BILL FOR PAY AND ALLOWANCES/LEAVE SALARY OF A GAZETTED OFFICER
Name of Treasury:
FOR TREASURY USE
Computer Sequence No./Token No.
Date:
Scroll No. SDO Code:
Name:
Designation:
G.E No.
Name of Office:
PAN/GIR:
Head of Account
Plan (P)/Non-Plan (N) MAJ
SMJ
MIN
SUB
Voted (V)/Charged (C)
SSUB
CPS/CSS Received for the period: A. Amount due Pay/Duty pay
Ratio
(From) Rate
(To) Amount
B. Deductions GPF
Leave Salary
GPF (Loan Recovery)
Special pay
GPF (Arrear DA)
Personal pay
GPF (ADA)
Transit pay
Group Insurance
Rate
Amount
State Life Insurance Dearness Allowances
SLI (Loan Recovery)
House Rent Allowance
Recoveries ordered by AG
CCA
HBA-1
PTA
HBA2
PCA
HBA Additional
Special Allowance
HBA interest MCA
Deduct Advance drawn
MCA interest
Gross claim A
PLI
Total –B
Rent
FBS
Net Claim = A-B
Income Tax LIC
Received Rs.
(Rs.
Computer Advance only)
In CASH/TC to TSB Total B Station:
Signature:
Date:
Designation:
0 Stamp
FOR TREASURY USE ONLY Pay Rs………………………….. (Rupees …………………………………………………………………………. onl y) in CASH/Cheque Rs……………………………………..(Rupees ……………………………………………………………………………only ) b y RBR and Rs ……………………………….(Rupees ……………………………………………………………………………. only) by TC. POC No. ……………………………………Date ………………………………………………. Accountant Received Pay Order Cheque
Treasury Officer Py Order Cheque Issued by
Signature of Recipient
Accountant
Note: Govt. accept no responsibility, for any fraud or misappropriation in respect of money or draft made over to messenger. CERTIFICATE FOR CLAIMING HRA: I certify that I did not occupy Govt. quarters during the period for which HRA is claimed in the bill. Date:
/
/
Signature:
LIFE CERTIFICATE referred in No.7: Sri/Smt. ……………………………………………………………………… ……………is alive on this ……………………………………………….. (date). Station: ……………………………………………………….
Signature: ……………………………………………………..
Date: ………………………………………………………… Space for Additional Certificates
Designation: …………………………………………………..
Allotment Details (For PTA, PCA claim) Appropriation for current year
Rs.
Expenditure excluding the bill
Rs.
Expenditure including the bill
Rs.
Balance
Rs. Signature of Drawing Officer
DIRECTIONS FOR USE 1. 2. 3. 4. 5. 6. 7. 8.
A salary bill may be endorsed to a Banker or other recognized agent and submitted for collection through such Banker or Agent if the Officer desires so. An Officer appointed to the Govt. service must furnish a cert ificate that he has subm itted proposals for SLI (Official Branch ), and applied for admission to the GPF as per rules. Income Tax should be deducted as per rules. Leave salary/transit pay should be claimed after getting pay slip from the AG. Copy of LPC/Pay Slip should be attached with the bills as per rules. The details of salary enchased should be informed to the head of office with a copy of FBS schedule. An Officer who signs his own bills while absent on leave must either present it in person or furnis h the above life certificate, signed b y a r esponsible officer of Government or some other well known and trustworth y per son known to the Treasur y Officer. If conveyance allowance is claimed in this bill, a certificate as per rules should be furnished. FOR THE USE OF AG’S OFFICE Classifications
Details of objection
Debit
Chargeable
Credit
Head of Account:
Total amount of bill
Payable …………………………………………………… Treasury
Admitted
Passed for Rs. ……………………………………………………..
Disallowed
(Rupees. …………………………………………………………….)
Objected, See details of objection. Retrenchments slip No. GA ………………………………………… dated ……………………………………. Or objection slip No. ……………………………………………….. dated ……………………………………. Accountant/ CT AAG Sr. AO/AO AAO/SO AA
GPF (Loan Recovery) ... SLI (Loan Recovery) ... An Officer appointed to the Govt. service must furnish a certificate that he has subm itted proposals for SLI ...
O O O O O O O O O O O O. O O O O O O O O O O O O. O O O O O O O O O O O O. Page 1 of 1. BILL PAY Checklist.pdf. BILL PAY Checklist.pdf. Open. Extract.Missing:
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