REVISED U.G.C.

ARREAR STATEMENT SHOWING THE BASIC PAY (PAY IN THE PAY BAND + ACADEMIC GRADE PAY) AND DEARNESS ALLOWANCE IN RESPECT OF TH
DEMONSTRATORS OF PROVINCIALISED COLLEGES OF ASSAM W.E.F. 01-04-2009 TO 30-04-2010

NAME OF COLLEGE :-
NAME OF INCUMBENT :-
DESIGNATION :-

APPROVAL OF APPOINTMENT ORDER

:-
WITH NO. & DATE OF EFFECT

TO BE DRAWN ALREADY DRAWN

REVISED PAY Pay-Revised Pay
D.A. from 01-04-2009 - 22% D.A.
D.A. from 01-07-2009 - 27%
Month D.A. from 01-01-2010 - 35%
Pay in the Academic Revised Special Total Dearness Total
Basic Pay
pay Band Grade Pay Basic pay allowance (4+6+7) Pay (9+10) Rate Amount
Rate Amount

1 2 3 4 5 6 7 8 9 10 11 12 13

Total

(RUPEES…………………………………………………………………...…………) o

1) I have personally verified all records and is satisfied about the admissibility of the arrear claim.
2) The arrear salary has not been drawn & disbursed earlier.
3) I will personally be held responsible for any excess/ over/ fraudulent drawals

D.D.O.
N.B.:- Statement may be prepared showing grade wise
 CE IN RESPECT OF THE TEACHERS/ LIBRARIANS/

WN
Difference
y

Principal
allowances/ Remarks
Net amount
Vice Princpal Total
payable
allowances / (11+13+14)
(8-15)
H.O.D.
allowances

14 15 16 17

………………...…………) only

D.D.O. / Principal
 FORM - "A" (II)

CONSOLIDATE STATEMENT (GRADE WISE) FOR REVISED U.G.C. ARREAR W.E.F. 01-04-2009 TO 30-04-2010 IN RESPECT
OF THE TEACHERS/ LIBRARIANS/ DEMONSTRATORS OF PROVINCIALISED COLLEGES OF ASSAM

NAME OF COLLEGE :-

Period Amount to be drawn in Amount already drawn in

Sl. No. Name of Incumbent Designation Net amount payable Remarks
01-04-09 to 30-04-10 revised U.G.C. Pre-revised pay

1 2 3 4 5 6 7 8

Total

(RUPEES…………………………………………………………………………) only

1) I have personally verified all records and is satisfied about the admissibility of the arrear claim.
2) The arrear salary has not been drawn & disbursed earlier. D.D.O. / Principal
3) I will personally be held responsible for any excess/ over/ fraudulent drawals

D.D.O.
N.B.:- Statement may be prepared showing grade wise