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Correction Slip to the Civil Accounts Manual-Revised Second Edition Vol."
C_ORRECT|@ SLIP NO. 1 Dated: 02.12.2003
Page 424 to 437 FORM CAM-52
The existing fcrm CAM-52 may be replaced by the one attached herewith.
Authority: 1(7)(1)l2008fTA(pt. file)
cr' R-9m-dbmua
(T.R. Padmavathy)
Sr. Accounts Officer (TA)

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FORM CAM-52
(Para 7.3.2)
(Rubber stamp of the Office issuing the Pension Payment order)
PENSlON PAYMENT ORDER
(Disburser's portion)
Ullllllllllll
P.P.O.N0.
Date
Debit able to Union Government.
Head of Accoglt'
Major Head
Sub-major Head
Minor Head
Voted (Charged
Sir,
UNTIL FURTHER NOTICE. and on the expiration of every month be pleased to pay
ShrirSrnt. the pension as set out in Part II of this order
rFamily Pension as set out in Part III of this order " plus the amount of dearness relief as
admissible tram time to time thereon after due identification of the pensionen‘family pensioner.
The Payment should commence from . The income tax, where
deductible, should be deducted at source. '
2. Arrears of pensionlfamiiy pension at Rs. PM. (Rupees per month.)
from to plus the admissible dearness relief thereon may also be paid to
ShrirSmt.
[' inapplicable clause to be deleted]
Signature
Designation
(Special Seal of the Pension Payment Order issuing Authority)
To
(Pension Disbursing Authority where pension is to be paid)- (Strike out whichever is not relevant}
(1) Pay & Accounts Officer. Mro Dro
(2} Name of the Paying Branch (with BSR code) ....... ............... ..(Mandatory)
(Account No. }

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Part I : - Particulars of service of the pensionerideceased Government servant.‘
[' strike out whichever is not admissible)
Name of the Government Servant
Post lGradeiRank last held
Name of the MinistryiDepttJ office from which heishe retired under the Govt. of India.
Scale of payiPay Band 8. Grade Pay at the time of retirement (Mandatory)
4(a) Pay last drawn
Date of Birth
Date of entry into Government service.
Date of ending service (Last day of Service).
Details of weightage in service allowed, if any.
Period of service not qualifying for pension.
From To Period Reasons _ A
Y M D lift ‘ J‘ |
599749.01
10. Total length of qualifying Service. Years ..... .. Months ..... ..Days .......... ..
[Col (?-6J +8-9]
11. EMOLUMENTS DRAWN DURING 10 MONTH PERIOD AND THOSE RECKONED FOR
CALCULATION OF AVERAGE EMOLUMENTS
I From To Emoluments drawn Emoluments reckoned for Remarks
Average emoluments
Pay& Otheriterns Total Pay& Other Total
Grade with details Grade items
Pay viz. Personal Pay reckoned
Pay, Spl. Pay, with
; Deputation details
i Allowance, DA,
1 5 BIG. 1
1 I 2 _ 3 . 4 5 6 _ 7 8 ' 9
12. Average Emoluments for pension Rs.

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| 13. Emoluments forfarnity pension. Rs.
14. Emoluments for Retirement Gratuityl'Death Gratuity. Rs.
15. Amount of Retirement GratuitylDeath Gratuity allowed Rs.
16. Grant of Medical allowance to be paid by the Bank.
17. Constant Attendant allowance
(No Dearness Relief is payable on S.No. 16 8A?)
PART II
(Applicable on Retirement)
Section 1 - Particulars of Pensioner
1. Joint photograph with the
spouse.
Name of the retiring Govt. Servant.
Permanent Address.
Personal marks of identification.
WP?!“
time of first payment of pension}.
Section 2 - Details of pension.
Signatures or the left hand Thumb impression of the pensioner (To be obtained at the
Rules under which sanctioned
Original Revised Revised
pension pension pension
(1) (2)
Amount of monthly pension before
commutation
Class of Pension _
Date of commencement of pension
Fractionlamount of pension
commuted, if any
Commuted value and the date
of its payment
Reduced monthly pension after
commutation

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Date of commencement of
reduced pension,
Date ( in words) from which
commuted portion shall stand
restored (subject to pensioner
being alive on‘ that date).
10
Whether the pensionerlFamily
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.
A
Rules under which family pension is admissible
2. Details of family members eligible for family pension in the event of the death of
pensioner.
3!. Name
Marital Relationship Date of
status in with the
case of Govt.
children servant
Whether child is
physically
handicapped! mentallyr
retarded
Note:' 4 Above particulars may be given in the order of eligibility of the family members.
@ Whether married I unmarried i widow it widower I divorcee
3. Amount of family pension. (Payable in the event of death of the pensioner}
(i) At Enhanced Rate
(ii) At Normal Rate
Amount Rs
The day following the I
' date of death of the
pensioner

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PART lll
(Applicable on death while in service)
Section 1 - Particulars of family pensioner
1. Photograph of the Family Pensioner
2. Name of the recipient of famiiy pension
2(a) Date of Birth of family pensioner
3. Relationship with the deceased Govt. Servant
4. Permanent Address.
5. Personal marks of identification
6. Signature or the left hand Thumb impression of the family pensioner (To be obtained at the
time of first payment of family pension)
7. Whether the pensionerfFamily Pensioner is in receipt of any other pension.
If so. its particmars 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 A _
(i) At Enhanced Rate
(ii) At Normal Rate

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3. Details of other family members eiigible for family pension
SI. Name Marital Relationship Date of Present Whether child is
status in with the Birth Address physically
No_ case of Govt. (ior all) handicapped! mentally
children servant retarded
@
Note: - Above particulars may be given in the order of eligibility of the family members
@ Whether marriediunmarriediwidowiwidoweridivorcee
PART -IV
{Post sanction revision of pensioniFamily Pension iDearness Relief)
Amount of Pension at the time of Retirement Rs.
Amount ofDearness Relief at the time of_ret_ir_e_n1e11t__ _ __ __
Letter Date Amount oi Reasons Amount oi Total Monthly Remarks Initials o!
No. 8. of Revised for Revised Pension Plus designated
Date etiect Pension Rs Revision Dearness Dearriess Relief officer
1 Relief Rs. payable Rs.
l
PART V
Record ofgansfer of PFC from one Pension Disbursing Authority to another,_if any:
Sl.No. Full particulars of Date up to Full particulars of Date signature of
FDA at which which pension FDA to which PPO authorised officer of
pension is drawn has been paid. is transferred transferring PDA
before transfer

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Periodical identification of pensioner
PART V!
[To be done twice a year if payment is by postal money order, otherwise annually)
Date Initials of designated
Date Initials of designated
Officer
PART VII
(Record of Disbursement)
Month for
which pension
is due
Amount
' Pension Dearness
Rs.
March
April
May
June
J uly
August
September
October
November
December
January
February
Relief Rs.
Date of
Payment
Total
Rs
Date
Officer
Disbursing
officers initials
Initial of Designated
Remarks
Note : Dearness relief is payable with reference to the amount of pension before commutation.

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mPORTANT INSTRUCTIONS
(To appear on inside cover of the PPO booklet)
1.No pension 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 ll‘ ACT XXIII of
1871)‘
2‘ Payment under this order is to be made only to the pensioner in person. with the following
exceptions.
a.
b.
To persons specially exempted by Government.
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).
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 beiow the rank of Sub—inspector in charge 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 indie 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.
In all cases referred to in clauses {a}, (b) 8- (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 step further payments.
3. The quantum of pension available to old pensionersi'family pensioners will be as follows:-
Age of pensionerrfamily pensioner Additional quantum of pensionifamiiy pension
From 80 years to less than 85 years 20% of basic pensionlr family pension
From 85 years to less than 90 years 30% of basic pension! family pension
From 90 years to less than 95 years 40% of basic pensioniI family pension
From 95 years to less than 100 years 50% of basic pension! family pension
100 years or more
100% of basic pension! family pension