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 |
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Less Fund deductions as follows: |
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Uncovenanted Service Family Pension Fund |
Rs. |
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Bengal and Madras ditto |
" |
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General Family Pension Fund |
" |
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Hindu Family Annuity Fund |
" |
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Postal Insurance Fund (Policy no.——) |
" |
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Forest Officer’s Provident Fund |
" |
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General Provident—(Account no.——) |
" |
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Net claim |
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Deduct Income Tax Special Surcharge for purposes of Union. |
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Deductions on account of advances and recoveries as detailed below: |
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Advance of pay—— |
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House rent—— |
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Net amount payable, Rs. |
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(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