F. A. R. FORM No. 11

(See paragraph 107)

FOREST DEPARTMENT, UTTAR PRADESH

Pay bill of gazetted Government servant

Name of Government servant_________________________________

AUDIT NO.

HEAD OF SERVICE

_______________Division

Received for the month of______19 .

My substantive pay as ____________

Additional pay for officiating as ____

Overseas pay____________________

Special pay_____________________

Fixed travelling allowance_________

GROSS Total Claim

     

Less Fund deductions as follows:

     

Uncovenanted Service Family Pension Fund

Rs.

   

Bengal and Madras ditto

"

   

General Family Pension Fund

"

   

Hindu Family Annuity Fund

"

   

Postal Insurance Fund (Policy no.——)

"

   

Forest Officer’s Provident Fund

"

   

General Provident—(Account no.——)

"

   

Net claim

   

Deduct Income Tax Special Surcharge for purposes of Union.

   

Deductions on account of advances and recoveries as detailed below:

   

Advance of pay——

   

House rent——

   

Net amount payable, Rs.

   

(Net amount to be written in words) Rupees————

Ten n.P receipt stamp for payment exceeding Rs. 20

Received payment

The Dated at 19

(Signature and official designation) Stamp must be defaced by the drawer.

has been disbursed by me.

Passed for Rupees This amount of Rs.

Conservator of Forests,

——Division. Disbursing Officer,

For use in Principal Auditor’s Office

Admitted

Objected

Auditor Audit Officer.

Dated

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