ANNEXURE-I

No. Date:

EXPERIENCE CERTIFICATE

This is to certify that Shri/Ms._____________s/o , w/o, d/o

Shri______________________(P.F. Index No____________________) had
resigned/voluntarily retired/retired on superannuation/ retired by invoking Rule 19(3)
viz. pending conclusion of vigilance proceedings from the Bank’s service
on______________ and the same was approved by the competent authority.
He/she joined State Bank of India as _____________on_______________ and worked
in different assignments as appended.

Signature of competent authority

Seal of designation

Assignments
(Last 5 assignments or last 5 years whichever is of longer duration)
Assignment From To

Special Assignments: posting at CAG/CCG branches, overseas posting, assignments

at Subsidiaries/Joint Ventures, Global Markets, posting at SARG, HR, Global IT Centre,
Business Head of any Vertical/Circle/Network/ Module etc. if not already mentioned
above.
 ANNEXURE-II

No. Date:
EXPERIENCE CERTIFICATE

This is to certify that Shri/Ms._____________s/o, w/o, d/o ______________(P.F Index

No._____________) was removed/dismissed/compulsorily retired from the Bank’s service
on __________ .He/she had joined State Bank of India as ___________on
______________and worked in different assignments as appended.

Signature of competent authority

Seal of designation.
Assignments
(Last 5 assignments or last 5 years whichever is of longer duration)
Assignments From To

Special Assignments: posting at CAG/CCG branches, overseas posting, assignments

at Subsidiaries/Joint Ventures, Global Markets, posting at SARG, HR, Global IT Centre,
Business Head of any Vertical/Circle/Network/ Module etc. if not already mentioned
above
 ANNEXURE - III

No. Date:
EXPERIENCE CERTIFICATE

This is to certify that Shri/Ms._____________s/o, w/o, d/o ______________(P.F Index

No._____________) is working as ____________ in the Bank. He/she had joined State
Bank of India as ___________on ______________and worked in different assignments
as appended.

Signature of competent authority

Seal of designation.
Assignments
(Last 5 assignments or last 5 years whichever is of longer duration)
Assignments From To

Special Assignments: posting at CAG/CCG branches, overseas posting, assignments

at Subsidiaries/Joint Ventures, Global Markets, posting at SARG, HR, Global IT Centre,
Business Head of any Vertical/Circle/Network/ Module etc. if not already mentioned
above
 ANNEXURE - IV

PROFORMA FOR SUBMITTING APPLICATION FOR ISSUANCE OF

EXPERIENCE CERTIFICATE (FOR EX-OFFICIALS/EMPLOYEES)

From:
Name:
Address:
Telephone No.
Date:

To,

The_____________
State Bank of India,
______________

THROUGH: PROPER CHANNEL

(To be submitted through the past controller at the time of retirement/resignation,

removal, from service, etc.)
PARTICULARS TO BE FURNISHED BY THE OFFICIAL/EMPLOYEE FOR
ISSUANCE OF EXPERIENCE CERTIFICATE

1. Name of the official/employee :

2. P.F. No. :
3. Grade :
4. Last Assignment during service :
5. Date of Birth :
6. Age as on date of retirement :

7. Date of appointment :
8. Appointed as :
9. Date up to which his/her service counts for pension :
10. Extra-ordinary leave on loss of pay availed during
the entire service :
11. Pensionable Service/Total Service :
12. Disciplinary/Vigilance proceedings if any during
entire service period :
13. Reasons for retirement/leaving Bank’s service :
(Please enclose a copy of release letter from Bank’s
Service)
14. Last five assignments or assignments held :
during last 5 years whichever is of longer duration
15. Special Assignments: (Posting at CAG/CCG branches, :
Overseas posting, assignments at Subsidiaries/Joint Ventures,
Global Markets, posting at SARG, HR, Global IT Centre,
Business Head of any vertical/Circle/Network/Module
 etc. if not already mentioned above)
16. If Bank’s accommodation was provided, Flat No, Name :
of the Bldg., etc. and date on which vacated
17. Permanent Address :
18. Pension account No.______________at_______________Branch
I certify that the above particulars furnished by me are correct in all respect.

Date: Signature of the official/ employee

requesting for experience certificate

RECOMMENDATIONS:

We have verified the records and certify that:

i) Shri/Smt./Kum____________S/o,W/o,D/o_____________was permanent
officer/employee of the Bank and his/her P.F.No. was _____________. He/she
was last posted as_______________at_______________________.
ii) There are no dues which are to be recovered from the official/employee.
He/she has paid all the loans/advances due/payable/outstanding against
him/her other than those permitted to continue post retirement.
iii) Official/employee has vacated the staff quarter/leased accommodation as also
surrendered car/telephone/furniture etc.
iv) Release of voluntary retirement/resignation/retirement/removal/dismissal has
been approved by the competent authority and communicated to the
employee/official vide letter No.
_______________dated________________(copy enclosed)

Branch/Office Signature of
Date: Recommending Authority

FOR USE IN BRANCH/RBO/AO/LHO/CC WHERE SERVICE RECORD/SERVICE

FILE OF THE OFFICER IS MAINTAINED

I) All particulars furnished by the official/employee including last 5

assignments/assignments held in the last 5 years/Special assignments are
correct.
ii) No disciplinary/vigilance case is pending/contemplated against the
employee/official as on date of retirement. The details of disciplinary/vigilance
cases against the employee/officer and decision of the competent authority in
such case is as under (please mention the details of the case and punishment
awarded with dates):

Signature of the Appropriate Authority

FOR OFFICE USE

Recommendations are in order. Issue Experience Certificate in the prescribed proforma

Signature of the Competent Authority

Enclosure: - Copy of release letter from Bank’s service.

 ANNEXURE - V

PROFORMA FOR SUBMITTING APPLICATION FOR ISSUANCE OF

EXPERIENCE CERTIFICATE (FOR EXISTING OFFICIALS/EMPLOYEES)
From:
Name:
Address:
Telephone No.
Date:
To,

The_____________
State Bank of India,
______________

THROUGH: PROPER CHANNEL

(To be submitted through the immediate controller)

PARTICULARS TO BE FURNISHED BY THE OFFICIAL/EMPLOYEE FOR
ISSUANCE OF EXPERIENCE CERTIFICATE

1. Name of the official/employee :

2. P.F. No. :
3. Grade :
4. Present assignment :
5. Date of Birth :
6. Age as on date of application :
7. Date of appointment :
8. Appointed as :
9. Date up to which his service counts for pension /NPS :
10. Extra-ordinary leave on loss of pay availed during
the entire service :
11. Pensionable Service/Total Service :
12. Disciplinary/Vigilance proceedings if any during
entire service period :
13. Reasons for seeking Experience Certificate & whether
NOC/prior permission for applying job elsewhere has
been obtained :
14. Last five assignments or assignments held :
during last 5 years whichever is of longer duration
15. Special Assignments: (Posting at CAG/CCG branches, :
Overseas posting, assignments at Subsidiaries/Joint Ventures,
Global Markets, posting at SARG, HR, Global IT Centre,
Business Head of any vertical/Circle/Network/Module
 etc. if not already mentioned above)
16. If Bank’s accommodation was provided, Flat No, Name :
of the Bldg., etc. and date on which vacated.
17. Permanent Address :
18. Salary account No.______________at_______________Branch

I certify that the above particulars furnished by me are correct in all respect.

Date: Signature of the official/employee requesting for experience certificate

RECOMMENDATIONS:
We have verified the records and certify that:
i) Shri/Smt./Kum____________S/o,W/o,D/o_____________is permanent
officer/employee of the Bank and his/her P.F.No. is _____________. He/she is
presently posted as_______________at_______________________
ii) There are no overdue loans/advances which are to be recovered from the
employee/official. He/she has regularly paid all the loans/advances due/
payable/ outstanding against him/her.

Branch/Office Signature of
Date: Recommending Authority

FOR USE IN BRANCH/RBO/AO/LHO/CC WHERE SERVICE RECORD/SERVICE

FILE OF THE OFFICER/EMPLOYEE IS MAINTAINED

I) All particulars furnished by the official/employee including last 5

assignments/assignments held in the last 5 years/Special assignments are
correct.
ii) No disciplinary/vigilance case is pending/contemplated against the
official/employee as on date. The details of disciplinary/vigilance cases against
the employee/officer and decision of the competent authority in such case is as
under (please mention the details of the case and punishment awarded with
dates):

Signature of the Appropriate Authority

FOR OFFICE USE

Recommendations are in order. Issue Experience Certificate in the prescribed proforma

Signature of the Competent Authority

Enclosures: -
a) Copy of NOC/Prior Permission.
b) Copy of specific request /notification request from Central/State Government/PSU
Organisation.