GCP-J223-28-8-2010-50,000.
ANTICIPATORY PENSION AND GRATUITY CERTIFICATE
(To be obtained)
THIS IS TO CERTIFY that no Anticipatory Pension and Gratuity has been sanctioned or paid to
Sri/Smt. …………………………………………. S/o W/o D/o ……………………………………………
w.e.f. ……………………………….
THIS IS TO CERTIFY that Anticipatory Pension has been paid to Sri/Smt………………………………
S/o W/o D/o…………………………………………………………………………………………………………… at Rs……………………………
Plus…………………………………. DA Rs. ……………………………………….. P.M from …………………….. to ………………………
Total Rs. ………………………
THIS IS TO CERTIFY that anticipatory gratuity of Rs …………………..(Rupees …………………
………………………………………………only) also paid to Sri/Smt. ………………………………………..
on ………………………………………
Counter Signed
Place: SIGNATURE OF HEAD OFFICER
Date : (OFFICE SEAL)
P.A.O./D.T.O.
______________________________________________________________________________________________
CERTIFICATE
(As per G.O.Ms.No.47, dated 12-02-1960)
a) I hereby declare that l am already in receipt of pension of Rs………………and D.A. ……………………
and I am drawing the pension through P.P.O. No. ………………………………………………………….. from
………………………………….the………………………………………………………………Branch.
b) I hereby declare that I am not in receipt of any other pension or D.A. etc. from any Government Treasury.
SIGNATURE/LTI
OF PENSIONER
Signature and Designation of
Gazetted Officer with Office Seal
Please stoke out whichever is not applicable