Claim for Pay Fixation Arrears in the Revised Pay Scales of 2015 in r/o Sri.

(0307228) , O/o ()
Period Days Eligible Already Drawn Difference
From To Days total total total
Total for Cash and Adjustment 0

Total=(Basic+DA+HRA+etc) - PT
1) As per GO. Ms.No.25, Finance (HRM-IV) Department dated:18.03.2015 and this office procgs No:____/____/2015 dated:___-10-2015, the pay fixation arrears in respect of
Remarks:-
the individual is claimed.
2) Notional benifits from to and the arrears for the month of /2015 will be credited after orders issued by the Government .
3) Certified that the amount claimed in this bill is not drawn earlier.