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MANDAL EDUCATION KOTHAVALASA
WELCOME TO MANDALEDUCATION KOTHAVALASA
Mandal educational officer
Sri B.SRINIVASA RAO
Mandal educational officer
Sri B.SRINIVASA RAO
Friday, November 2, 2012
ZPPF LOAN APPLI CATION
GPF LOAN FORM
FORM OF APPLICATION FOR THE TEMPORARY
ADVANCE FROM PROVIDENT FUND
- Name of the Applicant : ………………………………………………………
- Designation & Office : ………………………………………………………
- Pay :
………………………………………………………
- Provident Fund Account No. : ………………………………………………………
- Balance of Credit of the Subscriber
Of the on the Date of application :
………………………………………………………
- Purpose for which the
advance required : ………………………………………………………
7. Amount of Advance required :
………………………………………………………
8. Amount and No. of Monthly Installments
in which advance is proposed to
be repaid : ………………………………………………………
- Amount of advance last taken if any state
particulars of the advance date of
which
taken installments and payment and
balance outstanding of date of payment : ………………………………………………………
- Whether any advance last taken not less
than 2/3 or relevant rules in
accountance
of payment
12 monthly have not lapsed
since
which complete repayment :
………………………………………………………
- Full particulars of preliminary
circumstances of the subscribers Justifying
the
application for the temporary withdraw :
………………………………………………………
Station:
Dated : Signature
of the & Designation.
Certified
that the above particulars have been verified and found to be correct as it is
found be genuine is sanction loan.
1. Balance :
2. Credit From :
GPF PART FINAL WITHDRAWEL
APPLICATION
FOR GPF PART FINAL WITHDRAWEL
- Name of the Applicant : ………………………………………………………
- Designation & Office : ………………………………………………………
- (a) Date of Birth :
………………………………………………………
(b) Date of Entry into Govt. Service :
………………………………………………………
- Subscriber’s Probable date of retirement : ………………………………………………………
- Subscriber’s Pay :
………………………………………………………
- Name of the GPF or PF :
………………………………………………………
- Account No. : ………………………………………………………
- Balance of Credit of the Subscriber
of the on the Date of application :
………………………………………………………
- Objections of the withdrawal :
………………………………………………………
10. Amount of withdrawals sanctioned :
………………………………………………………
11. G.O under which the advance is sanctioned : ………………………………………………………
12.
No and date of the letter if any of the A.G.
Intimating the eligibility(This is to be
quoted
in the case of Gazetted subscribers) : ………………………………………………………
13. Whether all condition prescribed by Govt.
For the
sanction of such withdrawals have
Satisfied by the subscribers :
………………………………………………………
- Designation of the authority competent to
sanction on advance to be
subscribers from
his A.E
accounts for special reasons. : ………………………………………………………
- D.D to be issued in favour of
( DDO Designation & Adress) : ………………………………………………………
Station:
Dated : Signature
of the Applicant
|| Attested by the DDO||
ZP PF NUMBER ALLOTMENT APPLICATION
APPENDIX ‘P’
FORM – 1/2/4
Application for admission to the Provident Fund
.(to be submitted induplicate)
01. Name of the Applicant ::
02. Official designation & Address ::
03. Date of Birth ::
04. Office to which attached if on deputation state
The parent department Government also ::
05. Father`s Name ::
06. Service to which the applicant belongs ::
07. Whether applicants service is pensionable of not ::
08. Whether applicants is permanent/temporary of
Re-employed. If temporary give the date of
Commencement of service ::
09. Date of entry into service ::
10. Rate of employments drawn per mensum ::
11. Rate of subscription per month ::
12. Whether individual is a compulsory or optional ::
13. If subscriber is subscri bing to any other fund the
Name of such fund ::
14. Whether the applicant has a family or not ::
15. A/C.No. tobe allotted by the Account Officer ::
16. Pay as on previous 31
st March ::
17. Remarks ::
A form of nomination in the prescribed form duly filed is enclosed.
Station:
Date:: SIGNATURE OF APPLICANT.
Signature of the Head Office Designation.
Office of the ___________________________dated___________________the _______________200
Returned with account number allotted. This number should be quoted in all correspondence
connected there with.
GIS CLAIM APPLICATION
PROCEEDINGS OF THE MANDAL EDUCATIONAL OFFICER::……………………
PRESENT:……………………………………………..
Rc.No…………….. Dated:…………..
Sub:GROUP INSURANCE SCHEME Sri/Smt………………………………
……………………………………………………………………….....
Sanction of G.I.S. Savings/Insurance Amount of Rs……………………..
Orders – Issued.
Ref: 1) G.O.Ms.No. 293 F&P. Deptt. Dated: 9-10-1984.
2) G.O.Ms.No. 323 F&P. Deptt. Dated: 12-11-1984.
3) G.O.Ms.No. 367 F&P Deptt. Dated: 15-11-1994.
4) G.O.Ms.No. 193 F&P Deptt. Dated: 19-03-2002.
5) Govt.Memo.No.34520/147/Admn.II/A2/99, Dated:19-3-2002.
6) Other connected papers.
-x-x-x-
O R D E R :
Sri/Smt………………………………………………………………………………
Who retired from her/his service on the A.N. of -----------------/died while in service
on……………..
He/She subscribed an amoun t of Rs……../-P.M initially towards Group Insurance
Scheme from……….. and enhanced the amount to Rs……./- P.M from………..and
again enhanced the amount to Rs……./- P.M from………..to………………………
towards Savings amount of the incumbent.
Hence Sanctioned is hereby accorded for drawal of an amount of s…………..as
follows for final settlement of the G.I.S. claim.
1. Savings Amount …. Rs…………….
2. Insurance Amount …. Rs…………….
TOTAL…. Rs…………
The amount is payable to Sri /Smt……………………………………………..
who retire from his/her service on the A.N.of……………… in pursuance of the
Orders Issued in the reference read above.
The expenditure is debitable to the following Heads of Accounts.
8011 - Insurance & Pension Funds.
107 - State Govt. Employees GIS
02 - G.I.S. for P.R. Employees
001 - Isurance fund
002 - Savings fund. Mandal Educational Officer
Copy submitted to the S.T.O…………..
Copy to file.
Monday, October 22, 2012
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