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New LPC Format

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0% found this document useful (0 votes)
1K views11 pages

New LPC Format

Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

R.P.R.

2
[See Para 2.1(6), 2.4(8), 2.11, 2.61 of Subsidiary Instructions]

LAST PAY CERTIFICATE

Name of the Office: Arignar Anna Govt.Arts & Science College,KKL DDO.Code:4045 DDO Code:

1. Employee details

Name of employee M.RAJESHKUMAR


Employee ID No R20150600
Designation MTS(GENERAL)
Employee’s Group C
Pay level L1; C10 (23500)
PAN Number CBZPR3533D
Aadhaar Card No.
GPF Account No
PRAN Number (covered under NPS) 110066634470
Proceeding on to

2. He/She has been paid salary upto 08.12.2024 at the following


rates:—
(Amount in Rs).
Gross Deductions
Items Amount Claimed upto Items Amount Upto
08.12.2024 08.12.2024
Pay 23500 6065 I Tax
Special Pay Cess on IT
Personal Pay GPF
Allowances GPF Adv.
DA 12455 3214 NPS 3596 928
HRA 2350 606 UTGEGIS 30 30
TA 900 232 CGHS
DA on TA 477 123 LIC
FMA NIC
Total 39682 10240 Total 3626 958
Net in Rs. 36056 9282

1
3.His/Her G.P.F./C.P.F./…............................is maintained by the PAO/DDO…...................................................

4. He/She made over the charge of the office of….....................................................on the forenoon/
afternoon of…......................................

5. He/She has been sanctioned leave proceeding joining time for…........... days w.e.f.
……………………..to……………….

6. Recoveries of Income Tax, other recoveries are to be made from the emoluments etc. of the Government
servant as detailed on the reverse.

7. He/She finances the insurance policies detailed below from the Provident Fund:—

Name of Insurance No. of policy Amount of Premium Due date for the payment of
Company Rs. premium

8. Details of P.L.I. policy where premium deduction is done through pay bill:—

Period No. of Policy Amount (in Rs.) Due date for the
payment of premium
Premium GST, if any Total

9. He/She has contributed Rs. 30 p.m.under UTGEGIS

10. Whether the employee resides at Government Rented house : Yes/No.

a: If yes, a: Address……………………………………………

b: House rent recovered upto…………………… License fees (if any)………………

11. Service for the period from………………………………………..to....................................................(during his stay


in this office) has been verified. A copy of LPC has been given to the government servant.

12. The unverified gaps of service including for the periods prior to joining this office are indicated
below:-

Sl. Name of Ministry/ Period No. of Nature of Reasons for non-


No. Department/Office days absence verification
From To

(1) (2) (3) (4) (5) (6) (7)

2
13. In case of retention of the Laptop; tablet; notepad; or similar devices of similar categories issued tothe
entitled officer: Cost of device:…………………………..Date of issue:…………………………………..

14. Payment history of the all the payments made to the Government Servant during the past one yearare
annexed.

Date: Signature…………………..
Designation ….......................
Details of advances and its recoveries

Name of advance Sanctioned Details of recovery Outstanding Instalment


involving recovery/ amount (Rs.) amount left
adjustment Rate of No. of Total Amount recoverable
Instalment Instalments Recovered till (Rs.)
(Rs.) date

Pay advance….

T.A NA NA
Advance….......

LTC Advance NA NA

H.B. Advance….....

Computer
Advance….

MCA/ OMCA

Int. on Loan
advances

GPF Advance

Festival Advance

Other, if any.

3
Summary of salary for the financial year 2024-25

Month Gross NPS UTGEGIS Total Net


Allowances deductions salary
Pay HRA TA+ salary
DA
thereon
900
March,2024 22800 11400 2052 450 37602 3420 30 3450 34152

900
April,2024 22800 11400 2280 450 37830 3420 30 3450 34380

900
May,2024 22800 11400 2280 450 37830 3420 30 3450 34380

900
June,2024 22800 11400 2280 450 37830 3420 30 3450 34380

900
July,2024 23500 11750 2350 450 38950 3525 30 3555 35395

900
August,2024 23500 11750 2350 450 38950 3525 30 3555 35395

900
September, 2024 23500 11750 2350 450 38950 3525 30 3555 35395

900
October,2024 23500 11750 2350 450 38950 3525 30 3555 35395

900
November,2024 23500 12455 2350 477 39682 3596 30 3626 36056

December 2024 6065 3214 606 232 10240 928 30 958 9282
Claimed upto 123

08.12.2024
Dress Allow 6250

DA Arrear-1 1714

DA Arrear-2 2644

Ad-hoc bonus 6908

HRA Arrear 684

4
Extract of other Payment/reimbursement made

Items Reimbursement paid Claim Claim Date Amount


upto (period) Reference
B.No.(CRN)

Year Month

Children Education
2024 08 155 12.08.2024 29813
Allowance
Reimbursement of
Newspaper bills
Reimbursement of
Telephone bills
Any other
reimbursement

Reimbursement of Medical claims (for the last six months)

Claim Reference Claim Date Reimbursement claimed for Period Amount


No. (name of the Family member)

Payment towards Travelling Allowance claims (for the last two months)

Claim Reference Claim Date Tour (Name of the place) Period of tour Amount
No.

Signature /DSC of DDO.........................................

142
R.P.R. 2
[See Para 2.1(6), 2.4(8), 2.11, 2.61 of Subsidiary Instructions]

LAST PAY CERTIFICATE

Name of the Office: Arignar Anna Govt.Arts & Science College,KKL DDO.Code:4045 DDO Code:

3. Employee details

Name of employee M.JEYAMARY


Employee ID No R20101977
Designation MTS(GENERAL)
Employee’s Group C
Pay level L2; C13 (28400)
PAN Number DYQPM0276J
Aadhaar Card No.
GPF Account No
PRAN Number (covered under NPS) 111001134402
Proceeding on to

4. He/She has been paid salary upto 08.12.2024 at the following


rates:—
(Amount in Rs).
Gross Deductions
Items Amount Claimed upto Items Amount Upto
08.12.2024 08.12.2024
Pay 28400 7329 I Tax
Special Pay Cess on IT
Personal Pay GPF
Allowances GPF Adv.
DA 15052 3884 NPS 4345 1121
HRA 2840 733 UTGEGIS
TA 1800 465 CGHS
DA on TA 954 246 LIC 40 40
FMA NIC
Total 49046 12657 Total 4385 1161
Net in Rs. 44661 11496

143
3.His/Her G.P.F./C.P.F./…............................is maintained by the PAO/DDO…...................................................

4. He/She made over the charge of the office of….....................................................on the forenoon/
afternoon of…......................................

5. He/She has been sanctioned leave proceeding joining time for…........... days w.e.f.
……………………..to……………….

6. Recoveries of Income Tax, other recoveries are to be made from the emoluments etc. of the Government
servant as detailed on the reverse.

7. He/She finances the insurance policies detailed below from the Provident Fund:—

Name of Insurance No. of policy Amount of Premium Due date for the payment of
Company Rs. premium
LIC 40 EVERY MONTH
NIC 22961 90 JANUARY

8. Details of P.L.I. policy where premium deduction is done through pay bill:—

Period No. of Policy Amount (in Rs.) Due date for the
payment of premium
Premium GST, if any Total

9. He/She has contributed Rs. p.m.under UTGEGIS

10. Whether the employee resides at Government Rented house : Yes/No.

a: If yes, a: Address……………………………………………

b: House rent recovered upto…………………… License fees (if any)………………

11. Service for the period from………………………………………..to....................................................(during his stay


in this office) has been verified. A copy of LPC has been given to the government servant.

12. The unverified gaps of service including for the periods prior to joining this office are indicated
below:-

Sl. Name of Ministry/ Period No. of Nature of Reasons for non-

144
No. Department/Office From To days absence verification

(1) (2) (3) (4) (5) (6) (7)

13. In case of retention of the Laptop; tablet; notepad; or similar devices of similar categories issued tothe
entitled officer: Cost of device:…………………………..Date of issue:…………………………………..

14. Payment history of the all the payments made to the Government Servant during the past one yearare
annexed.

Date: Signature…………………..
Designation ….......................
Details of advances and its recoveries

Name of advance Sanctioned Details of recovery Outstanding Instalment


involving recovery/ amount (Rs.) amount left
adjustment Rate of No. of Total Amount recoverable
Instalment Instalments Recovered till (Rs.)
(Rs.) date

Pay advance….

T.A NA NA
Advance….......

LTC Advance NA NA

H.B. Advance….....

Computer
Advance….

MCA/ OMCA

Int. on Loan
advances

GPF Advance

145
Festival Advance

Other, if any.

146
Summary of salary for the financial year 2024-25

Month Gross NPS LIC Total Net


Allowances deductions salary
Pay HRA TA+ salary
DA
thereon
1800
March,2024 28400 14200 2556 900 47856 4260 40 4300 43556

1800
April,2024 28400 14200 2840 900 47856 4260 40 4300 43840

1800
May,2024 28400 14200 2840 900 47856 4260 40 4300 43840

1800
June,2024 28400 14200 2840 900 47856 4260 40 4300 43840

1800
July,2024 28400 14200 2840 900 47856 4260 40 4300 43840

1800
August,2024 28400 14200 2840 900 47856 4260 40 4300 43840

1800
September, 2024 28400 14200 2840 900 47856 4260 40 4300 43840

1800
October,2024 28400 14200 2840 900 47856 4260 40 4300 43840

1800
November,2024 28400 15052 2840 954 49046 4345 40 4385 44661

December,2024 7329 3884 733 465 12657 1121 40 1161 11496


Claimed upto 246

08.12.2024
Dress Allow 6250

DA Arrear-1 2188

DA Arrear-2 3284

Ad-hoc bonus 6908

HRA Arrear 852

147
Extract of other Payment/reimbursement made

Items Reimbursement paid Claim Claim Date Amount


upto (period) Reference
B.No.(CRN)

Year Month

Children Education
Allowance
Reimbursement of
Newspaper bills
Reimbursement of
Telephone bills
Any other
reimbursement

Reimbursement of Medical claims (for the last six months)

Claim Reference Claim Date Reimbursement claimed for Period Amount


No. (name of the Family member)

Payment towards Travelling Allowance claims (for the last two months)

Claim Reference Claim Date Tour (Name of the place) Period of tour Amount
No.

Signature /DSC of DDO.........................................

148

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