13 SP Ola) oo0C 302 OFFICE OF THE PRINCIPAL ACCOUNTANT culeraL (A&E), KARNATAKA, BENGALURU PENSION PAYMENT ORDER PENSIONER’S PORTION Scction,, PYA/A/1019254794/2091 969372 atea:27/08/2019 PPO No, HISKCS43405 Rules applicable KCSR 2 32u0 Debitable to Government of Kamataka - Head of ASCO 4 iSO} Pegtion and other Retirement benefits” 103 Name of the Government Servant : Smt / Sty ocK EDUC: 7 207 [ HEADMASTER] Post held Office! eer eel = Pay Scale|® Last Pay|@ FGHINDENATATET GA TEHOLEERERE POST OA 5 A = 1 Address | §73119,KARNATAKA [class oF Pension [Date of Birth Date of AppoinimentDate of Retirement / Death] Weightage allowed | SUPERANNUATION {13/07/1959 12/02/1985 31/07/2019 oy omon | PENSION (RULE 95,283) ‘Non Qualifying service | Net Qualifying service | Service in six monthly period l ~ ‘Yrs 0 Mihs U Days 4 Yrs 5 Mths 17 Days 6 | Emoluments Basic Pay SIR Special Pay | Portion of DA | Spouse D.O.B. | Pension i 298507 1 Until further notice, and on expiration of every month be pleased to pay the pension / family pension as set out under A. RETIREMENT BASAVARAJUBM (i) Name of the pensioner: Smt / Sri 01/08/2019 (ii) Amount of pension: % 29850/- (iii) Date of Commencement: [Rupees Twenty Nine Thousand Bight Hundred Fifty Only fone 9950 19900/- (iv) Commuted 2 Reduced pension: @ iv) Commuted portion: (0) Reduogd pension: € (vi) Family pension provided @ @17910/- tobe al in favour of Smt. / Sri Wife / Husband from the date following death of the pensioner till death or re-marriage whichever is earlier. 2. Dearness allowance is admissible atthe rates sanctioned by Government of Karnataka from time to time. 3. The Income Tax where deductible, should be deducted at source. CIA) Signature Sr. Accounts Officer Asst. Accountant General ‘ayable at B.Alc.No. /a PART - ll (FOR THE USE @& THE TREASURY OFFICER) uf ion of Pensioner/family pensioner (To be ymment) "ersonal marks of identification: LBM: fase | 03. Commuted value; | 04, Date of commencement of reduced pensior . | gg, Pate (in words) from which the commuted portion shall stand | | 05. restored (15 fifteen) years after the date of Payment of commuted || __ value) subject to pensioner being alive on that date | gg, Whether pensionerifamily pensioner is in receipt of any other | 8% pension, ifso, its particulars and source from where being drawn: PART - IV. (Revision of Pension / family pension / Deamess allowance) Amount of pension / family pension at the commencement: | i iials ofthe | [Leteetio= Reasons for revision Remarks | attra Oher| Basic Pensic APH. ABSPoso | OMT Taf uve Te | [3 Ned Po. CVG Man, B14 DA + Teta Pers | | t Arsikere PART-V Records of transfer of PPO from one pension disbursing authority to another, if any | Full particulars of PDA at which |, ,2al@ UPlO | Fa particulars of PDA at which | Date & ae | St.No is drawn before transfer [Which pension) PPO is transferred meats. | | pension is drawn before transfor | Nn pension cet | ' 7 1 | | f- PART - VI Record of disbursement - ‘Amount Date of Tita of | Pension an Total Payment — |Disbursing Officer VOD # (QUEDT RIT RQ A S530FD 0 wrtcionen, OB ELySYrds, Tero LoD cam Bed BaD, ested meg . mT ee acid EneIO A DBM BasewoneGu a BM BALONONESL DBM > Basco 6 fuee Be © So wwateen, OA shomydgN, Geers LoD cepa wd cwawdd, 088s mEgR . mReN oh ARI |g cay road oh, BEI 5.4 mow Podbae ete, 12 Rabe 8d a 2. reabs tay ¢S norREN shoBeb éveericKsBe © 20 umisinens, 9 EioaBxPed, Teor bOoD cya Ped awd, wotedd spegh . mR og aed ec eed olyOF FICE OF THE ACCOUNTANT GEI (A&E), KARNATAKA, BENGAH@RU ce . INTIMATION SLIP OFPRO. + ree my se Ne Pys /Ascv0veratres / 2001080372 9033 / 260003 B Date: “ oh zre82018 of Vestine ce ‘ os HASSAN ARASIKERE Payable at ‘Sir/Madam |Lam forwarding herewith the following authorisations in favour of Shri/Smt. SASAVARAN BM for arranging payment subject to instructions furnished overleaf w- Authorities Authority No Iola 1. Pension Payment Order PPO-1119K 0543405 2. Gratuity Payment Order PO-A219KC543405 3. Commutation Payment Order [alebers PO-1S19KCS43405 ‘Yours faithfully orn \u Assistant Accounts Officer aacayasSQRY fopyarded for information to: CHINDENAHALLI GATE HULLEKERE POST GANDAS! HOBL ARSIKERE TOHASSAN §73119 KARNATAKA Assistant Accounts Officerwed HHO Government of India ae bono - Remnana,a ebeed } f - | ZYY crsaue rsenutcaion strony ofr Fl eter eqn 0 tne SESE ae at cen Selena Seren ;[ = Posromtesr) hi 9427 1366 2419 a b