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Form of Option
( See Rule -----)
hereby elect the revised pay structure with wef. 01st Jan, 2006
Date___________ Signature
Station CISF Unit UCIL Jaduguda Name___________________
Designation ______________
Office in which employed ____________________
ANNEX- III
UNDERTAKING
I hereby undertake that any excess payment that may be found to have been made as result of incorrect
fixation of pay or any excess payment detected in the light of discrepancies noticed subsequently will be
refunded by me to the Government either by adjustment against future payments due to me or otherwise.
Date___________ Signature
Station :CISF Unit UCIL Jaduguda Name___________________
Designation ______________
ANNEX-II
Statement of fixation pay under Central Civil Service ( revised Pay) Rules, 2008
3. Status ( Substantive/Officiating ) :
Contd…..P/2
- 02 -
Date :
Office : CISF Unit UCIL Jaduguda Signature & Designation of Head of
Department.
E-MAIL
SD/-xxxxxxxxxxxx
ASSTT.COMMANDANT/DDO
FOR COMMANDANT
CISF UNIT UCIL JADUGUDA
E-MAIL
( M. S. GAIN )
COMMANDANT
CISF UNIT UCIL JADUGUDA