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 PRINT 
2012 2013 2014

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 2013-2014

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 2013 to Mar 2014 : 8.7%)

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 2013 0 0 0 0 0 0

2 May 2013 0 0 0 0 0 0

3 Jun 2013 0 0 0 0 0 0

4 Jul 2013 0 0 0 0 0 0

5 Aug 2013 0 0 0 0 0 0

6 Sep 2013 0 0 0 0 0 0

7 Oct 2013 6376 0 0 6376 6376 12752

8 Nov 2013 0 0 0 0 0 0

9 Dec 2013 3274 0 0 3274 3274 6548

10 Jan 2014 3274 0 0 3274 3274 6548

11 Feb 2014 6548 0 0 6548 6548 13096

12 Mar 2014 0 0 0 0 0 0

Total Rs 19472 0 0 19472 19472 38944

Opening Balance 0 Interest on OB 0

Contribution Amount 38944 Interest 1015

Total of OB and Contribution 38944 Total amount standing to credit Rs. 39959

Rupees Thirty Nine Thousands Nine Hundred and Fifty Nine

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 2013-2014

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 2013 to Mar 2014 : 8.7%)

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 2013 0 0 0 0 0 0

2 0 0 0 May 2013 0 0 0 0 0 0

3 0 0 0 Jun 2013 0 0 0 0 0 0

4 0 0 0 Jul 2013 0 0 0 0 0 0

5 0 0 0 Aug 2013 0 0 0 0 0 0

6 0 0 0 Sep 2013 0 0 0 0 0 0

7 0 0 0 Oct 2013 6376 0 0 6376 6376 12752

8 0 0 0 Nov 2013 0 0 0 0 0 0

9 0 0 0 Dec 2013 3274 0 0 3274 3274 6548

10 0 0 0 Jan 2014 3274 0 0 3274 3274 6548

11 0 0 0 Feb 2014 6548 0 0 6548 6548 13096

12 0 0 0 Mar 2014 0 0 0 0 0 0

Total Rs 19472 0 0 19472 19472 38944

Opening Balance 0 Interest on OB 0

Contribution Amount 38944 Interest 1015

Total of OB and Contribution 38944 Total amount standing to credit Rs. 39959

Rupees Thirty Nine Thousands Nine Hundred and Fifty Nine

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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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 2013-2014

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 2013 to Mar 2014 : 8.7%)

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 2013 0 0 0 0 0 0

2 0 0 0 May 2013 0 0 0 0 0 0

3 0 0 0 Jun 2013 0 0 0 0 0 0

4 0 0 0 Jul 2013 0 0 0 0 0 0

5 0 0 0 Aug 2013 0 0 0 0 0 0

6 0 0 0 Sep 2013 0 0 0 0 0 0

7 0 0 0 Oct 2013 6376 0 0 6376 6376 12752

8 0 0 0 Nov 2013 0 0 0 0 0 0

9 0 0 0 Dec 2013 3274 0 0 3274 3274 6548

10 0 0 0 Jan 2014 3274 0 0 3274 3274 6548

11 0 0 0 Feb 2014 6548 0 0 6548 6548 13096

12 0 0 0 Mar 2014 0 0 0 0 0 0

Total Rs 19472 0 0 19472 19472 38944

Opening Balance 0 Interest on OB 0

Contribution Amount 38944 Interest 1015

Total of OB and Contribution 38944 Total amount standing to credit Rs. 39959

Rupees Thirty Nine Thousands Nine Hundred and Fifty Nine

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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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