A.P.T.C.

FORM - 49
(See subsidary rule 13 under Treasury Rule -10)
PERIODICAL INCREMENT CERTIFICATE
ANNEXURE
(1) Certified that every Government Servant(s) named below has/have earned the prescribed periodical incerment from date/dates noted in column 10 and either I(a) has / have been the incumbent or the appointment
indicated againest his name/names for a period not less than_____year since the date in column 5 or (if he/she has/ they have been suspended for miscounduct) column 7 after duduction the periods between the dates shown in
column 8 & has 9 and has benn subjected in any order of stoppage of increment as penality during the periods, and during the periods of leave on average pay taken at a time and from____________________________________
which has/have beenconducted for increment/in the case of officiating Government Servent/ Servants named below he/ they would have officiated in the post/posts but for his / their going on leave
or_______________________________________
Leave without pay and in case of these

Date from which present

incerment may be given

Whether Substantive or

Amount of incerment
holding the post temporarily or in an

Date from which

pay as drawn
Appointment

Present Pay
officiating capacity all kinds of leave other

Future Pay
officiating
Suspension for
S. No.

than leave on average pay during which the

Scale
Name Misconduct
would have continued to officiate in the post
but for their going on have upto a maximum
of 4 months of such leave taken at a time
From To From To
1 2 3 4 5 6 7 8 9 10 11 12 13 14
SUBSTANTIVE
Regular

1 -- -- -- -- 0

Note: 1. When an incerment claimed operares to carry Government Servant over an efficiency have the claim should be supported by a declaration from the competent authority that it has satisfied it self that the character and
efficiency of the Government Servnt concetned are such that he is fit to pass the above columns 5 & 10 to 14 should be filled up in red ink.
2. The terms leave on average pay upto a maximum 4 months wherever occuring from includes earned leave up to a maximum of 100 days or 50 days or 30 days the case may be far as Government Servant governed by the
Andhra Pradesh Leave Rules 1988 are concerned.

SIGNATUER OF THE DDO