Last Pay Certificate of _______________________________________________________ of the __________________________________ proceeded on __________________________________________________________________________________ (2) He will be paid upto ______________ at the following rates:- Particulars Rate Basic Pay … … Convayance Allowance … … Instructional Allowance … … Cash Medical Allowance … … WAPDA Allowance … … Adhoc ReliefAllowance 2010 … … Adhoc ReliefAllowance 2011 … … Adhoc ReliefAllowance 2012 … … Adhoc ReliefAllowance 2013 … … Adhoc ReliefAllowance 2014 … … LESCO Head Office Allowance … … Instructional Allowance … … Deductions … … Total: GLI … … WWF … … GPF … … MBF … … Income Tax … … Transport Charges … … Net (3) He will made over-charge of the office of_________________________ on the______________ _____ ____noon of ___________ ____________________ (4) Recoveries are to be made from the pay of officer as detailed on the reverse. (5) He has been paid leave salary as detailed below. Deductions have been made as noted on the reverse:- Period Rate Amount From_____________________to______________________@ Rs________________a month__________ From_____________________to______________________@ Rs________________a month__________ From_____________________to______________________@ Rs________________a month__________ (6) He is entitled draw the following:- ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ (7) He is also entitled to joining time for___________________________________________________ (8) The details of the Income Tax recovers from him upto the date from the beginning of the current year are noted on the reverse.
Date Signature REVERSE
Nature of recovery _____________________________________________________________________________________
_____________________________________________________________________________________________________ Amount Rs. ___________________________________________________________________________________________ be recovered in __________________________________________________________________________Instalments.
Endorsing Section 4.5 of Annex "D" of The Implementing Rules and Regulations of Republic Act No. 9184 For Approval of The President of The Republic of The Philippines