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SLIP OB A/C Slip ………………………………………………………………………………………………….. Add ( Sub ) + Refund From ……………………………………….. To …………………………………………………………. ( Monthwise details enclosed ) Total …………………………………………………………………………………………………………… Deduct W / D From ………………………………………… To …………………………………………………………. ……………………………………………………………………………………………………………………... ……………………………………………………………………………………………………………………… ……………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………. ………………………………………………………………………………………………………………………. ………………………………………………………………………………………………………………………. Balance as on …………………………………………………………………………………………………)

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! www.asiriyar.com

! ANNEXURE 1

NAME DESIGNATION

2 SCHOOL NAME & PLACE 3

TPF / GPR A/C NO

4

DATE OF JOINING IN SERVICE

5

DATE OF BIRTH

6

DATE OF RETIREMENT

7

TEM.ADV / PFW

8

BASIC PAY

Rs

9

PAY RANGE

Rs

10

PROCEEDING NO

11

OPENING BLANCE AS PER A/C SLIP

Rs

12

CREDIT AFTER A/C

Rs

13

TOTAL

Rs

14

DEBIT AFTER A/C

Rs

BALANCE AS ON DATE 15

Rs

SANCTIONED LOAN / PARTFINAL

Rs

16

LOAN PENDING

Rs

17

AGGRECATING AMOUNT

Rs

18

RECOVERY DETIALS

Rs

!

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75%Rs