LAST PAY CERTIFICATE

Last Pay certificate of ………………………………………………………………………..

Of the ………………………………………………………………………………………..

Proceedings on ………………………………………………………………………………

On……………………………………………………………………………………………

He /She has paid been up to …………………………………………………………………..

At the following rates:

PARTICULARS RATES

1) Substantive pay Rs………………………………

2) Officiating Pay Rs:………………………………

3) D.A. Rs………………………………:

4) H.R.A. Rs:……………………………….

5) C.C.A. Rs :………………………………

6) Exchange Compensation Allowances. Rs:……………………………….

…………………………………….

……………………………………

Deductions

…………………………………….

……………………………………

……………………………………

……………………………………

3. He made over charge of the office of ……………………………………………………………

…………………………………………………………………………………………………….

On the ………………………………………..noon of

4) Recoveries are to be made from the pay of the Government servant as detailed on the reverse.

5. He has been paid leave salary as detailed below. Deductions have been made as noted on the

Reverse

PERIOD RATE AMOUNT

From……………. To ………. At Rs :………….. Amount…………

From……………. To ………. At Rs :………….. Amount…………

From……………. To ………. At Rs :………….. Amount…………

6. He is entitled to draw the following:

…………………………………………………………………………………………………..

……………………………………………………………………………………………………

……………………………………………………………………………………………………

7. He is also entitled to joining time for ……………………………….. Days.

8. The details of the Income Tax recovered from up the date from him to beginning of the current

Year are noted on the reverse.

Date:…………………2009 Signature……………………….

Designation………………………….

DETAILS OF RECOVERIES

Nature of recovery ……………………………………………………………………………..

Amount Rs:……………………………………………………………………………………..

To be recovered in …………………………………………………………………………….

DEDUCTIONS MADE FROM LEAVE SALARY

From…………………… to …………………………. On account of ………………Rs:…………

From…………………… to …………………………. On account of ………………Rs:…………

From…………………… to …………………………. On account of ………………Rs:…………

C.L.ACCOUNT

Elegible Availed Balance

C.Ls :

SPL C.Ls :

O.Hs :

NO DUES CERTIFICATE

Certified that there are no dues to be recovered from Sri./Smt………………………………

…………………………………………………………………………………………………

Date: Signature and Designation of

the officer.