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NE ASTEAY CERTIFICATE, Pay Cerificate respect ar deputation te vide order 2 eae been pid as te We Blac bs ba cen 3 is Her Provident Fund Account No. ANE Kerala 4 He She relieved thom ite Oiice of (ODMIM VyVYs 8 Recoveries ore 10 be anade fiom the py i proceedings DMMEYY YY) at ar . ky Rs Be ® maintained by the Accemmant General Department as the AN EN of wy of the Government servant ay detailed om the Peuubsatreeovery deduetions sre detailed below: « GPL Maly Subset pion is TBA Lous Repssmiena 2 SEL Monthly Sumsciipton ue Rs * Any Other Gast Loa a 8 fer Reconery Rs 3. GPE Loan Repayment 0 Hs 9 Other ems itany Ge Rs S16 Poonam PLE ae is Profession Tay at Rs fs been reconeza 6 Te-She has boen paid leave salary as detailed below Period Rate Amount ™ lo ats a month 7 He She ts akqentitled tn joining ume as per niles : 7 The details uf the ineotretan received thos ‘uttent Year ae noted om the reverse 9 Us Her Hiabilty s quantitied up to 8 Destenation nx her upto the dav ton the enn or the (ated is Rs Un words & F ) Reason;emcmmnimwe - 2 + Verification Report : 7 npluyee Nomber Date of Birth Rules govemed for Pension Date of Entry inservice : : Date of Retirement’ Date of Superanmati Type of Pension Qualifying Sevier ? ‘Non-()ualifying Service Additional Quality 1g Servicetif any WG-0 Proceedings to be attached) Towl Qs [ini isto certify that the above details verified with relevant records and found correct. ‘Name & Signature Head of Otlice/ PSA/ Head of Departmenteapcmsnimwe - 3 Event /Non- event Certificate under Rule 112 b dil) Part UIKSR Volt Name of Employee Porton: Employee Number Designation Name of Office Pension proposal Nummber(ahrough PRISM) Aveountams General 1) Seale of Pay chan E-Vos provide the details is Previgus Seale of Pay Now Seale of P Reason for Change onder No & Dae nder Department imposed if'any - VES’NO IF Yes, provide the details as given below Details of Departmental: ladicery action Actin ken! Pres Order No & Date nt position This iw vervily that the above Eveavnon Event has been occurred to sn His Her service 1s satisfactory’ not satisfactory ll the date of retirement (In the Case of disciplinary getion imposed, the service oF emphisee is treated as aot salisfactory) . ; 7 Nain & Signature a + Meal uf Office: PSA. Head oof DeptFile No.DT/2101/2019-A1-Part(1) osalteus wongeog amodled ecucd : @leacumarayes -33 jOODMZOO Maye cwl.gi_/210/201 1 eral 06/ DP An foes agg MuNdAI eaWonIMESRs ToinheeraD Yo Cae MSasslarvdamomye HSOIMUT wor ecuersdi . . oo .