Last month’s salary drawn (Last Pay Certificate)
For the month ______________ Year __________________
- Name of Department _________
- Name of Employee ___________
(1) S/o, D/o.: ________________
(2) Designation: _____________
(3) Date of joining: ________
(4) Date of retirement: ________________
(5) Date of birth: ________
(6) Retirement Age: ______
(7) Employee Number: _____ - Pay Level in the Pay Matrix: _______________
- Particulars of Salary (in Rupees):
GROSS SALARY:
(1) Pay Band ______________
(2) Grade Pay _____________
(3) Increment (__________%) _________________
(4) Basic Pay ____________________
(5) DA ( ______%) __________________________
(6) HRA ( ________%) ________________________
(7) SCA (Fixed) ______________________
(8) NPS (________%) _________________
(9) Interim Relief (IR) _________________
(10) Overtime (OT) __________________
(11) Salary Deferred ________________________
Total ————-
DEDUCTION:
(1) PCF/GPF ________________
(2) NPS (________ %) _______________________
(3) Federation Fund ___________________
(4) MADCOA Fund ___________________
(5) SOC Fund _____________________
(6) LIC _________________________
(7) HBA/HUDCO _____________________
(8) GIS (IF & SF)/GLIS ________________
(9) SBI/MCAB/MRB _____________________
(10) HDFC/IDBI/Others __________________
(11) Salary Deferred ___________________
Total __________________________
NET SALARY (After deduction) __________________________
- His/Her PCF/GPF Account No. _____________ maintained by ________________
- His/Her LIC Policy No. _________________maintained by _____________
- His/Her date of next increment (DNI) __________________________
I hereby certified that the above particulars are true and correct.
Signature of the
Head of Department
With Seal & Date.
( ____________________________ )
Name of Cash Clerk
With Signature & Date.
Note: Do not forget to put the stamp of “Round Seal of Office Department” and “Head of Department Seal” on the LPC document.
