FORMS

FORMS TREASURY FORMS (Last updated on 19-05-2014) Form D (FINAL/ ADVANCE PAYMENT FROM G P F ACCOUNT) DOWNLOAD Form A (FBS) DOWNLOAD NEW GPF BILLS AND FORMS DOWNLOAD  NEW GPF CALCULATOR DOWNLOAD  New GPF Forms PDF file DOWNLOAD Form 70 N( Court Fee refund order) DOWNLOAD Form TR.12 (Challan Form) DOWNLOAD Form TR.12(Challan Form) Excel format DOWNLOAD Form D (GPF withdrawal) DOWNLOAD Form 49 (Refund Payment order) DOWNLOAD Form 62 (Order of Payment) DOWNLOAD Form 68 (Order of Payment) DOWNLOAD Form 108 (Bill for Grand in Aid) DOWNLOAD Form TR.47 (TA Bill of Gazetted Officers) DOWNLOAD Form TR.56 (TA Bill of Non-Gazetted ) DOWNLOAD Form TR.59 (Contingent/Grand in Aid/Scholarship) DOWNLOAD Form TR.60 (Abstract Contingent Bill) DOWNLOAD Form TR.61(Fully vouched Contingent bill) DOWNLOAD Form TR.65 DOWNLOAD Form TR.81 (Pensioners Bill) DOWNLOAD Form TR.114 (Claiming Scholarship) DOWNLOAD Form TR.51A(Detailed Pay Bill of NGO) DOWNLOAD PD Cheque DOWNLOAD Form TR.42 (for Miscellaneous payments) DOWNLOAD Form TR.47( TA Bill of Gazetted Officers) DOWNLOAD Form TR.46 Gazetted officers Pay etc.(Editable PDF File).DOWNLOAD SAVINGS BANK Forms a. Application to open a Treasury Savings Bank Account DOWNLOAD b. SB Form N0.22 - Form of Nomination DOWNLOAD. FORM T.R 83 B Letter of undertaking for pension through PTSB account DOWNLOAD Form TR.43 Statement of Rent recovered from pay bills DOWNLOAD Form TR.103 Letter of Authority DOWNLOAD Form TR.104 Statement of deductions towards PF to be furnished along salary bill(Revised as per GO(P) No.152/2009/Fin dated 24/04/2009  DOWNLOAD 5% Revision for pensioners who retired from 01.03.2002 to 30.06.2004 DOWNLOAD All LSG Institutions forms and  GO (P) No. 516/2004/Fin dt 03/11/2004 DOWNLOAD SIMPLE EXCEL FORM 16, 10E 2013-14 or IT Calculator DOWNLOAD PROFORMA FOR SDO’s PERSONAL DETAILS DOWNLOAD DCRG Nomination form Form No.4B (Having Family) DOWNLOAD DCRG Nomination form Form No.4D (Having no Family)DOWNLOAD HBA Application forms DOWNLOAD Application for Drawal of Pension Through Selected Banks PDF File WORD File Salary Certificate PDF Format, WORD format(Editable)   Fixation Due to Promotion (As per 28A) PDF Format Common Bill form TR59(A)  All the non salary claims currently being preferred in different TR bill forms shall  be ciaimed in the new TR 59 (A) format, DOWNLOAD MORE FORMS GAZETTED BILL FORMS Bill Form TR 46 - Editable PDF VIEW or DOWNLOAD Bill Form TR 46 VIEW or DOWNLOAD GPF Schedule  VIEW or DOWNLOAD GIS Schedule VIEW or DOWNLOAD SLI Schedule  VIEW or DOWNLOAD LIC Schedule  VIEW or DOWNLOAD GPF FORMS General Provident Fund New forms 2012 VIEW or DOWNLOAD SLI FORMS SLI Proposal Form (Application Form) VIEW or DOWNLOAD Instruction to fill Aplication Form VIEW or DOWNLOAD SLI Schedule VIEW or DOWNLOAD SLI Nomination Form VIEW or DOWNLOAD SLI Loan Application Form VIEW or DOWNLOAD SLI Claim Form VIEW or DOWNLOAD SLI Indemnity Bond VIEW or DOWNLOAD GIS FORMS Application Form (Form GIS – A) VIEW or DOWNLOAD Deduction Statement of Non-Gazzetted Officers (Form GIS – B) VIEW or DOWNLOAD Deduction Statement of Self Drawing Officers (Form GIS – B(1) VIEW or DOWNLOAD List of Members Joined in the Scheme (Form GIS – C) VIEW or DOWNLOAD Application for TR 72  (for Self Drawing Officers) (Form – D) VIEW or DOWNLOAD Suspension, Deputation, etc. (Form GIS – E) VIEW or DOWNLOAD Memorandum (Form No. 1) for New Members VIEW or DOWNLOAD Memorandum (Form No. 2) for Change in Group VIEW or DOWNLOAD Application for Payment Form No.3 Retirement/Resignation/Dismissal VIEW or DOWNLOAD Request to Produce Application for Payment (Form No. 4) – Death VIEW or DOWNLOAD Application for Payment (Form No. 5) – Death VIEW or DOWNLOAD Nomination Form for Unmarried Employees (Form GIS – 6) VIEW or DOWNLOAD Nomination Form for Married Employees (Form GIS – 7) VIEW or DOWNLOAD Register of Members (Form No. 8) VIEW or DOWNLOAD Register for Watching the Recovery of Subscription towards GIS from members on LWA,  Indemnity Bond for Claim Settlemet VIEW or DOWNLOAD Application form for revival of Membership VIEW or DOWNLOAD  GPAIS FORMS GPAIS Schedule VIEW or DOWNLOAD GPAIS Nomination Form VIEW or DOWNLOAD GPAIS Claim Form VIEW or DOWNLOAD DEPUTATION FORMS Application for Deputation  VIEW or DOWNLOAD MISCELLANEOUS FORMS TR 61 Fully Vouched Contingent Bill VIEW or DOWNLOAD Leave Application Form ( Form 13) VIEW or DOWNLOAD SPARK Enrolment Form ( Form No.15) VIEW or DOWNLOAD Police Verification Form(New) VIEW or DOWNLOAD Letter of authority (T.R.103) VIEW or DOWNLOAD Option Form for Time Bound Higher Grade Promotion VIEW or DOWNLOAD TA Bill of Gazetted Officers (TR-47 New) VIEW or DOWNLOAD Medical Certificate as per Rule117[1]a VIEW or DOWNLOAD Option Form & Statement of Fixation VIEW or DOWNLOAD TR 59 (Contingent/Grant in Aid/Scholarship Bills) VIEW or DOWNLOAD TR 60 (Abstract Contingent Bill) VIEW or DOWNLOAD Application for Casual Leave VIEW or DOWNLOAD Application for LWA VIEW or DOWNLOAD RTC (Report of Transfer of Charge) VIEW or DOWNLOAD TA Form VIEW or DOWNLOAD Last Pay Certificate (LPC) VIEW or DOWNLOAD Conduct Certificate VIEW or DOWNLOAD Certificate of Physical Fitness (PDF) VIEW or DOWNLOAD Certificate of Physical Fitness (Editable) VIEW or DOWNLOAD Certificate of Physical Fitness (As per New GO) VIEW or DOWNLOAD Daily Plan Format VIEW or DOWNLOAD HRA Proforma – to be submitted in Treasuries VIEW or DOWNLOAD Application for NOC to obtain Passport (Submit in triplicate) VIEW or DOWNLOAD 10 E Form (To claim rebate u/s 89(1) on arrear received) VIEW or DOWNLOAD Chalan Form TR 12 VIEW or DOWNLOAD No Objection Certificate to Apply for PSC VIEW or DOWNLOAD Proforma to Remit Profession Tax VIEW or DOWNLOAD Treasury Pay-In-Slip VIEW or DOWNLOAD TR-51, Non Gazetted Bill Form (Actual Size) VIEW or DOWNLOAD TR-51, Non Gazetted Bill Form (Reduced to A4) VIEW or DOWNLOAD Gazetted Certificate for PAN VIEW or DOWNLOAD Fixation Due to Promotion (As per 28A) VIEW or DOWNLOAD Leave Travel Allowance (LTC) Forms VIEW or DOWNLOAD FBS Annexure XII Final settlement  VIEW or DOWNLOAD Application Form to avail Chief Minister's Distress Relief Fund VIEW or DOWNLOAD KYC (Know Your Consumer) Form for Gas Connection  VIEW or DOWNLOAD Statement for Declaration of Probation PDF EXCEL WORD proforma for application for declaration of probation PDF DOWNLOAD Medical Reimbursement forms                     Application for claiming reimbursement of Medical Expenses DOWNLOAD           Essentiality Certificate Form B DOWNLOAD           Appendix II Form DOWNLOAD

State Life Insurance (SLI)
Proposal Form - New Instructions for filling up Proposal Form - New	Download Download
Application Form for Changing Nomination - New	Download
Application Form for Loan - New	Download
Claim Form - New	Download
Deduction Schedule	Download
Declaration for Duplicate Policy Certificate (Indemnity Bond)	Download

Group Insurance Scheme
Membership
Application Form (Form GIS - A)	Download
Memorandum (Form No. 1) for New Members	Download
Memorandum (Form No. 2) for Change in Group	Download
List of Members Joined in the Scheme (Form GIS - C)	Download
Nomination Form for Unmarried Employees (Form GIS - 6)	Download
Nomination Form for Married Employees (Form GIS - 7)	Download
Register of Members (Form No. 8)	Download
Register for Watching the Recovery of Subscription towards GIS from members on LWA, Suspension, Deputation, etc. (Form GIS - E)	Download
Deduction
Deduction Statement of Non-Gazzetted Officers (Form GIS - B)	Download
Deduction Statement of Self Drawing Officers (Form GIS - B(1))	Download
Application for TR 72 Certificate (for Self Drawing Officers) (Form GIS - D)	Download
Membership Revival
Application form for revival of Membership	Download
Claim
Application for Payment (Form No. 3) - Retirement/Resignation/Dismissal	Download
Request to Produce Application for Payment (Form No. 4) - Death	Download
Application for Payment (Form No. 5) - Death	Download
Indemnity Bond for Claim Settlement	Download

Group Personal Accident Insurance Scheme
Nomination Form (Form I)	Download
Deduction Schedule (Form II)	Download
Claim Form	Download

KERALA FINANCIAL CODE FORMS Form Number Purpose FORM NO. 1A Statement showing particulars of officers occupying Government residential buildings - To be sent to the Executive Engineer not later than the 15th of every month in the case of buildings under the charge of the P.W.D.  FORM NO. 1B  K.F.C  FORM 1 B - Demand statement of rents recoverable from pay bills of Government employees occupying Government residential buildings in the charges of the Public Works Department  FORM NO. 2 K.F.C.  FORM 2 - Statement of fines imposed, collected and refunded in the Court of the Sessions Judges/ Magistrates  FORM NO.7 REPORT OF TRANSFER OF CHARGE  FORM NO. 8 K.F.C. FORM 8 - Acknowledgment on permanent advances, etc., to be attached to the first salary bill of the relieving officer presented after the transfer of charge  FORM NO. 8A  K.F.C. FORM 8A - Acknowledgment of permanent advance, stock of books, furniture, etc. To be sent to the Accountant General on the 15th of April and whenever there is a change in the amount of permanent advance sanctioned  FORM NO. 9 Indemnity Bond to receive Pay, Leave Salary and Other Emoluments due to a deceased Government Servant. FORM NO. 11 K.F.C Form 11- (Chapter V, Article 107) - Detailed Countersigned Contingent Bill. FORM NO. 12  K.F.C. FORM 12 - Statement of supplies made/services rendered - (as per Article 113, Note 6 in KFC, Departments which are engaged in rendering service or supplying articles to other Departments should furnish to the Accountant General  monthly a statement in Form. 12)  FORM NO. 13  K.F.C. FORM 13 - Indent for stores - (As per Chapter VI, Article 122 KFC)  FORM NO. 21  K.F.C FORM 21 - Report of the Survey of Stores which have become unserviceable   FORM NO. 22  K.F.C. FORM 22 - Report of surplus stores for disposal - (See Chapter VI, Article 157, Note)  FORM NO. 29 K.F.C. FORM 29 - Application for Advance to Government Employees for building, completing, extending,purchasing or repairing a house or for purchasing a house-site and constructing a house(HBA) FORM NO.32 Mortgage Deed Form - (See Chapter IX, Article 244 E) FORM NO.35A  K.F.C FORM 35-A - Form of Agreement for adjustment of gratuity/death-cum-retirement gratuity  FORM NO.36 Form of Agreement to be executed by applicants for loan to purchase property with building. [See Chapter IX, article 244 (E)] FORM NO.37  KFC FORM 37 - [See Chapter IX, Article 244 (A)] FORM NO. 40  K.F.C. FORM 40 - Application form for advance for the purchase of cycle - See Chapter IX, Article 245 (a) of K.F.C  KERALA SERVICE RULE FORMS Form Number               Purpose                                                                                                Form. 13  Application for Leave/ Leave surrender as per Rule 113, Part I KSRs FORM NO.15 FORM NO. 15 (KSR PART-1, RULE 13 A) - JOINING REPORT FOR NEW RECRUITS Medical Certificate (Rule 117) Medical Certificate Form for applying Leave on Medical Certificate OPTION / DECLARATION FORM Option / Declaration Form - To be submitted by employees during Time Bound Higher Grade Promotion. (Circular No. 46/2008/Fin dated 08/08/2008) KERALA TREASURY CODE FORMS

Form Number               Purpose                                                                                                T.R.43 STATEMENT OF RENT RECOVERED FROM PAY BILLS T.R. 46 Form No. TR 46 - BILL FOR PAY AND ALLOWACES/LEAVE SALARY OF A GAZETTED OFFICER (Now Download, Fill, Save and Print!!! use TAB Key to move through cells)  T.R. 47 TR - 47 - Travelling Allowance Bill For Gazetted Officers. T.R 83 B  FORM T.R 83 B [Letter of undertaking to draw pension throgh Treasury Savings Bank Account] - vide G.O (P) No.733/93/Fin dated 20/10/1993 - S.R.O No.139/94]  T.R 103  Letter of Authority  T.R 104 Statement of deductions towards PF to be furnished along with salary bill (Revised form as per G.O (P) No.152/2009/Fin dated 24/04/2009 (S.R.O No.376/2009) ) S.B FORM No. 1 Application to open a Treasury Savings Bank Account S.B FORM No. 22 SB FORM NO.22 - FORM OF NOMINATION