CHARGE REPORT CERTIFICATE

Certified that with reference to Office Order No.

___________________________________________________________
(copy enclosed) we have in the forenoon / afternoon of
________________________ handed / taken over the charge of the post of
_______________________________

Signature of Handing Over Officer: __________________

Station: _____________ Name: ___________________
Dated: ______________ Designation:___________________

Signature of Taking Over Officer: ____________________

Station: _____________ Name: ___________________
Dated: ______________ Designation:____________________

Remarks and observations of next higher administrative authority.

Full Signature: ______________________

Name: ______________________
Designation:______________________

DISTRIBUTION
Original To be sent to the Audit Officer concerned authorized to
issue Salary Slip.
Duplicate copy To be sent to the authority issuing orders of transfer,
promotion, reversion, postings, appointments, etc.
Triplicate copy To be sent to the next higher administrative authority
Quadruplicate copy To be retained by the Relieving Officer / Officer Assuming
or Taking Over Charge.
Quintuplicate copy To be retained by the Relieved Officer / Officer
Relinquishing or Handing Over charge.
Sextuplicate copy To be retained as office copy.
NOTE
The “Original”, “Duplicate copy” and “Triplicate copy” shall be forwarded by a covering letter to
the next higher administrative authority who will pass on the “Original” and “Duplicate copy”
with his remarks and observations thereon to the officers concerned immediately, under
intimation to the officer Assuming / Taking Over charge.

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