E.H.

S BEGINNING

This is to certify that Sri/Smt/Kum………………………………………………….,working as

………………………………………….,of………………………………………GramaSachivalayam,

……………………. Mandal . His/her E.H.S Contribution was being deducted @ Rs………….. Per

month (Rupees…………………………………….. only) from ………………..… in his/her regular

salary as per Time scale of pay and the above deducted amount remitted to E.H.S Head of Accounts.

Signature and Seal of DDO

Certified that the subscription to Employee Health Scheme of Rs. ………….………………

(Rupees………………………………………... only) have been deducted for the period from

………………….. to ………………………

Signature and Seal of DDO

Certified that the subscription to Employee Health Scheme of Rs. ………….………………

(Rupees………………………………………... only) have been deducted for the period from

………………….. to ………………………

Signature and Seal of DDO