FORM OF LAST PAY-CERTIFICATE FOR HIGH SCHOOL (SPONSD.

) TEACHERS

1. Last Pay Certificate of:

2. Qualification: 3. Designation: Asst. Teacher
4. Pay a) Level: LEVEL- b) Cell: CELL-
5. a) Date of last increment: 01-07-21 b) Date of next increment: 01-07-2022
6. Period of service: From to -2022
a. Prior to joining this school: From - to- .
b. In this school: From to -2022 Total- .
7. Reason for leaving the school: For General Transfer (Utsashree)
8. Date of Birth:
He/she has drawn substantive pay as Basic Pay- Rs- 00/-, D.A.@3% Rs- /- HRA-@12% - Rs- /-, M.A.-
Rs- 500/- at the rate of Rs.........x......... a month .......x..... and additional pay as ................................... at the rate of Rs.
Gross Pay Rs- /- a month less the G.P. F- Rs- /-, P. Tax-200/-, I Tax- 00. deductions shown below, up to the
month of January’22.
He / She made over charge of his / her duties on the day of February 2022 in the afternoon at 4:30 p.m.

…………………………………
Secretary/HOI
No of recoveries ................xx...................

UJJWAL KUMAR MONDAL (TIC)

*The recoveries noted on the reverse are to be made from the Name and designation of Head of Office
Pay of this officer. in which pay was last drawn.

Dated: 00-00-2022
Place: Nowapara
Countersigned by the District Inspector

Deduction – On account of G.P.F- Rs- /-, P. Tax- 200/-

*The words not required should be scored through with a pen.

To be filled in school to which newly appointed

................................................................ assumed charge of his / her duties as .......................... on
the .........................of the ...............................20....... On a propose pay of ................... with allowances
of......................as .................................
The following diploma and other certificates, showing his/her attainments have been verified.
i) Matric / S.F. / M.P. / P.U., ii) I.A. / I. Sc. / I.Com./ H.S iii) B.A. / B.Sc. / B.Com. iv) M.A. / M.Sc. / M.Com. v) V.M. /
B.T. / B.Ed. / M.Ed. vi) Science / Geography Training Certificate etc.
His / Her age .............................................................. Was ..............................................................
Secretary Headmaster / Headmistress