NAME G.MAHESH BABU EOL 0POST HELD JUNIOR ACCONTANT SUSPENSION PERIOD 0

ADDRESS DIES-NON 0

CVP 1 TOTAL 0

STATE BANK OF INDIA 1 NET QUALIFYING SER 0

PENSION CATG 2 WITH WEIGTAGE 5

DATE OF BIRTH 15 8 1954 15/05/1955 LAST BASIC PAY 25000DATE OF ENTRY INTO SER 26 2 1999 2/5/1985 PENSION 0DATE OF RTD 2 5 1999 5/2/2013 EFP 0

QUALIFYING SER 0YEARS 3MONTHS 6DAYS FP 7500GRATUITY 112500commutation 0

7490 3750032490

527962.5

PEDDA CHERI STREETTEKKALI

SRIKAKULAM DIST.

0 00 0

0 0

0 0

3 6

3 6

P.V.N. REDDY, JUNIOR ACCOUNTANT

11

0 231

40% MOTHLY PENSION0

NO 36

SRIKAKULAMAMADALAVALASAICHAPURAMKOTABOMMALIKOTTURUNARASANNAPETAPALAKONDAPALASAPATHAPATNAMPONDURURAJAMSOMPETATEKKALI

G.O.Ms.No.263, Dated: 23.11.1998Part-1 Information to be furnished by the government Servant/Applicant

1. a) Name of the Government Servant

G.MAHESH BABU b) post held

JUNIOR ACCONTANT

3. Permanent Address

4. Address after retirement

40% Monthly pension

STATE BANK OF INDIA SRIKAKULAM

FORM OF APPLICATION FOR SERVICE PENSION/FAMILY PENSION/RETIREMENT GRATUITY/SERVICE GRATUITY/ COMMUTATION

(The Pension Sanctioning Authority shall forward the applicaion duly processed to the AG(A&E)/LF Authority within a period of 30 days)

2. Name of the Applicant (in case of death of government servant

PEDDA CHERI STREETTEKKALI

SRIKAKULAM DIST.

5.Commutation of Pension a) Whether willing to commute 40% of monthly pension, subject to AP Civil Pensions (Commutation) Rules,1944.

b) If the answer is "NO" specify the fraction less than 40%

6 a). Name of the Pension Disbursing Authority.

B) Name of the paying bank from where pension payment is desired by the pensioner/family pensioner gratuitant

7. LIST OF FAMILY MEMBERS

( a ) ( b) © (d)

SL.No. DATE OF BIRTH

Marital/Employment status of the children of the applicant/decesed Government servant

NAME OF THE FAMILY MEMBER

RELATIONSHIP WITH GOVERNMENT SERVANT

Married or unmarried Date of marriage if married

Instructions : 1. The Government servant is instructed to fill up the proforma very catefully as he data furnished is vital for santcion of family pension. He/She may note that alterations of the data furnished at a later date is not permissible.2. The "Family" for the purpose mean "wife" or "husband" as the case may be, "sons" and "unmarried daughers" as laid down in Rule 50(12) (for Family Pension) and Rule46(5) (for gratuity) OF AP Revised Pension Rules, 1980.3. In case of death while service of Government servant, the answer " married" in case of daughers will be understood hat the daughter is already married as on the date of death of the Government servant.

7. LIST OF FAMILY MEMBERS

Marital/Employment status of the children of the applicant/decesed Government servant

Whether employed or not. Give details of employment

1. The Government servant is instructed to fill up the proforma very catefully as he data furnished is vital for santcion of family pension. He/She may note that alterations of the data furnished at a later date is not

2. The "Family" for the purpose mean "wife" or "husband" as the case may be, "sons" and "unmarried daughers" as laid down in Rule 50(12) (for Family Pension) and Rule46(5) (for gratuity) OF AP Revised Pension Rules, 1980.3. In case of death while service of Government servant, the answer " married" in case of daughers will be understood hat the daughter is already married as on the date of death of the Government servant.

DECLARATION1. I undertake to refund the amount of pension, Gratuity and Commutation, if it is found subsequently to be in excess of the amount to which I was entitled under the Rules.2. I solemnly affrim that the particulars given by me in part-1 at item 7 are correct and true to the best of my knowledge. If found false, I am liable for suitable action as may be taken by the Government.3. The Particulars given above are correct and true to the best of my knowledge. If found false in future I may be liable for any action that may be taken by the government.

Place : Signature of the GovernmentDate : servant/Applicant

TO BE FILLED IN BY THE HEAD OF THE OFFICE1. Application for pension/gratuity etc. in Part-I is received on ---------------- (date to be recorded)

2. Certified that the person/persons mentioned by the Government servant/ Applicant in item 7 of Part I are legally entiled to receive the pension/share in gratuity.

3.Guardianship certificate :( to be filled in wherever necessary)This is to certify that the following minors of the deceased Government servant Late Sri/Smt.............................................................. is/are under the guardianship of Sri/Smt..........................................................................

Name Date of Birth1.

2.

3.

Place : Signature of theDate : Head of the Office.

Office Seal

Part-11(A) Information to be filled up by the pension sanctioning authority

1.Name of the Government Servant and post held G.MAHESH BABU, JUNIOR ACCONTANT2. Father's Name/Husband's Name

4. Date of Birth of Government servant 15/05/1955

5. Date of entry into service 2/5/1985

6.Date of retirement 5/2/2013

JUNIOR ACCONTANTRule 33 Superanuaton Pension (Rule 42)Rule 34 Retiring Pension ( Rule 43/44)

Rule 37 invalid PensionRule 38 Copensation PensionRule 39 Compulsory Retirement PensionRule 40 Compassionate Allowance

Rule 44 Retiring on completion of 33 years of quRule 46 Retirement GratuityRule 50 Family Pension

YES/NO

YES/NO

9.Total Service (6-5)

10. Period of non- qualifying service

a) E.O.L

b) Suspension period

c) Dies - Non

d) Boy service

e) Any other service not qualifying for pension

3.Name of the Applicant(In case of death of Government servant)

7. Designation and office from which the Government servant retires/retired 8.The rule aplicable a) The relevant Rule under the AP Revised Pension Rules.1980 applicable (tick the rule numbers applicable and strike out the rest

b) Whether ANTICIPATORY PENSION is being sancioned in terms of Rule-51.

c) Whether PROVISIONAL PENSION is being sanctioned in terms of Rule 9(4) read with Rule 52.

d) Any other rule applicable.

Rule 35 Pension on absorption under a corporation.

Rule 43 Retirement on completion of 20 years of qualifying service

Total Non - qualifying service ( a to e)

11. Net qulifying service (9-10)12. weightage, if any

17. Calculation of family pension

a) Enhanced family pension

b) Normal family pension18. Period of payment of pension As applicable to the case under considerationa) Service Pension From till death b) Enhanced family pension From toc) Normal Family pension From to

13. Total qualifying service for calculation of pension (11+12)

14. Last pay drawn ( Rule 31,46(4),50 (12)© of APRPs, 1980) Para 4 of G.O.Ms. No.87 Fin. & Plg. (FW- Pen.I) Dept. dt.25.598

15. Calculation of service pension/service Gratuity ( Rule 45 of APRPRs, 1980)16. Calculation of Retirement Gratuity (Rule 46 APRPRs, 1980)

2 8

25

(A1=2,5*5,IF(AND(A1=1,B1>7),1000*50%,1000*30%))

0 00 0 0

0 5 FP0 5

0

5 310 1 (A1=2,5*5,IF(AND(A1=1,B1>7),1000*50%,1000*30%))

NO OF HALF YEARS 11 (Sheet6!B6=1,B41),IF(AND(Sheet6!B6=2,B33>7),B41,0))0.5

SERVICE 5.5DA 8987.5

CVP 1

40% Monthly pension 32490BANK SRIKAKULAM 25000

7490

sp 0EFP 0FP 7500gratuity 112500

cvp 00

112500

44 2

(A1=2,5*5,IF(AND(A1=1,B1>7),1000*50%,1000*30%))

0 0 0 00

0 0.5 SP 5 50.5 1

0 11

(A1=2,5*5,IF(AND(A1=1,B1>7),1000*50%,1000*30%))(Sheet6!B6=1,B41),IF(AND(Sheet6!B6=2,B33>7),B41,0))

1 SRIKAKULAM SP

2 AMADALAVALASA FP3 ICHAPURAM4 KOTABOMMALI5 KOTTURU6 NARASANNAPETA7 PALAKONDA8 PALASA9 PATHAPATNAM

10 PONDURU11 RAJAM12 SOMPETA13 TEKKALI

0 00

0 3 60 0 0

Sheet1

1

2

3

4

Worksheet FormulasCell

A4

B4

C4

Excel 2003

__________________

A B C

Y M D

18 0 25

1 4 2

16 8 23

Worksheet FormulasFormula

12

3

6

0 0 00 0 00 0 00 0 0

000

1999 5 2 0 1 -1 01999 2 26

0 3 60YEARS 3MONTHS 6DAYS

1999 5 45 1 441954 8

44