Statement showing the subscription particulars under NPS/CPS (to be submitted to the concerned Treasury)

Name of the Employee/Designation: Name of the Office:

Employee ID: Designation of the DDO:
PRAN Number: DDO Code:
Date of Appointment:
Salary for the Basic Pay Da/DA Total Subscription Token Gross Net Date of Major Remarks
Month of Arrears if any (2+3) Recovered if any Number/Trans Amount of Amount of Encashment Head of
ID of the Bill Bill Bill of the Bill the Bill
1 2 3 4 5 6 7 8 9 10 11

Totals
Verified that Total amount of Rs……………………………(in words ……………………………….. ……………….. ……….. ……………is Recovered
from the individual towards CPS for the period rom……………..… to…………………

Siganature of the DDO

1. Verified Account Statement of the Individal and confirmed the missing credit.
2. Verified Form 47 of the respective month
3. Verfied the above records with reference to the CPS Schedule of the respective month
4.Verified reconcilation report of repective month
5. Verified the records with reference to the Text file uploaded to NSDL
6. CPS subscription amount is in our PD Account
7. The above missing credits not uploaded before

Verified
Stamp & Signature of the Treasury Officer