A.P.T.C.

FORM - 49
(See subsidary rule 13 under Treasury Rule -10)
ERIODICAL INCREMENT CERTIFICATE
ANNEXURE
(1) Certi fi ed that every Government Servant(s) named bel ow has/ have earned the prescri bed peri odi cal i ncerment from date/ dates noted i n col umn 10 and ei ther I(a) has / have been the i
or the appoi ntment i ndi cated agai nest hi s name/ names for a peri od not l ess than_____year si nce the date i n col umn 5 or (i f he/ she has/ they have been suspended for mi scounduct) col umn 7 a
duducti on the peri ods between the dates shown i n col umn 8 & has 9 and has benn subjected i n any order of stoppage of i ncrement as penal i ty duri ng the peri ods, and duri ng the peri ods of l eav
average pay taken at a ti me and from____________________________________ whi ch has/ have beenconducted for i ncrement/ i n the case of offi ci ati ng Government Servent/ Servants named bel ow
woul d have offi ci ated i n the post/ posts but for hi s / thei r goi ng on l eave or_______________________________________

Leave wi thout pay and i n case of these

Date from whi ch present pay

as drawn

may be gi ven
Date from whi ch i ncerment
hol di ng the post temporari l y or i n an
offi ci ati ng capaci ty al l ki nds of l eave

offi ci ati ng
Whether Substanti ve or
Suspensi on for other than l eave on average pay
duri ng whi ch the woul d have
S. No.

Name Mi sconduct
conti nued to offi ci ate i n the post but
Appoi ntment

for thei r goi ng on have upto a

Present Pay
maxi mum of 4 months of such l eave
taken at a ti me

Scal e
From To From To
1 2 3 4 5 6 7 8 9 10 11 12

Note: 1. When an i ncerment cl ai med operares to carry Government Servant over an effi ci ency have the cl ai m shoul d be supported by a decl arati on from the competent authori ty that i t has sati sfi e
that the character and effi ci ency of the Government Servnt concetned are such that he i s fi t to pass the above col umns 5 & 10 to 14 shoul d be fi l l ed up i n red i nk.
2. The terms l eave on average pay upto a maxi mum 4 months wherever occuri ng from i ncl udes earned l eave up to a maxi mum of 100 days or 50 days or 30 days the case may be far as Gove
Servant governed by the Andhra Pradesh Leave Rul es 1988 are concerned.

SIGNATUEROF THEDDO
I(a) has / have been the i ncumbent
mi scounduct) col umn 7 after
duri ng the peri ods of l eave on
t/ Servants named bel ow he/ they
Amount of i ncerment

Future Pay

13 14

uthori ty that i t has sati sfi ed i t sel f

e case may be far as Government