BY RPAD

MEDICAL EDUCATION DEPARTMENT

From To
Dr.T.Rajakumar MD., The Director of Medical Education,
Superintendent , Kilpauk,
Govt. Rajaji TB Hospital Chennai-10
Tiruchirappalli-1

Ref. No. / OS/2018 dt .03.18

Sub: Nursing Establishment-Mahathma Gandhi Memorial

Govt.Hoslpital, Trichy-Tmt.G.Parvathiammal, Nursing
Superintendent Gr-II – Due to Retire on
Superannuation on 31.05.2018AN Permission to
relieve her from Government Service-Requested-
Regarding.
-------
I submit herewith the Proposals for Superannuation
Retirement (Due on 31.05.2018 A.N) in respect of Tmt. G.Parvathiammal,
Nursing Superintendent Gr-II of this Hospital for your kind perusal and
necessary action.

I request you to kindly grant permission to relieve her

from Government Service on the After Noon of 31.05.2018.

RETIREMENT PROPOSALS ARE

1. Complete Service Particulars
2. Proforma form to be filled by Forwarding Authority
3. No Dues/No Disciplinary Proceedings Pending Certificate
4. Declaration of the individual in Green Bond Paper (4 copies)
5. Ref.No.7034/E1/17 dt.05.12.17 of the Dean, Govt.Thiruvarur
Medical College Hospital, Thiruvarur
6. Ref.No.348/A/17 dt.21.12.17 of the Superintendent,
Govt.Rajaji T.B Hospital, Trichy

DEAN
SERVICE PARTICULARS OF TMT.M.RAJESWARI, NURSING
SUPERINTENDENT GR-II MAHATHMA GANDHI MEMORIAL
GOVT.HOSPITAL, TRICHY-17

1 Name and Designation Tmt. G.Parvathiammal

Nursing Superintendent Gr-II
2 Institution to which attached Govt. Rajaji TB Hospital, Trichy
3 Date of Birth 25.05.1960
4 Date of Joining in Govt.Service 02.03.1984 FN
5 Date of Regularization 02.03.1984 FN
6 Date of Completion of Probation 06.04.1986 AN
7 Date of Superannuation 31.05.2018 AN
 Post held and stations which worked

Sl. Post Name of the Institution From To

N
o
1 Staff Nurse ESI Dispensary , 02.03.1984 AN 31.01.1986 AN
Nandambakkam,
Chennai
Transit Period 01.02.86 08.02.86
2 Staff Nurse Govt. Hospital, 09.02.1986 FN 04.10.1986 AN
Perambalur
Transit Period 05.10.86 05.10.86

4 Staff Nurse Govt. Head Quarters 06.10.1986 FN 30.06.1994 AN

Hospital, Trichy
Transit Period 01.07.1994 07.07.1994
5 Staff Nurse Govt. Head Quarters 08.07.1994 FN 31.05.1994 AN
Hospital, Pudukottai
Transit Period 01.06.1999 01.06.1999
6 Staff Nurse Annal Mahatma Gandhi 02.06.1999 FN 13.09.2013 AN
Memorial Govt.Hospital,
Trichy
Transit Period 14.09.2013 20.09.2013

Nursing Govt.Tiruvarur Medical 21.09.2013 FN 24.06.2014AN

7 Superintendent College Hospital,
Gr-II Tiruvarur
Transit Period 25.06.2014 30.06.2014
8 Nursing Govt. Rajaji TB 01.07.2014 FN Till Date
Superintendent Hospital, Trichy
Gr-II

SUPERINTENDENT
GOVT. RAJAJI TB HOSPITAL
TRICHY

ANNEXURE

PROFORMA FORM TO BE FILLED UP BY THE FORWARDING

AUTHORITY WHILE SENDING PROPOSALS FOR SUPERANNUATION
RETIREMENT

1 Name,Designation and Present Tmt. G.Parvathiammal

Station of the retiring personnel Nursing Superintendent Gr-II
2 Date of Birth 25.05.1960
3 Date of First Appointment 02.03.1984 FN
4 Present Scale of Pay 56100-177500 Level 22 cell -14
5 Date of Retirement 31.05.2018 AN
6 Whether any disciplinary action Nil
is pending against the individual
as on Date? If so the pendency at
whose level may be mentioned
with Ref.No. and date
7 Whether any disciplinary action Nil (No Due certificate enclosed)
is contemplated, If so, the present
Stage may be furnished
8 Whether any disciplinary action Nil (No Due certificate enclosed)
 is disposed off and in such a case
the nature of punishment imposed
with Ref.No.and Date.Please
mention whether the punishment
period is over
9 Whether any Government dues Nil (No Due certificate enclosed)
are pending recoverable against
the Government Servant? If so,
the Details may be furnished.
10 Whether any audit recoveries are Nil (No Due certificate enclosed)
pending, If so, the details may be
Furnished
11 Whether advance intimation was Yes
sent to the individual regarding
her Retirement on attaining the
age of Superannuation

SUPERINTENDENT
GOVT. RAJAJI TB HOSPITAL
TRICHY

NO DUE CERTIFICATE(1)

Certified that no amount is pending towards Bank/Society

Loan to be recovered from Tmt.G. Parvathiammal, Nursing

Superintendent Gr-II due to retire on Superannuation on 31.05.2018

AN and no House Building Advance Recovery/Interest Recovery is

pending to be recovered.

SUPERINTENDENT
GOVT. RAJAJI TB HOSPITAL
TRICHY
 NO DUE CERTIFICATE(2)

Certified that Tmt.G.Parvathiammal, Nursing

Superintendent Gr-II working at Govt. Rajaji TB Hospital,

Trichirappalli has not come across any adverse remarks/No

Disciplinary action is pending/contemplated against her and also no

Government money is pending to be recovered from the individual

and no Audit Para Pending in respect of the above individual.

SUPERINTENDENT
GOVT. RAJAJI TB HOSPITAL
TRICHY
 NO DUE CERTIFICATE(3)

1. Certified that she has not come across any adverse remarks/No
Disciplinary action is pending / contemplated against him at this
institution.

2. Certified that no Government money is due to be recovered from

her no long term loan is pending to be recovered from him at this
institution.

3. Certified that no leave period is pending to be regularized against

her at this institution.

4. Certified that no Audit para is pending to be settled against her at

this institution.

SUPERINTENDENT
GOVT. RAJAJI TB HOSPITAL
TRICHY

DECLARATION
RECOVERY CERTIFICATE AS PER G.O.MS.NO.845/FINANCE
DATED:12.3.1978
 I, G.Parvathiammal, Nursing Superintendent Gr-II

working at Govt. Rajaji TB Hospital, Trichy declare that the

Government Money, if any due from me or the loss caused to

the Government by any overdrawn of pay and allowances etc.,

by me and any other obvious dues as a result of negligence or

fraud noticed on my part while in service may be recovered

from the Death-cum-Retirement Gratuity or Pension or

Commutation of Pension or any other amount due to me or by

way of Revenue Recovery Act if necessary in one lumpsum.

SIGNATURE OF THE INDIVIDUAL

/COUNTERSIGNED/
 DECLARATION

I, G.Parvathiammal, Nursing Superintendent Gr-II do

hereby declare that No dues are pending to be recovered towards

the House Building Advance, House Building Advance Interest,

Society loan, Bank Loan, Motor Car/Motor Cycle Advance etc.,

and if any found later may be recovered from my Death-Cum

Retirement Gratuity/ Pension in one lumpsum.

SIGNATURE OF THE INDIVIDUAL

/COUNTERSIGNED/