authorisation for pension & cvp disburser … · authorisation for pension & cvp-disburser...

AUTHORISATION FOR PENSION & CVP -DISBURSER HALF

OFFICE OF THE'ACCOUNTANt GENERAL (A&E).TAMIL NADU. CHENNAI - 600 018.

ToThe Treasury Officer

(For payment of PenslonlCVP only)

Until further notice and on the expiry of every month, be pleased to pay Pension to

ShrilSmt.Kum

from payable at HT/ST authorized as below.

I am also to request you to make arrangment for payment of Commuted Value of Pension also.

Original Pension:

Amt commuted:

Reduced Pension:

Commuted Value of Pension:

Enchanced FamilyPension:

Payable upto or for 7 years from the day following the date of death of the pensioner, whichever is earlier

Normal Family Pension :

thereafter payable to Shri/Smt.

DCRG payable through DDOat Sub treasury concerned as given below:

,spouse, in the event of death of the pensioner

DCRG: Amt.wlthheld(lf any) Balance amt authorized:

PEBITABLE TO Government of Tamil Nadu - Head of Account - '2071 Pension and other Retirement Benefits - 01 Civil'

!Pension- 101Superannuationandotherretirementallowances

I

CRG:

Name of Pensioner:

Scale of pay:

Basic pay: Special Pay:

D.P.:

D.A. :

Office :

Dept.Letter No. :

DOB: DOA:

Non 0.5.Gross a.s.:

Age Next Birthday:

Post held :

Personal Pay:

Emoluments for Family Pension:

Emoluments for DCRG :

Dated:

DOR:

Addl.a.S.

Factor for commutation : Class of Pension:

Neta.s.

Grade Pay:

SI.No.Details of family members eligible for family pension (Below 25 yearslhandlcapped children) :

Name

Encl : Photo, Descriptive roll & Specimen signature

COpy TO DDO FOR DRAWAL OF DCRG :

COPY TO TREASURY OFFICER FOR DCRG :I

I The Treasury Officer

COpy TO PENSIONER FOR INFORMATION:

Relation DOB/Age

NOTE: PLEASE SEE INSTRUCTIONSOVERLEAF BEFORE MAKING PAYMENT.

Whether handicapped

BRANCH OFFICER

SdIBRANCH OFFICER

SdIBRANCH OFFICER

SdIBRANCH OFFICER

AUTHORISATIONFOR PENSION & CVP - PENSIONER HALF: " L'

OFFICE OF THE ACCOUNTANT GENERAL (A&E), TAMIL NADU, CHENNAI - 600 018.


(For payment of Pension/CVP only)


Shri/Smt.Kum

from payable at HT/ST authoriz,ed as below.


Original Pension:

Amt commuted:

Reduced Pension:



Payable upto or for 7 years from the day following the date of death of the pensioner, whichever is earli~


thereafter payable to Shri/Smt. ,spouse, in the event of death of the pensionel

l DCRGpayable through DDOat Sub treasury concerned as given below:DCRG: Amt.withheld(ifany) Balance amt authorized:

DEBITABLE TO Government of Tamil Nadu - Head of Account - '2071 Pension and other Retirement Benefits - 01 Civil'

Pension - 101 Superannuation and other retirement allowances

CVP:

II DCRG:

Name of Pensioner:

Scale of pay :

Basic pay: Special Pay:

D.P.:

D.A. :

Office :

Dept.Letter No. :

DOB: DOA:

Non a.s.Gross a.s.:

Post held :

Personal Pay:

Emoluments for Family Pension :


Dated:

DOR:

Addl.a.S.

Grade Pay':

Class of Pension :

Neta.s.

Factor for commutation :Age Next Birthday :

Details of family members eligible for family pension (Below 25 yearsJhandlcapped children) :

Whether handicappedSI.No. Name

Encl : Photo, Descriptive roll & Specimen signature

COPY TO DDO FOR DRAWAL OF DCRG :

COpy TO TREASURY OFFICER FOR DCRG :

The Treasury Officer

COPY TO PENSIONER FOR INFORMATION:

Relation DOB/Age

NOTE: PLEASE SEE INSTRUCTIONS OVERLEAF BEFORE MAKING PAYMENT.

-

BRANCH OFFICER

SdIBRANCH OFFICER

SdIBRANCH OFFICER

SdIBRANCH OFFICER

.,AUTHORISATIONFOR PENSION & CVP - TREASURYCOpy FOR VOUCHER

, ,.' "..".._,.-,",._-,--" -, .~. .. ...~ "., q ,- .,...~ , =, - ....

OFFICE OF THE ACCOUNTANT GENERAL (A&E),TAMILNADU, CHENNAI -600 018.

ToTheTreasuryOfficer



Shri/Smt.Kum

from payable at HT1ST authorized as below.


Original Pension:

Amt commuted:

Reduced Pension:



Payable upto or for 7 years from the day followingthe date of death of the pensioner, whichever is earlier.


thereafter payable to Shri/Smt. /DCRGpayable through DDOat Sub treasury concerned as ,givenbelow:JDCRG: Amt.withheld(ifany)

,spouse, in the event of death of the pensioner.

Balance amt authorized:

DEBITABLETO Government of Tamil Nadu -Head of Account - '2071 Pension and other Retirement Benefits -01 Civil'

Pension -101 Superannuation and other retirement allowances

CVP:

DCRG:

... "..., ,.,

Name of Pensioner Post held :

Scale of pay :

Basic pay: Special Pay: Personal Pay:' Grade Pay:

D.P. :

D.A.:



Office :

Dept.Letter No. : Dated:

Gross a.s.: Nona.s.

DOR:

Addl.a.S. Neta.s.

DOB: DOA:

Age Next Birthday: Factor for commutation : Class of Pension :

Details of family members eligible for family pension (Below 25 yearslhandicapped children) :

SI.No. Name Relation DOB/Age Whether handicapped

Ene! : Photo, Descriptive roll & Specimen signatureBRANCH OFFICER

Pension Vr. No. Dt. CVP : Vr. No. Dt.

Try Officer


Try Officer

Sd/BRANCH OFFICER

· COPY TO TREASURY OFFICER FOR DCRG :


SdIBRANCH OFFICER


Sd/BRANCH OFFICER

NOTE: PLEASE SEE INSTRUCTIONS OVERLEAF BEFORE MAKING PAYMENT.

AUTHORISATION FOR DCRG - DEPARTMENT COpy FOR PAYMENT

OFFICE OF THE ACCOUNTANTGEN.ERAL(A&E), TAMIL NADU, CHENNAI- 600 018.




Shri/Smt.Kum



Original Pension:

AmtcomlTluted:

qeduced Pension:


Enchanced Family Pension:

Payable upto or for 7 years from the 'day following the date of death of the pensioner, whichever is earlier.

lormal Family Pension :


DCRG payable through 000 at Sub treasury concerned as given below:


DCRG: Amt.withheld(if any) Balance amt authorized:

£)EBITABLE TO Government of Tamil Nadu - Head of Account - '2071 Pension and other Retirement Benefits - 01 Civil'

Pension - 101 Superannuation and other retirement allowances

CVP:

DCRG:

Name of Pensioner:

Scale of pay:

Basic pay:

O.P.:

D.A.:

Special Pay:

Office :

Dept. Letter No. :

DOB: DOA:

Gross O.S.: Non O.S.

Age Next Birthday:

Post held:

Personal Pay:



Dated:

OOR:

AddI.O.S.

Factor for commutation : Class of Pension:

Net O.S.

Grade Pay :

SI.No.Details of family members eligible for family pension (Below 25 yearslhandlcapped children) :

Name

Ene! : Photo, Descriptive roll & Specimen signature


.COpy TO TREASURY OFFICER FOR DCRG :



Relation DOB/Age

DCRG : Vr. No. Ot.

Try Officer

NOTE:PLEASE SEE INSTRUCTIONSOVERLEAF BEFORE MAKING PAYMENT.

Whether handicappp('li

SdlBRANCHOFFICER

BRANCH OFFICER

.Jo

SdIBRANCH OFFICER

SdIBRANCH OFFICER

AUTHORISATIONFOR DCRG -TREASURY COpy FOR RECORD. .

OFFICE OF THE ACCOUNTANT GENERAL (A&E), TAMIL NADU, CHENNAI -600 018.


IIt

I (For payment of PenslonlCVP only)


: Shri/Smt.Kum

I from payable at HT/ST authorized as below.


Original Pension:

Amt commuted:

Reduced Pension:



Payable upto or for 7 years from the day following the date of death of the pensioner, whichever is earlier,



OCRGpayable through DDOat Sub treasury concerned as given below:


)CRG:I

Amt.withheld(if any)'"

Balance amt authorized:

)EBITABLE TO Government of Tamil Nadu - Head of Account - '2071 Pension and other Retirement Benefits - 01 Civil'

'ension - 101 Superannuation and other retirement allowances

;VP:

ICRG:

,~.. _ _,,,.r---..._

Name of Pensioner: Post held :

Scale of pay:

Basic pay: Special Pay: Personal Pay:



Grade Pay:

D.P.:

D.A. :

Office :

Dept.Letter No. : Dated :

DOB: DOA: DOR:

Gross 0.5.: Non0.5. Addl.a.S. Neta.s.

Age Next Birthday : Factor for commutation : Class of Pension :

Details of family members eligible for family pension (Below 25 yearslhandlcapped children) :

SI.No. Name Relation DOB/Age Whether handicapperJ

rEncl : Photo, DescriptivA roll & Specimen signature

Sd/BRANCH OFFICER


Sd!BRANCHOFFI,CER

COPY TO TREASURY OFFICER FOR DCRG :


BRANCH OFFICER


Sd!BRANCH OFFICER

NOTE: PLEASE SEE INSTRUCTIONSOVERLEAF BEFORE MAKING PAYMENT.

AUTHORISATIQNFORPENSION, CVP & DCRG- PENSIONER COPYFOR INFORMATIONOFFICE OF THE ACCOUNTANT GENERAL (A&E), TAMIL NADU, CHENNAI - 600 018.

'''>\




Shri/Smt.Kum


I.am also to request you to make arrangment for payment of Commuted Value of Pension also.. .

Original Pension:

Amt commuted:

.Reduced Pension:


Enchanced Family Pension:

Payable upto or for 7 years from the day following the date of death of the pensioner, whichever is earlier,



DCRG payable through DDOat Sub treasury concerned as given below:

,spouse, in the event of death of the pensioner,

..DCRG: Amt.withheld(if any) Balance amt authorized:

DEBITABLE TO Government of Tamil Nadu - Head of Account - '2071 Pension and other Retirement Benefits - 01 Civil'

Pension :- 101 Superannuation and other retirement allowances

CVP:

DCRG:

Name of Pensioner: . Post held :

Scale of pay :

Basic pay: Special Pay: Personal Pay:



Grade Pay:

D.P.:

D.A. :

Office :

Dept. Letter No. : Dated:

Gross a.s.: Nona.s.

DOR:

Addl.a.S. Neta.s.

DOB: DOA:

Age Next Birthday : Factor for commutation : Class of Pension:

Details of family members eligible for family pension (Below 25 yearslhandlcapped children) :

SI.No. Name Relation DOB/Age Whether handicapped

Ene! : Photo, Descriptive roll & Specimen signature

SdiBRANCH OFFICER

COPY TO DDO FOR DRAWAL OF DCRG :

SdiBRANCH OFFICER

COPY TO TREASURY OFFICER FOR DCRG :....


SdiB8ANCHOFFICER.


BRANCH OFFICER

NOTE: .PLEASE SEE INSTRUCTIONSOVERLEAF BEFORE MAKING PAYMENT.

authorisation for pension & cvp disburser … · authorisation for pension & cvp-disburser...

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