LAST PAY CERTIFICATE

{See Rules 11(4) and 80 of Central Government Account (Receipts & Payments) Rules,1983}
1. Last Pay Certificate of Shri/Shrimati () : of the office of proceeding on Transfer to () ,
() ,
2. He/She has been paid upto at the following rates :-
Particulars
Officiating Pay
Deduction
Sl No. Deduction Detail Amount Total No of Installment Last Installment No
3.Provident Funds:
b.His/Her Permanent Pension Account No (PPAN) / Permanent Retirement Account No (PRAN). / is maintained by the
Directorate of Accounts and Treasuries (DAT) / National Securities Depository Limited (NSDL), Central Recordkeeping
Agency (CRA).
4. He/She made over charge of the office of
on the Afternoon-of //
5. Recoveries are to be made from the emoluments etc. of the Government servant as detailed on the reverse.
6. He/She is also entitled to draw the following:-

7. He/She has been sanctioned leave salary as detailed below.

Period Rate Amount
From_____________ to ______________ at Rs. ______________________ a month

8. He/She finances the insurance policies detailed below from provident fund :-
Name of Insurance Company No. of Policy Amount of Premium Due date for payment

9. Details of PLI recovery through pay bills.

10. The details of Income Tax recovered from his/her upto date from the begining of the current financial year are noted on the
reverse.
11. Service for the period from // to // (during his stay in this office) has been verified. A copy of LPC has been given to the
Gevernment Servant.

Date: Signature

Designation
 LAST PAY CERTIFICATE

Details of Income tax etc.

Name of Pay/Leave Fee GPF/NPS Funds & Amount of Amount of Amount of Health
Months Salary & Honorarium Subscription other Income Tax Education Higher and Education
Allowances deductions recovered Cess Education Cess
Rs. Rs. Rs. Rs. Rs. Rs. Cess Rs. Rs.
March 2019
April 2019
May 2019
June 2019
July 2019
August 2019
September 2019
October 2019
November 2019
December 2019
January 2020
February 2020
March 2020

Signature

Designation