E Salary
E Salary
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k) No. of vacant Posts
4(v). Details of Designation No. 5 in this Paybill :--
a) Pay Commission
b) Designation
c) Pay Scale + Grade Pay d) Group
e) Technical/Non-Technical f) Rank Order
g) Sanction Order h) Total Number of Posts
i) No. of Permanent Posts j) No. of Temporary Posts
k) No. of vacant Posts
4(vi). Details of Designation No. 6 in this Paybill :--
a) Pay Commission
b) Designation
c) Pay Scale + Grade Pay d) Group
e) Technical/Non-Technical f) Rank Order
g) Sanction Order h) Total Number of Posts
i) No. of Permanent Posts j) No. of Temporary Posts
k) No. of vacant Posts
4(vii). Details of Designation No. 7 in this Paybill :--
a) Pay Commission
b) Designation
c) Pay Scale + Grade Pay d) Group
e) Technical/Non-Technical f) Rank Order
g) Sanction Order h) Total Number of Posts
i) No. of Permanent Posts j) No. of Temporary Posts
k) No. of vacant Posts
* Indicates that these fields are mandatory to be filled.
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Sr. No.:_________ FORM (Annexure ES-2) # UCP:__________
(Pl. see instruction No.1) Information required from EMPLOYEES
(UCP to be filled up by DDO if UCP already allotted)
(Please fill the form in CAPTIAL letters, using blue ink pen, use N.A. for Not Applicable)
PART-A EPS PAYEE DETAIL
FIRST MID LAST
1 Full Name of the *
Employee(Sh./Smt/Ms.)
2 Pension Fund Contribution GPF Series GPF No NPS None
(Pl. tick and give details ) (Pl. mention PRAN No.)
3 PAN Number (Pl. see instruction No.2)
PART-B BANK DETAIL (SALARY A/C)
(Pl. provide information if UCP not already allotted)
4 a) State b) District
b) Bank Name * d) Bank Branch Add. *
e) IFSC Code (Pl. see instruction No.3) * f) MICR Code
(Pl. see instruction No.3)
g) Bank A/C No. *
PART-C PERSONAL DETAIL
5 Date of Birth * (dd/mm/yyyy)
FIRST MID LAST
6 Father's Name (Sh.) *
7 Mother's Name (Smt.)
8 a) Permanent address * b) City/Tehsil/ *
(H No./Vill./P.O.) Sector/Colony
c) State * d) District *
9 a) Temporary Address b) City/Tehsil/
(H No./Vill./P.O.) (Pl. see instruction No.4) Sector/Colony
c) State d) District
10 Gender * 11. Religion *
12 Category (Pl. see instruction No.5) * 13 Academic Qualification *
14 Other Qualification 15 Mobile No.
16 Telephone No. Residence STD Code Phone Number
17 E-mail address
18 Marital Status (Pl. tick anyone) Married Unmarried
If Married (Ans. The following) a) Spouse Name
(Sh./Smt.)
b)No. of Children b) Whether spouse is working Yes/No
d) Nature of Employment of Spouse Hry. Govt. Any other State Govt. Centre Govt. Public Sector Others
(Pl. tick anyone) Undertaking
e) Spouse Unique Code in EPS, (If Hry. Govt. Emp.) if already allotted.
PART-D JOB DETAIL
19 Type of Service(Pl. tick anyone) * (Pl. see instruction No.6)
IAS IPS IFS HPS HCS Centre Govt. Service State Govt. Service
a) If IAS/IPS/IFS/ HCS/HPS
ii) Parent Cadre (Pl. tick anyone) Haryana Others If Others (Pl. specify)
If Parent Cadre is other then Haryana, Pl. mention Date of Joining on Deputation
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c) If State Govt. Service :--
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Sr. No.: _______ FORM (Annexure ES-3) UCP:__________
(Pl. see instruction No.1) Information required from DDO regarding Employees
(Please fill the form in CAPTIAL letters, using blue ink pen, use N.A. for Not Applicable)
PART-E SALARY DETAIL
Full name of the employee
1 Pay Commission opted for salary (Pl. tick anyone) (Pl. see instruction No.2) * Fifth Sixth
2 Please give the PAYBILL code, related to employee’s salary *
3 Basic Pay (In Present Pay Scale)* 4 Grade Pay
5 Special Pay 6 Personal Pay
7 Non Practicing Allow. 8. Deputation Allowance
9 Govt. accommodation allotted or * Yes No
not, Pl. tick anyone (Pl. see instruction No.3)
If No-- HRA class X Y Z HRA Additional, HRA Days (leave
of the city if any blank for full month)
10 Cashier Allow. 11. City Compensatory Allow. Yes No
12 Hill Allow. for Morni hills 13. Medical Allowance*
14 Diet Money 15. Handicapped Allow.
16 Washing or/and Uniform Allow. 17. Conveyance/Cycle Allow.
18 Special/Fixed TA/Transport Allow 19. Special Allow. None Safai Peon cum
Karamchari Mali/Chowkidar
20 Carpenter Allowance 21. Supervisory Allow.
22 Kit Maintenance Allow. 23. Risk Allowance
24 Ration Money Allow. 25. Instructional Allow.
26 Hardship Allowance 27. Police Medal Allowance
28 Constituency Allow 29. Office Expenses
30 Telephone Allowance 31. Sumptuary Allow.
32 Rural Health Allowance 33. Flying Allowance
34. Flying Certificate 35. No. of days for which pay is to be calculated or leave
Allow. blank for the whole month (Pl. see instruction No.4)
If days entered---- Yes No b) Tick here if you have another Pay band for
a) Were you absent for the remaining days the remaining days (Pl. see instruction No.4)
36 a) If suspended Yes No b) If answer of 36 a) is c) If answer of 36 a) is Yes, No. of days for
Yes, give %age of which suspension allowance is to be
pay given (leave blank for whole month)
37 Is salary of the employee to be computed Yes No
for the current month
PART-F DEDUCTIONS DETAIL
38 GPF Subscription 39. Income Tax Deduction
40 GIS Deduction 41. LIC No. (if any)
42 LIC Installment 43. License Fee (Central)
44 License Fee (State) 45. License Fee (Departmental)
46 Car Usage 47. Professional Tax
48 NPS ARREAR DETAIL (Required To be paid during the month) (Pl. see instruction No.5)
a) NPS Arrear Month &
Year (mm/yy)
b) NPS Arrear Amount
c) NPS Arrear Install. No.
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49 Book Advances in Other Yes No 50 Name of Officer in
Deductions (Pl. see instruction No.6) case of License Fee
51 Name of Officer in case of Loans/Advances
PART-G LOANS/ADVANCES/INTEREST/Misc. Recovery/PAY Advance /Penal Interest (Pl. see instruction No.7)
52 a) Name of Ist Loan / b) Gross Amount of Loan/
Advance /Interest Advance /Interest
c) Sanction Date d) Sanction e)Date of
(dd/mm/yyyy) Order No. withdrawal
f) Month and Year of g) Installment amount
first install. paid
h) No. of Installments paid (excluding i) No. of Installments paid in advance
Advance Installments if any)
53 a) Name of 2nd Loan / b) Gross Amount of Loan/
Advance /Interest Advance /Interest
c) Sanction Date d) Sanction e)Date of
(dd/mm/yyyy) Order No. withdrawal
f) Month and Year of g) Installment amount
first install. paid
h) No. of Installments paid (excluding i) No. of Installments paid in advance
Advance Installments if any)
* Indicates that these fields are mandatory to be filled. Name and Designation of the official entering data :
Signature:
This is certified that the information
Certified that the details as in Part E to Part G is correct. Wherever
provided in Part E to Part G required corrections have been
are as per Office record. made with Red ink. Verified to be correct
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