Employee ID : {{EmpData.EmpID}}
Employee Name :
Family Pensioner :
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Sr.No. | Name of family member | Date Of Birth | Sex | Relation | Married | Disorder/Disable | Nomination in % | Address | Contingency on happening of which nomination shall become invalid. | Action | |||
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Pension Arrear | Alternate Nominee (Pension) | Gratuity Arrear | Alternate Share (Gratuity) | ||||||||||
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{{x.ShwGender}} | {{x.ShowRelation}} | {{getMarital(x.Marital)}} | {{x.ShwHandicap}} | {{x.PNomineeShare}} | {{x.LTANomineeShare}} | {{x.GNomineeShare}} | {{x.CNomineeShare}} | {{x.NAddress}} | {{x.Remarks}} |
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Help for pension Arrear & Gratuity
(A)Pension Arrear
Nomination of share to the extent for admissible Pension Arrear to the family / non family member by the government servant in the event of his/ her death while in service or before receiving 1st Payment.
Alternative nominee for payment of Pension Arrear Nomination of share to the pension to whom receipt conferred on the nominee shall pass in the event of the nominee pre-deceasing before receiving of 1st Payment by government servant
(B) Gratuity/Death Gratuity
Nomination of Gratuity / Death Gratuity share to the extent for admissible retirement gratuity / death gratuity to the family / non family member (s) by the government sevant in the event of his/her death while in service or before receiving payment of gratuity.
Alternative nominee (s) for gratuity / death gratuity – Nomination of share to the person (s), to whom right conferred on the nominee shall pass in the event of the nominee pre-deceasing the government servant or the nominee dying after the death of the government servant but before receiving payment of gratuity.
Please Enter Address
Select | Name of family member | Relation |
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{{x.MinorFamily.E_Title}} {{x.MinorFamily.Eng_Name}} | {{x.MinorFamily.ShowRelation}} |
Select | Name of Member | Date of Birth | Relation |
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{{x.Eng_Name}} | {{x.DOB}} | {{x.ShowRelation}} |
Name of organisation | Pay Scaleof the Govt. Servant | From | To | Remark | Action | |
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Category | Qualifying/NoN-Qualifying ? | Service Type Service Break Type ? | Service Period | Remarks | Action | ||
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Sr.No. | Service Category | Qualifying/NoN-Qualifying ? | Service Type | Service Period | Total Service Length | Remarks | Action | |||||
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From | To | |||||||||||
{{$index+1}} | Millitry Services (Col- (8B) Form-7) Service under Other Govt. (Col-10 of Form-7) Service Under Raj. Govt. Work Charged Foreign Service | QualiFying NoN-QualiFying | Permanent Service Before Attaining The Age of 18 Years Extra Ordinary Leave Period of Suspension Period of Service not verified Period of B.Ed Other Non Qualifying Service |
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Sr.No. | Kind of Advance | Treasury/Department | Sanction No | Sanction Date | Amount sanctioned | Amount Recovered | Balance | Net Due Pay | No Dues Certificate ? | Recovery Head | Action | |
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Principal | Interest | |||||||||||
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Sr.No. | Kind of Advance | Treasury Name | Sanction No | Sanction Date | Amount sanctioned | Amount Recovered | Balance | Net Due Pay | No Dues Certificate | Forward for No Dues Certificate | Recovery Head | Action | |
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Principal | Interest | ||||||||||||
{{$index+1}} | Dues Of Government Accommodation House Building Advance House Repairs Advance Conveyance Advance Any Other Advance Over Payment Licence fess for the Government Accommodation Other Recoveries | {{x.LoanTreaName}} | {{x.BillNo}} |
{{x.BillDate}}
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{{x.SanctionAmt}} | {{x.RecoveryAmt}} | {{x.DueBasicAmt}} | {{x.DueIntAmt}} | {{x.NetPayAmt}} | {{x.NodCert}} | {{x.FwdTreaCode}} | {{x.Recoveryhead}} |
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Pension Details | Service Length : | {{Model.PenCalculation.tsYY1}} Yrs. {{Model.PenCalculation.tsMM1}} Month {{Model.PenCalculation.tsDD1}} Days | Non Qualifying Service : {{ Model.PenCalculation.NonQualifyService }} | Pay Commission: {{Model.PenCalculation.PayCommYr}} th | Category: {{Model.PenCalculation.Category}} |
Employee 's Current Address |
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Permanent Address |
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Office Id * |
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Department * |
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Address * |
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Address 2 |
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State * |
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Pin Code |
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Phone No |
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Treasury Name * |
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Sub Treasury * |
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District * |
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Bank Name * |
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Branch Name * |
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Account Number * |
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Name * |
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Address * |
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Witness Mobile No |
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Employee Documents
S. No. | Upload documents | By Applicant | By Head of Office | Format |
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1. | Last Pay Certificate (LPC) Slip | Yes | Yes | |
2. | Retirement Order | Yes | Yes | |
3. | Applicant Signature | Yes | Yes | .jpg |
4. | Single / Joint Photograph | Yes | Yes | .jpg |
5. | No dues for Long term advances | Yes | Yes | |
6. | No dues for Govt Accommodation | Yes | Yes | |
7. | Witness Signature | Yes | Yes | .jpg |
8. | Employee Death Certificate | No | Yes | |
9. | Account Person Certificate | No | Yes | |
10. | NPA Statement(Medical Cases) | No | Yes | |
11. | Other Documents | - | - |