nic Page No.

1
PAY STATEMENT FOR THE MONTH OF MAY - 2014 FOR PERM - 3
================================================================================
DUES DETAILS
AMOUNT
DEDUCTION DETAILS
AMOUNT
INST-NO
================================================================================
G.O. No.:Ori GO 1822 H,29-09-89 Perm in GO 1822 H,29-09-89
3 Office Superintendent Post :
2 SCALE:9300-34800-PB2-GP->4800
01 Emp. Code : 0004 Name :SHAKIRA BANU A
G.P.F No. : 121003/MEDL
Duty Pay
13140 GPF
10000
Grade Pay / D.P
4800 Family Benefit Fund
30
Dearness Allowance
17940 New Health Insurance Sche
150
House Rent Allowance
1240 Festival Advance
500
10/10
Medical Allowance
100
=========
========
Total Dues
:
37220
Total Deductions :
10680
========= ** NET **
26540
========
================================================================================
01 Emp. Code : 0003 Name :PUSHPA G
G.P.F No. : 119864/MEDL
Duty Pay
13140 GPF
10000
Grade Pay / D.P
4800 Family Benefit Fund
30
Dearness Allowance
17940 New Health Insurance Sche
150
House Rent Allowance
1240
Medical Allowance
100
=========
========
Total Dues
:
37220
Total Deductions :
10180
========= ** NET **
27040
========
================================================================================
5 Assistant Post :
6 SCALE:5200-20200-PB1-GP->2800
01 Emp. Code : 0006 Name :VACANT
G.P.F No. : 119894/MEDL
================================================================================
DU.P26280 G.P 9600 D.A 35880 HRA 2480 M.A 200 GPFS20000
FBF 60 NHIS300 FA 500
Gross74440 Deduction20860 Net 53580
=================================================NIC TNSU/Ver.9 Dt. 01.01.2013

nic Page No. 2

PAY STATEMENT FOR THE MONTH OF MAY - 2014 FOR PERM - 3
================================================================================
DUES DETAILS
AMOUNT
DEDUCTION DETAILS
AMOUNT
INST-NO
================================================================================
01 Emp. Code : 0007 Name :Vacant
G.P.F No. : 121003/MEDL
================================================================================
01 Emp. Code : 0005 Name :VIJAYAKUMAR M
Duty Pay
8550 CPS
2270
Grade Pay / D.P
2800 Family Benefit Fund
30
Dearness Allowance
11350 Festival Advance
500
4/10
House Rent Allowance
640 Special Provident Fund 20
70
Medical Allowance
100
Conveyance Allowance
1000
=========
========
Total Dues
:
24440
Total Deductions :
2870
========= ** NET **
21570
========
================================================================================
7 Steno Typist Post :
1
01 Emp. Code : 0008 Name :VACANT
================================================================================
DU.P8550 G.P 2800 D.A 11350 HRA 640 M.A 100 CN.A1000
FBF 30 FA 500 SPF270
Gross24440 Deduction2870 Net 21570
=================================================NIC TNSU/Ver.9 Dt. 01.01.2013

nic Page No. 3

PAY STATEMENT FOR THE MONTH OF MAY - 2014 FOR PERM - 3
================================================================================
DUES DETAILS
AMOUNT
DEDUCTION DETAILS
AMOUNT
INST-NO
================================================================================
9 Typist Post :
2 SCALE:5200-20200-PB1-GP->2400
01 Emp. Code : 0009 Name :KUMARESAN A
Duty Pay
5660 CPS
1612
Grade Pay / D.P
2400 Family Benefit Fund
30
Dearness Allowance
8060 New Health Insurance Sche
150
House Rent Allowance
360 CPS Advance
1000
6/13
Special Pay
120
Medical Allowance
100
=========
========
Total Dues
:
16700
Total Deductions :
2792
========= ** NET **
13908
========
================================================================================
01 Emp. Code : 0010 Name :Vacant
G.P.F No. : 3101601004/M
================================================================================
11 Record Assistant Post :
1
01 Emp. Code : 0011 Name :RAVISUNDAR K
G.P.F No. : 93379/MEDL
Duty Pay
9720 GPF
7000
Grade Pay / D.P
2400 Family Benefit Fund
30
Dearness Allowance
12120 Housing Board House Rent
1488
House Rent Allowance
760 New Health Insurance Sche
150
Medical Allowance
100 GPF Advance
7000
9/36
Festival Advance
500
7/10
Handloom Advance
1000
4/10
=========
========
Total Dues
:
25100
Total Deductions :
17168
========= ** NET **
7932
========
================================================================================
DU.P- 15380.00 G.P 4800.00 D.A - 20180.00 HRA 1120.00 SPAY120.00
M.A 200.00 GPFS12224 FBF 60 RENT1488 NHIS300 PFADFA 500 HL 1000
Gross41800 Deduction19960 Net 21840
=================================================NIC TNSU/Ver.9 Dt. 01.01.2013

7000

nic Page No. 4

PAY STATEMENT FOR THE MONTH OF MAY - 2014 FOR PERM - 3
================================================================================
DUES DETAILS
AMOUNT
DEDUCTION DETAILS
AMOUNT
INST-NO
================================================================================
G.O. No.:G.O. No.:Ori GO 972 H,26-06-68 made Perm 972 H,26-06-68
12 Office Assistant Post :
2 SCALE:4800-10000-PB1A-GP->1650
02 Emp. Code : 0012 Name :BASKARAN M
G.P.F No. : 114835/MEDL
Duty Pay
8880 GPF
2530
Grade Pay / D.P
1650 Family Benefit Fund
30
Dearness Allowance
10530 Housing Board House Rent
640
House Rent Allowance
640 New Health Insurance Sche
150
Medical Allowance
100 GPF Advance
6400
1/36
Washing Allowance
60 Festival Advance
500
7/10
Special Compensatory Allo
100
=========
========
Total Dues
:
21960
Total Deductions :
10250
========= ** NET **
11710
========
================================================================================
G.O. No.:Ori GO 1822 H,29-09-89 Perm in GO 1822 H,29-09-89
03 Emp. Code : 0013 Name :BABU K
G.P.F No. : 117241/MEDL
================================================================================
DU.P8880 G.P1650 D.A10530 HRA640 M.A100 W.A60
S.A100 GPFS2530 FBF30 RENT640 NHIS150 PFAD6400
FA500
Gross21960 Deduction10250 Net 11710
=================================================NIC TNSU/Ver.9 Dt. 01.01.2013

nic
Page No. 1
PAGEWISE DUES ABSTRACT FOR THE MONTH OF MAY - 2014
FOR PERM - 3
================================================================================
PNo DU.PAY
G.P
D.A
HRA
CCA
PPAY SPAY LS
SPLS I.R
Gross
M.A
JDA
W.A
NPA
SCA
CNA
SA
NA
5%PP Risk
OA
OA-1
================================================================================
1
26280
9600 35880
2480
200
74440
2
8550
2800 11350
640
100
1000
24440
3
15380
4800 20180
1120
120
200
41800
4
8880
1650 10530
640
100
60
100
21960
================================================================================
59090
18850
77940
4880
120
600
60
1000
100
162640
=================================================NIC TNSU/Ver.9 Dt. 01.01.2013

nic
Page No. 1
PAGEWISE DEDUCTION ABSTRACT FOR THE MONTH OF MAY - 2014
FOR PERM - 3
==================================================================================
PNo
GPFS
FBF
IT C
RENT
PLI
IT
HFBF
MCF
NHIS
GPFA
FA
SPF
HBA1
HBA2
HBA3
HBA4
HBA5
HBA6
VHAD
CPS ARR
MAR1
MAR2
HL
KHAD
TRAD
EDN
CONV
OPR
PFAR
TANS
NHIS
SPFA
Mis2
COMP
SPF2
T.DED
P.TAX
NET
==================================================================================
1
20000
60
300
500
20860
53580
2
2270
30
500
70
2870
21570
3
9612
60
1488
300
7000
500
1000
19960
21840
4
2530
30
640
150
6400
500
10250
11710
==================================================================================
29530
180
2128
750
13400
2000
1000
70
53940
0 108700
==================================================================================

nic
ABSTRACT FOR THE MONTH OF MAY - 2014
FOR PERM - 3
================================================================================
DUES DESCRIPTION
AMOUNT
DEDUCTION DESCRIPTION
AMOUNT
================================================================================
Duty Pay
59090
GPF/CPS/TPF/AISPF/EPF
47812
Grade Pay / D.P
18850
Family Benefit Fund
180
Dearness Allowance
77940
Housing Board House Rent
2128
House Rent Allowance
4880
New Health Insurance Sche
750
Special Pay
120
Festival Advance
2000
Medical Allowance
600
Washing Allowance
60
Conveyance Allowance
1000
Special Compensatory Allo
100
Handloom Advance
1000
Special Provident Fund 20
70
Total Dues
GPF : 42930

============
: 162640
============

Total Deductions :

==========
53940
==========

CPS : 4882

** NET ** 108700.00
( Rupees One Lakh Eight Thousand Seven Hundred

Only )

Administrative Officer,
O/o Joint Director of Health Services,
Tiruvannamalai.

E N F A C E M E N T
S L I P
----------------------------Designation
:
Administrative Officer,
D.O. Code : MF310
of the
O/o Joint Director of Health Services,
Drawing Officer
Tiruvannamalai.
Head of Account : 221001001AB0007
Description
: 2210 Medical and Public 01 Urban Health Services
Allopathy 001 Direction and Administration I Non
AB DMO Non Teaching Institutions Headquarters
Hospitals D.P.Code : 2210 - 01 - 001- AB0007
-------------------------------------------------------------------------------Dues : ----0114
PAY
78060.00
0123
M.A
600.00
0141
O.A
1160.00
0169
HRA
4880.00
0310
D.A
77940.00
------------Gross
162640.00
------------Deduction : --------007500800BM0000 NHIS
750.00 P3
021601106AD0001 HBRE
2128.00 P3
023560800AH0005 FBF
180.00 P3
220202109AA4917 FA
2000.00 P4
761000800AB410G HL
1000.00 P3
803100102BL000C SPF2
70.00 P3
800901101AA010C GPF
42930.00 P3
834200117AA000G CPSGE
4882.00 P3
------------Total Deduction
53940.00
------------*************
NET AMOUNT
108700.00
*************
Administrative Officer,
O/o Joint Director of Health Services,
Tiruvannamalai.

nic Page No. 1 PAY STATEMENT FOR THE MONTH OF MAY - 2014 FOR TEMP 1
=========================================================================
DUES DETAILS
AMOUNT
DEDUCTION DETAILS
AMOUNT
INST-NO
================================================================================
G.O. No.:G.O. No.:Ori GO 1842 H,19-05-80 Fc (D)701/H&FW Dept. dt.21-06-2011 valid up to 30-06-2013
5 Assistant Post :
3 SCALE:5200-20200-PB1-GP->2800
04 Emp. Code : 0015 Name :SHANTHI K
G.P.F No. : 114834/MEDL
Duty Pay
14170 GPF
7500
Grade Pay / D.P
2800 Family Benefit Fund
30
Dearness Allowance
16970 New Health Insurance Sche
150
House Rent Allowance
1120 GPF Advance
9000
1/36
Medical Allowance
100 Festival Advance
500
4/10
=========
========
Total Dues
:
35160
Total Deductions :
17180
========= ** NET **
17980
========
================================================================================
G.O. No.:G.O. No.:Ori GO 1497 H,10-08-81 Fc (D)701/H&FW Dept. dt.21-06-2011 valid up to 30-06-2013
05 Emp. Code : 0016 Name :RAGUAPTHY G
G.P.F No. : 131362/MEDL
Duty Pay
10420 GPF
6000
Grade Pay / D.P
2800 Family Benefit Fund
30
Dearness Allowance
13220 New Health Insurance Sche
150
House Rent Allowance
760 GPF Advance
7500
5/36
Medical Allowance
100 Festival Advance
500
4/10
Special Provident Fund 20
70
=========
========
Total Dues
:
27300
Total Deductions :
14250
========= ** NET **
13050
========
================================================================================
05 Emp. Code : 0017 Name :AMUTHA A
G.P.F No. : 130341/MEDL
Duty Pay
10870 GPF
7000
Grade Pay / D.P
2800 Family Benefit Fund
30
Dearness Allowance
13670 Postal Life Insurance
4170
House Rent Allowance
760 New Health Insurance Sche
150
Medical Allowance
100 GPF Advance
7000
9/13
Special Provident Fund
20
135/148
Handloom Advance
500
4/10
Special Provident Fund 20
50
=========
========
Total Dues
:
28200
Total Deductions :
18920
========= ** NET **
9280
========
================================================================================
DU.P- 35460.00 G.P 8400.00 D.A - 43860.00 HRA 2640.00 M.A 300.00
GPFS20500 FBF 90 PLI 4170 NHIS450 PFAD23500 FA 1000
SPF 20 HL 500 SPF2120 Gross90660 Deduction50350 Net 40310

=================================================NIC TNSU/Ver.9 Dt. 01.01.2013

nic Page No. 2
PAY STATEMENT FOR THE MONTH OF MAY - 2014 FOR TEMP - 1
================================================================================
DUES DETAILS
AMOUNT
DEDUCTION DETAILS
AMOUNT
INST-NO
================================================================================
G.O. No.: G.O. No.:Ori GO 606 H,04-06-92 Fc (D)701/H&FW Dept. dt.21-06-2011 valid up to 30-06-2013
10 Driver Post :
1 SCALE:9300-34800-PB2-GP->4200
06 Emp. Code : 0018 Name :MOHANRAJ R
G.P.F No. : 95768/MEDL
Duty Pay
14510 GPF
5000
Grade Pay / D.P
4200 Family Benefit Fund
30
Dearness Allowance
18710 House Building F.B.F
20
House Rent Allowance
1240 New Health Insurance Sche
150
Medical Allowance
100 GPF Advance
7600
3/36
Washing Allowance
120 Festival Advance
500
7/10
House Building Advan Int
2000
18/55
=========
========
Total Dues
:
38880
Total Deductions :
15300
========= ** NET **
23580
========
================================================================================
DU.P14510 G.P4200 D.A18710 HRA1240 M.A100 W.A120
GPFS5000 FBF30 HFBF20 NHIS150 PFAD7600 FA500
HBAI1 :2000 Gross38880 Deduction15300 Net 23580
=================================================NIC TNSU/Ver.9 Dt. 01.01.2013
nic
Page No. 1
PAGEWISE DUES ABSTRACT FOR THE MONTH OF MAY - 2014
FOR TEMP - 1
================================================================================
PNo DU.PAY
G.P
D.A
HRA
CCA
PPAY SPAY LS
SPLS I.R
Gross
M.A
JDA
W.A
NPA
SCA
CNA
SA
NA
5%PP Risk
OA
OA-1
================================================================================
1
35460
8400 43860
2640
300
90660
2
14510
4200 18710
1240
100
120
38880
================================================================================
49970
12600
62570
3880
400
120
129540
=================================================NIC TNSU/Ver.9 Dt. 01.01.2013

nic
Page No. 1
PAGEWISE DEDUCTION ABSTRACT FOR THE MONTH OF MAY - 2014
FOR TEMP - 1
==================================================================================
PNo
GPFS
FBF
IT C
RENT
PLI
IT
HFBF
MCF
NHIS
GPFA
FA
SPF
HBA1
HBA2
HBA3
HBA4
HBA5
HBA6
VHAD
CPS ARR
MAR1
MAR2
HL
KHAD
TRAD
EDN
CONV
OPR
PFAR
TANS
NHIS
SPFA
Mis2
COMP
SPF2
T.DED
P.TAX
NET
==================================================================================
1
20500
90
4170
450 23500
1000
20
500
120
50350
40310
2
5000
30
20
150
7600
500
15300
23580
==================================================================================
25500
120
4170
20
600
31100
1500
20
500
120
65650
0
63890
==================================================================================

nic
ABSTRACT FOR THE MONTH OF MAY - 2014
FOR TEMP - 1
================================================================================
DUES DESCRIPTION
AMOUNT
DEDUCTION DESCRIPTION
AMOUNT
================================================================================
Duty Pay
49970
GPF
56600
Grade Pay / D.P
12600
Family Benefit Fund
120
Dearness Allowance
62570
Postal Life Insurance
4170
House Rent Allowance
3880
House Building F.B.F
20
Medical Allowance
400
New Health Insurance Sche
600
Washing Allowance
120
Festival Advance
1500
Special Provident Fund
20
House Building Advan Int.
2000
Handloom Advance
Special Provident Fund 20
Total Dues

============
: 129540
============

Total Deductions :

** NET ** 63890.00
( Rupees Sixty Three Thousand Eight Hundred and Ninety

500
120

==========
65650
==========

Only )

Administrative Officer,
O/o Joint Director of Health Services,
Tiruvannamalai.

E N F A C E M E N T
S L I P
----------------------------Designation
:
Administrative Officer,
D.O. Code : MF310
of the
O/o Joint Director of Health Services,
Drawing Officer
Tiruvannamalai.
Head of Account : 221001001AB0007
Description
: 2210 Medical and Public 01 Urban Health Services
Allopathy 001 Direction and Administration I Non
AB DMO Non Teaching Institutions Headquarters
Hospitals D.P.Code : 2210 - 01 - 001- AB0007
-------------------------------------------------------------------------------Dues : ----0114
PAY
62570.00
0123
M.A
400.00
0141
O.A
120.00
0169
HRA
3880.00
0310
D.A
62570.00
------------Gross
129540.00
------------Deduction : --------004904800AT0107 HBAI
2000.00 P3
007500800BM0000 NHIS
600.00 P3
023560800AH0005 FBF
120.00 P3
023560800AN0007 HFBF
20.00 P3
220202109AA4917 FA
1500.00 P4
761000800AB410G HL
500.00 P3
803100102AB000B SPF
20.00 P3
803100102BL000C SPF2
120.00 P3
865200107AC010C PLI
4170.00 P3
800901101AA010C GPF
56600.00 P3
------------Total Deduction
65650.00
------------NET AMOUNT

*************
63890.00
*************
Administrative Officer,
O/o Joint Director of Health Services,

Tiruvannamalai.
nic Page No. 1
PAY STATEMENT FOR THE MONTH OF MAY - 2014 FOR TEMP - 2
================================================================================
DUES DETAILS
AMOUNT
DEDUCTION DETAILS
AMOUNT
INST-NO
================================================================================
G.O. No.:G.O. No.:Ori GO 338 H,01-07-99 Fc (D)701/H&FW Dept. dt.21-06-2011 valid up to 30-06-2013
4 Statistical Assistant Post :
1 SCALE:9300-34800-PB2-GP->4600
07 Emp. Code : 0019 Name :PURUSHOTHAMAN S
G.P.F No. : 94938/MEDL
Duty Pay
20330 GPF
7000
Grade Pay / D.P
4600 Family Benefit Fund
30
Dearness Allowance
24930 GPF Advance
12000
5/36
House Rent Allowance
1400 Festival Advance
500
7/10
Medical Allowance
100
Conveyance Allowance
1000
=========
========
Total Dues
:
52360
Total Deductions :
19530
========= ** NET **
32830
========
================================================================================
G.O. No.:G.O. No.:Ori GO 337H,01-07-99 Fc (D)701/H&FW Dept. dt.21-06-2011 valid up to 30-06-2013
6 Computer Operator Post :
1 SCALE:5200-20200-PB1-GP->2800
08 Emp. Code : 0020 Name :KARPAGAVALLI A
G.P.F No. : 121549/MEDL
Duty Pay
12950 GPF
6000
Grade Pay / D.P
2800 Family Benefit Fund
30
Dearness Allowance
15750 Housing Board House Rent
2240
House Rent Allowance
1000 Postal Life Insurance
295
Medical Allowance
100 New Health Insurance Sche
150
GPF Advance
9800
2/24
Festival Advance
500
4/10
Handloom Advance
300
4/10
=========
========
Total Dues
:
32600
Total Deductions :
19315
========= ** NET **
13285
========
================================================================================
DU.P33280 G.P7400 D.A40680 HRA2400 M.A200 CN.A1000
GPFS13000 FBF60 RENT2240 PLI295 NHIS150 PFAD21800
FA1000 HL300
Gross84960 Deduction38845 Net 46115
=================================================NIC TNSU/Ver.9 Dt. 01.01.2013

nic
ABSTRACT FOR THE MONTH OF MAY - 2014
FOR TEMP - 2
================================================================================
DUES DESCRIPTION
AMOUNT
DEDUCTION DESCRIPTION
AMOUNT
================================================================================
Duty Pay
33280
GPF
34800
Grade Pay / D.P
7400
Family Benefit Fund
60
Dearness Allowance
40680
Housing Board House Rent
2240
House Rent Allowance
2400
Postal Life Insurance
295
Medical Allowance
200
New Health Insurance Sche
150
Conveyance Allowance
1000
Festival Advance
1000
Handloom Advance
Total Dues

============
:
84960
============

Total Deductions :

** NET ** 46115.00
( Rupees Forty Six Thousand One Hundred and Fifteen

300
==========
38845
==========

Only )

Administrative Officer,
O/o Joint Director of Health Services,
Tiruvannamalai.

E N F A C E M E N T
S L I P
----------------------------Designation
:
Administrative Officer,
D.O. Code : MF310
of the
O/o Joint Director of Health Services,
Drawing Officer
Tiruvannamalai.
Head of Account : 221001110AA0115
Description
: 2210 Medical and Public 01 Urban Health Services
Allopathy 110 Hospitals and Dispensaries I Non
Plan AA District Headquarters Hospital
D.P.Code: 2210 - 01 - 110 - AA - 0115
-------------------------------------------------------------------------------Dues : ----0115
PAY
40680.00
0124
M.A
200.00
0142
O.A
1000.00
0160
HRA
2400.00
0311
D.A
40680.00
------------Gross
84960.00
------------Deduction : --------007500800BM0000 NHIS
150.00 P3
021601106AD0001 HBRE
2240.00 P3
023560800AH0005 FBF
60.00 P3
220202109AA4917 FA
1000.00 P4
761000800AB410G HL
300.00 P3
865200107AC010C PLI
295.00 P3
800901101AA010C GPF
34800.00 P3
------------Total Deduction
38845.00
------------NET AMOUNT

*************
46115.00
*************

Administrative Officer,
O/o Joint Director of Health Services,

Tiruvannamalai.
PERM - 3

_T.N.T.C. FORM - 47_F

Page - I
( See Subsidiary Rule 7 under Treasury Rule 16 )
_EPayable at _FDTO, Tiruvannamalai
DETAILED PAY BILL FOR THE MONTH OF MAY - 2014
OF PERMANENT/TEMPORARY ESTABLISHMENT
OF THE nic
--------------------------------DTO/PAO/STO CODE | 1 | 6 | A |
Drawing Officer Code | M | F | 3 | 1 | 0 |
-------------------------------------------------------------------------------------------D.P. Code : |
2 | 2 | 1 | 0 | 0 | 1 | 0 | 0 | 1 | A | B | 0 | 0 | 0 | 7 |
-----------------------------------------------------------HEAD OF SERVICE : 2210 Medical and Public 01 Urban Health Services
MAJOR HEAD
: Allopathy 001 Direction and Administration I Non
MINOR HEAD
: AB DMO Non Teaching Institutions Headquarters
SUB-HEAD
: Hospitals D.P.Code : 2210 - 01 - 001- AB0007
|----------------------------------|
---------------------------------| VOUCHER No.
|
| (Space for Token No.& Date Seal) |
| MONTH/YEAR
|
|
|
| SUB-ACCOUNT No.
|
|
|
|----------------------------------|
|
|
|
|
|
|
|
|
|----------------------------------|
( Space for Treasury Officer's Enfacement )
-----------------------------------------------------------------------------------------D E B I T
|
C R E D I T
-----------------------------------------------------------------------------------------0114 PAY
78060|
|
NHIS
750|
|
0123 M.A
600|
|
HBRE
2128|
|
0141 O.A
1160|
|
FBF
180|
|
0169 HRA
4880|
|
FA
2000|
|
0310 D.A
77940|
|
HL
1000|
|
|
|
SPF2
70|
|
|
|
GPF
42930|
|
|
|
CPSGE
4882|
|
|
|
|
|
|
|
|
|
|
|
|
-----------------------------------------------------------------------------------------Tot. Gross
162640
Tot. Deduction
53940
N E T :
108700
------------------------------------------------------------------------------------------

Net sum required for Payment :

108700

_T.N.T.C. FORM - 47_F

Page - II
-----------------------------------------------------------------------------------------Total Gross
162640
Total Deduction
53940
N E T :
108700
-----------------------------------------------------------------------------------------Net sum required for Payment :
108700
( Rupees One Lakh Eight Thousand Seven Hundred

Only )

1. Contents Received Please Pay through|_EPAY ORDER_F

ECS / to Self
|
2. Certified that the claim made by me|PAY RUPEES (In FIGURES)
is in accordance with Government|
rules and orders pertinent hereto|
and that all the facts stated in|(IN WORDS)
this claim are true to the best of|
my knowledge and belief, I am aware|
that I am fully responsible for any|
error in respect of facts, rules or|
or Government orders as applicable|
to this bill.
|
|IN CASH AND RUPEES.
|(IN WORDS)
|
|
|
|BY TRANSFER

Administrative Officer,
O/o Joint Director of Health Services,
Tiruvannamalai.

|
|
|

Asst./Pay and Accounts Officer

-----------------------------Sub./Asst. Treasury Officer

(CLAIM UNDER RUPEES 108701/-_

( Rupees One Lakh Eight Thousand Seven Hundred and One
Bill Net :

108700

NSD Total :

3273

Only )

ECS Net :

105427

Administrative Officer,
O/o Joint Director of Health Services,

TEMP - 1

Tiruvannamalai.

_T.N.T.C. FORM - 47_F

Page - I
( See Subsidiary Rule 7 under Treasury Rule 16 )
_EPayable at _FDTO, Tiruvannamalai
DETAILED PAY BILL FOR THE MONTH OF MAY - 2014
OF PERMANENT/TEMPORARY ESTABLISHMENT
OF THE nic
--------------------------------DTO/PAO/STO CODE | 1 | 6 | A |
Drawing Officer Code | M | F | 3 | 1 | 0 |
-------------------------------------------------------------------------------------------D.P. Code : |
2 | 2 | 1 | 0 | 0 | 1 | 0 | 0 | 1 | A | B | 0 | 0 | 0 | 7 |
-----------------------------------------------------------HEAD OF SERVICE : 2210 Medical and Public 01 Urban Health Services
MAJOR HEAD
: Allopathy 001 Direction and Administration I Non
MINOR HEAD
: AB DMO Non Teaching Institutions Headquarters
SUB-HEAD
: Hospitals D.P.Code : 2210 - 01 - 001- AB0007
|----------------------------------|
---------------------------------| VOUCHER No.
|
| (Space for Token No.& Date Seal) |
| MONTH/YEAR
|
|
|
| SUB-ACCOUNT No.
|
|
|
|----------------------------------|
|
|
|
|
|
|
|
|
|----------------------------------|
( Space for Treasury Officer's Enfacement )
-----------------------------------------------------------------------------------------D E B I T
|
C R E D I T
-----------------------------------------------------------------------------------------0114 PAY
62570|
|
HBAI
2000|
|
0123 M.A
400|
|
NHIS
600|
|
0141 O.A
120|
|
FBF
120|
|
0169 HRA
3880|
|
HFBF
20|
|
0310 D.A
62570|
|
FA
1500|
|
|
|
HL
500|
|
|
|
SPF
20|
|
|
|
SPF2
120|
|
|
|
PLI
4170|
|
|
|
GPF
56600|
|
|
|
|
|
-----------------------------------------------------------------------------------------Tot. Gross
129540
Tot. Deduction
65650
N E T :
63890
------------------------------------------------------------------------------------------

Net sum required for Payment :

T.N.T.C. FORM - 47F

63890

Page - II

---------------------------------------------------------------------------------------Total Gross
129540
Total Deduction
65650
N E T :
63890
-----------------------------------------------------------------------------------------Net sum required for Payment :
63890
( Rupees Sixty Three Thousand Eight Hundred and Ninety

Only )

1. Contents Received Please Pay through|_EPAY ORDER_F

ECS / to Self
|
2. Certified that the claim made by me|PAY RUPEES (In FIGURES)
is in accordance with Government|
rules and orders pertinent hereto|
and that all the facts stated in|(IN WORDS)
this claim are true to the best of|
my knowledge and belief, I am aware|
that I am fully responsible for any|
error in respect of facts, rules or|
or Government orders as applicable|
to this bill.
|
|IN CASH AND RUPEES.
|(IN WORDS)
|
|
|
|BY TRANSFER

Administrative Officer,
O/o Joint Director of Health Services,
Tiruvannamalai.

|
|
|

Asst./Pay and Accounts Officer

-----------------------------Sub./Asst. Treasury Officer

(CLAIM UNDER RUPEES 63891/-)

( Rupees Sixty Three Thousand Eight Hundred and Ninety One
Bill Net :

63890

NSD Total :

16731

Only )

ECS Net :

47159

Administrative Officer,
O/o Joint Director of Health Services,

Tiruvannamalai.
TEMP - 2

_ET.N.T.C. FORM - 47_F

Page - I
( See Subsidiary Rule 7 under Treasury Rule 16 )
_EPayable at _FDTO, Tiruvannamalai
DETAILED PAY BILL FOR THE MONTH OF MAY - 2014
OF PERMANENT/TEMPORARY ESTABLISHMENT
OF THE nic
--------------------------------DTO/PAO/STO CODE | 1 | 6 | A |
Drawing Officer Code | M | F | 3 | 1 | 0 |
-------------------------------------------------------------------------------------------D.P. Code : |
2 | 2 | 1 | 0 | 0 | 1 | 1 | 1 | 0 | A | A | 0 | 1 | 1 | 5 |
-----------------------------------------------------------HEAD OF SERVICE : 2210 Medical and Public 01 Urban Health Services
MAJOR HEAD
: Allopathy 110 Hospitals and Dispensaries I Non
MINOR HEAD
: Plan AA District Headquarters Hospital
SUB-HEAD
: D.P.Code: 2210 - 01 - 110 - AA - 0115
|----------------------------------|
---------------------------------| VOUCHER No.
|
| (Space for Token No.& Date Seal) |
| MONTH/YEAR
|
|
|
| SUB-ACCOUNT No.
|
|
|
|----------------------------------|
|
|
|
|
|
|
|
|----------------------------------|
( Space for Treasury Officer's Enfacement )
-----------------------------------------------------------------------------------------D E B I T
|
C R E D I T
-----------------------------------------------------------------------------------------0115 PAY
40680|
|
NHIS
150|
|
0124 M.A
200|
|
HBRE
2240|
|
0142 O.A
1000|
|
FBF
60|
|
0160 HRA
2400|
|
FA
1000|
|
0311 D.A
40680|
|
HL
300|
|
|
|
PLI
295|
|
|
|
GPF
34800|
|
|
|
-----------------------------------------------------------------------------------------Tot. Gross
84960
Tot. Deduction
38845
N E T :
46115
-----------------------------------------------------------------------------------------Net sum required for Payment :
46115

_T.N.T.C. FORM - 47

Page - II

-----------------------------------------------------------------------------------------Total Gross
84960
Total Deduction
38845
N E T :
46115
-----------------------------------------------------------------------------------------Net sum required for Payment :
46115
( Rupees Forty Six Thousand One Hundred and Fifteen

Only )

1. Contents Received Please Pay through|_EPAY ORDER_F

ECS / to Self
|
2. Certified that the claim made by me|PAY RUPEES (In FIGURES)
is in accordance with Government|
rules and orders pertinent hereto|
and that all the facts stated in|(IN WORDS)
this claim are true to the best of|
my knowledge and belief, I am aware|
that I am fully responsible for any|
error in respect of facts, rules or|
or Government orders as applicable|
to this bill.
|
|IN CASH AND RUPEES.
|(IN WORDS)
|
|
|
|BY TRANSFER
Administrative Officer,
O/o Joint Director of Health Services,
Tiruvannamalai.

|
|
|

|
Asst./Pay and Accounts Officer
-----------------------------Sub./Asst. Treasury Officer

(CLAIM UNDER RUPEES 46116/-)

( Rupees Forty Six Thousand One Hundred and Sixteen

Only )

Bill Net :

ECS Net :

46115

NSD Total :

500

45615

Administrative Officer,
O/o Joint Director of Health Services,

Tiruvannamalai.
_
Schedule Showing the Recovery of GPF
for the month of MAY, 2014
nic

Page No. :

- PERM - 3

================================================================================
No. Acct. No.
Name,Sex and DOB
Subs. IDA Adv. Ins. Arear
Total
Gross,Basic & DOJ
================================================================================
1 121003/MEDL SHAKIRA BANU A
10000
10000
Female - 30/07/1968
37220- 13140-21/11/1994
2 119864/MEDL

PUSHPA G
10000
Female - 29/05/1968
37220- 13140-06/05/1994

10000

3 93379/MEDL

RAVISUNDAR K
Male
- 28/09/1961
25100- 9720-07/05/1985

7000

7000 9/36

14000

4 114835/MEDL

BASKARAN M
Male
- 20/05/1972
21960- 8880-07/05/1985

2530

6400 1/36

8930

==========================================
29530
0 13400
0
42930
==========================================
( Rupees Fourty Two Thousand Nine Hundred and Thirty only )
========================================================================NIC TNSU

Administrative Officer,
O/o Joint Director of Health Services,
Tiruvannamalai.

Schedule Showing the Recovery of CPS-GEN

for the month of MAY, 2014
nic

Page No. :

- PERM - 3

================================================================================
No. Acct. No.
Name,Sex and DOB
Subs. IDA Adv. Ins. Arear
Total
Gross,Basic & DOJ
================================================================================
1 7029361/MEDL VIJAYAKUMAR M
2270
2270
Male
- 13/06/1980
24440- 8550-21/03/2007
2 7201047/MEDL KUMARESAN A
Male
- 13/04/1975
16700- 5660-28/02/2013

1612

1000 6/13

2612

==========================================
3882
0
1000
0
4882
==========================================
( Rupees Four Thousand Eight Hundred and Eighty Two only )
========================================================================NIC TNSU

Administrative Officer,
O/o Joint Director of Health Services,
Tiruvannamalai.

Schedule Showing the Recovery of F.B.F

for the month of MAY, 2014
nic

- PERM - 3

================================================================================
Month
Gross
Net
Total Number of
Total Amount
amount
amount
persons from
to be
whom recovery
recovered
is made
Rs.
Rs.
Rs.
================================================================================
MAY, 2014 1,62,640 1,08,700
6
180
( Rupees One Hundred and Eighty only )
========================================================================NIC TNSU

Administrative Officer,
O/o Joint Director of Health Services,
Tiruvannamalai.

Schedule Showing the Recovery of HOUSE RENT RECOVERY (HB)

for the month of MAY, 2014
nic

- PERM - 3

Page No. :

D.P. Code : 021601106AD0001

=========================================================================
S.No. Name & Address
Rent
% on Pay
Total
=========================================================================
1RAVISUNDAR
K
1124
364
1488
Record Assistant
ANNA NAGAR,
TIRUVANNAMALAI
2BASKARAN
Office Assistant
TNHB, ANNA NAGAR,
TIRUVANNAMALAI.

640

640

=================================
1,764
364
2,128
=================================
( Rupees Two Thousand One Hundred and Twenty Eight only )
=================================================================NIC TNSU

Administrative Officer,
O/o Joint Director of Health Services,
Tiruvannamalai.

Schedule Showing the Recovery of New Health Insurance Scheme

for the month of MAY, 2014
nic

- PERM - 3

================================================================================
Month
Gross
Net
Total Number of
Total Amount
amount
amount
persons from
to be
whom recovery
recovered
is made
Rs.
Rs.
Rs.
================================================================================
MAY, 2014 1,62,640 1,08,700
5
750
( Rupees Seven Hundred and Fifty only )
========================================================================NIC TNSU

Administrative Officer,
O/o Joint Director of Health Services,
Tiruvannamalai.

Schedule Showing the Recovery of Festival Advance

for the month of MAY, 2014
nic

- PERM - 3

Major Head of Account in

which Pay and Allowances are
adjusted.
Designation of the Pay
Drawing Officer.
Amount of Advance Drawn
Rs. 5000 each.
================================================================================
S.No. Name
Amount
Instalment
================================================================================
1SHAKIRA BANU A
500
10/10
Office Superintendent
2VIJAYAKUMAR M
Assistant

500

4/10

3RAVISUNDAR K
Record Assistant

500

7/10

4BASKARAN M
Office Assistant

500

7/10

=======
2,000
=======

( Rupees Two Thousand

only )
========================================================================NIC TNSU

Administrative Officer,
O/o Joint Director of Health Services,
Tiruvannamalai.

Schedule Showing the Recovery of Handloom Advance

for the month of MAY, 2014
nic - PERM - 3
================================================================================
S.No.
Name
Amount
Instalments
================================================================================
1 RAVISUNDAR K
1000 4/10
Record Assistant
======
1000
======
( Rupees One Thousand
only )
========================================================================NIC TNSU

Administrative Officer,
O/o Joint Director of Health Services,
Tiruvannamalai.

Schedule Showing the Recovery of SPF 2000

for the month of MAY, 2014
nic

- PERM - 3

================================================================================
Month
Gross
Net
Total No of.
Total Amount
amount amount
persons from
Recoverd.
whom recovery
ismade.
Rs.
Rs.
Rs.
================================================================================
MAY, 2014 1,62,640 1,08,700
1
70 (Rs.70/-)
0
Total

0 (Rs.50/-)
-------70
--------

( Rupees Seventy only )

========================================================================NIC TNSU

Administrative Officer,
O/o Joint Director of Health Services,
Tiruvannamalai.

_
Schedule Showing the Recovery of GPF
for the month of MAY, 2014
nic

Page No. :

- TEMP - 1

================================================================================
No. Acct. No.
Name,Sex and DOB
Subs. IDA Adv. Ins. Arear
Total
Gross,Basic & DOJ
================================================================================
1 114834/MEDL SHANTHI K
7500
9000 1/36
16500
Female - 25/05/1966
35160- 14170-27/01/1990
2 131362/MEDL

RAGUAPTHY G
Male
- 08/03/1968
27300- 10420-03/10/2000

6000

7500 5/36

13500

3 130341/MEDL

AMUTHA A
Female - 27/05/1966
28200- 10870-30/09/2000

7000

7000 9/13

14000

4 95768/MEDL

MOHANRAJ R
Male
- 13/04/1961
38880- 14510-07/02/1986

5000

7600 3/36

12600

==========================================
25500
0 31100
0
56600
==========================================
( Rupees Fifty Six Thousand Six Hundred only )
========================================================================NIC TNSU

Administrative Officer,
O/o Joint Director of Health Services,
Tiruvannamalai.

Schedule Showing the Recovery of F.B.F

for the month of MAY, 2014
nic

- TEMP - 1

================================================================================
Month
Gross
Net
Total Number of
Total Amount
amount
amount
persons from
to be
whom recovery
recovered
is made
Rs.
Rs.
Rs.
================================================================================
MAY, 2014 1,29,540
63,890
4
120
( Rupees One Hundred and Twenty only )
========================================================================NIC TNSU

Administrative Officer,
O/o Joint Director of Health Services,
Tiruvannamalai.

A N N E X U R E
A
Page No. 1
List of persons for whom PLI subscriptions were recovered in
in the pay bill for the month of MAY, 2014
nic - 5 TEMP - 1
Name of the DDO & DDO Code No. : MF310
Administrative Officer,
Name of Sub Treasury/Treasury : 16A DTO, Tiruvannamalai
Major Head
:
Sub Account
:
Month of Account
: MAY, 2014
================================================================================
S.No. Name of the PLI Subscriber
Policy Number(s)
Original PLI Preminum
as per the PLI policy
================================================================================
1AMUTHA A
TN346611CS
535
TN425945CS
615
TN503006CS
715
TN539333CS
715
TN558014CS
1,590
======
4170
======
( Rupees Four Thousand One Hundred and Seventy only )
========================================================================NIC TNSU

Administrative Officer,
O/o Joint Director of Health Services,
Tiruvannamalai.

Schedule Showing the Recovery of House Building F.B.F

D.P. Code : 023560800AN0007
for the month of MAY, 2014
nic - TEMP - 1
================================================================================
S.No.
Name
Amount
================================================================================
D.P. Code : 023560800AN0007
1 MOHANRAJ R
20
Driver
======
20
======
( Rupees Twenty only )
========================================================================NIC TNSU

Administrative Officer,
O/o Joint Director of Health Services,
Tiruvannamalai.

Schedule Showing the Recovery of New Health Insurance Scheme

for the month of MAY, 2014
nic

- TEMP - 1

================================================================================
Month
Gross
Net
Total Number of
Total Amount
amount
amount
persons from
to be
whom recovery
recovered
is made
Rs.
Rs.
Rs.
================================================================================
MAY, 2014 1,29,540
63,890
4
600
( Rupees Six Hundred only )
========================================================================NIC TNSU

Administrative Officer,
O/o Joint Director of Health Services,
Tiruvannamalai.

Schedule Showing the Recovery of Festival Advance

for the month of MAY, 2014
nic

- TEMP - 1

Major Head of Account in

which Pay and Allowances are
adjusted.
Designation of the Pay
Drawing Officer.
Amount of Advance Drawn
Rs. 5000 each.
================================================================================
S.No. Name
Amount
Instalment
================================================================================
1SHANTHI K
500
4/10
Assistant
2RAGUAPTHY G
Assistant

500

4/10

3MOHANRAJ R
Driver

500

7/10

=======
1,500
=======
( Rupees One Thousand Five Hundred only )
========================================================================NIC TNSU

Administrative Officer,
O/o Joint Director of Health Services,
Tiruvannamalai.

Schedule Showing the Recovery of SPF

for the month of MAY, 2014
nic

- TEMP - 1

================================================================================
Month
Gross
Net
Total No of.
Total Amount
amount amount
persons from
to be recowhom recovery
vered.
ismade.
Rs.
Rs.
Rs.
================================================================================
MAY, 2014 1,29,540
63,890
1
20
( Rupees Twenty only )
========================================================================NIC TNSU

Administrative Officer,
O/o Joint Director of Health Services,
Tiruvannamalai.

Schedule Showing the Recovery of HOUSE BUILDING ADVANCE INTEREST

for the month of MAY, 2014
D.P. Code : 004904800AT0107
nic

- TEMP - 1

================================================================================
S.No Name
Index No.
HBA Int INSTALMENT
TOTAL
================================================================================
1 MOHANRAJ R
2,000 (1) 18/55
2,000
Driver
==================================================
2000
2000
==================================================

( Rupees Two Thousand

only )
========================================================================NIC TNSU

Administrative Officer,
O/o Joint Director of Health Services,
Tiruvannamalai.

Schedule Showing the Recovery of Handloom Advance

for the month of MAY, 2014
nic - TEMP - 1
================================================================================
S.No.
Name
Amount
Instalments
================================================================================
1 AMUTHA A
500 4/10
Assistant
======
500
======

( Rupees Five Hundred only )

========================================================================NIC TNSU

Administrative Officer,
O/o Joint Director of Health Services,
Tiruvannamalai.

Schedule Showing the Recovery of SPF 2000

for the month of MAY, 2014
nic

- TEMP - 1

================================================================================
Month
Gross
Net
Total No of.
Total Amount
amount amount
persons from
Recoverd.
whom recovery
ismade.
Rs.
Rs.
Rs.
================================================================================
MAY, 2014 1,29,540
63,890
1
70 (Rs.70/-)
1
Total

50 (Rs.50/-)
-------120
--------

( Rupees One Hundred and Twenty only )

========================================================================NIC TNSU

Administrative Officer,
O/o Joint Director of Health Services,
Tiruvannamalai.

_
Schedule Showing the Recovery of GPF
for the month of MAY, 2014
nic

Page No. :

- TEMP - 2

================================================================================
No. Acct. No.
Name,Sex and DOB
Subs. IDA Adv. Ins. Arear
Total
Gross,Basic & DOJ
================================================================================
1 94938/MEDL
PURUSHOTHAMAN S
7000
12000 5/36
19000
Male
- 29/05/1964
52360- 20330-30/05/1988
2 121549/MEDL

KARPAGAVALLI A
Female - 03/06/1968
32600- 12950-23/11/1995

6000

9800 2/24

15800

==========================================
13000
0 21800
0
34800
==========================================
( Rupees Thirty Four Thousand Eight Hundred only )
========================================================================NIC TNSU

Administrative Officer,
O/o Joint Director of Health Services,
Tiruvannamalai.

Schedule Showing the Recovery of F.B.F

for the month of MAY, 2014
nic

- TEMP - 2

================================================================================
Month
Gross
Net
Total Number of
Total Amount
amount
amount
persons from
to be
whom recovery
recovered
is made
Rs.
Rs.
Rs.
================================================================================
MAY, 2014
84,960
46,115
2
60
( Rupees Sixty only )
========================================================================NIC TNSU

Administrative Officer,
O/o Joint Director of Health Services,
Tiruvannamalai.

Schedule Showing the Recovery of HOUSE RENT RECOVERY (HB)

for the month of MAY, 2014
nic

- TEMP - 2

Page No. :

D.P. Code : 021601106AD0001

=========================================================================
S.No. Name & Address
Rent
% on Pay
Total
=========================================================================
1KARPAGAVALLI
A
2240
0
2240
Computer Operator
TNHB, CHENGAM ROAD,
TIRUVANNAMALAI
=================================
2,240
0
2,240
=================================
( Rupees Two Thousand Two Hundred and Fourty only )
=================================================================NIC TNSU

Administrative Officer,
O/o Joint Director of Health Services,
Tiruvannamalai.

A N N E X U R E
A
Page No. 1
List of persons for whom PLI subscriptions were recovered in
in the pay bill for the month of MAY, 2014
nic - 6 TEMP - 2
Name of the DDO & DDO Code No. : MF310
Administrative Officer,
Name of Sub Treasury/Treasury : 16A DTO, Tiruvannamalai
Major Head
:
Sub Account
:
Month of Account
: MAY, 2014
================================================================================
S.No. Name of the PLI Subscriber
Policy Number(s)
Original PLI Preminum
as per the PLI policy
================================================================================
1KARPAGAVALLI A
TN167890CS
295
======
295
======

( Rupees Two Hundred and Ninety Five only )

========================================================================NIC TNSU

Administrative Officer,
O/o Joint Director of Health Services,
Tiruvannamalai.

Schedule Showing the Recovery of New Health Insurance Scheme

for the month of MAY, 2014
nic

- TEMP - 2

================================================================================
Month
Gross
Net
Total Number of
Total Amount
amount
amount
persons from
to be
whom recovery
recovered
is made
Rs.
Rs.
Rs.
================================================================================
MAY, 2014
84,960
46,115
1
150
( Rupees One Hundred and Fifty only )
========================================================================NIC TNSU

Administrative Officer,
O/o Joint Director of Health Services,
Tiruvannamalai.

Schedule Showing the Recovery of Festival Advance

for the month of MAY, 2014
nic

- TEMP - 2

Major Head of Account in

which Pay and Allowances are
adjusted.
Designation of the Pay
Drawing Officer.
Amount of Advance Drawn
Rs. 5000 each.
================================================================================
S.No. Name
Amount
Instalment
================================================================================
1PURUSHOTHAMAN S
500
7/10
Statistical Assistant
2KARPAGAVALLI A
Computer Operator

500

4/10

=======
1,000
=======

( Rupees One Thousand

only )
========================================================================NIC TNSU

Administrative Officer,
O/o Joint Director of Health Services,
Tiruvannamalai.

Schedule Showing the Recovery of Handloom Advance

for the month of MAY, 2014
nic - TEMP - 2
================================================================================
S.No.
Name
Amount
Instalments
================================================================================
1 KARPAGAVALLI A
300 4/10
Computer Operator
======
300
======
( Rupees Three Hundred only )
========================================================================NIC TNSU

Administrative Officer,
O/o Joint Director of Health Services,
Tiruvannamalai.