FORM NO. 11-A

(See CHAPTER VII, PARAGRAPH 137)

Periodical Increment Certificate

(1) Certified that the Government servants named below have earned the prescribed periodical increments from the date cited in column 6 having been the incumbent of the posts specified not less then year from the date in column 5, after deducting periods of suspension for misconduct and absence on leave without pay and in the case of those holding the posts in officiating capacity, all other kinds of leave.

(2) Certified that the Government servants named below have earned periodical increments from the date, cited, for reasons stated in the explanatory memo, attached hereto.

Name of incumbent

Where substantive or officiating

Scale of pay of post

Present pay

Date from which present pay is drawn

Date of present increment

Future pay

Suspended for misconduct

Leave without pay and in the case of those holding the post in officiating capacity all other kinds of leave

From—

To—

From—

To—

1

2

3

4

5

6

7

8

9

10

11

NOTES—(1) When the increment claimed is the first to carry an official over an efficiency bar, columns 5, 6 and 7 should be filled up in red ink.

(2) The figure (1) or (2) should be placed against each name according as the reason (1) or (2) applies. The explanatory memo should be submitted in any case in which reason (2) applies.

Signature and designation of Drawing Officer.