Non-Employment Certificate

(Govt.Lr.No.45061/Pen/2001-1,Dt.29.6.2001)

I declare that I have not been serving in any capacity in a State or Central Government or a Government undertaking or a Government Corporation or an Autonomous body or a Local Fund .

OR

I declare that I have been employed in the office of ____________________ and was in receipt of the following monthly rates of emoluments during the year ended ___________________ or during the months of ___________ within the said years

                     i) Pay

                    ii) Special Pay

                   iii) Allowances (including Dearness Allowance etc.)

       2. I declare that I have not accepted employment under Government outside India.

           I declare that I have accepted employment under a Government outside India after obtaining the previous sanction of the Government and none of the conditions attached by the Government has been deviated from without obtaining previous sanction of the Government.

            I certify to the best of my knowledge and belief that the above declaration is correct.

Place:                                                            Signature of Officer *

Date:                                                            

                                                                      Name :

                                                                      Designation:

* (Note: The Certificate  may be obtained from Revenue Inspector, Deputy Tahsildar, Tahsildar, Gazetted Officers of State and Central Government, Bank Managers of the Banks where the pension is drawn Pilot Scheme)

  Pension Guide  |  D.A Tables |  Calculation Sheet    |  Forms