APPENDIX ‘B’ (PART-I)
AI 1-2003 SECTION-I
(To be submitted in triplicate to CRO)
CHECK LIST OF DOCUMENTS FOR CENTRALIZATION OF SERVICE BOOK OF CIVILIAN
OFFICERS WITH CENTRAL RECORD OFFICE (OFFICERS) AT DELHI CANTT-10
Service record in respect of MES-609413, Shri SUBIN BABUJI Designation AE (E&M) in the
office of GE (P) (AF) Jamnagar consisting of the following documents are attached herewith:-
_____________________________________________________________________________
S/No Description of documents Whether attached or not
(Say attached/ No/ NA)
1 2 3
FOLDER NO 1
1. Service book in II parts duly numbered. Attached/ with audit Attached/ No/ NA
enfacement by PCDA (SC) Pune Pune vide letter No Pay/Audit
Cell/Audit/Vol-III dated Jul 2023 (Name of Audit) Entries in loose
sheets (if any) are required to be either copied in the service book
and attested or numbered and attached to relevant volume of SB
2. History of Gazette service SB Part II, Page No 08 to 17 sheets Attached/ No/ NA
3. Service book of previous department in _-__volumes. Attached/ No/ NA
4. Original letter of CDA (Pensions) Allahabad containing his audit Attached/ No/ NA
remarks with regard to counting of previous service as pasted at
page__-_of SB Vol Part__-_
5. Original letter of LAO Audit regarding verification of qualifying service, Attached/ No/ NA
if already done after 25 years is attached at page __-__of SB
Part__-_
6. Leave account audited by PCDA (SC) Pune up to 30 June 2019 Attached/ No/ NA
7. A certificate from the Head of Office to the effect that the entries Attached/ No/ NA
regarding verification of service based on yearly service verification
PTOs for the entire period of service upto 28 Fed 2025 have been
recorded in the service book is attached. (Where there are gaps these
should be filled before centralization).
8. A certificate from the head of the unit to the effect that all PTOs have Attached/ No/ NA
been entered in the service book of Shri Subin Babuji, AE (E&M) for
the period up to Feb 2025 (PTO No OFFRS/SPL/04/2025 dated 19
Feb 2025) and there is no outstanding PTO pending for the entry in
the service book and that all spells of leave availed by the officer have
been duly recorded in the leave account.
9. A certificate from the head of office to the effect that GPF PRAN Attached/ No/ NA
account number 111000193214 allotted to the officer has been record
on the coversheet (right side top corner) of the service book. (Being NPS)
10. A certificate to the effect that the pay of the officer has been fixed in Attached/ No/ NA
the revised pay scale under RPR-2008/2016. If not reasons thereof.
Page 1
FOLDER NO. 2
11. Certified true copies of following certificate attached :-
(a) Basic education qualification Attached/ No/ NA
(b) Technical qualification Attached/ No/ NA
(c) Professional qualification Attached/ No/ NA
(d) Caste certificate where applicable Attached/ No/ NA
12. Declaration of date of birth. Attached/ No/ NA
(along with CTC of proof i.e., matriculate certificate or other)
13. Certified true copy of order of competent authority regarding Attached/ No/ NA
relaxation of age, if any.
14. Certified true copy of the order regarding change of date of birth, if Attached/ No/ NA
any, approved by the competent authority.
15. Medical Board proceeding or medical certificate in terms of Art 49 of Attached/ No/ NA
CSR on initial appointment in MES/ Recorded Entry duly attested.
16. Certificate in support of verification of character and antecedents/ or Attached/ No/ NA
recorded entry duly attested.
17. Documentary proof in support of change of name, if any, adopted. Attached/ No/ NA
18. Marriage declaration Attached/ No/ NA
19. Oath of Allegiance to the constitution Attached/ No/ NA
20. Oath of secrecy Attached/ No/ NA
21. Declaration of home town Attached/ No/ NA
22. Certified true copy of the order regarding change of Home Town if Attached/ No/ NA
any, approved by the competent authority.
23. Details of family members and dependents with their date of birth/ age Attached/ No/ NA
for the purpose of LTC
24. Declaration of next of kin Attached/ No/ NA
25. Details of family members (wife/ husband and dependent unmarried Attached/ No/ NA
and unemployed children below 25 years of age). With their dates of
birth of age for the purpose of family pension.
26. Nomination of NPS/ GPF Attached/ No/ NA
27. Nomination of DCRG gratuity Attached/ No/ NA
28. Nomination of Group insurance. Attached/ No/ NA
29. Nomination of family pension Attached/ No/ NA
30. Original pay fixation statement under RPR-2008/2016 duly approved Attached/ No/ NA
by audit.
31. Certificate in support of permanency, if any or order regarding lifting of Attached/ No/ NA
probation.
32. Certificate showing whether or not the officer is a re-employed Attached/ No/ NA
military/ civil pensioner, (where applicable)
33. Option certificate, if any, for counting military service towards civil Attached/ No/ NA
employment for the purpose of pension. (if applicable)
34. A certificate to the effect that all the documents in respect of the Attached/ No/ NA
officer required to be kept in Folder No 2 have been checked and
there is no deficiency in this documentation of service record of the
officer.
PLACE : Signature of Controlling Officer
DATED : Name :
Designation :
Office :
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