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FORMS
Joining Proforma for Police verification.

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Application for Granting Voluntary Retirement / Invalid Pension

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FORM OF DECLARATION FOR INTENTION TO TRANSACT PURCHASE/SALE DISPOSAL BY OTHER MEANS OF IMMOVABLE PROPERTY BY A GOVT. SERVANT

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Application for grant of Conveyance Allowance to physically Handicapped Employees

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Application Form for advance to class IV employees towards Marriage expenses of their daughter

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FORM OF DECLARATION FOR INTENTION TO TRANSACT PURCHASE/SALE DISPOSAL BY OTHER MEANS OF IMMOVABLE PROPERTY BY A GOVT. SERVANT - [WORD]

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FORM OF DECLARATION FOR INTENTION TO TRANSACT PURCHASE/SALE DISPOSAL BY OTHER MEANS OF IMMOVABLE PROPERTY BY A GOVT. SERVANT - [PDF]

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Acknowledgment on permanent advances, etc., to be attached to the first salary bill of the relieving officer presented after the transfer of charge

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Medical Certificate - Rule 117 (Form for applying Leave on Medical Certificate)

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Application for Inter Department Transfer

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Pension Book _ Malayalam

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Service Book _ Malayalam

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Increment Register

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Personal Cash Declaration Register

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Statement of Rent Recovered From Pay Bills -FORM TR43

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Indeminity Bond to receive Pay, Leave Salary and Other Emoluments due to a deceased Government Servant. (KFC FORM -IX)

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Form of Salary Certificate

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Salary Certificate Register

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Loan Recovery Register

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Form of Salary particulars (PDF)

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Form of Salary particulars (Word)

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Application for the Allotment of Government Servants Quarters in Kerala

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Application for Deputation

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Subsistance allowance Certificate

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Last Pay Certificate

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സർവ്വീസിലിരിക്കെ മരണമടയുന്ന സര്ക്കാ ർ ജീവനക്കാരുടെ വിവിധ ഇനത്തിലുള്ള സര്ക്കാ/ര്‍ ബാദ്ധ്യതകൾ എഴുതിത്തള്ളുന്നതിനുള്ള അപേക്ഷാ ഫാറം

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Leave Application Forms
Casual Leave Application (Mal) (Word)

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Casual Leave Application (Eng) (Excel)

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Application For Leave -FormNo.13

(Eng) (Excel)

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Application For Leave FormNo.13 -

(Eng) (word)

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Application For Leave (FormNo.13)

(Mal)

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Application For LWA

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Passport
Prior Intimation letter Form for Passport Application (ANNEXURE-H)

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NOC Application

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Proposal for Declaration of Probation
Proposal for Declaration of Probation

(LGS/LDC)

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Proforma for Declaration of Probation (HC/JS/SR)

(Excel)

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Proforma for Declaration of Probation

(HC/JS/SR)(PDF)

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Time Bound Higher Grade
Undertaking (Word)

(Vide G.O (P)No.169/2019/Fin Dt.13.12.2019 &G.O (P)No.70/2020/Fin Dt.02.06.2020)

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Undertaking (PDF)(

Vide G.O (P)No.169/2019/Fin Dt.13.12.2019 &G.O (P)No.70/2020/Fin Dt.02.06.2020)

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Proposal Form

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Pay Fixation Statement

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Option and Declaration

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Pay Fixation Due to Promotion (As per 28A)
Pay Fixation Statement

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Undertaking

(Vide G.O (P)No.169/2019/Fin Dt.13.12.2019 &G.O (P)No.70/2020/Fin Dt.02.06.2020)

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Property Statemets
Annual Landed Property Statement (Word)

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Govt Order Regarding Property Statement submitted by the Fresh Appointment employee for entering Service book

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Property Statement Part I (For entering Service book)

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Property Statement Part II (For entering Service book)

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Confidential Report Form
Online Confidential Report _ Help

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Confidential Report Form - II(A)(Word)

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Confidential Report Form - II(A) (PDF)

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Confidential Report Form - II(B)

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Liability Certificate
G.O.(P)No.46/2023/FIN Dated 08/05/2023, GO(P)No.67/2020/Fin Dated 27/05/2020 & G.O(P)No.146/2021/Fin dt 05/11/2021

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Liability Certificate

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Non Liability Certificate

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E1/66/2023-Taxes dt 15.09.2023

(C&AG റിപ്പോർട്ടിൽ സൂചിപ്പിച്ചിരിക്കുന്ന റവന്യൂ നഷ്ടം വിരമിച്ച ഉദ്യോഗസ്ഥരുടെ ബാധ്യതയായി ഫിക്സ് ചെയ്യാത്ത സാഹചര്യത്തിൽ, ബാധ്യത തുക ഈടാക്കുവാൻ നിയമസഭാ സമിതി നിർദ്ദേശിക്കുന്ന പക്ഷം ആയത് തങ്ങൾ അടവാക്കുന്നതാണെന്ന വിധത്തിൽ ടി ഉദ്യോഗസ്ഥരിൽ നിന്നും undertaking എഴുതിവാങ്ങിയശേഷം DCRG ടിയാളുകൾക്ക് വിട്ടുനൽകാവുന്നതാണെന്ന് അറിയിക്കുന്നു)

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UNDERTAKING

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General Transfer Application
Application for General Transfer

(Excel)

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Application for General Transfer

(Word)

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Official ID Card Application
ID Card application form

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ID Card Application _ Circular

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DSC Application Forms
Application for New/Damaged DSC

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Application for Renewal of DSC

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Instructions For DSC Application

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Report of Transfer of Charge (RTC)
Report of Transfer of Charge (Excel)

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Report of Transfer of Charge (PDF)

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Spark Forms
FORM 1 - New Employee Registration

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FORM 2 Nomination/ Change of nomination of Department Management User (DMU)

(To be furnished by the Department Heads)

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FORM 3 Nomination /Change of Nomination of Drawing and Disbursing Officer (DDO)s/Establishment Officers

(To be furnished by the Head of Office to SPARK PMU/District Treasury )

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FORM 5 For Setting Controlling Officer in SPARK

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FROM 6 HRA Change Request

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FORM 7 Change DDO code/Dept code/Treasury code /Office name in SPARK

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FORM for setting as Sub office

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Department Management User List (DMU LIST)

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Sate Life Insurance - (SLI )
Proposal for state life insurance policy

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Application for claim in SLI policy

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Application Form for Changing Nomination

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Application Form for Loan

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Deduction Schedule

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Indemnity Bond for Duplicate Policy - Instructions

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Indemnity Bond for Duplicate Policy - for the Use of Insured

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Indemnity Bond for Duplicate Policy - for the Use of Nominee(s)/Legal Heirs

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Group Insurance Scheme - (GIS)
Membership

Application Form (Form GIS - A)

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Memorandum (Form No. 1) for New Members

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Memorandum (Form No. 2) for Change in Group

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List of Members Joined in the Scheme (Form GIS - C)

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Nomination Form for Unmarried Employees (Form GIS - 6)

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Nomination Form for Married Employees (Form GIS - 7)

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Register of Members (Form No. 8)

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Register for Watching the Recovery of Subscription towards GIS from members on LWA, Suspension, Deputation, etc. (Form GIS - E)

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Application to Condone Delay in Admission

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VISWAS Online Help File

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Deduction

Deduction Statement of Non-Gazzetted Officers (Form GIS - B)

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Deduction Statement of Self Drawing Officers (Form GIS - B(1))

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Application for TR 72 Certificate (for Self Drawing Officers) (Form GIS - D)

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Membership Revival

Application form for revival of Membership

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Claim

Application for Payment (Form No. 3) - Retirement/Resignation/Dismissal

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Request to Produce Application for Payment (Form No. 4) - Death

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Application for Payment (Form No. 5) - Death

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Indemnity Bond for Claim Settlement

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Payment Register for DDOs

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Proforma for Claim Settlement for Universities / Public Sector Undertaking

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Group Personal Accident Insurance Scheme
G.O.(P) No.112/2023/Fin dt 18.11.2023 Renewal of GPAIS 2023

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G.O.(P) No.140/2022/Fin dt 21.11.2022 Renewal of GPAIS 2022

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G.O.(P) No.159/2019/Fin dt 18.11.2019 Renewal of GPAIS 2020

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G.O.(P) No.175/2018/Fin dt 12.11.2018 Renewal of GPAIS 2019

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Nomination Form ( FORM No. 1)

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Deduction Schedule ( FORM No. II)

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Claim Form

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Family Benefit Scheme (FBS)
FBS-Annexure IX _ PDF

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FBS-Annexure IX

Word

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FBS _Proceedings_ .FORM.XII _ PDF

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FBS Closure Application

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Details to be furnished when Family Benefit Scheme payments are referred to Government for sanction

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House Building Advance (HBA)
Terms and conditions of the scheme

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Application For NOC

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No Objection Certificate (NOC)

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Check List

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HBA _ Declarations

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House Building Advance _ Online Application _ Hand Book

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National Pension System (NPS)
National Pension System (NPS) – Subscriber Registration Form

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PRAN Application Form

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No.34/2017/Fin dt 10.05.2017 _FACTA Declaration

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Application Form For Change/Correction in Subscriber Master details

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Partial withdrawal form _ FORM - 601 PW

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Form of Option -NPS

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DDO Registration Form

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PENSION
Form 2

Application for Pension/Gratuity, Death-cum-retirement and Family Pension

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Form 4B

Nomination for D.C.R. Gratuity

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Form 4D

Nomination for D.C.R. Gratuity (when the employee has no family)

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Form 5

Nomination for Non- Contributory Family Pension -

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Form 5A

Details of Family Pension

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Form 6

Application for Family Pension/Contributory Family Pension D.C.R. Gratuity

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Form 6A

Form of Intimation

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Form 8

Indemnity Bond

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Form 8A

Indemnity Bond to be executed by the Guardian of a Minor

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Form 11

Formal Application for Pension/Commutation

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Form 15

Nomination for Payment of arrears of Pension

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Form 16

Nomination for Payment of arrears of Family Pension

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Form 17

Notice of Modification of Nomination

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Form A

Commutation of Pension on Medical Examination

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Form B

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Form C

Statement to be filled in by the Applicant for Commutation of a portion of his pension

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Form D

Form of application for commutation of pension without Medical Examination

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Form E(1)

Nomination

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Form E

Form of Application for restoration of Commuted Portion of Pension

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Schedule IV Form A

Application for injury pension or gratuity-

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Schedule IV Form B

Application for Family Pension(Extra ordinary Pension)

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Schedule IV Form C

Forms to be used by the Medical Board when reporting on injuries -

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Declaration - DCRG

No 64/2014/Fin dt 21.06.2014

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Pension book

Malayalam

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Form of Agreement for adjustment of gratuity/death-cum-retirement gratuity

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Pensioners Information System (PRISM)
Pension Book

Identification particulars

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Form 2

Application for Pension/Gratuity, Death-cum-retirement and Family Pension

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Form 4B

Nomination for D.C.R. Gratuity

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Form 4D

Nomination for D.C.R. Gratuity (when the employee has no family)

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Form 5

Nomination for Non- Contributory Family Pension -

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Form 5A

Details of Family Pension

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Form 6

Application for Family Pension/Contributory Family Pension D.C.R. Gratuity

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Form 6A

Form of Intimation

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Form 8

Indemnity Bond

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Form 8A

Indemnity Bond to be executed by the Guardian of a Minor

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Form 11

Formal Application for Pension/Commutation

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Form 15

Nomination for Payment of arrears of Pension

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Form 16

Nomination for Payment of arrears of Family Pension

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Form 17

Notice of Modification of Nomination

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Form A

Commutation of Pension on Medical Examination

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Form B

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Form C

Statement to be filled in by the Applicant for Commutation of a portion of his pension

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Form D

Form of application for commutation of pension without Medical Examination

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Form D

Form of application for commutation of pension without Medical Examination

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Nomination - Form E(1)

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Form E

Form of Application for restoration of Commuted Portion of Pension

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Schedule IV Form A

Application for injury pension or gratuity

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Schedule IV Form B

Application for Family Pension(Extra ordinary Pension)

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Schedule IV Form C

Forms to be used by the Medical Board when reporting on injuries

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Declaration (DCRG )

No 64/2014/Fin dt 21.06.2014 (

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Pension book _Malayalam

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Form of Agreement for adjustment of gratuity/death-cum-retirement gratuity

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Medical Reimbursement (MRI)
Form of Application for Claiming Reimbursement

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Application for claiming refund of medical expenses incurred in connection with medical attendance and treatment of government servant and their families – Appendix II

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Form of Essentiality Certificate

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MRI _ Declarations

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Performa to be filled up by the Authorized Medical Attendant when a patient is referred to other hospitals within/outside the state

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Form of application for interest free medical advance to government employees

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General Provident Fund (GPF)
Application for Admission to GPF

(Excel)

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Application for Admission to GPF (pdf)

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Application for Admission to Kerala Part Time Contingent Employees Provident Fund

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Form E

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Application forTemporary Advances _ Form D

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Application for Closure of General Provident Fund (Kerala) Account

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Application forTemporary Advances _ Form F

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Application for NRA _ Form G

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Form of Nomination

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Form of Application for Final Transfer of Balance in the KPTCEPF to GPF

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Differently Abled and Physically Challenged Employees – Related Forms
Application for Grant of Conveyance Allowance (Special Allowance) to Differently Abled and Physically Challenged Employees

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സ്പെഷൽ അലവൻസ് (അംഗ പരിമിതർ) അപേക്ഷ സമർപ്പിക്കുന്നതിനുള്ള നിർദ്ദേശങ്ങൾ

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Medical Certificate for Special Casual Leave

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Medical Certificate - Fitness

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