PENSION REVISION APPLICATION FORM_WINDOWS.xlsx

	A	B	C	D	E	F	G	H	I	J	K	L	M	N	O	P	Q	R	S
1	പച്ചയിലുള്ളത് പൂരിപ്പിച്ചതിന് ശേഷം മഞ്ഞ പൂരിപ്പിക്കുക. 10 മാസത്തെ ശമ്പളത്തിലെ മഞ്ഞ കോളത്തിൽ മാറ്റമുള്ള മാസം തെരഞ്ഞെടുക്കുക. PRINT ടാബിൽ പോയി പ്രിന്റ് എടുക്കുക
2	പഴയ ബേസിക് പേ മാസത്തിന്റെ ഇടക്ക് വെച്ച് മാറിയവരോ 10 മാസത്തിലെ കുറച്ച് മാസം പഴയ ബേസിക് പേ ഉള്ളവരോ ഈ നിറത്തിലുള്ള കള്ളിയിൽ മാന്വലായി കണക്ക് കൂട്ടി നൽകുക
3	Proforma to be uploaded with revision proposal as per Circular No.27/2021/Fin dated 19.03.2021						Last 10 month Salary		Old	Old	New	New	DA Old	DA New	Commutaion Valule
4	1	Name of Pensioner		:			1	JULY	29200	29200	41300		20.00%	7.00%	11.1
5	2	Permanent Employee Number		:			2	AUGUST		29200	41300		5840	2891
6	3	Designation		:			3	SEPTEMBER		29200	41300		35040	44191
7	4	Department		:			4	OCTOBER		29200	41300		Com Val Pension		Min.P Old	Min P New
8	5	Pension Sanctioning Authority		:			5	NOVEMBER		29200	41300		Old	New	8500	11500	4866.666667
9	6	PPO Number		:			6	DECEMBER		29200	41300		452880	612720	4867	6884	6883.333333
10	7	AG’s reference ID		:			7	#N/A		29200	41300
11	8	Qualifying Service		:	10		8	FEBRUARY		29200	41300		Reduced Pension
12	9	Date of Birth		:			9	MARCH		29200	41300		Old	New
13	10	Date of Retirement		:	5/31/2020		10	APRIL		29200	41300		5100	6900
14	11	Date of Superannuation		:	4/30/2020		QS	10	T E	292000	413000			220955	220955
15	12	Details of Revision as on 01.07.2014		:	Pay revised wef 07-11-2014 as per order No 7/2016/FIN dated 20-01-2016 Basic Pay fixed ₹ ................			10	A E	29200	41300			01/04/21
16							Pension			8500	11500		3000	1
17							Family Pension			8760	12390		3630	220955
18	13	Pay regulation from 01.07.2014 to 01.07.2019		:			DCRG			175200	220955		45755	175200		220955
19
20	Sl No	Date	Nature of Event	Change in Basic Pay		Scale of Pay		1	16500-500-20000-550-22200-600-25200-650-27800-700-29900-800-33900-900-37500	23000-700-27900-800-31100-900-38300-1000-42300-1100-47800-1200-50200	1		16500	23000		1	23000	16500	1
21	1							2	17500-500-20000-550-22200-600-25200-650-27800-700-29900-800-33900-900-37500	23700-700-27900-800-31100-900-38300-1000-42300-1100-47800-1200-52600	2		17000	23700		2	23700	17000	2
22								3	17500-500-20000-550-22200-600-25200-650-27800-700-29900-800-33900-900-37500-1000-39500	24400-700-27900-800-31100-900-38300-1000-42300-1100-47800-1200-52600-1300-55200	3		17500	24400		3	24400	17500	3
23								4	18500-500-20000-550-22200-600-25200-650-27800-700-29900-800-33900-900-37500-1000-41500	25100-700-27900-800-31100-900-38300-1000-42300-1100-47800-1200-52600-1300-56500-1400-57900	4		18000	25100		4	25100	18000	4
24								5	19000-500-20000-550-22200-600-25200-650-27800-700-29900-800-33900-900-37500-1000-42500-1100-43600	26500-700-27900-800-31100-900-38300-1000-42300-1100-47800-1200-52600-1300-56500-1400-60700	5		18500	25800		5	25800	18500	5
25								6	20000-550-22200-600-25200-650-27800-700-29900-800-33900-900-37500-1000-42500-1100-45800	27900-800-31100-900-38300-1000-42300-1100-47800-1200-52600-1300-56500-1400-60700-1500-63700	6		19000	26500		6	26500	19000	6
26								7	22200-600-25200-650-27800-700-29900-800-33900-900-37500-1000-42500-1100-48000	31100-900-38300-1000-42300-1100-47800-1200-52600-1300-56500-1400-60700-1500-65200-1600-66800	7		19500	27200		7	27200	19500	7
27
28
29
30	14	Details of Revision as on 01.07.2019		:	Pay revised wef 01-07-2019 as per order No 27/2021 dated 10-02-2021 Basic Pay fixed ₹ .............			8	25200-650-27800-700-29900-800-33900-900-37500-1000-42500-1100-48000-1200-54000	35600-900-38300-1000-42300-1100-47800-1200-52600-1300-56500-1400-60700-1500-65200-1600-70000-1800-75400	8		20000	27900		8	27900	20000	8
31								9	26500-650-27800-700-29900-800-33900-900-37500-1000-42500-1100-48000-1200-54000-1350-56700	37400-900-38300-1000-42300-1100-47800-1200-52600-1300-56500-1400-60700-1500-65200-1600-70000-1800-79000	9		20550	28700		9	28700	20550	9
32								10	27800-700-29900-800-33900-900-37500-1000-42500-1100-48000-1200-54000-1350-59400	39300-1000-42300-1100-47800-1200-52600-1300-56500-1400-60700-1500-65200-1600-70000-1800-79000-2000-83000	10		21100	29500		10	29500	21100	10
33	15	Pay regulation from 01.07.2019 till Retirement						11	29200-700-29900-800-33900-900-37500-1000-42500-1100-48000-1200-54000-1350-59400-1500-62400	41300-1000-42300-1100-47800-1200-52600-1300-56500-1400-60700-1500-65200-1600-70000-1800-79000-2000-87000	11		21650	30300		11	30300	21650	11
34								12	30700-800-33900-900-37500-1000-42500-1100-48000-1200-54000-1350-59400-1500-65400	43400-1100-47800-1200-52600-1300-56500-1400-60700-1500-65200-1600-70000-1800-79000-2000-89000-2200-91200	12		22200	31100		12	31100	22200	12
35	Sl No	Date	Nature of Event	Change in Basic Pay		Scale of Pay		13	32300-800-33900-900-37500-1000-42500-1100-48000-1200-54000-1350-59400-1500-65400-1650-68700	45600-1100-47800-1200-52600-1300-56500-1400-60700-1500-65200-1600-70000-1800-79000-2000-89000-2200-95600	13		22800	32000		13	32000	22800	13
36	1	12/31/1899	jj	25100				14	35700-900-37500-1000-42500-1100-48000-1200-54000-1350-59400-1500-65400-1650-72000-1800-75600	50200-1200-52600-1300-56500-1400-60700-1500-65200-1600-70000-1800-79000-2000-89000-2200-97800-2500-105300	14		23400	32900		14	32900	23400	14
37	2							15	36600-900-37500-1000-42500-1100-48000-1200-54000-1350-59400-1500-65400-1650-72000-1800-79200	51400-1200-52600-1300-56500-1400-60700-1500-65200-1600-70000-1800-79000-2000-89000-2200-97800-2500-110300	15		24000	33800		15	33800	24000	15
38	3							16	39500-1000-42500-1100-48000-1200-54000-1350-59400-1500-65400-1650-72000-1800-81000-2000-83000	55200-1300-56500-1400-60700-1500-65200-1600-70000-1800-79000-2000-89000-2200-97800-2500-115300-2800-115300	16		24600	34700		16	34700	24600	16
39	4
40	5
41	16	Details of Disciplinary/Vigilance/Judicial Proceedings pending/finalised			NA			17	40500-1000-42500-1100-48000-1200-54000-1350-59400-1500-65400-1650-72000-1800-81000-2000-85000	56500-1400-60700-1500-65200-1600-70000-1800-79000-2000-89000-2200-97800-2500-115300-2800-118100	17		25200	35600		17	35600	25200	17
42								18	42500-1100-48000-1200-54000-1350-59400-1500-65400-1650-72000-1800-81000-2000-87000	59300-1400-60700-1500-65200-1600-70000-1800-79000-2000-89000-2200-97800-2500-115300-2800-120900	18		25850	36500		18	36500	25850	18
43	17	Details of Non qualifying service not reckonable for pension during the period						19	45800-1100-48000-1200-54000-1350-59400-1500-65400-1650-72000-1800-81000-2000-89000	63700-1500-65200-1600-70000-1800-79000-2000-89000-2200-97800-2500-115300-2800-123700	19		26500	37400		19	37400	26500	19
44	Sl No	Period		Reason for disqualification				20	55350-1350-59400-1500-65400-1650-72000-1800-81000-2000-97000-2200-101400	77200-1800-79000-2000-89000-2200-97800-2500-115300-2800-140500	20		27150	38300		20	38300	27150	20
45	1							21	60900-1500-65400-1650-72000-1800-81000-2000-97000-2200-103600	85000-2000-89000-2200-97800-2500-115300-2800-140500-3100-143600	21		27800	39300		21	39300	27800	21
46								22	68700-1650-72000-1800-81000-2000-97000-2200-108000-2400-110400	95600-2200-97800-2500-115300-2800-140500-3100-149800-3400-153200	22		28500	40300		22	40300	28500	22
47											23		29200	41300		23	41300	29200	23
48	18	Details of 11 th Pension Revision as per G.O(P)No.30/2021/Fin dated 12.02.2021									24		29900	42300		24	42300	29900	24
49											25		30700	43400		25	43400	30700	25
50		Emoluments for last 10 months		:	413000		1	JANUARY			26		31500	44500		26	44500	31500	26
51		Average Emoluments		:	41300		2	FEBRUARY			27		32300	45600		27	45600	32300	27
52		Last Pay		:	41300		3	MARCH			28		33100	46700		28	46700	33100	28
53		Revised Basic Pension		:	11500		4	APRIL			29		33900	47800		29	47800	33900	29
54		Revised Family Pension Higher Rate		:	11500		5	MAY			30		34800	49000		30	49000	34800	30
55		Revised Family Pension Normal Rate		:	12390		6	JUNE			31		35700	50200		31	50200	35700	31
56		Revised Commuted Value of Pension		:	612720		7	JULY			32		36600	51400		32	51400	36600	32
57		Revised Reduced Pension		:	6900		8	AUGUST			33		37500	52600		33	52600	37500	33
58		Revised DCRG		:	220955		9	SEPTEMBER			34		38500	53900		34	53900	38500	34
59							10	OCTOBER			35		39500	55200		35	55200	39500	35
60		I hereby certify that the details given above have been verified by me and the Revision and regulation of Pay shown above, as per the fixation statement is found correct according to the rules and is recorded in Page No.............., Vol. No....... of Service Book.					11	NOVEMBER			36		40500	56500		36	56500	40500	36
61							12	DECEMBER			37		41500	57900		37	57900	41500	37
62		Signature									38		42500	59300		38	59300	42500	38
63		Name					7	JULY			39		43600	60700		39	60700	43600	39
64		PEN No					8	AUGUST			40		44700	62200		40	62200	44700	40
65		Official address of					9	SEPTEMBER			41		45800	63700		41	63700	45800	41
66							10	OCTOBER			42		46900	65200		42	65200	46900	42
67			Head of Office/ Receiving authority			Pension Sanctioning Authority	11	NOVEMBER			43		48000	66800		43	66800	48000	43
68							12	DECEMBER			44		49200	68400		44	68400	49200	44
69							1	#N/A			45		50400	70000		45	70000	50400	45
70	Date :						2	FEBRUARY			46		51600	71800		46	71800	51600	46
71							3	MARCH			47		52800	73600		47	73600	52800	47
72			Office seal				4	APRIL			48		54000	75400		48	75400	54000	48
73											49		55350	77200		49	77200	55350	49
74											50		56700	79000		50	79000	56700	50
75											51		58050	81000		51	81000	58050	51
76											52		59400	83000		52	83000	59400	52
77											53		60900	85000		53	85000	60900	53
78											54		62400	87000		54	87000	62400	54
79											55		63900	89000		55	89000	63900	55
80											56		65400	91200		56	91200	65400	56
81											57		67050	93400		57	93400	67050	57
82											58		68700	95600		58	95600	68700	58
83											59		70350	97800		59	97800	70350	59
84											60		72000	100300		60	100300	72000	60
85											61		73800	102800		61	102800	73800	61
86											62		75600	105300		62	105300	75600	62
87											63		77400	107800		63	107800	77400	63
88											64		79200	110300		64	110300	79200	64
89											65		81000	112800		65	112800	81000	65
90											66		83000	115300		66	115300	83000	66
91											67		85000	118100		67	118100	85000	67
92											68		87000	120900		68	120900	87000	68
93											69		89000	123700		69	123700	89000	69
94											70		91000	126500		70	126500	91000	70
95											71		93000	129300		71	129300	93000	71
96											72		95000	132100		72	132100	95000	72
97											73		97000	134900		73	134900	97000	73
98											74		99200	137700		74	137700	99200	74
99											75		101400	140500		75	140500	101400	75
100											76		103600	143600		76	143600	103600	76