Forms And Performa

• Different Forms useful for Govt. Employees & Head of Office

1. Forms to be kept in Service Book of the employees:
   (a) Home Town Declaration Form
   ( As per OM No 43/15/57-Ests.(A) dated 24.06.1958) (Required under LTC Rules)
   (b) Nomination for Gratuity
   (Rule 53 (1) of CCS Pension Rule 1972 (Form 2 & 3))
   (c) Nomination for GPF
   (As per Rule 5 (3) of GPF Rules 1960)
   (d) Nomination for CGEGIS
   ( As per para 18 & 19.5 of Group Insurance Scheme)
   (e) Nomination for Arrear of Family Pension (Form7)
   [ Rule 5 (1) & 5 (5) of Payment of arrear of Pension (Nomination Rule)]
   (f) Nomination for commutation of Pension Form 12
   (Rule 7 of CCS Commutation of Pension Rule 1981)
   (g) Detail of family
   Rule 54 (12) of CCS Pension Rule 1972.)
2. Personal Claim Forms:
   (i) Earned Leave Form
   [ Under Rule 14 of FRSR Part-III “Leave Rules”]
   (ii) Conveyance charges Reimbursement form
   [ Under T.A.Rules ]
   (iii) T.A. Form [ Under FRSR T.A. Rules & R&P Rules 1983 ]
   (a) TA on Tour [GAR 14 A (See Rule 66 (1) & 90(1)(1)]
   (b) TA on Transfer [GAR 14 A (See Rule 66 (1) & 90(1)(1)]
   (iv) LTC Form [ Under L.T.C. Rules 1960 ]
   (a) LTC advance form
   (b) LTC concession form (GAR 14-C of R&P Rules 1983)
   (v) GPF Form [ Under GPF Rules 1960 ]
   (a) GPF advance form
   (b) GPF withdrawal form
   (c) GPF Final Payment Form [ Annexure-‘D’]
   (vi) Medical Form
   [under Medical Attendance Rules & DGH Scheme ]
   (a) Revised Medical 2004 Form for Reimburshment
   (b) Essentiality Certificate “A”
   (c) Essentiality Certificate “B”
   (vii) Other Advances [ Compendium of Advances]
   (a) Advances for purchase of Scooter/Motor car/ Motor cycle/ Personal Computer Form VI
   (see GOI decision below Rule 21 )
   (b) Advance for purchase of Fan (Form VI-A)
   (see GOI’s decision (1) below Rule 38 (D))
   (c) Application for Flood Advance (see Rule 64)
   3. Utilization Certificate [ See Rule 212(1) GFR 2005 ]
   (a) GFR 19
   (b) GFR 19 A
   4. UTCGEIS [ Annxure “C” Pre-receipted bill / GAR-44 ]
   5. Tuition Fee Reimbursement Form
   [ Form (2) Para 25 of Children Education Assistance ]
   6. Pension Retirement Benefit Forms [ CCS Pension Rules 1972]
   (Superannuation Pension, Vol., Retirement, Compulsory Retirement, Invalid Pension, Death Cases Family Pension, Extra-ordinary Pension]
   [( See Website of Principal Accounts Office (http://www.coa.delhigovt.nic.in) ]

• For Contratual Faculty/Guest Faculty/Staff
• Bill proforma for remuneration/honorarium for guest faculty/staff
• No Dues Certificate-For Faculty Staff
• Vocher for Reimbursement of Conveyance Charges
• Performa to be filled by the faculty before procedding on leave
• Bill proforma for drawing Remuneration (for Contractual Technical Supporting Staff)
• ECS Form
• Remuneration Bill Proforma (For Contractual/TPO/Librarian)

• For Students
  • Registration Form
  • Bio-Data/Personal Information
  • Undertaking as per the provisions of Anti-raggiing
    • Affidavit (To be Submitted by Student)
    • Affidavit (To be Submitted by Parent)
  • Application form for Concessional DTC Bus Pass