FORM OF OPTION

(See rule______)

(1) I ________________________________________(designation)_________________________
hereby opt to get my pay fixation done in view of the Modified Career Progression Scheme, 2008
with effect from the date of next increment / date on which I complete 10 / 20 / 30 years of regular
service i.e._______________

Signature__________________
(Smt D.PRAMEELA)
Name: w/o. Late D. PRASAD

Designation: Multi-tasking staff

Office to which employed__________________________

Date: 11-10-2019
Station: Chandragiri

__________________________________________________________________________________

UNDERTAKING

I, hereby undertake that any excess payment that may be found to have been made as a result of
incorrect fixation of pay or any excess payment detected in the light of discrepancies noticed
subsequently will be refunded by me to the Government either by adjustment against future payments
due to me or otherwise.

Signature__________________
(Smt D.PRAMEELA)
Name: w/o. Late D.PRASAD

Designation: Multi-tasking staff

Office to which employed__________________________

Date: 11-10-2019
Place: Chandragiri.