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OFFICE OF THE DIRECTOR OF HORTICULTURE: ODISHA; BHUBANESWAR
No.
[c (H5)23t2013
4
6 Qz
/Hort.,
Dated
f?,J ^ , l?
To
The Assistant Director of Horticulture,
Nuapada, Khariar.
Sub: - Submission of Non-refundable G.P.F advance proposal of Sri
Bhramarbar Barik, J/D.
Ref: -Your Ltr No-769 Dt-06.05.2014.
Sir,
With reference to your letter on the above cited subject
I am to
return herewith the N/R G.P.F proposal of Sri Bhramarbar Barik, Jeep
Driver with the following objections
and
resubmit the proposal after due
compliance.
1.
Withdrawal during the period from 0412013 to till date may be taken in
to the account of G.P.F application form.
2.
Non drawal certificate may be attached with the application form.
\. 6r\
Yours faithfully,
Accounts Officer
v:
!
'APPLICATION FORM FOR GENERAL PROVIDENT FUND (PART FINAL)
?-
l,l,
li
1. Name of the Subscriber:
Sri Bhramarbar
2. Account No.
AV(O) 33143
:
\//
Bytk " -/
JID. V..
'10650/-
3. Designation:
4. Pay:
'24001-
5. G.P.:
6. Date of joining in service and the
lfl "
date of superannuation: 221)21rc85 & 31/03/2019
7. Balance at the credit of the subscriber on the
date of application as
I
T
I
I
',,
below:
-1
(i) Closing balance as per the statement for the year 2013-14:
75AOU-'r.'Z
(ii) Credit from 3/1 3lo 04114 on account of
Monthly subscription and refund of withdrawals.
(iii) Total:
eo4oo/-'
*t
166005/-'v-
(iv)Withdrawals during the period from:
(v)Netba|anceatcreditontheclateofapplication
8. Amount of withdrawal
rli
'
required'
124504F'
g. (a) Purpose for which the withdrawal is reqtlired: Marriage Geremony of Daoughter
(b) Rules under which the request is covered: Rule 30 Note-2 Appendix-F
10. Whether any withdrawal was taken for the same
Purpose earlier, if so, indicate the amount and the year:
11.Name of the Accounts Officer maintaining
AG (O), Bhubaneswar
the Provident Fund Account:
Date:
Verified Cols.1 to 7 and found cr:rrect
a*-''/ihADary
re
r
:l S""i|l"ffiotn'
2f
io
at u
Certified that the arrnual statement oi G.P'F. drawal of individual
office
subscriber for the Year 2013-14 has been sent to tfre A.G' Odisha vide this
N1A
\\lt
letter No.648, dt. 27.03.2014-
\@,
recto r oYHorticulture'
NuaPada, Khariar
Assistant
Di
/t/'
'
APPLICATION FOii,i,i FOR GEr',,Ii:RAL PROVltlEl',lT FUIiD {PART FINAL)
1. Name of the Subscriber
Sri tshramarbar Barik
2. Account No.
AV(O) 33143
:
3. Designation:
4. Pay:
J/D.
' ,,.rUl.rrt-
5. G,P.:
lt+vut -
6. Date of joining in ser,",ice and the
date of superannuatiori: 22102119;?5 & 31i0312019
7. Balance at the creclll
li
tiie substriber on the
date of application as bcior,v:
(i) Cfosing balance i.,) 1-,i.1-the ste;,etnent for tiie yeur^2013-14. 756051:
(ii) Credit from 3/13 tc i.r+i '14 on accounr of
Monthly subsci"ipi:urr aiLd refu,ii,,l of withcirawals:
(iii) Total:
90400/-'
166005/- '
'(iv) Withdrawals dui.,;g ilre period fiorn:
8. Amount of withdr;rivl.i
166005/- '
;;r ilie ..-,i.c oi'appiicaiiuri:
(v) Net balance ai r-.,r1,,i
f.j:..tij jr'L=u:
9.(a) Purposeforwilii:tri::.-r,;'1i11;1,',;u*i
(b) Rules under wlrir-';r
.:r
10. Whether any v;itirti; el.
124504t-',
iS
ieqrt;teu. iviiirrii;gu.;^err:riruriycf Daoughte;
r ieQU€st is covered:
:l
lf ule
li0 Note-2 Appendix-F
'oas t:il:en for tlre same
'Purpose earlier, if so, ,;rdicate trrc arnount and the year:
11. Name of the Acco..,,- C;iiicer ri,:^,iiiairriii.i
the Provident Fu,,u,,.--r,i,r
ir.
Date:
Vbrified Cols.1 to 7 a,'ri*i ii.. ;,:-j ,.iurt"t,;:i
o"r{r
f, L^ratzztrt Y fuo' 4r qq l(
'
. :i;c i:,fllr.t:tl s'tat3ll'lent of G.i.'.;t. ,.;;,.uval of individUal
subscriber for the ),r i.: ; - ::-'iti irt: l,:ci::j-r S;;ii t,- i;.S A,.tl. l)...:,ita Vide this OffiCe
Certiiic -t .,
I
letter No.648. dt. 27.:'- .
\K
i'lorticulture,
;iL;r^,-
-..
..r
, .. rdl'ldf
GPF Particulars cf $ri BhrarnarL'ar Barik, J/D, Office of the Assistant Director of
Horticuliirre, Nuapaila, Khariar, GPF A/c No. 33143 AV(O)
froiri ,.1arch'13 to Apr'14
lr
iillNo.
Moi:iiily
Month
Subscri..;ticn
3u0u
I'i'
3U00 I
April'13
j7u0
ri
ri
3,i.
1!'J6 I
Aug'13
I.,/.N0.
i,7 r,'t
","i17.07.13
T.V.No,
22t17.07.13
|
, , /,No.
I 67;'-'
I C: , !9.1!
I
ri'30
l70i)
I
6,
t
r1-
i
I
3t'01)
.:
Sept'13
5i
"1C
3CC!
Oct'13
_3;..
Nov'13
I
"t
3. .
Dec'13
T.V No,
47t25.05.13
5;, -5.05,1 3
3;i,rr370013/36
July' 13
Dt.
',,'No,
t r--i uii -i-;2i36
-it;tut)
';urlL
June 13
f utr0
I
i
|
i!;c0
Iii
.;
3vv
May'13
]
1l
March'13
/T.V No.
&
Toial
Installment
Recovery
36
iVNo,
't
1
6/36
3700
7136
67lii)
-l7i)u ,
bi36
6i'0rr
I
9/\j3.1 0.1 3
Dr
4 '-,',
3tu, i 31t)() iir 10/36 167,-u l-'"
|
Feb'14
rl
Ma/ 14
r[i.
.i7(;i)
i,r-.,
14
4-;-.i
i
A/cNo,38820AV(O) M; ,:
Deposit March'13 to Apr ,.
l3 :'
Amount of Advance now
aiied:
Total
Total
,,,r"
V
Balance,:
lI
No.
'1.2.14
No,
4'
i.03.14
N0,
;
Ap/
i.09.13
67 C,r
I 6;'lr!
Jan'14
,
, .'.No.
i6
i700
-,.
Checked found correct
_
qJl'iu$ t
_t_
8;
'10.8
+114
i;r.",u,J
75,u,;;;-
_.__9!.,:itt.r,*i:
: ' 1,6u,t,'r5/-
'
'
,i
1!r.16
1,2.,,iJ4i41501 I
)4.14
f
/9L'va-ryq-Loc'4a24
.\A
rrticulture,
,,-,.:13..J, ,.,, iiar
GpF particulars of Sri Bhrarnarbar Barik, J/D, Office of the Assistant Director of
Horticulture, Nuapada, Khariar, GPF A/c No' 33143 AV(O)
from March'13 to APr'14
BillNo.
/T,V No.
Monthly
&
Total
lnstallment
Recovery
Subscription
Month
Remarks
Dt.
T.V No.
3000
3000
47t25.05.13
March'13
3000
3000
T.V.No.
50/25,05.13
T.V.No,
April'13
May'13
3000
3700
1/36
6700
3000
i700
2t36
6700
30u0
3700
3/36
18t17.07.13
June 1 3
22t17.07.13
July' 13
T.V.No,
6700
07i04.09..13
Aug'13
Sept' 13
30c'
3700
4136
670C
30t)r
3700
5/36
6i00
T.V,No.
12t04.09.13
f.V.No.
1
o/J0
3700
3000
Oct'13
3000
U/Jo
I or uu
Jan'14
3000
|
V/JO
| 0i
Feb'14
3000- I
Mai
--' |
;;,
:i.lf.
ll
I
i
14
T1",,'- i
I
Al lr,f
14
Total
A/c No, 38820AV(O)
Deposit March"t3
to
Ma,r.cr
APr'1'
Total
13
:
'
:zoo
I
tsill ,No,
B8/13-14
7/36
Dec'13
I
I
| 6700
3700
----
I
44400
75,tjU5l-
'JASaAJ:
t'lo.
I dillNo,
| 1:.3/1 1.2.14
[- itt tto'
|
12't"126.03.14
i:
1
|
lRTr'r
-i'""r"""
l?.ot,
103/ 13-14
L-?t!u!a
UU
1
4rt1.R
EillNo.
l--'i.v.
i1
I 10/36 I 6700
I 1i36 87i,,:r
3700
9/08.1 0.1 3
6700
i 3700 Iii
l-firo
I
l-'""
3000
Nov'13
Ap/
T.V.No.
Tv No
7
i23.04.14
;illNo,8
.:014114
| 90_'iq!_ [_
Ih
L-ra'z'7 ora
an-k q*' Q
: '1,66,0U5/-
Amount of Advance now ;i,:pLi9d----11-41-Q-4/'
.
Balance:
w
Checked found correct
'
41501
/-
\\
\1.]-A
Vs'
"x
Assist;rii * iectoKi i Horticulture,
.
i,juaPada, l",iari?r
w
,ffi
i
0ss8L$?
'ffinssk*
$FFlSfi *FTl*fi pfrtf{StpAl_ &S*St"lFdTAruT {**t{*ffie$- {& & S} *ffist4A. s*ij$.e-f,ls$w&ffi
Annu# $tai*msnl,*f Fr*vicie ilt i:,ii:"'trJ A**oirr-:i* I*i in* Y**i il*riir*
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$uh*crilrerr Bmff BtruX*ffifiF
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t
l. Certifiedthatthe
Drite
oi'birth , '.t1it)311961
(i) Date of Entry irt (jovt. :,clvicc
: 2210211985
(ii) Date of superanrtriLioit
:
.il t03l20lt)
2. Certified that the anriual staternent rcgarding drau,al of norr lcliurcllrble temporary
advance final withdrrn'al rirr the year 20 l3-
vide letter No. 648 . l)t.
l4
lras been scnt to
AC (O) Bhubaneswar
2 l l03l 11.
Ar.ar-v'or-Aa-Zfos"4
;\
SSt.
I)ilector
o1'
Nuapitcllt.
.t
I
UTILISATION CERTIF'I CATE
Utilized.
hLrav'7o-ber9o'*'4
/
ehramarbar,
Assistant Directo-fof Horticulture
Nuapada, Khariar
.,
Family Member
1. Bhramarabar Barik
Self
2. Drupati Barik
3. Bhubaneswari Barik
4. Hotasan Barik
5. Chudamani Barik
Wife
Daughter
Son
Son
Age:
Age:
Age:
Age:
Age:
53 yrs
47 yrs
l9yrs
L8 yrs
15 yrs
r,f)Ava'rla'uLa-nail(
\Bharamarabar Barik,
Assistan
t
tue ctoY{i Ho rticulture,
Nuapada, Khariar
O
Jeep Driver
',
;.
.
r
--J
sanction
"
i:xx::^"I::il Hflx!:'""ident
Fund
OFFICE OF THE ASSISTAN'T DIRECTOR OF HORTICUI"TURF, NUAPADA, KHARIAR
OROgR
Sanction is hereby accorded under Rute 15(3) of General Provident Fund {Orissa} Rule
for the grant of an advance of Rs. 3a200/-(Rupees Thirty four thousand two hundred| only to
Sri/Smt. Bhramarabar Barik,
his GPF account No. 33143AV(O} enable him to depray
expense on Marriage Ceremony of Daughter.
{99o*
will be recovered irr .,............ Monthly installment of Rs. ................/-P.M
commencing frorn the salary for the month of ......,,....... payable in.................
2. The advance
3. A sum of Rs. 99,00A/- out of advance of Rs. 118,800/- Sanctioned in O/o No. 421, Dt.
27/08/2012 & paid to him on 9/2At2 will be outstanding till the cornmengement of the
recovery of the consolidated amount as specified below. This amount together with the
advance now sanctioned aggregating to 1,,33,20O/- will be recovered in 36 monthly installment
at 37AAI-?.M each comrnencing from the salary for the rnonth of May 2013 payable in June
2013.
4. The balance as
the credit of Sri Bhramarbar Barik
as on
below:-
2112-tg
i) Balance as per account slip for the year
ii) Subsequent deposits and refunds of advance at the
Rate of .........and ...... respectively P.M from
March'12 to Feb'13
iii) TotalCoolum {i} and (ii}
vi Subsrrq uent',r,,iih d ravr.$ig,if a r,1,
v) Balance as on'date of sanction
today detaited
\
'
2696L1-
7s300/-
r0225vztawi74461 1-
Column {iii} minus (iv}
5. This issue with the concurrence of
Date._
the Finance Deott of their J.O.R No.
Certified that the annual $taternent of GPF drawal from GPF A/C of all individual
2At2-I3 has been
subscriber in respect of T.A/N.R withdrawal/Final withdrawal for the year
sent to the A.G.(o) BBSR vide T.O tette| No.H&_,
Ot.-fu:4t_
s,4-
Memo
No.
?&D4
\
Assistant Direitor of Horticulture,
Nuapada, Khariar
-
Date.
Copy with a copy of the application in r:riginal is submited to Account General Orissa
BBSR for information and necessary action. Copy forwarded to Sub-Treasury Officer,Khariar
/CapV
with the bill section for iniarmation and r'Iecessary action.
Assistant Director of Horticulture,
Nuapada, Khariar
Memo
*". M{i.,".
z""l-l'u7l
./
.L_.-
Copy along with A/c for 201?--13 forwarcled to Sri Bhramarbar
b.u
Mv
*
Assis{ant Directoi 6f horticulture,
;;.$lrapada, Khariar