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Work Charge Form

The document contains a form from the Finance Department of the Government of Andhra Pradesh for collecting work charged employee details. The form requests key employment details, salary details, bank and other key details, and includes declarations to be signed by the employee and department head. The information collected includes identification details, position history, pay scale, bank account information, and family details.

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Rajesh Babu
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871 views2 pages

Work Charge Form

The document contains a form from the Finance Department of the Government of Andhra Pradesh for collecting work charged employee details. The form requests key employment details, salary details, bank and other key details, and includes declarations to be signed by the employee and department head. The information collected includes identification details, position history, pay scale, bank account information, and family details.

Uploaded by

Rajesh Babu
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Finance Department, Government of Andhra Pradesh

Work Charged Employee Details


Note : Please read the Guidelines sent by Department before filling the form, in CAPITAL LETTERS in blue/ black ball point pen only. (Please avoid Short Forms and Abbreviations )

1.Key Employment Details 1.1 Employee ID 1.2 Surname( ) 1.3 Name

1.4 Gender 1.5 Father / Husband Father / Husband Name 1.6 Date of Birth 1.7 Marital Status 1.8 Place of Birth District Mandal Village

Male Father

Female Husband

/ Single Married

/ Divorced

(DD/MM/YYYY) Widow Widower

1.9 Post/ Designation at first appointment 1.10 Place of Initial Appointment Dist Mandl Village 1.11 Details of local status as per presidential order: District Mandal Village 1.12 Current Designation / Post 1.13 Highest Qualification 1.14 Other Trainings 1.15 Date of Entry into Service 1.16 Office in Which employee is working 1.17 Head of Account of Salary: 1.18 Mobile No 1.19 Personal Email 1.20 Personal ID provided by Department 1.21 Community SC Minority ST BC A BC-B Others 2. Salary Details 2.1 Scales Applicable 2.2 Pay Scale 2.3 Current Basic BC-C BC-D BC-E / / (DD/MM/YYYY)

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Finance Department, Government of Andhra Pradesh

Work Charged Employee Details


Note : Please read the Guidelines sent by Department before filling the form, in CAPITAL LETTERS in blue/ black ball point pen only. (Please avoid Short Forms and Abbreviations ) 2.4 Next Date of Increment 2.5 Special Pay 2.6 Personal Pay / / (DD/MM/YYYY) 3.6 Personal Pay

3. Bank and Other key Details 3.1 GPF No 3.2 PRAN / CPS No 3.3 APGLI Number 3.4 Aadhar No 3.5 PAN 3.6 Bank Name 3.7 District of the Bank Branch 3.8 Bank Branch 3.9 Bank A/C No 3.10 IFS Code

DECLARATION* The above information is true to the best of my knowledge. I agree to share details of self and family with Government of Andhra Pradesh. I am aware that declaration of wrong details will entail disciplinary action against me.

__________________ Employees Signature

Date:

__________________ DDOs Signature

Date:

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