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Present:
K.Dis.No.
Sub:
/200
Ref:
Dated:
on
Rs.
Retired on Superannuation on
He/ She was admitted to the scheme on 1.4.84. She has been subscribing
regularly to the Special Provident Fund from 1.4.84 till 31.7.96.
:
:
:
Total
/-
3. Govt. Contribution
Debitable to :
: Rs. /-(Rupees
only)
in separate bills
The Principal,
Copy to
/True Copy/
for Director of Collegiate Education.
ANNEXURE
1.
Serial Number
2.
3.
4.
Date of Birth
5.
6.
7.
8.
9.
10.
Interest
11.
Government Contribution
:
--------
12.
Rs.
13.
14.
15.
Remarks
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