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Form F.C 8: Last Pay Certificate Gazetted and Non-Gazetted Officers

FORENOON: 10:00 A.M. - 1:00 P.M. AFTERNOON: 2:00 P.M. - 5:00 P.M.DATEDAYMP/MP(B&F)/MADE/MCA/BCA/MSW/ MBATEXM/ EXMBA/MBAFT/ MAAE /MA(EDU)/M.Ed./MBACT/ MAFRM / MAAPM /MA(DE) MBAMAFCI / MBAFM / MAAN / MBAEV /MBA(ARMY)/MBARS/ MBACN MEG/MHD/MAH/MPS/MSC(DFSM)/MPA/ MEC /MSO/MSCVMCD/MA(RD)/MAPC/MSCFWT/MSCFMRM/MSCLGAD/MSCCRD/MP/MP (B&F)/MCA/ BCA /MSC(DFSM)/ MBATEXM MSc(MACS)MBAAVBM/ MBANIM /MAEDS/MSCFMRMMAPY/MBAFT/MBA(ARMY)M.Sc(CFT)/MBACT/MSCLGAD/MSCVMCD/MSCCRD/ MBAMAFCI M.COM/M.Com(FT)/ MBAIHM MLIS/MTM

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Form F.C 8: Last Pay Certificate Gazetted and Non-Gazetted Officers

FORENOON: 10:00 A.M. - 1:00 P.M. AFTERNOON: 2:00 P.M. - 5:00 P.M.DATEDAYMP/MP(B&F)/MADE/MCA/BCA/MSW/ MBATEXM/ EXMBA/MBAFT/ MAAE /MA(EDU)/M.Ed./MBACT/ MAFRM / MAAPM /MA(DE) MBAMAFCI / MBAFM / MAAN / MBAEV /MBA(ARMY)/MBARS/ MBACN MEG/MHD/MAH/MPS/MSC(DFSM)/MPA/ MEC /MSO/MSCVMCD/MA(RD)/MAPC/MSCFWT/MSCFMRM/MSCLGAD/MSCCRD/MP/MP (B&F)/MCA/ BCA /MSC(DFSM)/ MBATEXM MSc(MACS)MBAAVBM/ MBANIM /MAEDS/MSCFMRMMAPY/MBAFT/MBA(ARMY)M.Sc(CFT)/MBACT/MSCLGAD/MSCVMCD/MSCCRD/ MBAMAFCI M.COM/M.Com(FT)/ MBAIHM MLIS/MTM

Uploaded by

girlprincipal04
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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FORM F.

C 8
(SEE RULE 4.8)
LAST PAY CERTIFICATE GAZETTED AND NON-GAZETTED OFFICERS
Last Pay Certificate Of ______________________________of the ____________________________Proceeding
on ___________________________to ____________________________________

2.He/She has been paid up to ________________at the following rate


Pay Particulars
Basic Pay DA @42% HRA @9% MA TA/DA Gross salary

Deductions
GPF/NPS SLI Income Tax Stamp Duty Total Deduction

3.His/Her General Provident Fund Account No is________________________ maintained by the District Fund
Office ______________________ Bank A/C No. ___________________________________________ NPS No.
_____________________ JKCPIS No. ________________________

4. He/She made over charge of the office __________________ On ___________________the FN/AN


5. Recoveries are to be made from the pay of the Government Servant as detailed on the reverse
6. He/She has been paid leave salary as detailed below Deductions have been made as noted on the reverse: -
Period Rate Amount
From To at Rs.
From To at Rs.
7.He is also entitled draw the following
8. He/she is entitled to joining time for ______________________________
9. He/She finance the insurance Policy detailed below from Provident Fund: -
Name of Insurance No. of Policy Amount of Premium Due date for payment
Co. of Premium

10. The details of the income Tax recovery from him/her up to date from beginning of the current year noted 00
the reverse

11. Whether transfer made at the request of officer or his advantage in consequence of any fault on his part or
on grounds of public convenience only (see Articles 91 and 339 J&K CSRs)

No. _______ Dated___/____/____

Forwarded in original to the ______________________________________________ for favour


of information and record.

Signature
Designation

Note: Against serial no 3 the information should be incorporated by the head of the office in the case of non-Gazetted Government Servants and by the
Treasury officer/officers himself in the case Of Gazetted officers in addition when a Government servant is transferred from one Audit circle to Another the
name of the Accounts Officer Who will maintain his General Provident Fund Account After transfer, should also be recorded in the case of a Gazetted
officer by the Accountant General while countersigning the LPC and y the head of the office in the case of non-Gazetted Government Servants is possible.
DETAILS OF RECOVERIES
Nature of recovery ________________________________________ Amount Rs. ____________________

To be recovered in ____________________ instalments

Deduction made from Leave Salary


From ________________ to on a/c __________________ Rs. ___________________

From ________________ to on a/c __________________ Rs. ___________________

From ________________ to on a/c __________________ Rs. ___________________

Name of month Pay Gratuity fee Funds & other Amount of Remarks
etc. deduction income tax
recovered
April 20__
May 20__
Jun 20__
July 20__
August 20__
September 20__
October 20__
November 20__
December 20___
January 20___
February 20__
March 20___

1. Date of taking over ___________________________________________________(FN/AN)

2. Designation of office to which transferred _______________________________________

3. Monthly rate of pay and scale (allowances to be shown separately) of the office to which transferred
___________________________________________________________________________________
4. Distance in miles between the two stations ________________________________________________
Date _____________the______________20

Head of Office/Treasury
to which transferred

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