ----
October

November

December

January

February

March

lfVZfQdsV (CERTIFICATE)
e-iz- ’kklu foRr foHkkx Hkksiky ds Kkiu Øekad F/B/25.2.1994 fnukad 9.2.1995 ds vuqlkj
izekf.kr fd;k tkrk gS fd %&

1- lEcaf/kr deZpkjh ds vafre osru izek.k&i= dh izfr iznk; dh xbZ gSA

2- lsok iqfLrdk esa vko’;d izfof"B;ka dj nh xbZ gSA
3- mijksDr dVks=ks ds vfrfjDr vU; dksbZ dVks=k 'ks"k ugha gSA
 Office of Supt. Central Jail, Indore
Employee Code No : 081007602 M.P.T.C. Appendix 10
D.D.O. Code No : 1700302001 See Note 2 below Subsidiary Rules 220

LAST PAY CERTIFICATE

9. Last Pay Certificate of Jh lqthr dqekj [kjs mi tsy v/kh{kd
Office of the Central Jail Indore
Proceeding on e/;izns’k 'kklu tsy foHkkx ea=kyk; Hkksiky ds vkns’k dzekad
1714@1711480@2023@rhu@tsy Hkksiky fnukad 30-11-2023 ,oa tsy eq[;ky; Hkksiky dk
vkns’k dzekad 1377@1421050@2023@rhu@tsy Hkksiky fnukad 04-10-2023
To. ftyk tsy >kcqvk
10. He has been paid up to Date 30-04-2024
Deductions at the following rates
Particulars Pay 63100
Pay.............
G.P...................
Pay............. D.A 29026
GPF - 15000 H.R nil
G.I.S 400 U.A...nil....
P. Tax 208 C.A...nil-
H.R.A...............-............................... Total .76518
Income Tax........-.............................
Total.................76518.......................
3. His General GPF A/C t No. is JAIL1909 Maintained by the
4. Accountant – General
He made over charge of the office of 06-05-2024
5. Recoveries are made from the pay of Government servant as detailed on the reverse
6. He has been paid leave salary as detail below deduction have been made as noted on the
Reveres.
From NIL to NIL at Rs NIL a month..........................
From NIL to NIL at Rs NIL a month..........................
From NIL to NIL at Rs NIL a month..........................
_____________________________________________________________________________
7. He Collect to draw following :-
8. He is also entided to joining time for................................................................................ days
9. The details of income tax recovered from his up to the date from beginning of the current year
are noted on the reveres.
Dated 20-05-2022 Signature and.......................................
Designation on Superintendent,
Central Jail Indore
______________________________________________________________________________
Note :- Against serial No. 3 of the information Should be incorporated by the head of office in case of
Gazetted Government servant and of the Treasury officer himself in case to Gazetted office in addition
when a Government servant is transferred from on and it circle to another the name of the account
officer will naviation his General provident Fund accountant officer transfer should also be record in
case of a Gazetted officer by the accountant General while countersigning the last pay certificate by
the head office in the case of Gazetted Government servant if possible.
DETAILS OF RECOVERIES
Nature of recovery : NIL ekg vizsy 2024 PT 208@& dVks=k fd;k x;k gS A
DEDUCTION FROM LEAVE SALARY
Period Rate Amount
From NIL to NIL at Rs. a month
From NIL to NIL at Rs. a month
From NIL to NIL at Rs. a month

Name of month Pay Gratuity Fee etc. Funds and other Amount of income Remarks
deductions Tax recovered

April

May

June

July

August

September
---- NIL ----
October

November

December

January

February

March

lfVZfQdsV (CERTIFICATE)
e-iz- ’kklu foRr foHkkx Hkksiky ds Kkiu Øekad F/B/25.2.1994 fnukad 9.2.1995 ds vuqlkj
izekf.kr fd;k tkrk gS fd %&

4- lEcaf/kr deZpkjh ds vafre osru izek.k&i= dh izfr iznk; dh xbZ gSA

5- lsok iqfLrdk esa vko’;d izfof"B;ka dj nh xbZ gSA
6- mijksDr dVks=ks ds vfrfjDr vU; dksbZ dVks=k 'ks"k ugha gSA
Resignation is Pending/Approved For the Employee. Joining for the employee
cannot be Processed.
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