G.A.R. 42 Form PDF Details

The GAR 42 form is an essential document that facilitates the withdrawal of final payments, advances, or other withdrawals from general or contributory provident funds for payment under the Deposit Linked Insurance Scheme. Applicable to various offices and adjustable by the Pay & Accounts Office (P.A.O.), it requires detailed information, including the office's name, Bill No., Date, along with the subscriber’s details such as Provident Fund No., date of final payment/advance/other withdrawals, and the amount payable. Furthermore, it involves a meticulous process ensuring the accurate disbursement of funds to the rightful persons and confirms that the withdrawals made previously were utilized for the intended purposes. The form also verifies that the balance at the credit of the subscriber covers the sum drawn and that the withdrawals, etc., as per this bill, have been duly noted. Moreover, it has provisions for certifying the need for funds to meet premium dues of policies assigned to the President of India or for policies approved by the Pay and Accounts Officer. Additionally, it ensures that the amount claimed under the Deposit Linked Insurance Scheme aligns with the scales set by the Ministry of Finance and that all such withdrawals made in respect of Group D staff are accurately recorded. By overseeing these procedures, the GAR 42 form plays a pivotal role in the prudent management and disbursement of provident fund withdrawals, ensuring compliance with established rules and the financial wellbeing of the subscribers.

QuestionAnswer
Form NameG.A.R. 42 Form
Form Length2 pages
Fillable?Yes
Fillable fields17
Avg. time to fill out3 min 54 sec
Other namesgpf withdrawal application form for central govt employees, gpf withdrawal form, gpf withdrawal form for central govt employees gar 42, gar 42 pdf

Form Preview Example

G. A. R. 4 2

[ See rule 175 ( 1) , 176 and 177]

BI LL FOR W I TH D RAW AL OF FI N AL PAYM EN T/ AD V AN CE/ OTH ER W I TH D RAW ALS FRO M GEN ERAL/ CON TRI BU TORY PROV I D EN T FU N D FOR PAYM EN T U N D ER D EPOSI T LI N KED I N SU RAN CE SCH EM E

( * Delet e w hichever is inapplicable & prepar e separ at e bills for each cat egor y of dr aw l under each fund)

Office of ________________________________________________ Adj ust able by P. A. O. : _ _______

Bill No. : ______________

Bill Dat e : ______________

Sl.

Nam e of Subscriber

Provident

No. & dat e of

Final Paym ent /

Am ount payable

No.

and Pay

Fund

sanct ion / Let t er of

Advance / Ot her

 

 

 

A/ c No.

Aut horit y

w it hdraw als /

 

 

 

 

 

Paym ent under

 

 

 

 

 

Deposit Linked

 

 

 

 

 

I ns. Sch em e

 

1

2

3

4

5

6

1 .

Pay in PB:

 

 

 

`

 

Grade Pay:

 

 

 

 

 

Basic Pay:

 

 

 

 

 

 

 

 

 

 

TOTAL

 

 

 

`

 

 

 

 

 

 

Net Am ount r equired for paym ent ( in w ords) ` ____________________________________________

Space for Classificat ion

Received paym ent

 

Signat ure: _________________________________

 

Designat ion of Draw ing Officer: ____________ ____

 

St at ion: ___________________________________

 

Dat e: ______________ _______________________

 

Passed for paym ent of ` : _____________________

 

( ` ________________________________________ )

 

( Paym ent t hr ough Cheque No. : ____________ ___ )

 

Cheque draw ing D. D. O. /

 

Pay & Account s Officer

Adm it t ed: _________________

Exam ined & ent er ed in Broadsheet Ledger Card

Obj ect ed: __________ _______

 

Reason for obj ect ion:

 

Jr/ Sr . Acct t .

Jr, AO

PAO

PAY AND ACCOUNTS OFFI CER

CERT I FI CAT ES

1 . Cert ified t hat I hav e sat isfied m yself t hat all sum s included in such bills draw n 1 m ont h/ 2 m ont hs / 3 m ont hs previous t o t his dat e in favour of r espect ive subscribers w it h t he ex cept ion of t hose det ailed below ( indicat ing subscribers and am ount in respect of each r efund by deduct ion from t his bill) have been disbursed t o t he proper persons, and t hat t heir acquit t ances have been t aken in t he

office copy of bills filed in

m y office ( w it h t he receipt

sum p duly cancelled)

for ev ery paym ent in

excess of Rs. 20 . Cert ified

also t hat t he am ou nt

w it h

draw n pr eviously on

t he sam e am ount has

bean ut ilised by t he subscriber for t he

purpose

for w hich it w as int ended and t hat t he relevant

prem ium receipt / receipt s has/ hav e been

duly enfaced.

 

 

2 . Cert ified t hat t he balance at t he cr edit of t he subscriber on t h e dat e of t he w it hdraw al cover s t he

sum draw n in t he bill and t hat

wit hdraw als et c. as per t his bill have been not ed in t he respect ive

P. B. R. folios.

 

 

3 . ( a) Cert ified

t hat t he am ount

ask ed for in t his bill is required t o m eet t h e pr em ium due on

 

.... ... .... ... ... ... ...

.. in respect of Policy* No

... . w it h t he

.... ... ... ...

.... ... .... ... ... ... .. and t hat t he

 

policy in quest ion has been assigned t o t he Pr esident of I ndia and is in t he cust ody of t h e Am ount s

 

Officer

.. ... ( or

t h e

det ails of

t he

policy

proposed

t o be t ak en have been

 

com m unicat ed

t o t h e Pay and Account s Officer

.... ... .... ... . and accept ed

by

 

him

in

his

lat t er

No.. .... ... .. dat ed

... ) .

Cert ified t hat

t he present at ion of

t his

 

claim / applicat ion for w it hdraw al of t his am ount has been/ w as m ade w it hin t hree m ont hs fr om

t he

 

dat e of paym ent of t he said prem ium .

 

 

 

 

 

 

 

( b)

Cert ified also t hat

t he num ber of

policies financed fr om

t he.. ... ... .. .... ... .... ... ... ... ... ... Pr ovident

 

Fund per subscriber does not exceed fou r ex cept in cases w here t he policies w ere accept ed for

 

financing prior t o 22nd June, 1975 in respect of each such subscriber .

 

 

4 .

Cert ified t hat t he am ount claim ed in t his bill on account of dues under t he Deposit Linked I nsu rance

 

Schem e

is in

accordance w it h t he scales laid dow n in Minist ry

of Finance, Depart m ent

of

 

Expendit ure OM No. 9( 1 0) —E. V. ( B) / 75 dat ed t h e 8t h January 1975 as am ended fr om t im e t o lim e.

5 .

Cert ified

t hat

all such draw als

m ade

in respect

of Gr oup D st aff have been duly ent er ed in

t he

 

Broadsheet and Ledger Cards in r espect of such st aff .

 

 

 

 

Signat ure: ... ... ... ... ... ... .... ...

Designat ion: ....... ... .... . .... ...

* Give det ails her e if m or e t han on e policy has t o be cit ed.

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