New Document (35) 05-Jul-2023 10-03-03
New Document (35) 05-Jul-2023 10-03-03
New Document (35) 05-Jul-2023 10-03-03
4. Recoveries are to be made from the pay of the Government Servant as detailed on the reverse.
5. He has been paid leave salary as detailed below Deductions has been made as noted on the
reverse :-
Period Rate Amount
From ……………….to…………………..at Rs…………………………………. a month
From ……………….to…………………..at Rs…………………………………. a month
From ……………….to…………………..at Rs…………………………………. a month
8. The details of income tax recovered from him up to the date from the beginning of the current year
noted on the reverse.
No………………………………….
Dated the ……………………… Signature
(Designation)
DETAILS OF RECOVERIES
Name of recovery……………………………………………………………..
Amount Rs………………………………………………………………………..
to be recovered in..…………………………………………………………..
Name of Month Pay Gratuity fee Fund & other Amount Remarks
etc in deductions Income Tax
Recovered
April 200
May 200
June 200
July 200
August 200
September 200
October 200
November 200
December 200
January 200
February 200
March 200
__________________________________________________________________________________
Signature
(Designation)