G.A.R.45

(See rule 180)

RECEIPTED BILL

Part I

    Received the sum of Rs.....................(..........................) under the All India Services Group Insurance Rule, 1981, being the total of entitlement of Rs.....................from the *Insurance Fund and/or of Rs.................. from the Savings Fund,
accrued to—

Name ....................................................Service to which I/he* belonged......................

Designation.. ............................................................................

Name of State on whose cadre borne.......................................................

Date..........................

Signature (s) of Recipient(s))

(Name in Block letters)

Part II

Endorsement to be recorded by the Designated Drawing Officer of State/ Union Territory or by D.D.O. of concerned Central Ministry/ Department in respect of an officer on deputation to centre.

(a) Date on which the officer became a member of the Scheme..............................................

(b) Description of the event (retirement, resignation, death etc. and date thereof........................................

(c) Countersigned for payment of Rs.................... .(Rupees........................................) to claimants

Crossed cheque/demand draft to be issued in favour of claimant (s):

Signature........................

Date............................

Designation of D O ................

Government of....................

Part III

Endorsement to be recorded by the D.D.O. of Department of Personal and Administrative Reforms

Certified that the above details (including entitlement under savings fund) have been verified and found to be correct.

Signature......................

Date............................

D.D.O., D.P.&A.R...............

Part IV

FOR USE IN PAY AND ACCOUNTS OFFICE

Passed for payment of Rs............................. (Rupees.......................)

Payment through
Cheque(s) No.(s)........................ date................

Accounts Officer


* Delete whichever is inapplicable.