Last Pay Certificate

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Try. Form No.

320
LAST PAY CERTIFICATE
1. Last Pay certificate of............................................................................................................................
of the .....................................................................................................................................................
Proceeding on .......................................................................................................................................
to ...........................................................................................................................................................
2. He has been paid up to ............................................................................................................... at the
following rates :-
Particulars Rate
Substantive Pay
Officiating Pay
Allowances, etc.
Deduction

2. His Provident Fund Account Number etc. are give below :-


Name of the Fund Account No. Which A.G. Maintains the account

4. He handed over charge of the office of ...............................................................................................


........................................................on the Forenoon / Afternoon of ...................................................
5. Recoveries are to be made from the pay of the Government Servant as details on the reserve.
Period Rate Amount
From...........................to.............................. at ₹..........................a month ₹ ..................................
From...........................to.............................. at ₹..........................a month ₹ ..................................
From...........................to.............................. at ₹..........................a month ₹ ..................................
6. He is entitled to draw the following :-
...............................................................................................................................................................
...............................................................................................................................................................
...............................................................................................................................................................
7. He is also entitled to joining time for.....................................days.
8. He Finances, the Insurance Policies detailed below, from Provident Funds :-
Name of insurance Number of Policy Amount of Premium Due date for the payment of
Company premium

9. The details of Income Tax recovered from him, up to the date from the beginning of the current
year are noted on the reverse.
Signature.................................
Dated ...................20.....
Designation.............................
REVERSE
DETAILS OF RECOVERIES
Nature of recovery ...............................................................................................................................
Amount ₹ ............................................................................................................................................
Number of Installments which are to be recovered..............................................................................

Deductions made from Leave-Salary


From...................to.....................on account of ........................................ ₹......................................

From...................to.....................on account of ........................................ ₹......................................

From...................to.....................on account of ........................................ ₹......................................

DETAILS OF INCOME-TAX RECOVERED


Name of Month Pay Gratuity Funds and Amount of Remarks
Fees etc. other Income-Tax
deduction recovered

April, 20

May, 20

June, 20

July, 20

August, 20

September, 20

October, 20

November, 20

December, 20

January, 20

February, 20

March, 20

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