ADVANCE INCREMENT PERFORMA FOR HIGHER QUALIFICATION

(A). SERVICE PARTICULARS

1. HRISE / ERP CODE

2. Name of Employee
3. Father’s Name
4. Designation & BPS (At present)
(i). Regular

5. Status of Employment (ii). Contract (Not Eligible)

(iii). Lumpsum Package (Not Eligible)

6. Appointed as
7. Date of Appointment
Qualification at the time of Appointment
8.
alongwith Grade / Division / CGPA
9. Date of Promotion (if any)
10. Place of Posting

(B). STATUS OF HIGHER QUALIFICATION

11. Title of Certificate / Degree
(Claim for Increment)
(i).
12. Major Subjects (ii)
(iii)
13. Name of Institute / University
Possessed (Before Appointment) (i). Possessed (ii). Acquired
14. OR
(Not Eligible)
Acquired (During Service)
Is qualification relevant in the field of (i). Relevant (ii). Irrelevant
15. (Not Eligible)
employee expertise or not?
Certificate / Degree verified by the concerned
16. Verification No.----------------- Dated:----------------
Institute / Board / HEC.
(i). Prior-Approval (ii). Ex-Post Facto
17. Departmental Permission (NOC).
(ii). Not Applicable (Passed as Private Candidate)

18. Date of Passing Result

19. Grade / Division / CGPA

During prosecution of higher study, employee was (i). Not involved (ii). Yes involved
20.
involved in any disciplinary proceeding or not? (Copy of LOE / Decision be attached)

How much increments already availed on

21.
higher qualification during service?

Signature & Stamp____________________________ Signature of Employee________________________

(Controlling Officer)

CERTIFICATE
(To be filled by Drawing & Disbursing Office)

This is to certify that Mr.------------------------------------ S/o --------------------------

Designation-------------------- Office of --------------------------------------------------- has not availed

any advance increment / benefit on account of possessing / acquiring higher qualification during his entire service
period as per record of this office / Service Book.

Signature & Stamp____________________________ Signature & Stamp____________________________

(A.M (C.A) / DAO / Accounts Officer) (Drawing & Disbursing Officer)

Dated________________________

Countersigned by____________________________________
(Head of Department / SE / PD / Manager Concerned)

Note:
(i).All columns must be filled with correct information, in case of wrong information or blank column shall not be acceptable.
(ii).All documentary proofs regarding information as given above should be attached with case duly attested by concerned officer.