DATA INPUT SHEET FOR EMPLOYEE PAYMENTS
1. Department :
2. DDO Name :
3. DDO Code :
4. Head of Account :
5. Employee’s Name :
6. Employee’s Designation :
7. Non Plan/Plan :
8. Permanent/Temporary
9. Gazetted /Non Gazetted
10. For Permanent G.O No : Dt:
11. For Temporary G.O No : Dt:
Continued upto
12. Pay Scale Applicable :
13. Pay as on 01.01.2012 :
14. Date of last Increment :
15. Earning Particulars
i. Pay :
ii. Special Pay :
iii. Personal Pay :
iv. P.P(E.P) :
v. D.A Amount :
vi. H.R.A Amount :
vii. C.C.A :
viii. P.H.A :
ALLOWANCE
ix. O.C.A :
x. Others Name : Amount : Rs
xi. Others Name : Amount : Rs
xii. Others Name : Amount : Rs
xiii. Others Name : Amount : Rs
xiv. Others Name : Amount : Rs
……………………………………
Total Rs
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16. LOANS AND ADVANCES DRAWN :
1. H.B.A : Amount : Rs Date:
2. H.B.A (Repair) : Amount : Rs Date:
3. Motar Car Advance : Amount : Rs Date:
4. Motar CycleAdvance : Amount : Rs Date:
5. Marriage Advance : Amount : Rs Date:
6. CycleAdvance : Amount : Rs Date:
7. Computer Advance : Amount : Rs Date:
8. L.T.C
A)Home Town : Amount : Rs Date:
B)Any where in A.P : Amount : Rs Date:
9. Medical Reimbursment : Amount : Rs Date:
10. P.T.A : Amount : Rs Date:
11. Pay Advance : Amount : Rs Date:
12. Leave salary Advance : Amount : Rs Date:
13. Festival Advance : Amount : Rs Date:
14. Educational Advance : Amount : Rs Date:
15. Special Festival Adv(APCO) : Amount : Rs Date:
16. G.P.F Advance Temporary/P.F: Amount : Rs Date:
17. Educational Fee Concession: Amount : Rs Date:
18. Surrender Leave : Amount : Rs Date:
19. Others Name : Amount : Rs Date:
20. Others Name : Amount : Rs Date:
21. Others Name : Amount : Rs Date:
22. Others Name : Amount : Rs Date:
23. Others Name : Amount : Rs Date:
Certified that the above particulars are correct. If at a later date any of them are found incorrect I will be
personally responsible for the lapse.
Signature of the Drawing and
Disbursing Officer
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