GROUP INSURANCE FINAL PAYMENT

Name of the Employee N.RUBEN

Designation Father's Name Venkatesham

Place of Working

Mandal KALIDINDI

Date of Retired

Year of Subscription Started Amount Rs.

Enhanced Year(1 st Time) Amount Rs.

Enhanced Year(2nd Time) Amount Rs.

Enhanced Year(3nd Time) Amount Rs.

Enhanced Year(4th Time) Amount Rs.

Prcoceedings Issued By

Place of the Officer working Mandal Parishad Tekmal

Prcoceeding No A2/15/2011 Proc.Date 25.06.2011

Name of the Officer & Desgn Sri.P.Veersangappa,B.Sc.,B.Ed.

DDO Code 18022202149

DDO Designation MEO Programme Designed by

STO Place Jogipet R.RAMESH

www.prtumedak.org

Use A4 Papers

GROUP INSURANCE FINAL PAYMENT

N.RUBEN

Venkatesham

Group

Group

Group

Group

Group

25.06.2011

Sri.P.Veersangappa,B.Sc.,B.Ed.

18022202149

Programme Designed by

R.RAMESH

Proceedings of The Mandal Educational Officer,Mandal Parishad TekmalPresent Sri.P.Veersangappa,B.Sc.,B.Ed.

Proc.No A2/15/2011 Date 25.06.2011

Sub:-

Ref:- G.O.Ms.No 293. Fin & Plg.Dept.Dated 08.10.1984G.O.Ms.No 323.Fin & Plg.Dept.Dated 12.11.1984G.O.Ms.No 148 Fin & Plg.Dept Dated 06-06-20123.Application of the Individual.

ORDER

The Expenditure is debitable to the following head of Account.8011 : Insurance and Pension Fund

107 : State Govt.Employees GIS02 : Group Insurance

001 : Insurance Fund (Disbursement)002 : Saving Fund (Disbursement)003 : Interest from (Disbursement)

Mandal Educational Officer

Final Payment of Group Insurance Scheme in respect of Sri.N.RUBEN,PG.HM.Gr-II,ZPHS .,Mandal KALIDINDI-Orders-Issued

Sri N.RUBEN,PG.HM.Gr-II,ZPHS . retired from Service on 31.5.2013due to attainig the age of superannuation by completed 58 years.

Sri N.RUBEN has applied for Sanction of Group Insurance Final payment on verification of Service Register.It is found that he is a Subscriber to Group Insurance Scheme with effect from November1984.He Paid Rs.Two Units i.e @Rs20/ p.m w.ef.November.1984 to 1994

His Subscription has enhanced as follows ", November 1998 to 2013@ Rs.60 p.m Group "B", ,

As seen from the orders vide above references.He is eligible for the Group Insurance Scheme beneftis worked out as in the Annexure enclosed.The amount caluculated Sum of Rs.31794/-.(Thirty one Thousand Seven Hundred and Ninety four rupees only),viz.Rs6333/-(Six Thousand Three Hundred and Thirty three rupees only) and Rs.25461/-interest of Saving fund under GIS .

Therefore,the Mandal Educational Officer,Mandal Parishad Tekmal.is pleased to sanction G.I.S Final payment amounting to Rs.31794-(Thirty one Thousand Seven Hundred and Ninety four rupees only)

The Sanction orders entry is made in the in the S.R of the individual.If any excess payment is found in future while audit,the same will be recovered from his pensionary benefits.

R,.Ramesh,Tekmal,9989663755 Mandal Parishad Tekmal

Up to Date Amendments as per Budget Manual 1987

As per G.O.Ms.No 323 Date : 12-11-1984

ANNEXURE - CN.B : Separate bill shall be prepared for each employee Retd.

a sum of Rs. 31794 (Thirty one Thousand Seven Hundred and Ninety four rupees only)for payments to the subscribed/or the nominees of subscriber as perParticulars below.1.Name of the Employee/Member : N.RUBEN2.Designation of the post held immediately : PG.HM.Gr-IIbefore retirement3.Group of which the employee/member : Dbelonged.4.Name of the beneficiaties in the event of :the death of the employee/member

Relevant Bio-Data of employee/membera) Date of commencement of Insurance : November 1984 cover/membership and the group to which he belonged intially.b) Year of acquiring membership in : November 1994 higher group.c) Date of retirement : 31.5.2013

Mandal Educational Officer

Mandal Parishad TekmalR,.Ramesh,Tekmal,9989663755

FINANCE & PLANNING (Fin.Wing Accts.II) Dept.

Certified that in respect of the amount claimed into this bill subscriptions to the Group Insurance Scheme have been covered regularly at appropriate rates from the date of the subscribers admission to the Scheme to the month of cessation of duties.

GIS ANNEXURE

1.Name of the Employee : N.RUBEN2.Designation : PG.HM.Gr-II

: ZPHS .

SUB SCRIPTION DETAILS : November 1984 to October 1994 @ Rs.20 p.m Group "D"

November 1994 to October 1998@ Rs.30 p.m Group "C"

November 1998 to 2013@ Rs.60 p.m Group "B"

Table Period ACS Units Calculation Total

1. 11.1984 to 31.10.1994 20 1388 2 1388 X 2 2776

ACS 1388 6032 2 6032 X 2 12064

1.11.1994 to 31.10.1998 30 5311 2 5311 X 2 10622

1.11.1998 to 31.5.2013 60 3166 2 3166 X 2 6332

0

TOTAL 31794

CALCULATION OF SAVING FUND

Period Units Calculation Total

1. 11.1984 to 31.10.1994 20 2 120 6.875 X 120 X 2 1650.001.11.1994 to 31.10.1998 30 2 48 10.5 X 48 X 2 1008.001.11.1998 to 31.5.2013 60 2 175 10.5 X 175 X 2 3675.00

TOTAL 6333.00

Saving Fund Interest Total

25461.00 6333.00 31794.00

Mandal Educational Officer

3.Name of the office fromwhich retired

Subscription Amount

Subscription Amount

Subscription Time in Months

Mandal Parishad Tekmal

As Per G.O Ms.No 293 Date:08-10-1984

FORM NO.1Government of Andhrapradesh.

Department/Office Date:

MEMORANDUM

To, HEAD OF OFFICE

Sri N.RUBEN ,PG.HM.Gr-II, RetiredZPHS .

As Per G.O Ms.No 293 Date:08-10-1984

FORM NO.2Government of Andhrapradesh.

Department/Office Date:

MEMORANDUM

To,Sri N.RUBEN ,PG.HM.Gr-II ,ZPHS ..

R.Ramesh,Tekmal,9989663755

Sri N.RUBEN a Group D Employees has been enrolled as a member of the Andhra Pradesh State Government Employees Group Insurance Scheme,with effect from November1984 his monthly subscription of Rs.20 Rupees,(Twenty rupees only) (shall be deducted from his salary/wages commecing from the month of November 1984 and he will be eligible to the benefits of the scheme appropriate to group D with effect from November1984

Sri . N.RUBEN has been promoted on a regular basis from Group "D" to Group "C" with effect from November 1994 His monthly subscription for the Andhra Pradesh State Employees Group Insurance Scheme,shall be raised from Rs 20 to 30 to (Rupess(Thirty rupees only) from the month of November 1994 and he will be eligible to the benefits of the scheme appropriate to Group"C"with effect from November 1994

As Per G.O.Ms No 293 Date: 8-10-1994

FINANCE & PLANNING (Fin.Wing Accts.II) Dept.

FORM - 3

To,The Sub Treasury Officer,Jogipet

Sub:- Application for Payment of accumulation underAndhrapradesh State Employees Group Insurance Scheme.

Sir,

Yours Faithfully

N.RUBENRtd .PG.HM.Gr-II.

Mandal Educational Officer,Mandal Parishad TekmalNovember 1984

I have been a member of the Andhra Pradesh State Employees Group Insurance Scheme since November 1984 I have retired from service after attaining the age of 58 years .I have ceased to be in employement (with the Andhra Pradesh Government in Secondary Education,ZPHS ..with effect from I was holding the post of PG.HM.Gr-IIbefore retirement (with the State Government ZPHS .) I request that the amount due to me under the Andhra Pradesh State Employees Group Insurance Schme may be paid to me.

R.Ramesh,Tekmal,9989663755

CERTIFICATE

This is to certify that Sri/Smt………………………………………….is only widow of Late Sri/Smt…………………………………………………….deceased……………………………………(Office)…………………………….

Mandal Educational OfficerMandal Parishad Tekmal

RECEIPT

" Attested "

Attesting Officer Signature of the Receiver.

NON- DRAWAL CERIFICATE

CERTIFICATE

Certified that the Late Sri/Smt…………………………………………was in service on the date of his death. He was holding the post of ………………in the …………………………office / Department.

I Sri N.RUBEN S/O Venkatesham , PG.HM.Gr-II(Retired) do here by declare that I have received Rs.towards payment of lumpsum benefit under GroupI nsurance Scheme.

This is to cerify that the claim under Group Insurance Scheme of Rs. To Sri N.RUBEN,PG.HM.Gr-II S/O Venkatesham ,PG.HM.Gr-II (Retired) is for the first time and not claimed previously as per the Office records.

Mandal Educational OfficerR.Ramesh,Tekmal,9989663755 Mandal Parishad Tekmal

APTC FORM - 40BILL FOR WITHDRWAL FROM GPF/GIS/FBF/EWF/LOANS AND ADVANCES

For the Month & Year Bill For

Dist Date:

Trans ID

D.D.O's T.T.B.R No ……………………………

TREASURY/PAO CODE Major Head 8 0 1 1

DDO CODE 18022202149 Sub Major Head -- --

DDO Desigination MEO Minor Head 1 0 7 State Govt.Employees GIS

DDO Office Name Mandal Parishad Tekmal Goup Sub Head 0 2 Insurance Fund (Disbursement)

Bank Brach Code Sub Head -- --

Bank Branch Name Detailed Head 0 0 2 Saving Fund (Disbursement)

Sub Detailed Head 0 0 3 Interest fund (Disbursement)

Non Paln = N/Plan=P N Charged=C/Voted=V V 2 2 0 2

Bill total amount Rs. 31794.00 Rupees (Thirty one Thousand Seven Hundred and Ninety four rupees only)

Payable with adjustment

Received amount Drwaing Oficer /Authority

FOR USE IN TREASURY / PAY & ACCOUNTS OFFICE ONLY

Pay Rs………………………..( Rupees………………………………………………………

………………………………………………………………………………………………….

………………………………………………….only) by cash/Cheque/Draft/Account Credit /Adjustment.

Treasury Officer Pay & Accounts Officer

Insurance and Pension Fund

Contigency Fund MH/ Service Major Head

NBST/ Bank Seal

(P.T.O)

Sl.No Name & Designation /Subsciber Pay Rs. Account No Natute & Amount of withdrawal

RemarksEmployee or Nominee Advances

1 2 3 4 5 6 7 8

3179

4.00

TOTAL

Designation of the Sanctioning Authority------------------------------------------------------------------------------------------------------------

Note : Original Sanction order Should be enclosed

DETAILS OF BUDJET

1………………………………………. Yearlt Budget allotment Rs…………………………………………………..

2.Contains this Bill with expenditure of incumbent Rs…………………………………………………..

3.Balance…………………………………………. Rs…………………………………………………..

Drawing Authority

For Use Accountant General Office

No & Date of Sanction of

the Proceedings

Final/Part final Payment Rs.

N.RUBEN PG.HM.Gr-II

Man

dal E

duca

tion

al O

ffic

er M

anda

l Par

isha

d T

ekm

al P

roc.

No

A2/

15/2

011

Dat

e 25

.06.

2011

Cla

imed

as

perM

anda

l Edu

cati

onal

Off

icer

Man

dal P

aris

had

Tek

mal

P

roc.

No

A2/

15/2

011

Dat

e 25

.06.

2011