F. C. 43 (See Rule 7.

8)
Detailed Bill of Contingent Charges of : HIGHER SECONDARY SCHOOL LARGOOM
Bill Date : 02/07/2020 For Period :2020-2021 Ddo Code : TRLEDU0028

Scheme: 08-8011-00-105-0000-1584-1-V-Life Insurance Bill No :

Scheme (SLI) *1D02TRLEDU00280720GPF0005*

Dhcode : 244-INSURANCE

Sno Name of Subscriber Sanction Order No. with date GPFAcc No/SLI No Account Number Type of Withdrawl Amount Net Amount
1 GH MOHAMMAD KUMAR SLI/PUL/45-46/(27/06/2020) K-203236-edu 1254040100007249 103310 103310

Total Amount 103310 103310

BILL PASSED FOR = 103310 (Rupees One Lakh Three Deduction Scheme Amount
Thousand Three Hundreds Ten Only) 0
Total Deduction
Bill Passed Under Rupees = 103311 (Rupees One Lakh Three
Net Amount 103310
Thousand Three Hundreds Eleven Only)
Gross Amount 103310
Bill Entered in Drawl Register at Page NO ....................
S.No. .........................

Certify that:-

1. Received Contents.

2. The balance at my credit/at the credit of the subscriber on the date of the withdrawal covers the sum drawn in the bill. Certified also that the amount asked for in this bill is required
to meet the yearly premium due on ͙͙͙͙͙͙͙͙͙͙͘͘In respect of Policy No. .............................. with the ............................... C. Ltd. and that the policy, in question has been
assigned to the governor of Jammu & Kashmir and is in custody of the Accounts Officer ...................................... (or the details of the policy proposed to be taken have been
communicated to and accepted by the Accounts Officer ...................................... in this letter No. .............................................. dated ..........................).
3. The balance at the credit of the subscriber on the date of withdrawal cover the sum draw the bill The Policy No. ͙͙͙͙͙͙͙͙͙͙͙͙͘with ͙͙͙͙͙͙͙͙͙͙Company has already
been assigned in favour of the Governor and submitted to the Accounts Officer (or the details of the policy proposed to be taken have been communicated to and accepted by the
Accounts Officer in this letter No. .................................................... dated .....................).

Signature of Drawing Officer with Date

Note:-

1. All Money From the GP Fund should be drawn on the Form.

2. When a Gazetted Officer draws the amount on his own behalf he will record his acquittance in the prescribed columns and affix a revenue stamp if the amount exceeds Rs. 20.

3. In the case of Non-Gazetted officer money should be drawn under the signature of the head of the office who should disburse it in the way as salary and should hold the payee
acquittance.

4. Such portion of the certificates recorded overleaf which do not apply to Gazetted Officer/Drawing Officer should be scored out.
 FOR USE IN TREASURY

Pre-Check Section

Certified that all the claims of payments, classification, recoveries and deductions have been checked and found correct and
recommended for payment.

Auditor AAO Treasury

Payment & Receipt Section

Pay Rs. ͙͙͙͙͙͙͙͙͙͙͘͘(Rupees ͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͘͘͘͘͘Ϳto Drawing Officer/Beneficiary.

Auditor AAO Treasury