Personal Details 1 2 3

School Name Teacher’s Name with Initial (English) Teacher’s Name with Initial (Tamil )

4

Designation

5

Scale of Pay

6

Increment Month

7

TPF / CPS No.

8

Date of Birth

9

Date of Joining in present post

10

Date of Retirement

11

Veh .Ins. No.

12

HBA. No.

13

Pan Card No

13

Com.In.No

14

Date of Appointment

15

Designation at the time of Joining

16

Father’s Name

17

Spouse Name ( Husband / Wife )

18

HDFC No.

19

Surrender Date

20

Mobile Number

21

E-mail Id

www.Padasalai.Net

Salary Details Basic

G.P

PP

DA

HRA

CCA

MA

SA

TOTAL

November Month Salary Details

Salary Deductions

PLI Details

TPF / CPS

PLI No.

FBF

Amount

Bank Details

NHIS PLI

Bank Name

KHADI

Branch Name Sub

Ins

Account No.

TPF LOAN

IFSC Code

CPS ARREAR

MICR No.

FA SPF (From 1984 Rs.20/-) SPF2 (From 2000 Rs.50/-) SPF2 (From 2000 Rs.70/-) HBA 1 - Principal HBA 1 - Interest HBA 2 - Principal HBA 2 - Interest HBA 3 - Principal HBA 3 - Interest

Non Salary Deductions Society

Signature of the Headmaster tlr

Signature of the Headmaster www.Padasalai.Net