DATA INPUT SHEET

For Employee Payment

GSWS DEPT
1. Department : ……………………………………………………………………………………………………………
2. D.D.O. Name : ……………………………………………………………………………………………………………
3. D.D.O. Code : …………………………………………………………………………………………………………..
4. Head of Account 2515001980053010011NVN
: …………………………………………………………………………………………………………..
5. Employee's Name KORAMUKKU ANITHA DEVI
: …………………………………………………………………………………………………………..
6. Employee's Designation MAHILA POLICE AND W&CD WELFARE ASSISTANT
: ………………………………………………………………………………………………………….
7. Non-plan/plan NON PLAN
: …………………………………………………………………………………………………………
8. Permanent/Temporary : PERMANENT
……………………………………………………………………………………………………………
9. Gazetted/Non-Gazetted :NON GAZETTED
……………………………………………………………………………………………………………
10. For Permanent, G.O. No. : ………………………………………………………………… Date: ………………………………
11. For Temporary, G.O. No. : ………………………………………………………………… Date: ……………………………..
Continued upto : ……………………………………………………………………………………………………………
G-IV (22460-72810)
12. Pay-scale applicable : ……………………………………………………………………………………………………………
13. Pay as on : ……………………………………………………………………………………………………………
14. Date of last increment : ……………………………………………………………………………………………………………
15. EARNING PARTICULARS:
22460/-
1. Pay : ……………………………………………………………………………………………………………………….
200/-
2. Special Pay : ……………………………………………………………………………………………………………………….
3. Personal Pay : ………………………………………………………………………………………………………………………
4. P.(F.P.) : ………………………………………………………………………………………………………………………
5110/- 22.75%
5. D.A. Amount : …………………………………………………………………… D.A % …………………………………….
6. H.R.A Amount 2246/-
: ……………………………………………………………………. 10%
H.R.A % ………………………………...
7. I.R. : ………………………………………………………………………………………………………………………
8. Physically Handicapped Allowance: ……………………………………………………………………………………………………………
9. O.C.A. : ……………………………………………………………………………………………………………………..
10. Others Name : ……………………………………………………… Amount: …………………………………………….
11. Others Name : ……………………………………………………… Amount: ……………………………………………
12. Others Name : ……………………………………………………… Amount: …………………………………………….
13. Others Name : ……………………………………………………… Amount: …………………………………………….
14. Others Name : ……………………………………………………… Amount: …………………………………………….
____________________
30,016/-
Total : ____________________
16. LOANS AND ADVANCES DRAWN :
1. H.B.A : Amount : ……………………………….. Date: ……………………………
2. H.B.A (Repairs) : Amount : ……………………………….. Date: ……………………………
3. Motor Car Advance : Amount : ……………………………….. Date: ……………………………
4. Motor Cycle Advance : Amount : ……………………………….. Date: ……………………………
5. Marriage Advance : Amount : ……………………………….. Date: ……………………………
6. Cycle Advance : Amount : ……………………………….. Date: ……………………………
7. Computer Advance : Amount : ……………………………….. Date: ……………………………
8. L.T.C.
A. Home Town : Amount : ……………………………….. Date: ……………………………
B. Any where in A.P : Amount : ……………………………….. Date: ……………………………
9. Medical Reimbursement : Amount : ……………………………….. Date: ……………………………
10. PTA : Amount : ……………………………….. Date: ……………………………
11. Pay Advance : Amount : ……………………………….. Date: ……………………………
12. Leave Salary Advance : Amount : ……………………………….. Date: ……………………………
13. Festival Advance : Amount : ……………………………….. Date: ……………………………
14. Educational Advance : Amount : ……………………………….. Date: ……………………………
15. Special Festival Advance(APCO) : Amount : ……………………………….. Date: ……………………………
16. G.P.F. Advance Temporary/P.F : Amount : ……………………………….. Date: ……………………………
17. Educational Fee Concession : Amount : ……………………………….. Date: ……………………………
18. Surrendor Leave : Amount : ……………………………….. Date: ……………………………
19. Others Name : Amount : ……………………………….. Date: ……………………………
20. Others Name : Amount : ……………………………….. Date: ……………………………
21. Others Name : Amount : ……………………………….. Date: ……………………………
22. Others Name : Amount : ……………………………….. Date: ……………………………
23. Others Name : Amount : ……………………………….. 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 Authority

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