FORM CAM - 44
( Para 6.7.5)

GENERAL INDEX REGISTER

 

Account No.

Ledger folio

Name & Designation of subscriber

Nomination when received

Attestation of receipt of nomination by Branch Officer

Date of and reason for closure of account

Actual date of closure

Remarks (indicate letter No, date with which the balance was transferred to another AO in case of transfer out)

 

 

 

 

 

             

FORM CAM 47
(Para 6.7.1)

PROVIDENT FUND LEDGER FOLIO

Number .........

Official Designation 

Distt.
Deptt.

Date of joining in service……………………….
Date of Superannuation………………………..

Name : Shri /Smt./ Kumari

Admitted 

Optional /
 Compulsory 

Nomination received vide Letter No……. Dated ……….. And accepted 

Discontinued….. Times 

Remarks

Sl.No.

Policy No. date of Maturity

Amount of premium

Due date

Date of last payment

JAO Exa
miner

Remarks

PAO

JAO

PAO

JAO

Date of release transfer

Pay on 31st March of preceding year 20 …… 20….

Subscription in whole rupees

Refund of withdrawal

Total

Withdrawals with voucher No.

Monthly Balance on which interest is calculated

Remarks

 

Pay on 31st March of preceding year 20 20

Subscription in whole rupees

Refund of withdr
awals

Total

Withdr
awals with voucher No.

Monthly balance on which interest is calcula
ted

Rem
arks

April 

             

April 

             
May               May              
June               June              
August                     August              
September                September              
October               October              
November               November              
December               December              
January                January              
February               February              
March               March              
March (Final)               March (Final)              
March (Supply.)               March (Supply.)              
Total Rs.               Total Rs.              
             

Balance from 20 20 ……. Deposit and Refunds……. Interest for 20 - 20 ………… Add Bonus……….. Total Rs…………. .. Deduct - withdrawals………. Balance on 31st March 20..

              Balance from 20 20 ……. Deposit and Refunds……. Interest for 20- 20………… Add Bonus……….. Total Rs…………. .. Deduct - withdrawals………. Balance on 31st March 20..
Posted by …. Checked by … Examined by…… Posted by …. Checked by … Examined by……..

Pay on 31st March of preceding year 20 …… 20….

Subscription in whole rupees

Refund of withdrawal

Total

Withdrawals with voucher No.

Monthly Balance on which interest is calculated

Remarks

Remarks

Pay on 31st March of preceding year 20 20

Subscription in whole rupees

Refund of withdrawals

Total

Withdrawals with voucher No.

Monthly balance on which interest is calculated

Remarks

Remarks

April 

             

April 

 

           
May               May              
June               June              
August                     August              
September                September              
October               October              
November               November              
December               December              
January                January              
February               February              
March               March              
March (Final)               March (Final)              
March (Supply.)               March (Supply.)              
Total Rs.               Total Rs.              
             

Balance from 20 20……. Deposit and Refunds……. Interest for 20 - 20 ………… Add Bonus……….. Total Rs…………. .. Deduct - withdrawals………. Balance on 31st March 20..

              Balance from 20 20 ……. Deposit and Refunds……. Interest for 20 - 20 ………… Add Bonus……….. Total Rs…………. .. Deduct - withdrawals………. Balance on 31st March 20..
Posted by …. Checked by … Examined by…….. Posted by …. Checked by … Examined by……..

FORM CAM - 48
( Para 6.8.1)

BROADSHEET OF THE ……………………………… PROVIDENT FUND FOR THE YEAR……………………………………….

No. of Account

Ledger Folio

Balance at commencement of year

Receipts in the month of

Government contribution

Interest of the year

Total of receipts & opening balance

Withdrawals in the month of

Closing balance

Total of withdrawal and closing Balance

Remarks

     

Twelve money columns for the twelve months and two money columns for March Final and March Supplementary

     

Twelve money columns for the twelve months and two money columns of March Final and March Supplementary

     

 

 

 

                   

Total as per Broadsheet
Total as per Detail Book
Initials of J.A.O
Difference
Initials of P.A.O.

FORM CAM - 49
( Para 6.9.2)

(Obverse)

Annual Statement of …………………………. Provident Fund Account……………..

Year of Account……………………………………………………………………………

Rate of Interest……………………………………………………………………………..

Account No.

Name of Subscriber

Opening Balance

*Deposits/Recoveries during the year

@Interest allowed during the year

Withdrawal during the year

$Balance (Both in figure & in words)

1 2 3 4 5 6 7

 

 

 

 

 

           

*    This also includes Rs……………………… recovered in earlier years detailed below, but brought on to the account of the subscriber in this year.
@    Includes interest on credits relating to earlier periods also.
$    For missing credits/debits please see below.
Notes : -

  1. If the subscriber desires to make any alteration in the nomination already made, a revised nomination may be sent forthwith in accordance with the rules of the Fund.
  2. In case the subscriber, owing to his/her having no family then, had nominated a person /persons other than a member/members of his family and has subsequently acquired a family, he /she should submit a nomination in favour of a member/members of his/her family.
  3. The subscriber is requested to satisfy himself/herself as to the correctness of the statement and to bring errors, if any, to the notice of the Accounts Officer within**………………… month(s) from the date of receipt.

**    To be filled in according to the rules of the Fund concerned.

(REVERSE)
MISSING CREDITS/DEBITS

Details of missing credits/debits are given below. In case these subscriptions/ withdrawals/ refunds of withdrawals were actually made, the subscriber may give the particulars of the bills from which the deductions were made/amounts were withdrawn, indicating the No. of each voucher, date of its encashment, name of the P.A.O., head of account and the net amount of the voucher.

Subscription

Refunds of Withdrawals

Advances/Withdrawals

Year

Month of Salary

Amount

Year

Month of Salary

Year

Amount

1

2

3

4

5

6

7

 

 

           

Signature………………………….

Designation……………………….

Date……………………………….

ACKNOWLEDGEMENT SLIP

(Important :Kindly return this slip to the ……………………… immediately after the receipt of the Account Statement).

I hereby acknowledge the receipt of the Annual Statement of my Provident Fund Account for the year 20……………20…………

I certify that to the best of my knowledge and information the balance shown therein is correct.

I am to state that I do not accept the balance shown therein as correct for the reasons given over-leaf.

Signature……………………………………….

Name(In Block Letters)……………………….

Fund Account No. ……………….………….

FOR USE IN ACCOUNTS OFFICE

Noted in the Ledger Card/Folio

Accountant/Sr.Accountant

  Jr.Accounts Officer/ Asstt. Accounts Officer

FORM CAM - 50
( Para 6.10.1)

REGISTERE OF MISSING G.P. FUND CREDITS/DEBITS

Sl.No.

Name of the Subscriber

G.P. Fund Account No.

Details of Missing

Details of adjustment

Remarks

     

Credits

Debits

T.E. No. & Date

C.E. Basis

 
   

Old

New

Month

Amount

Month

Amount

     

 

 

 

                   

FORM CAM - 51
( Para 6.5.3)

REGISTER OF FINAL PAYMENT CASES

 

Sl.No.

No. & Date forwarding the application

Name & Designation

Account No.

Date of Death/retirement/quitting service

Date of authorising payment

Details of actual payment

Date of receipt of disbursement certificate

**Remarks

*Available balance

Residual Balance

*AB RB (indicate voucher No. & Date)

*AB

RB

 

 

 

                   

*    Note (1) : When a single payment is made for the final settlement, the column “A.B.’ would not be used.
* *    Note (2) : Reminders issued for receipt of disbursement certificates are to be noted in Remarks column.

FORM CAM - 52
(Para 7.3.2)

(Rubber stamp of the Office issuing the Pension Payment order)

PENSION PAYMENT ORDER

(Pensioner’s Portion)

P.P.O. No. _______________________________ Date ______________________________
Debitable to ___________________________ Government.

Head of Account
Major Head
Minor Head
Voted /Charged

Sir,

UNTIL FURTHER NOTICE, and on the expiration of every month be pleased to pay Shri/Smt.___________________________________ the pension as set out in Part II of this order /Family Pension as set out in Part III of this order *

Plus the amount of dearness relief as admissible from time to time thereon after due identification of the pensioner/family pensioner. The Payment should commence from ___________________________. The income tax, where deductible, should be deducted at source.

2. Arrears of pension/family pension at Rs. ___________ P.M. (Rupees ________ per month) from _______ to _______ plus the admissible dearness relief thereon may also be paid to Shri/Smt. _________________________________________________ .

 

Signature

Designation

(Special Seal of the Pension Payment Order issuing Authority)

To

(Pension Disbursing Authority where pension is to be paid)

*    In applicable clause to be deleted.

Part I : - Particulars of service of the pensioner/deceased Government servant.

  1. Name of the Government .

  2. Post /Grade/Rank/Scale of pay last held by the Government servant and the name of the Ministry/Deptt. office from which he/she retired under the Government of India. 

  3. Date of Birth 

  4. Date of entry into Government service. 

  5. Date of ending service (Last day of Service). 

  6. Details of weightage in service allowed, if any.

  7. Period of service not qualifying for pension.

From

To

Period

Reasons

   

Y

M

D

 

 

 

 

 

         
  1. Total length of qualifying Service. Years Months Days
    [ Col. (5-4) + 6-7]
  2. EMOLUMENTS DRAWN DURING 10 MONTH PERIOD AND THOSE RECKONED FOR CALCULATION OF AVERAGE EMOLUMENTS

From

To

Emoluments drawn

Emoluments reckoned for Average emoluments

Remarks

   

Pay

Other items with details viz. Personal Pay, Spl. Pay, Deputation Allowance, DA, etc.

Total

Pay

Other items reckoned with details

Total

 
1 2 3 4 5 6 7 8 9
 

 

 

               
  1. Average Emoluments for pension Rs.
  2. Emoluments for family pension. Rs.
  3. Emoluments for Retirement Gratuity/Death Gratuity. Rs.
  4. Amount of Retirement Gratuity/Death Gratuity allowed Rs.

Part II
(Applicable on Retirement)

Section I - particulars of Pensioners

  1. Joint photograph with the spouse.

 

 

 

  1. Name of the retiring Govt. Servant. 
  2. Permanent Address. 
  3. Personal marks of identification. 
  4. Signatures or the left hand Thumb impression of the pensioner (To be obtained at the time of first payment of pension). 

Section 2 - Details of pension. 

  1. Amount of monthly pension before commutation. 
  2. Class of Pension 
  3. Rules under which sanctioned 
  4. Date of commencement of pension 
  5. Fraction/amount of pension commuted, if any
  6. Commuted value and the date of its payment
  7. Reduced monthly pension after commutation 
  8. Date of commencement of reduced pension. 
  9. Date ( in words) from which commuted portion shall stand restored (subject to pensioner being alive on that date).
  10. Whether the pensioner/Family Pensioner is in receipt of any other pension. If so, its particulars and source from which being drawn.

Section 3 - Details of family pension payable on the death of the pensioner.

  1. Rules under which family pension is admissible
  2. Details of family members eligible for family pension in the event of the death of pensioner.

Sl.No. 

Name

Relationship with the Govt. servant

Date of Birth
(for children) 

Present Address

Whether child is physically handicapped/ mentally retarded

 

 

 

 

 

 

 

 

 

Note : - Above particulars may be given in the order of eligibility of the family members.

  1. Amount of family pension.
  Amount Rs From  To

(i) At Enhanced Rate

(ii) At Normal Rate

     

Part III
(Applicable on death while in service)

Section I - Particulars of family pensioner

1. Photograph of the Family Pensioner

 

 

 

  1. Name of the recipient of family pension 

  2. Relationship with the deceased Govt. Servant. 

  3. Permanent Address. 

  4. Personal marks of identification 

  5. Signature or the left hand Thumb impression of the family pensioner (To be obtained at the time of first payment of family pension) 

  6. Whether the pensioner/Family Pensioner is in receipt of any other pension. If so, its particulars and source from which being drawn.

 Section 2
  1. Rules under which Family pension is sanctioned.
  2. Amount of family pension.
  Amount Rs From  To

(i) At Enhanced Rate

(ii) At Normal Rate

     

PART -IV

(Post sanction revision of pension/Family Pension /Dearness Relief)
Amount of Pension at the time of Retirement Rs._________________ .
Amount of Dearness Relief at the time of retirement ___________________.

Letter No. & Date

Date of effect

Amount of Revised Pension Rs

Reasons Revision

Amount of Revised Dearness Relief Rs.

Total Monthly Pension Plus Dearness Relief payable Rs.

Remarks

Initials of designated officer

 

 

 

 

             

PART V

Record of transfer of PPO from one Pension Disbursing Authority to another, if any.

Sl.No.

Full particulars of PDA at which pension is drawn before transfer

Date upto which pension has been paid.

Full particulars of PDA to which PPO is transferred

Date signature of authorised officer of transferring PDA

 

 

 

       

PART VI

Periodical identification of pensioner

(To be done twice a year if payment is by postal money order, otherwise annually)

Date

Initials of designated Officer

Date

Initials of designated Officer

Date

Initial of Designated Officer

 

 

 

         

PART VII
(Record of Disbursement)

Month for which pension is due

Amount

Date of Payment

Disbursing officers initials

Remarks

Pension Rs.

Dearness Relief Rs.

Total Rs

March

April 

May 

June 

July 

August 

September

October

November

December

January

February

           

Note : Dearness relief is payable with reference to the amount of pension before commutation.

(Rubber stamp of the Office issuing the Pension Payment order)

PENSION PAYMENT ORDER

(Disburser’s Portion)

P.P.O. No. _______________________________ Date ______________________________

Debitable to ___________________________ Government.

Head of Account
Major Head
Minor Head
Voted /Charged

Sir,

UNTIL FURTHER NOTICE, and on the expiration of every month be pleased to pay Shri/Smt.___________________________________ the pension as set out in Part II of this order /Family Pension as set out in Part III of this order *

Plus the amount of dearness relief as admissible from time to time thereon after due identification of the pensioner/family pensioner. The Payment should commence from ___________________________. The income tax, where deductible, should be deducted at source.

2.    Arrears of pension/family pension at Rs. ___________ P.M. (Rupees ________ per month) from _______ to _______ plus the admissible dearness relief thereon may also be paid to Shri/Smt. _________________________________________________ .

Signature

Designation

(Special Seal of the Pension Payment Order issuing Authority)

To

(Pension Disbursing Authority where pension is to be paid)

*    In applicable clause to be deleted.

Part I : - Particulars of service of the pensioner/deceased Government servant.

  1. Name of the Government. 
  2. Post /Grade/Rank/Scale of pay last held by the Government servant and the name of the Ministry/Deptt. office from which he/she retired under the Government of India
  3. Date of Birth
  4. Date of entry into Government service.
  5. Date of ending service (Last day of Service).
  6. Details of weightage in service allowed, if any.
  7. Period of service not qualifying for pension.

From

To

Period

Reasons

   

Y

M

D

 

 

 

 

         
  1. Total length of qualifying Service. Years Months Days [ Col. (5-4) + 6-7]

9.    EMOLUMENTS DRAWN DURING 10 MONTH PERIOD AND THOSE RECKONED FOR CALCULATION OF AVERAGE EMOLUMENTS

From

To

Emoluments drawn

Emoluments reckoned for Average emoluments

Remarks

   

Pay

Other items with details viz. Personal Pay, Spl. Pay, Deputation Allowance, DA, etc.

Total

Pay

Other items reckoned with details

Total

 
1 2 3 4 5 6 7 8 9

 

 

 

               
  1. Average Emoluments for pension Rs.
  2. Emoluments for family pension. Rs.
  3. Emoluments for Retirement Gratuity/Death Gratuity. Rs.
  4. Amount of Retirement Gratuity/Death Gratuity allowed Rs.

Part II
(Applicable on Retirement)

Section I - particulars of Pensioners

1. Joint photograph with the spouse.

 

 

 

  1. Name of the retiring Govt. Servant. 
  2. Permanent Address. 
  3. Personal marks of identification. 
  4. Signatures or the left hand Thumb impression of the pensioner (To be obtained at the time of first payment of pension). 

Section 2 - Details of pension. 

  1. Amount of monthly pension before commutation. 
  2. Class of Pension 
  3. Rules under which sanctioned 
  4. Date of commencement of pension 
  5. Fraction/amount of pension commuted, if any 
  6. Commuted value and the date of its payment 
  7. Reduced monthly pension after commutation 
  8. Date of commencement of reduced pension. 
  9. Date ( in words) from which commuted portion shall stand restored (subject to pensioner being alive on that date). 
  10. Whether the pensioner/Family Pensioner is in receipt of any other pension. If so, its particulars and source from which being drawn

Section 3 - Details of family pension payable on the death of the pensioner.

  1. Rules under which family pension is admissible
  2. Details of family members eligible for family pension in the event of the death of pensioner.

Sl.No. 

Name

Relationship with the Govt. servant

Date of Birth
(for children) 

Present Address

Whether child is physically handicapped/ mentally retarded

 

 

 

 

 

 

 

 

 

Note : - Above particulars may be given in the order of eligibility of the family members.

  1. Amount of family pension.
  Amount Rs From  To

(i) At Enhanced Rate

(ii) At Normal Rate

     

Part III
(Applicable on death while in service)

Section I - Particulars of family pensioner

Photograph of the Family Pensioner

1. Joint photograph with the spouse.

 

 

 

  1. Name of the recipient of family pension 

  2. Relationship with the deceased Govt. Servant. 

  3. Permanent Address. 

  4. Personal marks of identification 

  5. Signature or the left hand Thumb impression of the family pensioner (To be obtained at the time of first payment of family pension) 

  6. Whether the pensioner/Family Pensioner is in receipt of any other pension. If so, its particulars and source from which being drawn.

 Section 2
  1. Rules under which Family pension is sanctioned.
  2. Amount of family pension.
  Amount Rs From  To

(i) At Enhanced Rate

(ii) At Normal Rate

     

PART -IV

(Post sanction revision of pension/Family Pension /Dearness Relief)
Amount of Pension at the time of Retirement Rs._________________ .
Amount of Dearness Relief at the time of retirement ___________________.

Letter No. & Date

Date of effect

Amount of Revised Pension Rs

Reasons Revision

Amount of Revised Dearness Relief Rs.

Total Monthly Pension Plus Dearness Relief payable Rs.

Remarks

Initials of designated officer

 

 

 

             

PART V
Record of transfer of PPO from one Pension Disbursing Authority to another, if any.

Sl.No.

Full particulars of PDA at which pension is drawn before transfer

Date upto which pension has been paid.

Full particulars of PDA to which PPO is transferred

Date signature of authorised officer of transferring PDA

 

 

 

       

PART VI
Periodical identification of pensioner

(To be done twice a year if payment is by postal money order, otherwise annually)

Date

Initials of designated Officer

Date

Initials of designated Officer

Date

Initial of Designated Officer

 

 

         

PART VII
(Record of Disbursement)

Month for which pension is due

Amount

Date of Payment

Disbursing officers initials

Remarks

Pension Rs.

Dearness Relief Rs.

Total Rs

March 

April 

May 

June 

July 

August 

September 

October 

November 

December 

January 

February

           

Note :    Dearness relief is payable with reference to the amount of pension before commutation.

(Rubber stamp of the Office issuing the Pension Payment order)

IMPORTANT INSTRUCTIONS

(To appear on inside cover of the PPO booklet)

No payment shall be liable to seizure, attachment of sequestration by process of any Court in India in the instance of creditor for any demand against the pensioner ( Section II, ACT XXIII of 1871).

Payment under this order is to be made only to the pensioner in person, with the following exceptions.

  1. To persons specially exempted by Government.
  2. To females unaccustomed to appear in public and to persons unable to appear on account of illness or bodily infirmity.

(Payment in both cases (a) and (b) is made on production of a Life Certificate signed by a responsible officer of Govt. or other well known and trustworthy person).

  1. To any person sending a Life Certificate signed by some persons exercising the powers of a Magistrate under the Criminal procedure Code, or by any Registrar or Sub-Registrar appointed under the Indian Registration Act, 1908 or by any pensioned officer who, before retirement exercised the powers of a Magistrate or by any Gazetted officer, or by a Munsiff or by a police officer not below the rank of Sub-Inspector incharge of a police station or by a Post Master, a Departmental sub-post Master or an Inspector of post offices, or by officers of the Reserve Bank of India and Public sector Bank or by the Head of a village Panchayat, Gaon Panchayat or Gram Panchayat or by the Head of an executive Committee of a village or by a Bank included in the second schedule to the Reserve Bank of India Act 1934, in respect of persons drawing pension through that Bank.
  2. In all cases referred to in clauses (a), (b) & (c) the Disbursing officer must at least once a year require proof independent of that furnished by the life certificate of the continued existence of the pensioner. The pension shall not be paid on account of a period more than a year after the date of life certificate last received and the disbursing officer must be on the watch for authentic information of the decease of any such pensioner and on receipt thereof, shall promptly stop further payments.

 

3.    In the event of the death of the pensioner governed by the Liberalised pension Rules within a period of five years from the date of retirement the Disbursing officer should take the following action : -

  1. Intimation regarding the benefits of family pension and/of residuary gratuity admissible under of Liberalised pension Rules under certain circumstances should be sent to the person to whom arrears of the pension are paid or are payable under Rule 370 of the Central Treasury Rules Vol. I, and
  2. Intimation about the death of the pensioner should be sent to the Head of the Office/Deptt. along with statement of pension etc so far paid, in order to able him to take further action regarding grant of family pension and/or residuary gratuity.

FORM CAM - 52 A

Register of P.P.Os authorised for payment at ______________________________(Name of the Bank)

Sl. No

Name of pensioner, Service to which belonged and post last held

Number of P.P.O. and the name of Accounts Office by whom issued

Month for & from which pension authorised to be paid by bank

Amount of basic pension

No. & date of authority letter for subsequent increase or decrease due to revision or commutation of pension & amount thereof

Amount of family pension & name of spouse Name of child(ren)/guardian

Special conditions if any attached to continued payment of pension/Date, if indicated from which pension will cease to be payable

Allocation of pension

Remarks

1 2 3 4 5 6 7 8 9 10

 

 

 

                 

Notes:

  1. The facts relating to transfer of P.P.O. or death of pensioner should be noted in the remarks column.
  2. Name of Child(ren)/guardian to be indicated where both pensioner and his/her spouse are dead and family pension is to be paid to child(ren)/guardian on the basis of a separate authority.
  3. Entries in Col. 8 should be made in red ink.
  4. Decreased rate of pension as a result of commutation should be shown in Col.6 from the date indicated in the payment authority for commuted value of pension.
  5. The terms basic pension includes ad-hoc relief sanctioned w.e.f. 1.1.73 and temporary/ad-hoc increase, if any, in case of 31.12.72 pensions.

FORM C.A.M. - 52 B
Terminal Benefit Register

(Part I)

Sl. No.

PARTICULARS

ENTITLEMENTS

Name & Designation of retiring Govt. servant

Date of Birth

Date of entry in service

Date of Retirement

Qualifying Service

Pay last drawn

Average emoluments

Whether opted new scales w.e.f.

Pension Reduced pension after commutation

DCRG

Family Pension

Type of Retirement

Or Merger of DA/ADA

1 2 3 4 5 6 7 8 9 10 11 12

 

 

 

 

                     

PART I

AUTHORISATION

Nature of Entitlements

Amount (Rs.)

Authority letter No. & Date

PPO No.

Place of payment

Initials of P.A.O.

1 2 3 4 5 6
  1. Provisional Pension 

  2. Pension 

  3. DCRG 

  4. Commuted value of pension 

  5. Leave encashment 

  6. Residual amount

         

PART II

Nature of Payments

Amount (Rs.)

Vr. No.

*Date of Payment

Remarks

1 2 3 4 5
  1. Provisional Pension 

  2. Pension 

  3. DCRG 

  4. Commuted value of pension 

  5. Leave encashment 

  6. Residual amount

       

*    Date of Revised Pension (after commutation)
(Authority : File No.1(14)/87/TA & CTR/Pension’s U.O. No.23031/2/85/MF-CGA/918 dated 28-2-1987)

FORM CAM - 53
(Para 8.2.1)

REGISTER OF OUTWARD CLAIMS

YEAR ______________

Transactions arising in the account of the ………………………………which are adjustable by …………………………………………..

Voucher No./Date Challan No/Date

Recoveries Receipts

Payments

Net amount of claim to be preferred (3-2)

Net amount due to the other party (2-3)

No. & Date of letter forwarding the claim

No. & Date of the cheque issued if the amount is due to the other party

Whether figures under Cols. 2 & 3 tally with the ledger figure. If not, reasons for variation

No. & Date of the cheque received

No. of challan received from Bank with receipt scroll for credit of the cheque

Initials of the Accounts officer

1 2 3 4 5 6 7 8 9 10 11

April

                   

TOTAL

                   

May

                   

TOTAL

                   

FORM CAM - 54
(Para 8.2.1)

PAY AND ACCOUNTS OFFICE
MINISTRY/DEPARTMENT OF ………………….

To

The ……………………………….
…………………………………….
…………………………………….

Subject: Outward Claim No……………………………………………..

Sir,

The schedule(s) (Form …………..) of receipts and disbursement which arose in the account of this office during the month of ……………19… and are adjustable in your books as per summary given hereafter, are sent herewith along with:

  1. Cheque/Demand Draft No……………………….. Date…………. (or)
  2. The request that a Cheque/Demand Draft for Rs………. (Rupees …………………………………) drawn in favour of PAO……………………………….Ministry/Department……………………………… may be sent to the undersigned by name, within seven days of the receipt of this claim.

Summary of outward claim

Rs. P.

Receipts

Payments

Net

Receipts 

Payments

Please return the lower half of this letter, duly signed immediately, in acknowledgement.

PAY AND ACCOUNTS OFFICER

MINISTRY/DEPARTMENT ……………..

Details of enclosures

(i)    Schedule(s) Debits / Credits containing  Details of Schedules /Vouchers sent 

(ii)    Cheque/Demand Draft.

(Portion to be returned by the addressee)

Receipt is hereby acknowledged of the account received with him letter alongwith the Cheque/Demand Draft No……………….. Dated ………. For Rs…………….. Steps are being taken to send Cheque/Demand draft in settlement of the debit raised.

Signature and Designation………………………….

Office of the …………………………………………..

To

The Pay and Accounts Officer,
Ministry/Department of ………………………………..

Issue No…………………………………………. Date…………

(Enclosure to Form CAM - 54)

PAY AND ACCOUNTS OFFICE
MINISTRY ……………………..
DEPARTMENT………………...

Schedule of Debits/ Credits adjusted by………………………………..

Transactions pertaining to Month of ………………………..20………..

No. of the accompanying vouchers or of Schedules of recoveries etc.

Particulars

Amount

Remarks

1 2 3 4
 

 

Rs.

P.

 
 

 

 

 

       
  TOTAL      

OFFICE OF THE

THE 20…. 

SIGNATURE

DESIGNATION

FORM CAM - 55
(Para 8.3.4)

REGISTER OF INWARD CLAIMS

Transactions arising in the accounts of ………………………..adjustable in the accounts of ……………………………………… ….Department.

  1. Serial No. 

  2. No. and date of the letter with which the Account was received 

  3. Period of Account 

  4. Receipts 

  5. Payments 

  6. Net amount due from the other party (4-5) 

  7. Net amount due to the other party (5-4) 

  8. Particulars of the draft/cheque received with Inward account (No. and date)

  9.  Amount 

  10. No. and date of letter forwarding the draft/Cheque to the other Party 

  11. Particulars of cheque sent to the other party (No. and date) 

  12. Amount

  13. Initials of the Accounts Officer 

  14. Amount placed under PAO Suspense and referred to departmental officer 

  15. No. and date of the T.E. clearing the Suspense Head 

  16. Date on which the amount appeared in bank Scroll (for cheques/drafts received from other Party vide Column 8 and sent to bank). 

  17. Initials of Junior/Asst. Accounts Officer

  18. Remarks

FORM CAM - 56
(Para 8.3.2)

No…………………………………………………… Date. The………………..

OFFICE OF THE …………………………
……………………………………………..
……………………………………………..

To

……………………………………
…………………………………….
…………………………………….

As requested in your letter No……………………………… dated……. Cheque No……………………… dated………………….. for Rs………………. (Rupees …………………………………………………………..) is sent herewith in settlement of your account for month ending …………………… 20 ……… as per details given below:

Rs.  P.
Receipts accepted
Payments accepted

Net

Receipts / Payments accepted

Please return the lower half of this letter duly signed, immediately in token of acknowledgement.

Details of enclosures: 
Cheque No. 

Signature

Designation

OFFICE OF THE ………………………….
………………………………………………

Receipt is hereby acknowledged of his letter No………………………. dated …………… alongwith the Cheque No……………………. dated for Rs…………… (Rupees ………………………………) and ……………………vouchers/schedules returned.

Signature

Designation

To

The……………………………
………………………………

Issue No……………………………………………………. dated ……………

FORM CAM - 57
[Para 9.4.3(ii)]

(To be returned in original with reply noted in right hand column, immediately after receipt)

Office of the PAO Ministry of ………………….. 
Deptt. Dated, the 20

To

………………………………………………….. …………………………………………………. 

MEMO

With reference to ………… ……………..No……….dated ……… …………from………………transferring services of ……… ………………………. to the …………………………………………
(Here name of Head of office)
You are requested to ascertain and report the following information in the right-hand column, and to forward duly completed in respect of his services under the Govt. i.e. till the last day of his giving over charge of his duties, his Service Book in accordance with subsidiary rule ………………… framed by the Government of ……………………….

  1. Date and hour (whether before or afternoon) at which he relieved of his duties under the Government of …………………………………….

  2. Date and hour (whether before or afternoon) at which he assumed charge of his duties under the foreign employer. 

  3. Transit pay sanctioned under FR. 144

  4. (a)Substantive appointment at the time of transfer to Foreign Service, if any. 
    (b) Officiating appointment at the time of transfer to Foreign Service, if any.
    (c) Head of Account to which pay was debitable before transfer to Foreign Service. 

  5. Service to which he belongs, i.e. IAS, All India and Class I, Class II Service or Subordinate Service.

  6. Date of birth.

  7. Pay in Government Service from time to time for one year before transfer to Foreign Service.

  8. Pay and allowances, (if any) to be paid by the Foreign employer.

  9. Date of commencement of service.

  10. Date of accrual of annual increment in substantive/officiating post under Government.

Signature ………………………………………. 
Designation: Pay & Accounts Officer

Reply No. ………………………

Dated, the 20

To

The PAO Ministry/ Deptt of

…………………………………….. ……………………………………..

MEMO

I am to furnish the following information together with Service Book duly completed as desired:

1. ………………………..20 Before/After - noon

2………………………….20 Before/After - noon

3. Rs……………………………..

4.(a)……………………………….. (b)…………………………………. (c)………………………………….

5. ………………………………….

6. …………………………………..

7. Rs………………………………

8. Rs………………………………

9. …………………………………

10. ……………………………….

Signature …………………………
Designation……………………….

FORM CAM - 58
(Para 9.5.1)

REGISTER OF GOVERNMENT SERVANTS LENT OR TRANSFERRED ON FOREIGN SERVICE

No……………………………………………..

Name …………………………………………
Date of Birth …………………………………

1. To whom lent …………………………………………..
2. Official designation …………………………………………..
3. Scale of pay of the post in Government service held by the officer …………………………………………..
4. Head of account to which pay was debitable before transfer (Voted/Non-voted …………………………………………..
5. Monthly rate of sanctioned pay in Foreign Service under Fundamental Rules …………………………………………..
6. No. and date of order with the name of the Government sanctioning transfer …………………………………………..
7. Rate of monthly contributions under Fundamental Rules for :-
  1. Leave Salary
  2. Pension
…………………………………………..
8. When lent …………………………………………..
9. Where to be recovered …………………………………………..
10. Number of years of service completed on ………. For the purpose of determining the rate of pension contribution. …………………………………………..

NOTES - LEAVE

Number and 
date of order

Kind of leave

Period of leave

Details of payment of leave 
salary to the official/borrowing department

FROM

TO

         

NOTES PENAL INTEREST

Amount of interest due

No. & date of reference

Amount recovered

Date of recovery

Amount of interest due

No. & date of reference

Amount recovered

Date of recovery

Rs.

P.

Rs.

P.

Rs.

P.

Rs.

P.

                       

PARTICULARS OF CONTRIBUTIONS ACTUALLY RECOVERED

Year/Period

Pension Contribution

Total

Year/Period

Pension Contribution

Total

Leave Salary 
Contribution

Leave Salary 
Contribution

           

FORM CAM - 59
(Para 10.5.2)

BROADSHEET OF LOANS TO STATE GOVERNMENTS ETC. FOR THE YEAR 20 …….20……..
(To be maintained separately for payments i.e. debits & repayments i.e. credits)

Major Head …………………………………………………………Minor Head …………………………………………..

Sl. No.

To whom granted Party which has paid

Page of the loan Register

April

May

June

July

August

September

October

November

December

January

February

March

March Final and Supplementary (Supplementary entries in red ink)

Total for the year

 

 

 

                                                     
 

TOTAL
Figures as per Ledger
Difference 
Initials of J.A.O
Initials of A.O.