गुरुवार, 5 मार्च 2020

Form No. 5 F. H.B. Vol. V Part 1, (See Chapter VI Article 10 E), PAY BILL and Arearr Bill वेतन के लिए पेबिल

Form No. 5 F. H.B. Vol. V Part 1, (See Chapter VI Article 10 E), PAY BILL and  Arearr Bill वेतन के लिए पेबिल
Form No. 5 F. H.B. Vol. V Part 1, (See Chapter VI Article 10 E), PAY BILL and  Arearr Bill वेतन के लिए पेबिल













Form No. 5 F. H.B. Vol. V Part 1
(See Chapter VI Article 10 E)
Note:Government accepts no responsibility for any fraud or misappropriation in respect of money
or cheque of bills made over to a messenger.
Name of Gazetted Government servent:   …………………………………………………….                     
District: …………………………..                                      PAN……………………………..


Bank A/C-………………………………………….
PAY BILL

Audit No. Major Head……. Vated Voucher No.
Minor Head……. Charged List of payment for
Primary & Secondary
Unit appropriation………
Received for the month of …………………..
My substantive pay as …………………………
Sr.No. Items Monthly Rate Amount
RS.          Rs.        P
1 Basic Pay
2 Grade pay
3 Dearness Allowance
4 City Compensation Allowance
5 Medical Allowances
6 House Rent Allowance
Gross Claim
1 G.P.F.A/c No………………..
2 Income Tax …………………..
3 E.C.+E.D. 
4 H.R.
5 Use of Vehicle
Total Deduction & Recovery
Net Amount Payable





Please pay to me 


Date …
(Signature of Officer)








Received Payment PAYEES DISCHARGE BY THE BANK


NAME : ……………………………..
(Signature of Officer/…………………...) DESIGNATION: ……………………               


Office : …………………………….. 











































Form No. 5 F. H.B. Vol. V Part 1
(See Chapter VI Article 10 E)
Note:Government accepts no responsibility for any fraud or misappropriation in respect of money
or cheque of bills made over to a messenger.
Name of Gazetted Government servent:   …………………………………………………….                     
District: …………………………..                                      PAN……………………………..


Bank A/C-………………………………………….
PAY BILL

Audit No. Major Head……. Vated Voucher No.
Minor Head……. Charged List of payment for
Primary & Secondary
Unit appropriation………
Received for the month of …………………..
My substantive pay as …………………………
Sr.No. Items Monthly Rate Amount
RS.          Rs.        P
1 Basic Pay
2 Grade pay
3 Dearness Allowance
4 City Compensation Allowance
5 Medical Allowances
6 House Rent Allowance
Gross Claim
1 G.P.F.A/c No………………..
2 Income Tax …………………..
3 E.C.+E.D. 
4 H.R.
5 Use of Vehicle
Total Deduction & Recovery
Net Amount Payable





Please pay to me 


Date …
(Signature of Officer)








Received Payment PAYEES DISCHARGE BY THE BANK


NAME : ……………………………..
(Signature of Officer/…………………...) DESIGNATION: ……………………               


Office : …………………………….. 


















































































































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