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2012 2013

Form R-3
(As referred to in Para 19 of the Government Resolution, School Education and Sport Department, No.CPS-1006/(23/06)/SE-2, dated 29 November, 2010.)

OFFICE OF THE DEPUTY DIRECTOR (School Education)

Statement of Account in respect of contributions under the D.C.P.Scheme For the Year 2012-2013

Name of the School - BABAJI SAKHARAM PATIL (SEC) VIDYA MANDIR,

MUMBRA

School Shalarth ID - 04120100586_AST

Pension Account Number (DCPS No.) -

Name of the Employee - SHIVAJI PANGAL DALVI
047101001825SPDM7301C

Treasury - Thane Designation - Assistant Teacher

Rate of Interest (Apr 2012 to Mar 2013 : 8.8%)

Designation of the Officer responsible for deduction the amount of Contribution. Suprintendent, Pay & P.F. Unit (Secondary) Thane.

Employer's
Month & Contributio
Sr.No Year Employee's Contribution n Total Tier 1

Delayed
Month &
Regular Year Delayed Arriers Total Total Remark

1 Apr 2012 0 0 0 0 0 0

2 May 2012 0 0 0 0 0 0

3 Jun 2012 0 0 0 0 0 0

4 Jul 2012 0 0 0 0 0 0

5 Aug 2012 0 0 0 0 0 0

6 Sep 2012 0 0 0 0 0 0

7 Oct 2012 0 0 0 0 0 0

8 Nov 2012 0 0 0 0 0 0

9 Dec 2012 0 0 0 0 0 0

10 Jan 2013 0 0 0 0 0 0

11 Feb 2013 0 0 0 0 0 0

12 Mar 2013 0 0 0 0 0 0

Total Rs 0 0 0 0 0 0

Opening Balance 0 Interest on OB 0

Contribution Amount 0 Interest 0

Total of OB and Contribution 0 Total amount standing to credit Rs. 0

Rupees

Certified that the details shown above are correct as per the information reeived in this office. However, the closing balance shown above will be
subject to final adjustments on account of excess credit or excess interest, if any, which may come to the notic of this office at a later date.

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Place : Thane Office - in- Charge

Date : 25/03/2022 Deputy Director (School Education) Mumbai

Verified the above details in respect of Shri/Smt/Kum. SHIVAJI PANGAL DALVI

The information given above is correct as per the original record maintained in this office.

Place : Thane
Form R-3
(As referred to in Para 19 of the Government Resolution, School Education and Sport Department, No.CPS-1006/(23/06)/SE-2, dated 29 November, 2010.)
Date : 25/03/2022 Head Master
OFFICE OF THE DEPUTY DIRECTOR (School Education)
Statement of Account in respect of contributions under the D.C.P.Scheme For the Year 2012-2013

Name of the School - BABAJI SAKHARAM PATIL (SEC) VIDYA MANDIR,

MUMBRA

School Shalarth ID - 04120100586_AST

Pension Account Number (DCPS No.) -

Name of the Employee - SHIVAJI PANGAL DALVI
047101001825SPDM7301C

Treasury - Thane Designation - Assistant Teacher

Rate of Interest (Apr 2012 to Mar 2013 : 8.8%)

Designation of the Officer responsible for deduction the amount of Contribution. Suprintendent, Pay & P.F. Unit (Secondary) Thane.

Employer'
s
Sr. Month & Contributi Total
No Basic GP DP Year Employee's Contribution on Tier 1

Delayed Re
Month & ma
Regular Year Delayed Arriers Total Total rk

1 0 0 0 Apr 2012 0 0 0 0 0 0

2 0 0 0 May 2012 0 0 0 0 0 0

3 0 0 0 Jun 2012 0 0 0 0 0 0

4 0 0 0 Jul 2012 0 0 0 0 0 0

5 0 0 0 Aug 2012 0 0 0 0 0 0

6 0 0 0 Sep 2012 0 0 0 0 0 0

7 0 0 0 Oct 2012 0 0 0 0 0 0

8 0 0 0 Nov 2012 0 0 0 0 0 0

9 0 0 0 Dec 2012 0 0 0 0 0 0

10 0 0 0 Jan 2013 0 0 0 0 0 0

11 0 0 0 Feb 2013 0 0 0 0 0 0

12 0 0 0 Mar 2013 0 0 0 0 0 0

Total Rs 0 0 0 0 0 0

Opening Balance 0 Interest on OB 0

Contribution Amount 0 Interest 0

Total of OB and Contribution 0 Total amount standing to credit Rs. 0

Rupees

Certified that the details shown above are correct as per the information reeived in this office. However, the closing balance shown above will be
subject to final adjustments on account of excess credit or excess interest, if any, which may come to the notic of this office at a later date.

2 of 4 25-03-2022, 12:14
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Clerk AAO Superidendent AO Office - in- Charge

Pay Unit (Sec.) Pay Unit (Sec.) Pay Unit (Sec.) Deputy Director Deputy Director (School Education)

Thane Thane Thane Mumbai Mumbai

Verified the above details in respect of Shri/Smt/Kum. SHIVAJI PANGAL DALVI

The information given above is correct as per the original record maintained in this office.

Place : Thane

Date : 25/03/2022 Form R-3 Head Master

(As referred to in Para 19 of the Government Resolution, School Education and Sport Department, No.CPS-1006/(23/06)/SE-2, dated 29 November, 2010.)

OFFICE OF THE DEPUTY DIRECTOR (School Education)

Statement of Account in respect of contributions under the D.C.P.Scheme For the Year 2012-2013

Name of the School - BABAJI SAKHARAM PATIL (SEC) VIDYA MANDIR,

MUMBRA

School Shalarth ID - 04120100586_AST

Pension Account Number (DCPS No.) -

Name of the Employee - SHIVAJI PANGAL DALVI
047101001825SPDM7301C

Treasury - Thane Designation - Assistant Teacher

Rate of Interest (Apr 2012 to Mar 2013 : 8.8%)

Designation of the Officer responsible for deduction the amount of Contribution. Suprintendent, Pay & P.F. Unit (Secondary) Thane.

Employer'
s
Sr. Month & Contributi Total
No Basic GP DP Year Employee's Contribution on Tier 1

Delayed Re
Month & ma
Regular Year Delayed Arriers Total Total rk

1 0 0 0 Apr 2012 0 0 0 0 0 0

2 0 0 0 May 2012 0 0 0 0 0 0

3 0 0 0 Jun 2012 0 0 0 0 0 0

4 0 0 0 Jul 2012 0 0 0 0 0 0

5 0 0 0 Aug 2012 0 0 0 0 0 0

6 0 0 0 Sep 2012 0 0 0 0 0 0

7 0 0 0 Oct 2012 0 0 0 0 0 0

8 0 0 0 Nov 2012 0 0 0 0 0 0

9 0 0 0 Dec 2012 0 0 0 0 0 0

10 0 0 0 Jan 2013 0 0 0 0 0 0

11 0 0 0 Feb 2013 0 0 0 0 0 0

12 0 0 0 Mar 2013 0 0 0 0 0 0

Total Rs 0 0 0 0 0 0

Opening Balance 0 Interest on OB 0

Contribution Amount 0 Interest 0

Total of OB and Contribution 0 Total amount standing to credit Rs. 0

Rupees

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Certified that the details shown above are correct as per the information reeived in this office. However, the closing balance shown above will be
subject to final adjustments on account of excess credit or excess interest, if any, which may come to the notic of this office at a later date.

Clerk AAO Superidendent AO Office - in- Charge

Pay Unit (Sec.) Pay Unit (Sec.) Pay Unit (Sec.) Deputy Director Deputy Director (School Education)

Thane Thane Thane Mumbai Mumbai

Verified the above details in respect of Shri/Smt/Kum. SHIVAJI PANGAL DALVI

The information given above is correct as per the original record maintained in this office.

Place : Thane

Date : 25/03/2022 Head Master

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