LPC Form
LPC Form
LPC Form
of the ……………………………………………….……………………………………………………………………….….
proceeding on ………………………………………………………………………………………………………….…….
to ………………………………………………………………………………………………………………………………..
Particulars Rate
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Deductions
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5. Recoveries are to be made from the pay of the Government servant as detailed on the
reverse. He has been paid salary as detailed below. Deductions have been made as noted
on the reverse.
Period
9. He finance the insurance policies detailed below from the Provident Fund.
Name of the Insurance Company Name of Party Amount of Premium Due date for
Payment of Premium
10. The details of the income-tax recovered from him up to the date from beginning of the
current year are note on the service.
Amount of
Gratuity Fees
Name of months Pay income-tax Remarks
etc.
record
April 20
May 20
June 20
July 20
August 20
September 20
October 20
November 20
December 20
January 20
February 20
March 20