FILL IN THE DATA BELOW

NAME OF THE EMPLOYEE: P.H.S.V.VenuMadhav

DESIGNATION: Sr,Assistant
SUBSTANSTIVE OR OFFICIATING Substantive
DATE ON WHICH OPTION WAS EXERCISED 15.4.2010
TREASURY ID: 0725148
OFFICE: Prohibition&Excise Superintendent
VILLAGE: Gudur
MANDAL: Gudur

SELECT YOUR GRADE O-ORDINARY, 8-SG(8 0 ORDINARY

YEARS), 16-SPP-1, 24- SPP-2
Present Pay (1.7.2008 or Date of Next
Increment) Rs10,030.00

Are you Applying for step up in this PRC?

2 No If Yes stepped
1- Yes, 2- No up pay→

DDO'S DESIGNATION Prohibition&Excise Superintendent

DDO'S NAME M.VenuGopal
Station Gudur
DDO'S NAME (SHORT) P&E.S ,Gdr
DDO CODE 0 3 0 8
DDO OFFICE NAME Prohibition&Excise Superintendent
Rc. No 09/2010/A2
Dated 15.4.2010
STO CODE 0 7 0 5
STO NAME S.T.O. DARSI
2 2 0 2
HEAD OF ACCOUNT
MAJOR HEAD
X X 0 5 0 1
GROUP SUB HEAD SUB HEAD DETAILED HEAD
District Nellore
GOVT. BANK NAME StateBankOf India
Station: Gudur
BANK CODE 3 6 4 1
EMPLOYEE'S BANK A/C NO 3671/220/46546
BANK NAME SYNDICATE BANK, TALLUR
NLB NAME SYNDICATE BANK, TALLUR

SELECT NATURE OF SAVINGS (1- GPF, 2- ZPPF, 2 ZPPF

3- CSS)
ZPPF A/C NO 12405
APGLI NO.(FOR FORM 49) L-2109418
APGLI MONTHLY PREMIUM(FOR FORM 49) 350
HRA PERCENTAGE 10
ALLOWANCES IN RPS 2005 & RPS 2010 ALREADY DRAWN TO BE DRAWN
HM ALLOWANCE 60 75
PHC ALLOWANCE 0 0
PERSONAL PAY 0
READER'S ALLOWANCE 0 0
ADVANCE INCREMENTS 100
FAMILY PLANNING INCREMENT 35
SPECIAL PAY 0
CCA 0 0
OTHERS 0 0

ENTER PAY IN RPS 2005 AND RPS 2010

OPTION DATE 6195-155-6505-

AND EXISTING SCALE
170-7015-185- REVISED SCALE
SUBSEQUENT OF PAY IN R.P.S PAY IN R.P.S.2005 PAY IN R.P.S 2010
7570-200-8170- OF PAY IN R.P.S
INCREMENT 2005
215-8815-235- 2010
DATES 10900-300-11200-
9520-255- 330-12190-360-
10285-280- 13270-390-14440-
1.7.2008 11125-315- 10285 19050
420-15700-450-
1.12.2008 12700-330- 10565 19580 17050-490-18520-
13030-360- 530-20110-570-
1.12.2009 13750-425- 10845 20110
21820-610-23650-
1.12.2010 14175 650-25600-700-
ARREARS IN CASH CLAIMED 27700-750-29950-
FROM TO MONTHS 800-31550
1.2.2010 28.2.2010 1 ZPPF/GPF/CPS
1.3.2010 31.3.2010 1 CASH
1.4.2010 30.4.2010 1

Amount to
ZPPF/GPF/CSS MANUAL TYPING OF DATES IS PREFERRED HERE, SINCE DATE FORMATS
VARY FROM SYSTEM TO SYSTEM
3067.00
Words three thousand and sixty seven only Type here in words
In Cash
6243
Words six thousand two hundred and fortybthree eight only Type here in words
Under Rs. six thousand two hundred and forty four only Type here in words by adding one rup
 Don't fill any thing in blue cells
Fill the cells in light green cells

Rs0.00

0 2 7

0 1 1 0 3
SUB MAJOR MINOR HEAD
0 N V
DETAILED HEAD PLAN/NON-PLAN CHARGED/VOTED

THE ARREARS IN CASE OF CPS ACCOUNT HOLDERS

WILL BE CREDITED TO COMPULSORY SAVINGS
SCHEME
re in words

re in words
re in words by adding one rupee
 ANNEXURE
FORM FOR EXERCISING OPTION UNDER THE ANDHRA PRADESH
REVISED SCALES OF PAY RULES, 2010

(*) I Sri/Smt P.H.S.V.VenuMadhav holding the post of Sr,Assistant in the scale of Rs.6195-155-6505-170-7015-185-
7570-200-8170-215-8815-235-9520-255-10285-280-11125-315-12700-330-13030-360-13750-425-14175 in the office
of Prohibition&Excise Superintendent ,Gudur,Gudur do here by elect to come under the Revised Scales, 2010 with
effect from1st July, 2008/date of next increment on__________________________________________/01.07.2008
with/without increment in the existing scale.**

* I Sri/Smt…………………………………………………………………………………..holding the post

of………………………………………………………………in the scale of Rs. ……………………………………..
in the office of………………………………………………………..………………do hereby elect to continue in the
existing scale of pay.

The option hereby exercised is final and will not be modified at any subsequent date.

Date: Signature:

Station: Name: P.H.S.V.VenuMadhav

Designation: Sr,Assistant

Office in which employed Prohibition&Excise Superintendent

Gudur
Gudur
Signed before me
Signature of Head of Office
(with date)
(In case of Non-gazetted Officer)

Signature of Another Gazetted Officer

(In case of Gazetted Officer)

Note:Separate option should be given in respect of substantive and officiating posts.

Date: Signature:
Pay and Accounts Officer/
Head of office

(*To be scored out if not applicable.

Received the above declaration:
(**Strike whichever is not applicable)
erintendent
 APPENDIX-1
Statement of Fixation of pay under Andhra pradesh Revised Scales of Pay Rules, 2010
(Circular Memo No. 33327-A/549/A1/PC-I/2009. dated:13.3.2010)
Note:1. Separate statement should be prepared for fixation of pay in rspect of substantive and Officiating post.
2 In respect of employees holding Special Grade/Special Promotion Post/Special Adhoc Promotion Post,
fixation shall be in the corresponding relevant Revised Scales assigned.

1 Name of the Employee : P.H.S.V.VenuMadhav

Desingation of the post in which Pay is
to be fixed(the actual nomenclature of
2 post ie., Ordinary/Special Grade/SPP/ : Sr,Assistant,ORDINARY
SAPP held by the employee is to be
only mentioned
3 Whether Substantive or officiating : Substantive
4 a) Whether the employee has opted to
: Yes
the Revised Pay Scales of 2010.
b) Date on which option was exercised : 15.4.2010
c) Date from which option was exercised
to come over to the Revised Pay Scales, : 1.7.2008
2010 from 01.07.2008/date of next increment

5 a) Existing Scale of Pay of the post on the 6195-155-6505-170-7015-185-7570-200-8170-215-

: 8815-235-9520-255-10285-280-11125-315-12700-
date of entry into Revised Pay scales 2010 330-13030-360-13750-425-14175

b) The pay in the existing scale : Rs10,285.00

(ie., RPS 2005)
c) Special Pay, if any in the existing scale
:
ie., RPS 2005
6 a) whether this case attracts first proviso to
Rule 6(b) of the Andhra Pradesh Revised : No
Scales of Pay Rules 2010
b) If so, the stepped up pay (attach CHECK LIST) : 0
7 Existing emoluments on the date of entry
:
into Revised Pay Scales 2010.
a) 'Basic Pay' ie., pay as defined in
Fundamental Rule 9(21)(a)(i) including : Rs10,285.00
stagnation increments Pay as per 6(b) above
b) Personal Pay under Rule 9(23) (a) of
the Fundamental Rules or Rules or Rule : Rs0.00
7 (40)(a)of Hyderabad Civil Service Regulations
c) Personal Pay sanctioned under A.P.
:
Revised Scales of Pay Rules 2005.
d) Dearness Allowance admissible at the
rate which existed on 1st July, 2008
: Rs4,360.00
appropriate to 'Basic Pay' referred to at
sub item(a) above
Total 7(a to d) : Rs14,645.00
8 Fitment benefit 39% of Basic pay
: Rs4,011.00
referred to in item 7(a)
9 Total of items 7 and 8 : Rs18,656.00
10 The Revised Scales of Pay 2010 for the 10900-300-11200-330-12190-360-13270-390-14440-
420-15700-450-17050-490-18520-530-20110-570-
:
post in which the Pay is fixed now 21820-610-23650-650-25600-700-27700-750-29950-
800-31550
11 Revised Pay as fixed in the Revised Scale
at the stage next above the amount
referred to in item 9 above irrespective : Rs19,050.00
whether, the amount is a stage or not,
in the Revised Scale.

Page 7
 In the Existing Pay Scales, In the Revised Pay Scales
12 Increase in Emoluments 2005 'X' 2010 'Y'

i) Basic Pay : Rs10,285.00 Rs19,050.00

II) Special Pay * : Rs0.00 Rs0.00

iii) Personal Pay * : Rs0.00 Rs0.00

(Under FR/A.P.R.S.P.R,2010)

iv) Family Planning Increment * : Rs35.00 Rs35.00

v) Advance Increment * : Rs100.00 Rs100.00

vi) Dearness Allowance : Rs4,360.00 Rs0.00

vii) House Rent Allowance : Rs1,029.00 Rs1,905.00

viii) City Compensatory Allowance : Rs0.00 Rs0.00

ix) Other Compensatory Allowance :

x) Interim Relief :
TOTAL : Rs15,809.00 Rs21,090.00

Net Increase Y-X : Rs5,281.00

13 a) The amount of pay fixed in the Revised

:
Pay Scales, 2010 in lower/Substantive post:
b) The amount of pay fixed in the Revised
: Rs19,050.00
Pay scales 2010(vide item 11 above)
c) The Pay fixed in the Revised Pay Scales,
2010 in officiating post as per Rule 6(g)(i)
of the Andhra pradesh Revised Scales of Pay
Rules, 2010 in case where the pay in item 13 :
is equal or less than pay in item 13(a) above
(ie., next stage to the amount of the
substantive pay as per item 13(a)above)
14 Date of Next Increment 1.12.2008-Rs.19050+Rs.530/-Rs. 19580
: 1.12.2009-Rs.19580+Rs.530/-Rs. 20110

15 Any other relevant information :

Station: Signature of the Head of the Office/

Date: Drawing and Disbursing officer.

* Shall not be reckoned as pay for purpose of Calculation of Dearness Allowance, House Rent
Allowance and City Compensatory Allowance.

APTF PRAKASAM DISTRICT UNIT, ONGOLE

Page 8
 APPENDIX-II
As per Para 2(c ) (iv) of Circular Memo No. 33327-A/549/A1/PC-I/2009, dated :13.03.2010

1. Name of the office Prohibition&Excise Superintendent

2. Designation of Drawing and Disbursing Officer: Prohibition&Excise Superintendent ,Gudur

3. Name and Designation of the employee P.H.S.V.VenuMadhav,Sr,Assistant

4. Amount of arrears of fixation of pay in the Revised Pay Scales 2010

i) From 1.7.2008 to 31.1.2010(Notional) Rs66,379.00

ii) a)For the month of February, 2010 (Credited to Rs3,067.00

the GPF Accounts of the employee)
b)From March 2010 to
(Paid in cash)

iii) From 1st March, 2010 till the date of fixation of Rs6,243.00
Pay 2010 (Paid in cash)

Station: Signature of the Drawing

and disbursing officer.
Office Seal:

APPENDIX-II
As per Para 2(c ) (iv) of Circular Memo No. 33327-A/549/A1/PC-I/2009, dated :13.03.2010

1. Name of the office Prohibition&Excise Superintendent

2. Designation of Drawing and Disbursing Officer: Prohibition&Excise Superintendent ,Gudur

3. Name and Designation of the employee P.H.S.V.VenuMadhav,Sr,Assistant

4. Amount of arrears of fixation of pay in the Revised Pay Scales 2010
i) From 1.7.2008 to 31.1.2010(Notional) Rs66,379.00

ii) a)For the month of February, 2010 (Credited to Rs3,067.00

the GPF Accounts of the employee)
b)From March 2010 to
(Paid in cash)

iii) From 1st March, 2010 till the date of fixation of Rs6,243.00
Pay 2010 (Paid in cash)

Station: Signature of the Drawing

and disbursing officer.
Office Seal:
 CLAIM FOR PAY FIXATION ARREARS IN THE REVISED PAY SCALES 2010

TOTAL NON-
S.NO NAME OF THE EMPLOYEE, EARNINGS PAY H.M.A C.A C.C.A R.A D.A H.R.A I.R OTHER TOTAL ZPPF P.T GOVT. A.G.N GOVT. NET
DESIGNATION AND OFFICE S DEDUCT ET DEDUCT
IONS IONS

P.H.S.V.VenuMadhav
Sr,Assistant,ORDINARY The pay of the individual is fixed at Rs.19050 in the time scale of Pay Rs.10900-300-11200-330-12190-360-13270-390-14440-420-15700-450-17050-490-18520-530-20110-570-21820-610-23650-650-25600-700-27700-750-
1
Prohibition&Excise Superintendent 29950-800-31550 w.e.f 1.7.2008 in the Revised Pay Scales 2010. He/she is sanctioned subsequent annual increments raising his/her pay from Rs.19050 to Rs. 19580 and from Rs. 19580 to Rs.20110 w.e.f.1.12.2008 and
1.12.2009 respectively, vide proceedings Rc. No09/2010/A2,dated 15.4.2010 of the Prohibition&Excise Superintendent ,Gudur.The arrears due to this pay fixation will be notional from 1.7.2008 to 31.1.2010 ,will be credited to
Gudur GPF/ZPPF/CSS Accounts from 1.2.2010 to 28.2.2010, will be paid in cash from 1.3.2010 to 30.4.2010.
TREASURY ID: 0725148
OTHER
PART-1 NOTIONAL PAY H.M.A. C.A. C.C.A. R.A. D.A. H.R.A. I.R. S TOTAL

0 TD 19050 0 0 0 0 0 1905 0 0 20955

42.39 AD 10285 0 0 0 0 4360 1029 0 0 15674 26295 0 0 0 0 -13080 2628 0 0 15843 150 150 15693 0 15693
DA %

DIFF 8765 0 0 0 0 -4360 876 0 0 5281

PERIOD 1.7.2008 to 30.09.2008 3 months

OTHE
PAY H.M.A. C.A. C.C.A. R.A. D.A. H.R.A. I.R. TOTAL
RS

0 TD 19050 0 0 0 0 0 1905 0 0 20955

42.39 AD 10285 0 0 0 0 4360 1029 1543 0 17217

DA %

26295 0 0 0 0 -13080 2628 -4629 0 11214 150 150 11064 0 11064

DIFF 8765 0 0 0 0 -4360 876 -1543 0 3738

PERIOD 1.10.2008 to 31.12.2008 3 months

OTHER
PAY H.M.A. C.A. C.C.A. R.A. D.A. H.R.A. I.R. S TOTAL

5.136 TD 19050 0 0 0 0 978 1905 0 0 21933

51.81 AD 10285 0 0 0 0 5329 1029 2263 0 18906 26295 0 0 0 0 -13053 2628 -6789 0 9081 150 150 8931 0 8931
DA %

DIFF 8765 0 0 0 0 -4351 876 -2263 0 3027

PERIOD 1.1.2009 to 31.3.2009 3 months

Page 10 of 33
 CLAIM FOR PAY FIXATION ARREARS IN THE REVISED PAY SCALES 2010

TOTAL NON-
S.NO NAME OF THE EMPLOYEE, EARNINGS PAY H.M.A C.A C.C.A R.A D.A H.R.A I.R OTHER TOTAL ZPPF P.T GOVT. A.G.N GOVT. NET
DESIGNATION AND OFFICE S DEDUCT ET DEDUCT
IONS IONS

PAGE TOTAL 78885 0 0 0 0 -39213 7884 -11418 0 36138 0 450 450 35688 0 35688

Page 11 of 33
 CLAIM FOR PAY FIXATION ARREARS IN THE REVISED PAY SCALES 2010

TOTAL NON-
S.NO NAME OF THE EMPLOYEE, EARNINGS PAY H.M.A C.A C.C.A R.A D.A H.R.A I.R OTHER TOTAL ZPPF P.T GOVT. A.G.N GOVT. NET
DESIGNATION AND OFFICE S DEDUCT ET DEDUCT
IONS IONS

BF 78885 0 0 0 0 -39213 7884 -11418 0 36138 0 450 450 35688 0 35688

OTHER
PAY H.M.A. C.A. C.C.A. R.A. D.A. H.R.A. I.R. S TOTAL
5.136 TD 19580 0 0 0 0 1006 1958 0 0 22544
51.81 AD 27045 0 0 0 0 -13404 2703 -6972 0 9372 150 150 9222 0 9222
DA %

10565 0 0 0 0 5474 1057 2324 0 19420

DIFF 9015 0 0 0 0 -4468 901 -2324 0 3124
PERIOD 1.4.2009 to 30.6.2009 3 months
OTHER
PAY H.M.A. C.A. C.C.A. R.A. D.A. H.R.A. I.R. S TOTAL

9.416 TD 19580 0 0 0 0 1844 1958 0 0 23382

60.288 AD 10565 0 0 0 0 6369 1057 2324 0 20315 18030 0 0 0 0 -9050 1802 -4648 0 6134 0 0 6134 0 6134
DA %

DIFF 9015 0 0 0 0 -4525 901 -2324 0 3067

PERIOD 1.7.2009 to 31.08.2009 2 months
OTHER
PAY H.M.A. C.A. C.C.A. R.A. D.A. H.R.A. I.R. S TOTAL
9.416 TD 19580 0 0 0 0 1844 1958 0 0 23382
60.288 AD 36060 0 0 0 0 -18100 3604 -9296 0 12268 0 0 12268 0 12268
DA %

10565 0 0 0 0 6369 1057 2324 0 20315

DIFF 9015 0 0 0 0 -4525 901 -2324 0 3067
PERIOD 1.9.2009 to 31.12.2009 4 months
OTHER
PAY H.M.A. C.A. C.C.A. R.A. D.A. H.R.A. I.R. S TOTAL
9.416 TD 19580 0 0 0 0 1844 1958 0 0 23382
60.288 AD 9015 0 0 0 0 -4525 901 -2324 0 3067 0 0 3067 0 3067
DA %

10565 0 0 0 0 6369 1057 2324 0 20315

DIFF 9015 0 0 0 0 -4525 901 -2324 0 3067
PERIOD 1.1.2010 to 31.1.2010 1 months
NOTIONAL TOTAL 169035 0 0 0 0 -84292 16894 -34658 0 66979 0 600 600 66379 0 66379

Page 12 of 33
 CLAIM FOR PAY FIXATION ARREARS IN THE REVISED PAY SCALES 2010

TOTAL NON-
S.NO NAME OF THE EMPLOYEE, EARNINGS PAY H.M.A C.A C.C.A R.A D.A H.R.A I.R OTHER TOTAL ZPPF P.T GOVT. A.G.N GOVT. NET
DESIGNATION AND OFFICE S DEDUCT ET DEDUCT
IONS IONS

OTHE
PAY H.M.A. C.A. C.C.A. R.A. D.A. H.R.A. I.R. TOTAL
PART-II ZPFF/GPF/CSS RS

9.416 TD
19580 0 0 0 0 1844 1958 0 0 23382

60.288 AD 9015 0 0 0 0 -4525 901 -2324 0 3067 3067 0 3067 0 0 0

10565 0 0 0 0 6369 1057 2324 0 20315
DA %

DIFF
9015 0 0 0 0 -4525 901 -2324 0 3067

PERIOD 1.2.2010 to 28.2.2010 1 months

ZPPF/GPF/CSS TOTAL 9015 0 0 0 0 -4525 901 -2324 0 3067 3067 0 3067 0 0 0

OTHE
PAY H.M.A. C.A. C.C.A. R.A. D.A. H.R.A. I.R. TOTAL
PART-III CASH RS

9.416 TD
19580 0 0 0 0 1844 1958 0 0 23382

60.288 AD 9015 0 0 0 0 -4525 901 -2324 0 3067 0 0 3067 0 3067

10565 0 0 0 0 6369 1057 2324 0 20315
DA %

DIFF
9015 0 0 0 0 -4525 901 -2324 0 3067

PERIOD 1.3.2010 to 31.3.2010 1 months

OTHE
PAY H.M.A. C.A. C.C.A. R.A. D.A. H.R.A. I.R. TOTAL
RS

9.416 TD
20110 75 0 0 0 1894 2011 0 0 24090

60.288 AD
10845 60 0 0 0 6538 1085 2386 0 20914
DA %

9265 15 0 0 0 -4644 926 -2386 0 3176 0 0 3176 0 3176

DIFF
9265 15 0 0 0 -4644 926 -2386 0 3176

PERIOD 1.4.2010 to 30.4.2010 1 months

CASH TOTAL 18280 15 0 0 0 -9169 1827 -4710 0 6243 0 0 0 6243 0 6243

Page 13 of 33
 CLAIM FOR PAY FIXATION ARREARS IN THE REVISED PAY SCALES 2010

TOTAL NON-
S.NO NAME OF THE EMPLOYEE, EARNINGS PAY H.M.A C.A C.C.A R.A D.A H.R.A I.R OTHER TOTAL ZPPF P.T GOVT. A.G.N GOVT. NET
DESIGNATION AND OFFICE S DEDUCT ET DEDUCT
IONS IONS

NOTIONAL TOTAL: 169035 0 0 -84292 16894 -34658 66979 0 600 600 66379 0 66379
GPF/ZPPF/CSS 9015 0 0 -4525 901 -2324 3067 3067 0 3067 0 0 0
CASH 18280 15 0 -9169 1827 -4710 6243 0 0 0 6243 0 6243
GRAND TOTAL 27295 15 0 -13694 2728 -7034 9310 3067 0 3067 6243 0 6243

Page 14 of 33
 CLAIM FOR PAY FIXATION ARREARS IN RPS 2010 OF P.H.S.V.VenuMadhav,Sr,Assistant,Prohibition&Excise Superintendent
,Gudur

PAYABLE AT S.T.O. DARSI

GOVERNMENT OF ANDHRA PRADESH A.P.T.C.Form - 47
Pay Bill for the Month & Year 2 0 1 0

Treasury / P.A.O Code 0 7 0 5

For office use only
D.D.O.Code 0705-0308027 Date:______________

DDO Designation P&E.S ,Gdr Trans ID:

BANK CODE 3 6 4 1

DDOs TBR No. /2010-11

Dist Nellore
DDO Office Name : Prohibition&Excise Superintendent
Name of the Bank : SYNDICATE BANK, TALLUR

Permanent / Temporary
Head of Account Deductions Amount
Major Head 2 2 0 2 1 G.P.F/AIS/PF Rs. 0
General Education
Sub Major 0 1 2 APGLI Rs.
Elementary Education
Minor Head 1 0 3 3 Group Insurance/AIS Rs.
Assistance to Local Bodies for Primary Education
Group Sub-Head X X 4 Professional Tax Rs. 0.00

Sub Head 0 5 5 House Rent Rs.

Teaching grant to MP's
Detail Head 0 1 0 6 Festival Adv.&APCO Adv. Rs.
Under rupees six thousand two hundred and forty four only

Salaries 7 Educational Adv. Rs.

8 HBA (P) Rs.
Non-plan=N/Plan=P N Charged=C/Voted=V V 9 HBA (I) Rs.
Contingency Fund/MH 10 Car Adv.(P) Rs.
Service Major Head 2 2 0 2 11 Car Adv.(I) Rs.
12 Motor Cycle Adv.(P) Rs.
13 Motor Cycle Adv.(I) Rs.
011 - Pay Rs. 27295.00 14 Cycle Adv. Rs.
012-Allowances Rs. 15.00 15 Marriage Adv.(P) Rs.
013 - Dearness Allowances Rs. -13694.00 16 Marriage Adv.(I) Rs.
016- HRA Rs. 2728.00 17 Income Tax Rs.
015- IR Rs. -7034.00 18 Class IV GPF- D.T.O Rs.
Rs. 19 EWF Loan Rs.
Rs. 20 ZPPF/C.S.S Rs. 3067.00
### Rs. 21 CSS Rs. 0
Rs. 22 Rs.
Rs. 23 Rs.
Rs. 24 Rs.
Rs. 25 Rs.
Rs. Total Govt. Deductions Rs. 3067.00
Gross Total Rs. 9310.00 Total Non-Govt.Deductions Rs.
Less Govt. Deductions Rs. 3067.00
A.G.Nett Amount Rs. 6243.00
A.G.Nett Amount in words:Rupees
six thousand two hundred and fortybthree eight only
DDO's Signature
FOR USE IN TREASURY / PAY & ACCOUNTS OFFICE ONLY
Pay _________________ (Rupees ______________________________________________________
_______________________________________________________ Only) by Cash / Cheque / Draft /
Account credit as under and Rs.________________ (Rupees ___________________________________
____________________________________________ only) by adjustment.

1.Rs._________________ by transfer credit to the SB Accounts of the Employees (as per Annexure-I)
2.Rs._________________ by transfer credit to the DDO Account towards of Non-Govt.Deducations.

Treasury Officer / Pay & Accounts Officer

NBST
BANK SEAL
rintendent

ent

ount
0

0.00

3067.00
0

3067.00
 BUDGET

1. Budget allocation for the year 2010-2011 Rs.

2. Total Expenditure including this Bill Rs.

3. Balance Rs.

Drawing Officer

This bill amount Rs. [6243.00] Rs.six thousand two hundred and fortybthree eight only
only) paid by cash / cheque / draft adjust to account.

Received Cash

Drawing Officer Drawing Officer

REQUIRED CERTIFICATES

1 Certified that this amount claimed in this bill has not been drawn and

paid previously

2 Certified that the pay of the employee was fixed as per G.O. Ms. No. 52, Finance(PC-1) Department,
Dated 25.2.2010
3 Certified that the pay of the employee was fixed as per circular memo
No. 33327-A/549/A1/PC-1/2009, Dated: 13-03-2010
4 Certified that D.A. in this bill has been claimed as per G.O. Ms. No. 63, Finance
(PC-1) Department, Dated: 9-3-2010
5 Certified that H.R.A in this bill has been claimed as per G.O. Ms. No. 64, Finance
(PC-1) Department, Dated: 9-3-2010
6 Certified that C.C.A in this bill has been claimed as per G.O. Ms. No. 65, Finance
(PC-1) Department, Dated: 9-3-2010
7 Certified that C.A in this bill has been claimed as per G.O. Ms. No. 108, Finance
(PC-1) Department, Dated: 7-4-2010
8 Certified that the A.A.S of the individual was fixed as per G.O.Ms. No. 96, Finance (PC-
1) Department, Dated 3.4.2010
9 Certified that H.M. Allowance in this bill has been claimed as per
G.O. Ms.No. 118, Finance (PC-1) Department, Dated: 7-4-2010
10 Certified that necessary entries have been made in the Service Register of the
Individual.
11 Certified that necessary recoveries have been made in this bill as per
Government Orders.

DRAWING OFFICER

For the use Of Accountant General Office

ng Officer

52, Finance(PC-1) Department,

cular memo

Ms. No. 63, Finance

O. Ms. No. 64, Finance

O. Ms. No. 65, Finance

Ms. No. 108, Finance

G.O.Ms. No. 96, Finance (PC-

as per
2010
rvice Register of the

s bill as per
 A.P.T.C. FORM -101
(See Subsidiary Rule2(W) Under Treasury Rule 15
Govt. Memo No. 38907/Accounts/65-5, Dt.21-2-1963)

DDO Code: 0705-0308027 Treasury/PAO Code 0 7 0 5

DDO Designation: P&E.S ,Gdr Treasury/PAO Name: S.T.O. DARSI

To
The Treasury Officer/Manager,
StateBankOf India ,Gudur

Please Pay Bill No.______________________________dated__________for Rs. 6243.00

(Rupees in words six thousand two hundred and fortybthree eight only

_________________________________________________________________________only)

to Smt/Sri for the office of the

_____________________whose specimen signature is attested herewith.

Signature of the Govt. Servant Received the Payment

Dated 2010 Dated 2010

Attested

Signature of the D.D.O Signature of the Govt.

Servant receiving the payment
 GOVERNMENT OF ANDHRA PRADESH
PAPER TOKEN
STO CODE 0 7 0 5 (for Treasury Use Only)
STO NAME: S.T.O. DARSI Date:

DDO CODE: 0705-0308027 Trans ID:

DDO Designation: P&E.S ,Gdr DDO Office Name: Prohibition&Excise Superintendent

Bank Branch Code: 0890 Name: StateBankOf India Gudur

Head Of Account: 2 2 0 2 0 1 1 0 3 X X
(Major Head) (Sub-MH) (Minor Head) (Grp-SH)

0 5 0 1 0 X X X
(Sub-Head) (Det.Head) (Sub Det.Head)

Non-Plan=N/ Charged=C/ Contigency Fund MH/

Plan=P: N Voted=V V Service Major Head 2 2 0 2

Gross Rs. 9310 Deductions Rs. 3067.00 Net Rs. 6243

Net Rs six thousand two hundred and fortybthree eight only

_________________________________________________________________________Only)

Messenger Name: Designation

(As in APTC Form-101)

Specimen Signature of Messenger1.
2.

DDO Signature Attested STO Signature

DDO
Seal Treasury
Seal
endent
 PROCEEDINGS OF THE Prohibition&Excise Superintendent ,Gudur
PRESENT: Sri M.VenuGopal
Rc.No 09/2010/A2 Dated: 15.4.2010
Sub: Education-Elementary Education-Revised Pay Scales 2010-Fixation of Pay of Sri/Smt
P.H.S.V.VenuMadhav,Sr,Assistant,Prohibition&Excise Superintendent ,Gudur,Gudur
in the Revised Scales of Pay 2010 as per the option exercised by the individual-
Orders issued-Reg

Ref: 1 G.O.Ms.No.52, Finance(PC.1) Department, Dt.25.02.2010

2 Circular Memo. No.33327-A/549/A1/PC-I/2009, dated 13-03-2010.
3 G.O.Ms.No.63, Finance(PC.1) Department, Dt.9.3.2010
4 G.O.Ms.No.64, Finance(PC.1) Department, Dt.9.3.2010
5 G.O.Ms.No. 65, Finance(PC-1) Department, Dt. 9.3.2010
6 G.O. Ms. No. 108, Finance(PC-1) Department, Dt. 7.4.2010
7 G.O. Ms. No. 93, Finance(PC-1) Department, Dt. 3.4.2010
8 G.O. Ms. No. 118, Finance(PC-1) Department, Dt. 7.4.2010
9 Option exercised by the individual dated 15.4.2010
ORDER:
In the reference cited 1 above the Government has issued orders revising the scales of
of the Employees of State Government w.e.f. 1.7.2008. Detailed instructions were issued for Fixation of Pay and
Audit of claims in the Revised Pay Scales Vide Referece 2 cited above.

In pursuance of the G.O. cited above basing on the option exercised by the individual dated 15.4.2010 the
pay of Sri/Smt P.H.S.V.VenuMadhav,Sr,Assistant,Prohibition&Excise Superintendent ,Gudur,Gudur is fixed at Rs.
19050 in the time scale of pay10900-300-11200-330-12190-360-13270-390-14440-420-15700-450-17050-490-
18520-530-20110-570-21820-610-23650-650-25600-700-27700-750-29950-800-31550 w.e.f 1.7.2008 as shown
below

1 Name of the employee: P.H.S.V.VenuMadhav

2 Designation: Sr,Assistant

3 Name of the office: Prohibition&Excise Superintendent ,Gudur

6195-155-6505-170-7015-185-7570-200-8170-215-8815-235-9520-255-
4 Present Scale of Pay:
10285-280-11125-315-12700-330-13030-360-13750-425-14175
5 Date of Option in RPS2010: 15.4.2010
6 Pay fixed as on1.7.2008
a)Pay as on 1.7.2008 Rs10,285.00
b)D.A. Admissible 42.39% Rs4,359.81
c)Fitment (39%) Rs4,011.15
Total Rs18,655.96
Rounded Rs18,656.00

7 Rs19,050.00
Amount of pay fixed in RPS
2010 in the stage next above
10900-300-11200-330-12190-360-13270-390-14440-420-15700-450-
8 Revised Scale of Pay 17050-490-18520-530-20110-570-21820-610-23650-650-25600-700-
27700-750-29950-800-31550
9 Sanction of subsequent increments
Date of Present Pay Rate of Pay after
Increment Increment Increment

1.12.2008 Rs19,050.00 Rs530.00 Rs19,580.00

1.12.2009 Rs19,580.00 Rs530.00 Rs20,110.00

10 Date of Next Increment: 1.12.2010
Necessary entries have been made in the Service Register of the individual. The arrears
due to this pay fixation will be notional from 1.7.2008 to 31.1.2010, will be credited to the GPF/ZPPF/
CSS Accounts of the individual from 1.2.2010 to 28.2.2010 and will be paid in cash from 1.3.2010 to
31.3.2010.Any audit objection arises in future due to this pay fixation, the amount paid in excess will
be recovered from the individual in lump sum without any prior notice.

Prohibition&Excise Superintendent
Copy to Gudur
The Individual
The S.T.O Gudur
The Bill
 Statement showing the PROFESSIONAL TAX Schedule deduction

made in the Establishment pay bill of teaching staff of Prohibition&Excise Superintendent

Head of Account 0028 Other taxes on income & Expenditure M.H.107 Taxes on Profession trades
S.H:01 Reciepts from Profession trades calling & Employment

Amount of Tax
S.l.No TREASURY ID Name of the Teacher Designation
deduction ( in Rs.)
1 2 3 4 5

Sr,Assistan
1 0725148 P.H.S.V.VenuMadhav t 0.00

TOTAL 0.00

Rupees

Prohibition&Excise Superintendent
Gudur
 SCHEDULE FOR PAY FIXATION ARREARS TO BE CREDITED TO ZPPF

TREASURY P.F.Sub-
S.No ZPPF A/c No. Name of the subscriber Total
ID cription

1 12405 0725148 P.H.S.V.VenuMadhav Rs3,067.00 Rs3,067.00

Rupees three thousand and sixty seven only

Prohibition&Excise Superintendent
Gudur

SCHEDULE FOR PAY FIXATION ARREARS TO BE CREDITED TO ZPPF

TREASURY P.F.Sub-
S.No ZPPF A/c No. Name of the subscriber Total
ID cription

1 12405 0725148 P.H.S.V.VenuMadhav Rs3,067.00 Rs3,067.00

Rupees three thousand and sixty seven only

Prohibition&Excise Superintendent
Gudur
 ANNEXURE-I

(Employee Wise details)

To be furnished by the DDO in triplicate along with the bill

Under Rupees six thousand two hundred and forty four only

Name of the NPB: SYNDICATE BANK, TALLUR

DDO Code : 0705-0308027 Date:

DDO Designation : P&E.S ,Gdr Trans-ID No:

Amount to be
S.No. Employee code Employee Name Account No
credited

1 0725148 P.H.S.V.VenuMadhav 3671/220/46546 6243.00

TOTAL 6243

Rupees six thousand two hundred and fortybthree eight only

DDO Signature Signature of T.O.

(with seal) (with seal)
 ANNEXURE-II
(Notified link bank report)
To be furnished by the DDO in triplicate

Name of the NPB: SYNDICATE BANK, TALLUR

Under Rupees six thousand two hundred and forty four only

DDO Code : 0705-0308027 Date:

DDO Designation : P&E.S ,Gdr Trans-ID No:

Name of the
Sl.No. Purpose Amount to be credited
NLB

SYNDICATE
Pay fixation Arrears
1 BANK, Rs.6,243.00
in RPS-2010
TALLUR

Rs.6,243.00
TOTAL:

Rupees six thousand two hundred and fortybthree eight only

DDO Signature Signature of T.O.

(with seal) (with seal)
 ANNEXURE- III
Government Bank Report
(To be generated by T.O.)

S.T.O./ P.A.O. Code : 0705 S.T.O./ P.A.O. Name : S.T.O. DARSI

Govt. Bank Br.Code : 0890 G.B.Br.Name : StateBankOf India
Gudur
Under Rupees six thousand two hundred

Sl.N Amount to be credited

Name of the NLB purpose
o Rs.
and forty four only

Pay fixation Arrears in

1 SYNDICATE BANK, TALLUR
RPS-2010
6243

Total 6243

Rupees six thousand two hundred and fortybthree eight only

Signature of T.O.
 A.P.T.C. FORM - 49
(See subsidiary Rule 13 under Treasury Rule 10)
PERIODICAL INCREMENT CERTIFICATE
ANNEXURE

(1) Certified that every Government Servant (s) named below has have been earned and prescribed periodical increment from date / dates noted in column (10) and either I(a) has / have been the incumbent or the appointment indicated against his
name / their names for a period not less than _____years since the date in column (5) or (if he has / they have been suspended for misconduct) column (7) after deducting the periods between the dates showing in columns (3) and has (9) and has been
subjected in any order of stoppage of increment as panaulty during the periods and during the periods of leave on average pay taken at a time from _____________ to ______________ and from _____________ to _______________ which has / have
been counted for increments / in the case of officiating Government servents / Servents named below the / they would have officiated in the post / posts but for his / thier going on leave or __________

Date from which present pay is drawn

Date from which increment may be

Whether substantive or officiating

Suspension for misconduct

Leave without pay and in the

Amount of increment
case of those holding the post
temporarily or in an officiating
Appointment

capacity all kinds of leave other

Present pay
Scale of pay
than leave on average pay
during which they would have

given
S.No Name continued to officiate in the Future pay
post but for their going on leave
upto a maximum of four
months of such leave taken at
time.

From To From To
1 2 3 4 5 6 7 8 9 10 11 12 13 14

1.7.2008 1.12.2008 19050 530 19580

10900-300-11200-
Sr,Assistant,ORDINARY

330-12190-360-
1.12.2008 1.12.2009 13270-390-14440- 19580 530 20110
Substantive

420-15700-450-
17050-490-18520-
1 P.H.S.V.VenuMadhav
530-20110-570-
21820-610-23650-
650-25600-700-
27700-750-29950-
800-31550

Prohibition&Excise Superintendent
Gudur
 1. When an increment claimed operates to carry Government Servant over an efficiancy have the claim should be supported by a declaration from the competent
authority that it has satisfied itself that the character and efficiency of the Government Servant concerned are such that he is fit to pass the above column (5) and
Note : (10) to (14) should be filled up in red ink. 2. The terms leave on average pay upto a maximum of 4 months where ever occuring from includes earned leave upto a
maximum of 100 days or 50 days or 30 days in case may be for a Government Servants governed by the Andhra Pradesh Leave Rules, 1988 are concerned. 3.
The service of the individuals satisfactor and no disciplinary cases are pending against during the period of increment.

CERTIFICATE
(As laid down in Government Memo No.104215 A/1620/Pen.11/56-1, Dated 10-1-1977)

Certified that Sri/Smt P.H.S.V.VenuMadhav,Sr,Assistant,Prohibition&Excise Superintendent ,Gudur,Gudur whose basic pay is Rs.20110 has already
insured under policy No.L-2109418 of the Director of Insurances, Andhra Pradesh, Hyderabad, of its Regional Office and mothly premium

of Rs. 350 is being deducted from his salary in accordance with the Rules of compulsory insurance, them applicable to A P State Employees and Sum of Rs.______
towards monthly premium is paid in challan No.___________________________________Dated________________________ towards compulsory insurance
Scheme applicable to Govt Servants as per G.O. Ms. No. 337, F& P dated 3-8-1976.

Certified that the age of Sri has exceeded 45 years and hence he can not insure the life with Government Life Insurance
Department.
 SHORT DRAWN PARTICULARS

TOTAL NON-
S.NO NAME OF THE EMPLOYEE, EARNINGS PAY H.M.A C.A C.C.A R.A D.A H.R.A I.R OTHER TOTAL ZPPF P.T GOVT. A.G.N GOVT. NET
DESIGNATION AND OFFICE S DEDUCT ET DEDUCT
IONS IONS

1 P.H.S.V.VenuMadhav
OTHER
PART-1 NOTIONAL PAY H.M.A. C.A. C.C.A. R.A. D.A. H.R.A. I.R. S TOTAL

0 TD 19050 0 0 0 0 0 1905 0 0 20955

42.39 AD 10285 0 0 0 0 4360 1029 0 0 15674 26295 0 0 0 0 -13080 2628 0 0 15843 150 150 15693 0 15693
DA %

DIFF 8765 0 0 0 0 -4360 876 0 0 5281

PERIOD 1.7.2008 to 30.09.2008 3 months

OTHE
PAY H.M.A. C.A. C.C.A. R.A. D.A. H.R.A. I.R. TOTAL
RS

0 TD 19050 0 0 0 0 0 1905 0 0 20955

42.39 AD 10285 0 0 0 0 4360 1029 1543 0 17217

DA %

26295 0 0 0 0 -13080 2628 -4629 0 11214 150 150 11064 0 11064

DIFF 8765 0 0 0 0 -4360 876 -1543 0 3738

PERIOD 1.10.2008 to 31.12.2008 3 months

OTHER
PAY H.M.A. C.A. C.C.A. R.A. D.A. H.R.A. I.R. S TOTAL

5.136 TD 19050 0 0 0 0 978 1905 0 0 21933

51.81 AD 10285 0 0 0 0 5329 1029 2263 0 18906 26295 0 0 0 0 -13053 2628 -6789 0 9081 150 150 8931 0 8931
DA %

DIFF 8765 0 0 0 0 -4351 876 -2263 0 3027

PERIOD 1.1.2009 to 31.3.2009 3 months
OTHER
PAY H.M.A. C.A. C.C.A. R.A. D.A. H.R.A. I.R. S TOTAL
5.136 TD 19580 0 0 0 0 1006 1958 0 0 22544
51.81 AD 27045 0 0 0 0 -13404 2703 -6972 0 9372 150 150 9222 0 9222
DA %

10565 0 0 0 0 5474 1057 2324 0 19420

DIFF 9015 0 0 0 0 -4468 901 -2324 0 3124
PERIOD 1.4.2009 to 30.6.2009 3 months
OTHER
PAY H.M.A. C.A. C.C.A. R.A. D.A. H.R.A. I.R. S TOTAL

9.416 TD 19580 0 0 0 0 1844 1958 0 0 23382 Page 33 of 33

60.288 AD 10565 0 0 0 0 6369 1057 2324 0 20315 18030 0 0 0 0 -9050 1802 -4648 0 6134 0 0 6134 0 6134
%