PRTU GUNTUR

ZPPF/GPF LOANS - RL/NRL PROGRAMME

1 NAME Smt : G VIJAYA BHARATHI
2 DESIGNATION : HEAD MASTER

3 PLACE OF WORKING ZPH SCHOOL TIMMAPURAM

4 MANDAL EDLAPADU
5 PAY : 93780
6 DATE OF BIRTH : 12/14/1963
7 DATE OF ENTRY IN TO SERVICE : 9/29/1985
8 SBI SALARY BANK A/C NO: : 10535134726 K.V.Nagaraju,B.Com,M.P.Ed
9 BANKBRANCH & CODE (FIRST PAGE SBI CHILAKALURIPET 1195
OF BANK PASS BOOK TO BE ENCLOSED) : ZP high school, MUPPALLA(V&M)
10 ZPPF A/C NO : 12345 nagarajuprtu@gmail.com
BALANCE IN YOU’RE A/C as per
11 : 13 LAKHS
Latest Pf slip
12 ADVANCE REQUIRED : 600000
Pls READ
13 purpose of advance required : MEDICAL EXPENSES OF MOTHER 15 c INSTURCTIONS.

14 CERTIFICATE ENCLOSED : MEDICAL CERTIFICATE

15 Type of provident fund : ZPPF
16 DISTRICT : GUNTUR
17 NATURE OF WITH DRAWAL: : NON REFUNDABLE TEMPARORY ADVANCE
18 NUMBER OF INSTALMENTS 20
19 FORWARDING OFFICER : HEAD MASTER FOR REFUNDABLE LOAN
20 LOAN SANCTIONING OFFICER : HEAD MASTER
OFFICE OF LOAN SANCTIONING REFUNDABLE
21 OFFICER PROCEEDINGS
22 FORWARDING OFFICE NAME : ZP HIGH SCHOOL
22 : REFUNDABLE LOAN
23 FORWARDINGOFFICE PLACE : TIMMAPURAM APPLICATION
24 WORKING PLACE : ZPH SCHOOL TIMMAPURAM
25 MANDAL : EDLAPADU RL FORWARDING LETTER
26 NATURAL OF WITHDRAWAL : NON REFUNDABLE

Name of VOUCHER
27 forwarding Smt
officer
:
28 Date of submission of Application : 5/7/2018 CHECK LIST

CONTACT CELL NUMBER

29 :
30
Amount of loan santioned as per
rules & requirement : 600000 MEDICAL CERTIFICATE AND
BANK FIRST PAGE ZEROX
COPY IN DUPLICATE WITH
31 R.c.No SPL -/ZPPF/2018 ATTESATION ENCLOSED

32 R.c.No date 5/7/2018

33 PF SLIP FOR THE FINANCIAL YEAR 2017-18 FOR NR LOAN
34 Application of the incumbent,
dated 5/6/2018
NON REFUNDABLE
PROCEEDINGS
35 TREASURY CODE OF THE
EMPLOYEE 0619231
NON REFUNDABLE PF
36 CFMS BENIFICARY ID 14143667 LOAN APPLICATION

37 AADHAR NO 9392 1013 2486 NRL FORWARDING LETTER

38 PAN CARD NO AFNPN3898P
VOUCHER

CHECK LIST

MEDICAL CERTIFICATE AND

BANK FIRST PAGE ZEROX
COPY IN DUPLICATE WITH
ATTESATION ENCLOSED

GPF RULES
 ZP HIGH SCHOOL, TIMMAPURAM
Proceedings of the the HEAD MASTER
Present Smt
R.C.No : SPL -/ZPPF/2018 Dated: 5/7/2018

Sub:- School Education-ZPPF-Sanction of Part-final withdrawal from Z.P.

General Provident FundAccountNo 12345 to Smt G VIJAYA
BHARATHI working as HEAD MASTER in ZPH SCHOOL
TIMMAPURAM Orders -Issued

Ref:- 1.G.O.Ms. No. 40, Edn, dated 7-5-2002.

2.G.O.Ms. No.447,PR, dated 28-11-2013,
3.A.P.G.P.F. Rule 14 & 15.
4.Z.P.P.F. slip upto Financial Year 2017-18
5.Application of the incumbent, dated 5/6/2018
Orders:-
under Rule 15 c of GPF(A.P.) rules sanction is hereby accorded for drawal of Rs
600000 Rupees (Six Lakhs rupees only) to Smt G VIJAYA BHARATHI working as HEAD
MASTER in ZPH SCHOOL TIMMAPURAM , EDLAPADU (Mandal).Z.P.G.P.F. A/cNo
12345 to meet the expenditure in connection with MEDICAL EXPENSES OF MOTHER

It is certified that His/Her Employee Treasury Id is 0619231 CFMS Benificary

ID is 14143667 With AADHAR NO:939210132486 PAN AFNPN3898P
It is certified that the said sanction is accorded on the strength of theproofs /
evidences submitted relevant with the rule(s).

The Deputy Chief Executive Officer, O/o ZillaParishad GUNTUR is hereby

requested to draw and credit the sanctioned amount to the individuals bank accounts
through ECS.i.e Salary Bank Account No 10535134726 With IFSC Code: SBI
CHILAKALURIPET 1195

The individual is intimated to submit the utilization certificate to this Office within 10
days after the receipt of the amount.

To, HEAD MASTER

1.Deputy Chief Executive Officer,GUNTUR ZP HIGH SCHOOL
Z.P GUNTUR along with FORM 40-A TIMMAPURAM
2.The Individual.

PRTU GUNTUR prepared by k.v.nagaraju

 APPENDIX – D

NON REFUNDABLE LOAN(NRL)

Form of application for part final withdrawal of money from the zilla parishad provident fund for
house building purchase of redemption of house and house sites, higher education purposes of marriage
or medical expenses.

1) Name of subscriber : G VIJAYA BHARATHI

Employee Code:(issued by treasury ) : 0619231

CFMS BENIFICARY ID NO: 14143667
AADHAR NO: 939210132486
PAN NO: AFNPN3898P

HEAD MASTER ZPH SCHOOL TIMMAPURAM

2) Designation EDLAPADU(Mandal)
:
3) Pay : 93780
4) Date of Birth : 12/14/1963
5) Date of Entry into service : 9/29/1985 //Attested//
6) (a).SBI Salary Bank A/C No : 10535134726
(Xerox copy of Bank Pass book should be enclosed) HEAD MASTER

(b). Bank /Branch Name &Code No : SBI CHILAKALURIPET 1195

7) Name of the provident funds : ZPPF
Account No. 12345

8) Copy of Latest ZPPF/GPF Account Slip Enclosed? YES/No

a) Balance at the credit of the subscriber on the date of application. In the case of a part final
withdrawal of house building and marriage purchase as well as purchase of house / house – sites.

The total balance at the credit of all the provident funds should be taken into account, if the
subscriber subscribers to or more than one provident.
b) If it is a second part final withdrawals for the purchase
of carrying out additions and alterations to or
reconstructions
i. of a Amount
house acquired with the
of part final held if already taken
withdrawal
withdrawalii. already made of which may be made in making
Balance at credit at the time of future the first part final withdrawal.
from the provident fund.
Amount required in the case of construction of house or for the purchase of a house-site, the No. of
8
installments in which it is required should stated.

LOAN AMOUNT REQUIRED 600000

9 The purposes for which the amount is required. MEDICAL EXPENSES OF MOTHER
a. If it is for house building or for the purpose of purchasing a house site or for the expenses
purposes of repayment of any loan taken under.

i. for purchasing a house.

ii. For construction, reconstruction a house.
iii. For redemption of house.
iv. For making additions of alterations to house.
v. For purchase of house site.
vi. For repayment of loan expressly taken for the purchase of ahouse site and
vii. For repayment of any loan taken under.
b. It is for higher Education.
i. relationship with the person (who is actually dependent on the
subscriber / for whom the withdrawal is required.
ii. The specific course taken by the person and the name of beyond the high school stage.
iii. Whether the course is for more than three years and beyond the high school stage.
iv. Whether this is the first of the second withdrawal for the current year.
v. The date of previous withdrawal of advance, if any taken for this purpose.
PRTU GUNTUR - Programme Devloped by K.V.NAGARAJU
 i. c.
Whether Iffor
it ismarriage
for marriage or betrothal
or betrothal expenses
ceremony of the
subscriber daughter / son or for any other female relating
ii. dependent
Whether of
anytheadvance
subscriber,
underwho has norules
ordinary daughter.
has been
drawan respect of the betrothal ceremony of marriage for which
the present withdrawal is sought for
iii. Actual date fixed for celebration of the betrothal ceremony
or marriage or marriages

10

i. Total service including broken periods, if any D.O.J 9/29/1985

ii. Period of service required on the date of application for attaining the age of
superannuation and Below 10years

iii. The date of superannuation D.O.B 12/14/1963

11

I. Actual cost of acquiring the house of house – site.

II. Anticipated cost of house proposal to be built/ rebuilt.

III. Anticipated cost of additions or alterations to be made by the house.

IV. Actual amount required for redemption of the house of house-site.

V. Total amount and date of loan taken for the purchase or house site and the amount outstanding
against that on date.
a. Particularsm of expenses required to be incurred on the
higher Education, and

b. Amount required for meeting marriage expenses,

indicating the No. of marriage to be celebrated.

c. Amount of instalment or instalments last taken if any for house,

building of and purchase of house sites (State particulars of amount,
dates on which taken)

Amount if any received already for Government for purchase of house sites of house building
12 purposes other than from the provident fund account.

RECOMANDED FOR SANCTION OF LOAN

Signature of the Head of Signature of Applicant

Office of drawing officer:

G VIJAYA BHARATHI
HEAD MASTER Designation: HEAD MASTER
ZP HIGH SCHOOL ZPH SCHOOL TIMMAPURAM
TIMMAPURAM EDLAPADU
0

PRTU GUNTUR - Programme Devloped by K.V.NAGARAJU

 For the use of Head of the office/Head of the Department
Rc.No……………….. O/o…………………………………………………
Dated the:…………………………………
The above particulars have been verified to be correct forwarded to the

( in Triplicate )

Certified that /

1. The part final withdrawal has been recommended under rule(s)…………….

2. I satisfied myself that the conditions prescribed in rules _ _ _ _ _ _ _ _ _ _ referred to above

have been fulfilled and that the subscriber has produced to me the necessary deeds and papers
which are enclosed.

3. The applicant has signed the undertaking prescribed in rules(s) …………………and that the
same if forwarded here with

4. I have verified the progress of construction of the above and the 2 nd / 3rd / 4th instalment of the
withdrawal may be paid.

5. I have satisfied myself that the applicant has not taken any loan/assistance under any scheme
sponsored by the of from any other Government source and that the necessary notes has been made
regarding the verification of the requirements laid down _ _ _ _ _ _ _ _ _ _ _ _ in case of complete
repayment of loan during the service of the subscriber.

6. No part final withdrawal has been granted previously to the subscriber for the purpose and

7. In addition to this part final withdrawal, no temporary advance has been granted to the
subscriber for the same purpose now.

NOTE : Delete the certificate not applicable. HEAD MASTER

ZP HIGH SCHOOL
TIMMAPURAM
Certificate in item, 2,3 and 4 above are not necessary if the part-final withdrawal is for
higher Education or for Betrothal Ceremony or marriage purpose.

Signature:
Designation:

Rc.No. O/o………………………………………………………………………
Dated the:……………………………………………………………

Sanction of the …………………………………….is covered to the part-final

withdrawal of Rs. (Rupees………………………………………………………
……………………………only)the amount being drawn in ……………………………………instalment(s).

Forqarded to the Accounts Officer, Zilla Praja Prarishad, Guntur for necessary action

Signature::
Designation::
PRTU GUNTUR - Programme Devloped by K.V.NAGARAJU
 FORM – 40A
( See instruction 41 ti iii under treasury rule 17 – Bill for withdrawal from provident funds )

District GUNTUR Voucher No

Sub-Account No State Provident Fund
Provident Fund

Bill for Withdrawing PART FINAL PAYMENT Withdrawals from the Zilla Parishad
Provident Fund, Guntur of Sri / Smt. G VIJAYA BHARATHI
For the month of _ _ _ _ / _ _ _ _in the Office of _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

1 Name & Designation of the Subscriber G VIJAYA BHARATHI ,HEAD MASTER , ZPH SCHOOL
TIMMAPURAM ,EDLAPADU (Mandal)
Employee Code:(issued by treasury ) 0619231
CFMS BENIFICARY ID NO: 14143667
AADHAR NO: 9392 1013 2486
PAN NO: AFNPN3898P

2 Pay 93780
3 No & Date of sanction of Letter of
Authority
4 Nature withdrawn
a) Final Payment
b) Advance :: Rs.
c) Other :: Rs.
5 Acquittance //Attested//
*signature of applicant on one rupee revenue stamp
6 Remarks HEAD MASTER

Sl. PF
Fund Particulars of Amount Now Refund Rs.
No Name of Subscriber and Designation Number amount Amount drawn
.
G VIJAYA BHARATHI ,HEAD MASTER ,
12345

ZPH SCHOOL TIMMAPURAM

,EDLAPADU (Mandal)

Station: Signature of the drawing

Date : Officer & Designation.
(Sanctioning Authority)

Passed for Rs………………………………………../-(In words Rupees……………………………………………………………

……………………………………………………………………………………………..only).
and Pay the same to Sr/Smt………………………………………………………………………
…………………………………………………………………………………………………
by way of CHEQUE/ DD/ ON-LINE ADJUSTMENT to the individuals Savings Bank
Account No…………………………………at State Bank Of India,…………………………Branch.

//ACCOUNT VERIFIED//

PRTU GUNTUR - Programme Devloped by K.V.NAGARAJU

1. Certified that I have satisfy myself sums included in bills ( Form 40-A) drawn one month / two
three month previous to this date in favour of member accounts No._ __ _ _ _ _ with the exception of
these detailed ( of which the total has been refunded by deduction in this form ) have been disbursed to
the proper persons and that acquittance have taken and filed in my office with receipt stamps duly
cancelled for every payment.

2. Certified that the balance in the funds at the credit of Smt G VIJAYA BHARATHI ,HEAD
MASTER ZPH SCHOOL TIMMAPURAM EDLAPADU(Mandal)of the date of withdrawn covers the
submit in this bill.

3. Certified that the amount asked from the bill as required to meet the yearly premium due on in
respect of policy No. _ _ _ _ _ _ _ _ _ _ _ _ with the company limited _ _ _ _ _ _ _ _ _ _ in
policy/policies in question has been assigned to the Government of A.P. and in the custody of the ZPP for
the details, of the policy / policies proposed to be taken has been communicated to and accepted by the
Zilla Parishad.

Sl. Name of the Fund subcriber Account No. Name of Name of Due Date of stock No
No Policy Company Primium

ZPPF 12345

4. Certified that in respect of withdrawals made in bill (Form – 10A) one month / two month / three
months / previous to the dates towards a payment of insurance premium the original premia receipt
have been within one month of the date of withdrawals forwarded to the ZPP for duty produced to
me for with the receipt and that necessary and orsement have been made on the receipt to that effect
that the abetment of income tax is admissible.
5. Certified that the member of policies from the GPF Dues not exceed fours the number of
policies financed from the GPF exceeded four as these were accepted prior to 16.8.98.

Signature of Drawing Officer,

And Designation

FOR USE IN AUDIT OFFICE

Item……………………………………of…………………………………
ADMITTED :
OBJECTION :
TOTAL :

District Audit Officer,

ACCOUNTANT State Audit,

PRTU GUNTUR - Programme Devloped by K.V.NAGARAJU

 ZP HIGH SCHOOL, TIMMAPURAM
Proceedings of the the HEAD MASTER
Present Smt
R.C.No : SPL -/ZPPF/2018 Dated: 5/7/2018

Sub:- School Education-ZPPF-Sanction of Temporary Advance Withdrawal

from Z.P. General Provident FundAccountNo 12345 to Smt G
VIJAYA BHARATHI working as HEAD MASTER in ZPH SCHOOL
TIMMAPURAM Orders -Issued

Ref:- 1.G.O.Ms. No. 40, Edn, dated 7-5-2002.

2.G.O.Ms. No.447,PR, dated 28-11-2013,
3.A.P.G.P.F. Rule 14 & 15.
4.Z.P.P.F. slip upto Financial Year 2017-18
5.Application of the incumbent, dated 5/6/2018
Orders:-
under Rule 14 c of GPF(A.P.) rules sanction is hereby accorded for drawal of Rs
600000 Rupees (Six Lakhs rupees only) to Smt G VIJAYA BHARATHI working as HEAD
MASTER in ZPH SCHOOL TIMMAPURAM , EDLAPADU (Mandal).Z.P.G.P.F. A/cNo
12345 to meet the expenditure in connection with MEDICAL EXPENSES OF MOTHER

It is certified that His/Her Employee Treasury Id is 0619231 CFMS Benificary ID

is 14143667 With AADHAR NO:939210132486 PAN AFNPN3898P

It is certified that the said sanction is accorded on the strength of theproofs /

evidences submitted relevant with the rule(s).

The Deputy Chief Executive Officer, O/o ZillaParishad GUNTUR is hereby

requested to draw and credit the sanctioned amount to the individuals bank accounts
through ECS.i.e Salary Bank Account No 10535134726 With IFSC Code: SBI
CHILAKALURIPET 1195

The individual is intimated the amount sanctioned to be Recovered in 20 equal monthly

instalmements which commence with the issue of pay for the month following the month
in which the advance was drawn.

To, HEAD MASTER

1.Deputy Chief Executive Officer,GUNTUR ZP HIGH SCHOOL
Z.P GUNTUR along with FORM 40-A TIMMAPURAM
2.The Individual.

PRTU GUNTUR
prepared by k.v.nagaraju
 FORM – (1)
( Section Rules – 14 )

REFUNDABLE LOAN(RL)
APPLICATION FOR SANCTION OF TEMPORARY ADVANCE FROM
ZILLA PARISHAD PROVIDENT FUND.

** ** **

1 Name of the Subscriber : G VIJAYA BHARATHI

2 Employee Code:(issued by treasury ) : 0619231
CFMS BENIFICARY ID NO: : 14143667
AADHAR NO: : 9392 1013 2486
PAN NO: : AFNPN3898P

3 Designation & Place of working : HEAD MASTER ZPH SCHOOL TIMMAPURAM

EDLAPADU(Mandal)
4 Z.P.P.F Account No. : 12345

5 Basic Pay : 93780

6 Date of Birth : ###

7 Date of Entry into Service : ###

8 (a)Bank A/C No : 10535134726

(Xerox copy of Bank Pass book should be enclosed)

(b)Bank /Branch Name &Code No : SBI CHILAKALURIPET 1195 //Attested//

C)Copy of Latest ZPPF/GPF Account Slip Enclosed? YES/NO HEAD MASTER

9 Previous Refundable Loan Details :

a)Date of Sanction(dd/mm/yy)

b) Amount sanctioned

c)Amount of advance out standing

if any, and the purpose for
which advance was taken then

10 Balance of credit of the subscriber

: 13 LAKHS
on the date of application.
Enclose Latest ZPPF Slip
11 Amount of advance required : 600000
12 Purpose for which the advance : MEDICAL EXPENSES OF MOTHER
is required.
13 Amount of the consolidate :
advance items 8(c) & 10 and number

14 Number and amount of monthly

instalementsin which the consolidated : 20 INSTALMENTS
advance is proposed to be re paid.
15 Full particulars of the peculiar :
circumstances of the subscriber,
justifying the application for
the temporary withdrawal.

RECOMANDED FOR SANCTION OF LOAN

SIGNATURE OF THE APPLICANT.

HEAD MASTER
ZP HIGH SCHOOL
TIMMAPURAM
 FORM – 40A
( See instruction 41 ti iii under treasury rule 17 – Bill for withdrawal from provident funds )

District GUNTUR
Voucher No Sub-Account No
State Provident Fund Provident Fund

Bill for Withdrawing AdvanceWithdrawals from the Zilla Parishad

Provident Fund, GUNTUR of Sri / Smt. G VIJAYA BHARATHI
For the month of …………………………… in the Office……………………
HEAD MASTER ZPH SCHOOL TIMMAPURAM
1 Name & Designation of the Subscriber
:
EDLAPADU(Mandal)
2 Pay : 93780
ZPPF A/C NO 12345
CFMS BENIFICARY ID NO: 14143667
AADHAR NO: 9392 1013 2486
PAN NO: AFNPN3898P
3 No & Date of sanction of Letter of :
Authority
4 Nature withdrawn :
a) Final Payment :
b) Advance : Rs.
c) Other : Rs.

5 Acquittance : //Attested//
*(signature of applicant on one rupee revenue stamp)
6 Remarks : HEAD MASTER

Particulars of
Sl.N Name of subscriber and Designation Fund Amount Amount Refer
amount With drawn
o.

G VIJAYA BHARATHI HEAD

MASTER ZPH SCHOOL
13 LAKHS 600000
TIMMAPURAM
EDLAPADU(Mandal)

Station: Signature of the drawing

Date : Officer & Designation.
(Sanctioning Authority)

Passed for Rs………………………………………../-(In words Rupees……………………………………………………………

……………………………………………………………………………………………..only).
and Pay the same to Sr/Smt………………………………………………………………………
…………………………………………………………………………………………………
by way of CHEQUE/ DD/ ON-LINE ADJUSTMENT to the individuals Savings Bank
Account No…………………………………at State Bank Of India,…………………………Branch.
//ACCOUNT VERIFIED//

Signature of Messenger.

### PTO
 1) Certified that I have satisfy myself sums included in bills ( Form 40-A) drawn one month / two
three month previous to this date in favour of member accounts No._ __ _ _ _ _ with the exception of
these detailed ( of which the total has been refunded by deduction in this form ) have been disbursed
to the proper persons and that acquittance have taken and filed in my office with receipt stamps duly
cancelled for every payment.

2) Certified that the balance in the funds at the credit of Sri _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

_ _ _ _ _ _ _ _ of the date of withdrawn covers the sum in this bill.

Certified that the amount asked from the bill as required to meet the yearly premium due on in
3) respect of policy No. _ _ _ _ _ _ _ _ _ _ _ _ with the company limited _ _ _ _ _ _ _ _ _ _ in
policy/policies in question has been assigned to the Government of A.P. and in the custody of the ZPP
for the details, of the policy / policies proposed to be taken has been communicated to and accepted
by the Zilla Parishad.

Name of
Subscriber Name of
Name of the Fund the stock No
Sl.N Account Policy
Company Date of
o. No. premium

ZPPF 12345

Certified that in respect of withdrawals made in bill (Form – 10A) one month / two month /
three months / previous to the dates towards a payment of insurance premium the original premia
4) receipt have been within one month of the date of withdrawals forwarded to the ZPP for duty
produced to me for with the receipt and that necessary and orsement have been made on the receipt to
that effect that the abetment of income tax is admissible.

Certified that the member of policies from the GPF Dues not exceed fours the number of policies
financed from the GPF exceeded four as these were accepted prior to 16.8.98.
5)

Station Signature of Drawing Officer,

Date And Designation

FOR USE IN AUDIT OFFICE

Item……………………………………of…………………………………
ADMITTED :
OBJECTION :
TOTAL :

District Audit Officer,

State Audit,
ACCOUNTANT

###
 FOR WARDING LETTER
FROM TO
HEAD MASTER THE DEPUTY CHIEF EXECUTIVE
0 ZILLAPARISHAD GUNTUR

LR NO SPL -/ZPPF/2018 Date 5/7/2018

SUB:- ZPGPF-REQUEST FOR DRAWAL OF TEMPARORY ADVANCE FROM ZPGPF FUND PAY MENT
THROUGH E.C.STO THE FOLLOWING TEACHERS WORKING IN ZPH SCHOOL TIMMAPURAM -
REGARDING.

REF:-

-----------------------------------------------------------------------------------------------------------------------------

AMOUNT
S.NO

NAME POST SANCTIONED BY REMARKS

THIS OFFICE AS
T.A/PART FINAL
-----------------------------------------------------------------------------------------------------------------------------

G VIJAYA MEDICAL EXPENSES OF

1 HEAD MASTER RS 600000 /-
BHARATHI MOTHER

-----------------------------------------------------------------------------------------------------------------------------
EARLY PAYMENT IS SOLICITED
THANKING YOU SIR

HEAD MASTER
ZP HIGH SCHOOL
TIMMAPURAM
ENCLS: SANCTION ORDERS ALONG WITH FORM 40-A

PRTU GUNTUR prepared by k.v.nagaraju

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