Form Pension 10

(Referred to in rule 10.11)

OFFICE OF THE PRINCIPAL ACCOUNTANT GENERAL(A&E),PUNJAB
PENSION PAYMENT ORDER
CUM-GRATUITY ORDER-CUM-COMMUTATION PAYMENT ORDER
(PART I & II)

File ID: 2182349439 Date of 30/01/2024 Date of Start of 01/04/2024

Authorization Pension

Case No. 1023552965 Place of Payment (Treasury/ Sub Treasury) DISTRICT TREASURY OFFICER, FARIDKOT

Whether Original (ePPO) or (i) Original (ePPO)

Revised (ePPO)
Penison Payment Order No.(PPO No.) 1124049439

Gratuity Payment Order No. (GPO No.) 1224049439

Commutation Payment Order No. (CPO No.) 1324049439

1. Name of the Goverment employee/Pensioner SHRI RAJ KUMAR

2. Father's Name SHRI Shambu Ram

3. Gender Male

4. Employee Unique Code (HRMS ID) 225160

St. No. 6 Near Mehmuana House, New Cantt Road, Faridkot Tehs il and Distt
5. (i) Full Residential Address Faridkot 151203

(ii) Mobile No. N/A

(iii) Email ID(if any) N/A

(iv) Aadhaar Card Number N/A

(v) PAN
6. Date of Birth of the Govt. Employee 03/03/1966

7. Date of Entry into Govt. Service 01/09/1988

8. Date of retirementPre Mature retirement. 31/03/2024

9. Post held at the time of retirement/death HEAD SIGNALLER

10. Pay Band & GP/Level Last held 29700-94100 & LEVEL-08

11. Group of the Service Last Held GROUP - C

SUPERINTENDING ENGINEER, FEROZEPUR CANAL CIRCLE, CANAL COLONY,
12. Office from where retired/died FEROZEPUR

13 Class of Pension Superannuation Pension

14. Debitable to Head of Account 2071-Pension & Other Retirement Benefits 01-Civil

i. For Pension 101-Superannuation and Retirement Allowances

ii. For Family Pension 105- Family Pension

iii. For DCRG 104-Gratuities

iv. For Communication of Pension 102-Commuted Value of Pension

15. Rules Applicable Punjab Civil Services Rules Volume-II

16. (i) Total Qualifying service YY 35 MM 7 DD 0
(ii) Non-Qualifying Service YY 0 MM 0 DD 26
(iii) Weightage in Service YY MM DD
(iv) Net Qualifying Service YY 35 MM 6 DD 4
17. (i) Last Pay Drawn 56900/-

(ii) Average Emoluments For Pension/ 56900/-

Family Pension.

(iii)Amount of Pension (Basic Pension) 28450/-

(iv) Pension withheld, if any

(v) Cut in Pension, if any

(vi) Net pension Payable 28450/-

(vii) Provisional Pension, if any (to be Amount (in Rs.)_ _ _ _ _ _ _ _ _

adjusted in payable pension)
(viii) Period From _ _ _ _ _ _to _ _ _ _ _ _
(ix) Number of complete Half year for 50
pension
18. (i)Commuted Portion of Pension 11380/-

(ii)Reduce Pension 17070/-

1143144/- (Under Rupees-Eleven Lakhs Forty Three Thousand One Hundred Forty Five )
(iii)Commuted Values of Pension

(iv)Date of restoration of Pension The commuted portion of pension will be restored after 15 years from the
month following the month of payment.
19. (i) Emoluments for DCRG, Service Gratuity(if
applicable) with break up i.e Pay,DA,NPA etc.
(ii) Basic Pay+Grade Pay+IR, if any 56900/-

(iii) NPA, if any 0/-

Special Pay, if any

Any other Pay as per Rules 2.44
DA (34 %) 19346/-

Total: 76246/-

(ii)Number of Complete Half year for DCRG 66

(iii)DCRG Sanctioned (Amount) 1258059/-
(iv) Service Gratuity, if any 0/-
(v)DCRG withheld 0/-
(vi)DCRG since paid, if any 0/-
(vii)DCRG Recovery 0/-
(viii) Net DCRG Authorised 1258059/-
20. (i)Emoluments for Family Pension
(ii)Family Pension:
(a)At enhance Rate 0/-
(b) At normal Rate 17070/-
 (iii)Details of Family members eligible for Family Pension:
Sr. Whether
Name Relationship Date of
No. Disabled/Handicapped Aadhaar Card No.
Birth/ Age (with Proof attached)

1 Shrimati KAMLESH RANI Wife 01/01/1968 No N/A

Instructions:
1. Until further notice and on the expiry of every month, please pay to SHRI RAJ KUMAR, the above said Pension (as set
out in part I & II of this order) the amount of Dearness Relief as admissible from time to time there on after due identification
of the Pensioner, subject to the condition(s) below and Punjab Govrment (FD) Notification dated 17.08.2009 (can be seen at
www.agpunjab.gov.in or www.pbfinance.gov.in).

2. The Payment of Pension should commence from 01/04/2024 .

3. Dearness Relief is payable with reference to the amount of pension before commutation.
In the event of death of SHRI RAJ KUMAR, Family Pension at Rs 17070/- Per month (normal rate of Family Pension)
4. may be paid to Shrimati KAMLESH RANI as per condition mentioned in Punjab Civil Services Rules Volume-II

5. The Income Tax, where deductible, should be deducted at source.

Specific Remarks of Senior Accounts officer:
BEFORE MAKING PAYMENT NON PAYMENT OF ANTICIPATORY PENSION/DCRG CERTIFICATE MAY PLEASE BE OBTAINED FROM
DEPTT.

Digitally signed by NEELAM KANTA

NEELAM cn=NEELAM KANTA, ou= PR

ACCOUNTANT GENERAL A AND E
PUNJAB, o= PR ACCOUNTANT GENERAL
A AND E PUNJAB, st= CHANDIGARH, c=
KANTA IN
Date: 2024.01.30 10:13:43 IST

(Signature and Designation)

Specimen Signature seal of Pension Payment Issuing Authority
To,
1. The DISTRICT TREASURY OFFICER, FARIDKOT .
2. A copy of the above is forwarded to SUPERINTENDING ENGINEER, FEROZEPUR CANAL CIRCLE, CANAL
COLONY, FEROZEPUR .
3. A copy of forward to SHRI RAJ KUMAR, HEAD SIGNALLER, St. No. 6 Near Mehmuana House, New Cantt Road,
Faridkot Tehs il and Distt Faridkot 151203
 PART-III
Bank Details for Pension Payment
1. Joint Bank Account Number 30288466694
2. IFSC SBIN0001736
3. Bank Name STATE BANK OF INDIA
4. Branch Name FARIDKOT
5. Branch Code
6. CPPC Code
7. Bank Address
8. MICR Code
9. PIN
10. Phone Number

PART-IV
(For Pension Disburshing Authority-Record of Initial pension and revision there of) Amount of
Pension at the time of Retirement (Rs.).....................
Amount of Dearness Relief (DR) at the time of Retirement...................................................
Total Montthly Initial of the
Letter No. Date of Amount of Revised Brief Reason Amount of
Pension Plus Remarks Designated
and Date effect Pension(Rs) of Revision Revised DR(Rs)
DR(Rs) Officer

PART-V
Record of Transfer of PPO from one Pension Disbursing Authority to another, if any:
Sr. No. Full Particulars of PDA at Date upto which Pension Full particulars of PDA Date and Signature of
which Pension is Drawn before has been paid to which PPO is authorized officer of
transfer transferred transferring PDA
 PART-VI
Periodical Identification of the Pensioner
(To be done annually in the month of November each year)
Sr. Ack No. of Life Initial of the Remarks Sr. Ack No. of Life Initial of the Remarks
No. Certificate Received designated No. Certificate Received designated
physically/electronically officer physically/electronically officer
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PART-VII
Record of disbursement
(To be maintained by the Bank in the following proforma)
Month for which Basic Pension OAA IR DR FMA Total Date of Initials
Pension is due (Rs.) Payment

Standing Instruction :
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Specfic Instruction :
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