State of Madhya Pradesh - Act
The M.P. Civil Services (Pension) Rules, 1976
MADHYA PRADESH
India
India
The M.P. Civil Services (Pension) Rules, 1976
Rule THE-M-P-CIVIL-SERVICES-PENSION-RULES-1976 of 1976
- Published on 28 November 1997
- Commenced on 28 November 1997
- [This is the version of this document from 28 November 1997.]
- [Note: The original publication document is not available and this content could not be verified.]
Chapter I
Preliminary
1. Short title and commencement.
2. Application.
- (i) Save as otherwise provided in these rules, these rules shall apply to every Government servant appointed to civil services and posts in connection with the affairs of the State of Madhya Pradesh and who are borne on establishments not declared as non-pensionable.1. Allocated Patwaris from M.P. Region-w.e.f. 1st November, 1948.
2. Allocated Patwaris from M.B. Region-w.e.f. 1st April, 1952.
3. Allocated Patwaris from Bhopal Region-w.e.f. 1-11-1956.
4. Allocated Patwaris from V.P. Region-
3. Definitions.
4. Government servants transferred from services and posts to which these rules do not apply.
Chapter II
General Conditions
5. Regulations of claims to pension/gratuity or family pension.
6.
[* * *] [Omitted by Notification No. FB-6-3-81-R-II-IV, dated 20-3-1981 (w.e.f. 17-4-1981).]7. Limitation of numbers of pensions.
8. Pension subject to future good conduct.
9. Right of Governor to withhold or withdraw pension.
10. Commercial employment after retirement.
11. Employment after retirement under a Government outside India.
- If a pensioner who, immediately before his retirement was holding a post other than Class IV under the State Government, wishes to accept any employment under any Government outside India, he shall obtain the previous permission of the State Government for such acceptance, and no pension shall be payable to a pensioner who accepts such an employment without proper permission in respect of any period for which he is so employed or such longer period as the Government may direct ;Provided that a Government servant who was permitted by the State Government to take up a particular form of employment under any Government outside India during his leave preparatory to retirement shall not be required to obtain subsequent permission for his continuance in such employment after retirement.Explanation. - For the purpose of this rule/the expression "employment under any Government outside India" includes employment under a local authority or corporation or any other institution or organisation which functions under the supervision or control of a Government outside India, or an employment under an International Organisation of which the Government of India is not a member.Chapter III
Qualifying Service
12. Commencement of qualifying service.
13. Conditions subject to which service qualifies.
14. Counting of service on probation.
- Service on probation against a post shall qualify.15. Counting of service as apprentice.
- Service as an apprentice shall not qualify, except in cases where it qualifies under the pension rules applicable at the time when the service was rendered.16. Counting of service on contract.
17. Counting of pre-retirement civil service in the case of re-employed Government servants.
17A. [ [Inserted by Notification No. FB-6-10-91-R-II-IV dated 18-6-1981 (w.e.f. 1-6-1976).]
Notwithstanding anything contained in Rule 17, service which does not forfeit under sub-rule (1) (e) of Rule 27 on account of interruption due to abolition of office or loss of appointment owing to reduction of establishment or due to transfer to non-qualifying service in an establishment under Government control under the orders of the competent authority, shall count for pension along with the period of break including spells of occasional service rendered during it or the period of non-qualifying service, as the case may be provided the Government servant has not received any retirement benefit for the previous service.] [Inserted by Notification No. B-6-9-76-R-II-IV, dated 15-9-1976 (w.e.f. 15-9-1976).]18. Counting of military service rendered before civil employment.
19. Counting of war service rendered in World War II.
- In the case of those Government servants who retire or die on or after the date of applicability of these rules and who were appointed to civil posts and applied to count the service in Army before 7-10-69, "War Service" rendered during World War II by itself or in conjunction with other military service, may be allowed to count in full towards civil pension, if such service is followed without interruption by appointment to a pensionable post under the Government, subject to the following conditions namely:-(i)the Government servant concerned should not have earned a pension under the military rules in respect of service in question;(ii)in the case of services or posts in respect of which a minimum age is fixed for recruitment, no military or war service rendered below that age shall be allowed to count for pension;(iii)"War Service" rendered in Armed Forces of India shall be allowed to count for pension;(iv)No refund of bonus or war gratuity paid in respect of his "War Service" shall be demanded from the Government servant concerned. If, however, the Government servant has been granted any retirement gratuity for service covering both the war and post war period, such gratuity shall be refundable according to clause (vi) below.(v)The break between the military/war service and the civil service shall be treated as automatically condoned, provided that period of break does not exceed one year. Break exceeding one year but not exceeding three years may also be condoned, in exceptional cases, under special orders of Government. The period of break shall, however, not count for pension.(vi)The pensionary liability for "War Service" devolves on State Government and for military service on the Defence authorities in accordance with para 12 of Part IV of Appendix 3 to Account Code Volume I. The retirement, gratuity in respect of service covering the war period should, therefore, be refunded and credited to the revenues of the State Government and the retirement gratuity in respect of military service (other than the service covering war period) should be refunded and credited to the Defence authorities.Notes. - (1) The service rendered by persons during World War II in the Civil Defence Department shall be treated as "War Service" for purposes of this rule.20. Counting (non-regular/purely temporary) military service and service rendered in the Indian National Army.
21. Counting of periods spent on leave.
- All leave including extraordinary leave taken during service and granted by proper authority counts as qualifying service. Where extraordinary leave exceeding 120 days is not sanctioned by proper authority, only 120 days will be treated as qualifying service and the rest of the period shall non-qualify for pension.22. Counting of periods spent on training.
- The Government may by order, decide whether the time spent by a Government servant under training immediately before appointment to service under Government shall count as qualifying service.23. Counting of periods of suspension.
- Time passed by a Government servant under suspension pending inquiry into conduct shall count as qualifying service on reinstatement.24. Forfeiture of service on dismissal or removal.
- Dismissal or removal of a Government servant from a service or post automatically entails forfeiture of his past service.25. Counting of past service on reinstatement.
26. Forfeiture of service on resignation.
27. Effect of interruption in service.
28. [ Condonation of interruptions in service. [Substituted by Notification No. FB-25-6-95-PWC-IV, dated 20-10-95 (w.e.f. 1-12-1995).]
29. Verification of qualifying service after 25 years service or five years before retirement.
Chapter IV
Emoluments and Average Emoluments
30. Emoluments.
- The expression "emoluments" means pay as defined in Rule 9 (21) of the Fundamental Rules (including dearness pay, if any, as determined by the order of the Government issued from time to time) which a Government servant was receiving immediately before his retirement or on the date of his death, as the case may be.[Explanation. [Substituted by Notification No. F-25-37-99-PWC-IV, dated 6th September 1999, Published in M.P. Rajpatra, Part IV (ga), dated 12-11-99, (Deemed to have come into force with effect from 1st Jan 1986).] - (1) For those Government Servants, who are drawing pay in the revised pay scale, under the Madhya Pradesh Revision of Pay Rules, 1990 or Madhya Pradesh Revision of Pay Rules, 1998, or pay scales of U.G.C. or All India Council of Technical Education or All India Services the expression 'emoluments' means basic pay as defined in Rule 9 (21) (a) (i) of the Fundamental Rules, which a Government Servant was receiving immediately before his retirement and will also include dearness pay and personal pay, if any, as determined by the order of State Government, from time to time.31. [ Average emoluments. [Substituted by Notification No. B-25-10-95-PWC-IV, dated 29-8-96 (w.e.f. 1-4-1981).]
Chapter V
Classes of Pensions and Conditions Governing their Grant
32. Superannuation pension.
- A superannuation pension shall be granted to a Government servant who is retired on his attaining the age of compulsory retirement.33. [ Retiring pension. [Substituted by Notification No. FB-6-5-81-R-II-IV, dated 15-4-81 (w.e.f. 15-5-1981).]
34. Pension on absorption in or under a corporation, company or body.
- A Government servant who has been permitted to be absorbed in a service or post in or under a corporation or company wholly or substantially owned or controlled by the Government in or under a body controlled or financed by the Government shall, if such absorption is declared by the Government to be in the public interest, be deemed to have retired from service on retiring pension from the date of such absorption and shall be eligible to receive retirement benefits which he may have elected or deemed to have elected, and from such date as may be determined, in accordance with the orders of the Government applicable to him : (See App. II).[Provided that the provisions of sub-rule (5) of Rule 43, shall not apply for the purpose of determining pension under this rule.] [Inserted by Notification No. FB-6-1-77-R-II-IV, dated 25-1-77 (w.e.f. 25-2-1977).]35. Invalid pension.
36. Compensation pension.
37. Compulsory retirement pension.
38. Compassionate allowances.
Chapter VI
Regulation of Pension of Pre 1933 Entrants
39. Scope.
- The provisions of this Chapter shall apply to a Government servant other than Class IV who on the 30th November, 1933 held a lien or a suspended lien on a permanent pensionable post under the State Government or Government of India or a Local Fund Administered by Government and was holding a lien or a suspended lien on a permanent pensionable post under the erstwhile State of new Madhya Pradesh on 1st September, 1950 and opted for provisions relating to pension and gratuity under clause (b) or clause (c) of Rule 8 (1) of Madhya Pradesh New Pension Rules, 1951.40. Applicability of pension rules.
Chapter VII
Regulation of Amounts of Pensions of Post 1933 Entrants
41. Scope.
- The provisions of this Chapter shall apply to a Government servant-42. Retirement on completion of [20 years] [Substituted by Notification No. F-25-2-2000-PWCMV, dated 30th May, 2000, for '20/25 years'.] qualifying service.
- [(1) (a) A Government servant may retire at any time after completing 20 years qualifying service, by giving a notice in Form 28, to the appointing authority at least three months before the date on which he wishes to retire or on payment by him of pay and allowances for the period of three months or for the period by which the notice actually given by him falls short of three months :Provided that where the Government servant giving such notice is under suspension, he shall not be allowed to retire from service without the prior permission in writing of the appointing authority.(b)The appointing authority may in the public interest require a Government servant to retire from service at any time after he has completed [20 years qualifying service or he attains the age of 50 years whichever is earlier], with the approval of the State Government by giving him three months notice in Form 29 :Provided that such Government servant may be retired forthwith and on such retirement the Government servant shall be entitled to claim a sum equivalent to the amount of his pay plus allowances for the period of the notice at the same rates at which he was drawing then immediately before his retirement or, as the case may be, for the period by which such notice falls short of three months.Note 1. - Before a Government servant serves notice of retirement under clause (a) above, he should satisfy himself by means of a reference to the appointing authority that he has in fact, completed [20 years qualifying service or he attains the age of 50 years] [Substituted by Notification No. F-25-2-2000-PWC-IV, dated 30th May, 2000.] for pension. Similarly the appointing authority, while giving notice of retirement to a Government servant under clause (b), above, should also satisfy itself, that the Government servant has, in fact completed [20 years qualifying service or he attains the age of 50 years] [Substituted by Notification No. F-25-2-2000-PWC-IV, dated 30th May, 2000.] [xxx] [The words 'the appointing authority may obtain report from the Accountant General, Madhya Pradesh about.... qualifying service of the Government servant, if necessary', omitted by Notification No. F-25-2-2000-PWC-IV, dated 30th May, 2000.]Note 2. - The period of notice of three months or notice period which is short of three months, as the case may be, shall be reckoned from the date on which it is signed and put in communication under registered post. Where the notice is served personally the period shall be reckoned from date of receipt thereof.Note 3. - The Government servant, on submission of an application shall be granted such leave during the period of notice to which he is entitled according to rules :Provided that no leave shall be granted beyond the expiry of the period of notice].[Note 4. [Substituted by Notification No. FB-6-5-81-R-II-IV, dated 15-4-81 (w.e.f. 15-5-1981).] - The payment of pension for the period for which pay and allowances have been paid to a Government servant in lieu of notice, shall be regulated by the provision of sub-rule (2) of Rule 33 of these rules].43. Amount of pension.
| Completed six monthly periods of qualifyingservice | Scale of gratuity. | |
| (1) | (2) | |
| GRATUITY | ||
| 1 | ½ | month's emoluments |
| 2 | 1 | “ |
| 3 | 1 ½ | “ |
| 4 | 2 | “ |
| 5 | 2 ½ | “ |
| 6 | 3 | “ |
| 7 | 3 ½ | “ |
| 8 | 4 | “ |
| 9 | 4 3/8 | “ |
| 10 | 4 ¾ | “ |
| 11 | 5 1/8 | “ |
| 12 | 5 ½ | “ |
| 13 | 5 7/8 | “ |
| 14 | 6 ¼ | “ |
| 15 | 6 5/8 | “ |
| 16 | 7 | “ |
| 17 | 7 3/8 | “ |
| 18 | 7 ¾ | “ |
| 19 | 8 1/8 | “ |
| Completed six monthly periods of qualifyingservice | Scale of pension | Maximum pension in Rs. per annum | |
| (1) | (2) | (3) | |
| PENSION | |||
| 20 | 10/80th | of average emoluments | 3126.00 |
| 21 | 10 ½/80th | “ | 3281.25 |
| 22 | 11/80th | “ | 3437.50 |
| 23 | 11 ½/80th | “ | 3593.75 |
| 24 | 12/80th | “ | 3750.00 |
| 25 | 12 ½/80th | “ | 3906.25 |
| 26 | 13/80th | “ | 4062.50 |
| 27 | 13 ½/80th | “ | 4218.75 |
| 28 | 14/80th | “ | 4375.00 |
| 29 | 14 ½/80th | “ | 4531.25 |
| 30 | 15/80th | “ | 4687.50 |
| 31 | 15 ½/80th | “ | 4843.75 |
| 32 | 16/80th | “ | 5000.00 |
| 33 | 16 ½/80th | “ | 5156.25 |
| 34 | 17/80th | “ | 5312.50 |
| 35 | 17 ½/80th | “ | 5468.75 |
| 36 | 18/80th | “ | 5625.00 |
| 37 | 18 ½/80th | “ | 5781.25 |
| 38 | 19/80th | “ | 5937.50 |
| 39 | 19 ½/80th | “ | 6093.75 |
| 40 | 20/80th | “ | 6250.00 |
| 41 | 20 ½/80th | “ | 6406.25 |
| 42 | 21/80th | “ | 6562.50 |
| 43 | 21 ½/80th | “ | 6718.75 |
| 44 | 22/80th | “ | 6875.00 |
| 45 | 22 ½/80th | “ | 7031.25 |
| 46 | 23/80th | “ | 7187.50 |
| 47 | 23 ½/80th | “ | 7343.75 |
| 48 | 24/80th | “ | 7500.00 |
| 49 | 24 ½/80th | “ | 7656.25 |
| 50 | 25/80th | “ | 7812.50 |
| 51 | 25 ½/80th | “ | 7968.75 |
| 52 | 26/80th | “ | 8125.00 |
| 53 | 26 ½/80th | “ | 8281.25 |
| 54 | 27/80th | “ | 8437.50 |
| 55 | 27 ½/80th | “ | 8593.75 |
| 56 | 28/80th | “ | 8750.00 |
| 57 | 28 ½/80th | “ | 8906.25 |
| 58 | 29/80th | “ | 9062.50 |
| 59 | 29 ½/80th | “ | 9218.75 |
| 60 | 30/80th | “ | 9375.00 |
| 61 | 30 ½/80th | “ | 9531.25 |
| 62 | 31/80th | “ | 9687.50 |
| 63 | 31 ½/80th | “ | 9843.75 |
| 64 | 32/80th | “ | 10,000.00 |
| 65 | 32 ½/80th | “ | 10,000.00 |
| 66 | 33/80th | “ | 10,000.00 |
44. Death-cum-retirement gratuity.
45. Persons to whom gratuity is payable.
45A. [ Debarring a person from receiving gratuity. [Inserted by Notification No. FB-6-7-81-R-II-IV, dated 10-6-1981 (w.e.f. 24-7-1981).]
46. Nominations.
47. Contributory family pension.
| Pay of Government servant | Amount of monthly family pension | |
| (1) | (2) | |
| (i) | Below Rs. 400. | 30 per cent of pay subject to a minimum of Rs. 60 and amaximum of Rs. 100. |
| (ii) | Rs. 400 and above but not exceeding Rs. 1200. | 15 per cent of pay subject to a minimum of Rs. 100 and amaximum of Rs. 160. |
| (iii) | Above Rs. 1200. | 12 per cent of pay subject to a minimum of Rs. 160 and amaximum of Rs. 250. |
48. Non-contributory family pension.
Chapter VIII
Applications for and Sanction of Pensions
General49. Preparation of list of Government servants due for retirement.
50. Gazetted Government servants drawing pay on establishment bill and other Government servants holding gazetted posts in officiating capacity.
- [x x x] [Omitted by Notification No. FB-6-1-77-N-II-IV, dated 1-2-1977 (w.e.f. 1-8-1976).]51.
[x x x] [Omitted by Notification No. FB-6-3-81-R-II-IV, dated 20-3-1981 (w.e.f. 17-4-1981).]52. Revision of pension after sanction.
53.
-56.[Omitted] [Omitted by Notification No. FB-6-1-77-N-II-IV, dated 1-2-1977 (w.e.f. 1-8-1976).]57. Preparation of pension papers.
58. Verification of service.
59. Completion and forwarding of pension papers to audit officer.
60. Intimation to audit officer regarding any event having a bearing on pension.
61. Sanction, drawal and disbursement of anticipatory pension and of gratuity.
62. Drawal of balance of gratuity from treasury or from head of office.
63. Authorization of final pension and gratuity by the Audit Officer.
64. Provisional pension where departmental or judicial proceeding may be pending.
64A. Government servant on deputation.
- In the case of a Government servant who retires from service, while on deputation or while on foreign service, action to sanction pension and gratuity in accordance with the provisions of this Chapter shall be taken by [x x x] [Omitted by Notification No. FB-6-1-77-N-II-IV, dated 1-2-1977 (w.e.f. 1-8-1976).] the Head of Office of the departmental authority which sanctioned the deputation of the Government servant or sent him on foreign service.Government dues65. Recovery and adjustment of Government dues.
66. Furnishing of surety by retiring Government servant.
Chapter IX
Sanction of Family Pension and Death-Cum-Retirement Gratuity in Respect of Government Servant Dying while in Service
67.
-68.[x x x] [Omitted by Notification No. FB-6-1-77-N-II-IV, dated 1-2-1977 (w.e.f. 1-8-1976).]69. [Payment of family pension and anticipatory family pension and death-cum-retirement gratuity when a Government servant dies when in service.] [Substituted by Notification No. FB-6-1-77-N-II-IV, dated 1-2-1977 (w.e.f. 1-8-1976).]
- Where the Head of Office has received an intimation about the death of a [x x x] [Omitted by Notification No. FB-6-1-77-N-II-IV, dated 1-2-1977 (w.e.f. 1-8-1976).] Government servant while in service, he shall ascertain whether any death-cum-retirement gratuity or family pension or both is or are payable in respect of the deceased Government servant.[x x x] [Omitted by Notification No. FB-6-1-77-N-II-IV, dated 1-2-1977 (w.e.f. 1-8-1976).]70. Authorisation of final family pension and balance of gratuity in respect of a deceased non-gazetted Government servant referred to in Rule 69.
70A. Payment of family pension and death-cum-retirement gratuity when a Government servant dies while on deputation to a State Government or while on foreign service.
- In the case of a Government servant who dies while on deputation or while on foreign service, action to authorise the payment of family pension and death-cum-retirement gratuity in accordance with the provisions of this Chapter shall be taken by [x x x] [Omitted by Notification No. FB-6-1-77-N-II-IV, dated 1-2-1977 (w.e.f. 1-8-1976).] the Head of Office [x x x] [Omitted by Notification No. FB-6-1-77-N-II-IV, dated 1-2-1977 (w.e.f. 1-8-1976).] of the departmental authority which sanctioned the deputation of the Government servant or sent him on foreign service.Chapter X
Sanction of Family Pension and Residuary Gratuity in Respect of Deceased Pensioners
71. Sanction of family pension and residuary gratuity on the death of a pensioner.
72. Authorisation of payment by Audit Officer.
- On receipt of the sanction under Rule 71 regarding the payment of family pension or of residuary gratuity or of both, the Audit Officer shall authorise the payment of the same.Chapter XI
Payment of Pension
73. Date from which pension becomes payable.
74.
If the Pension Payment Order is not received 15 days before the date the pension becomes due, the Head of Office shall sanction and disburse the anticipatory pension in all cases from the 1st of the month in which it is due. Similarly provisional pension shall be sanctioned and disbursed by the Head of Office on the 1st of the month in which it becomes due. For this purpose such information as is available in the official record may be used, and further, the Head of Office should ask the retiring Government servant for a simple statement giving his total length of service (from the date of joining duty to the date of retirement indicating the period of breaks, if any), and also the emoluments during the last 12 months of service. The retiring Government servant may also be asked to certify that the facts stated by him are correct to the best of his knowledge and belief. If complete information regarding the emoluments drawn during the last 12 months is not available the emoluments last drawn should be taken provisionally as average emoluments. The Head of Office shall sanction 100% of the pension calculated with reference to the information so obtained as anticipatory/provisional pension. The death-cum-retirement gratuity should similarly be determined but before disbursing the anticipatory/provisional death-cum-retirement gratuity, all known dues such as long term advances still outstanding, over payments of pay and allowances etc., and other recoverable dues shall be adjusted. [x x x] [Omitted by Notification No. FB-6-1-77-N-II-IV, dated 1-2-1977 (w.e.f. 1-8-1976)]75. Currency in which pension is payable.
76. Manner of payment of gratuity and pension.
77. Application of treasury rules.
- Save as otherwise provided in the rules, the M.P. Treasury Rules, shall apply in regard to the procedure of payment :-Chapter XII
Miscellaneous
78. Interpretation.
- Where any doubt arises as to the interpretation of these rules, it shall be referred to the Government in the Finance Department for decision.79. Power to relax.
- Where any department of the Government is satisfied that the operation of any of these rules causes undue hardship in any particular case, the State Government may by order for reasons to be recorded in writing, dispense with or relax the requirements of that rule to such extent and subject to such exceptions and conditions as it may consider necessary for dealing with the case in a just and equitable manner :Provided that no such order shall be made except with the concurrence of the Finance Department.80. Repeal and saving.
| Original nominee(s) | Alternate nominee(s) | ||||
| Names and addresses of nominee/ nominees | Relationship with the Government servant | Age | Amount of share of gratuity payable to each* | Name, address, relationship and age of the personor persons, if any, to whom the right conferred on the nomineeshall pass in the event of the nominee predeceasing theGovernment servant or the nominee dying after the death of theGovernment servant but before receiving payment of gratuity. | Amount of share of gratuity payable to each** |
| (1) | (2) | (3) | (4) | (5) | (6) |
| Witness to Signature: | |
| 1. .................. | |
| 2. .................. | ......................................... |
| Signature of Government Servant |
| Nomination by.......... | ................... |
| Signature of Head of Office | |
| Designation.............. | Date................. |
| Office................... | Designation.............. |
| Place.................. | |
| Dated the.............. | ............................ |
| Signature of Head of Office | |
| (Designation) |
| Original nominee(s) | Alternate nominee(s) | ||||
| Names and addresses of nominee/ nominees | Relationship with the Government servant | Age | Amount of share of gratuity payable to each* | Name, address, relationship and age of the personor persons, if any, to whom the right conferred on the nomineeshall pass in the event of the nominee predeceasing theGovernment servant or the nominee dying after the death of theGovernment servant but before receiving payment of gratuity. | Amount of share of gratuity payable to each** |
| (1) | (2) | (3) | (4) | (5) | (6) |
1.
..........2.
.....................................Signature of Government servant(To be filled in by the Head of Office) [xxx] [The Words 'Audit Officer', Omitted by Notification No. FB-6-1-77-N-II-IV, dated 1-2-77 (w.e.f. 1-8-1976).]| Nomination by.......... | ................... |
| Signature of Head of Office | |
| Designation.............. | Date................. |
| Office................... | Designation.............. |
| Place.................. | |
| Dated the.............. | ............................ |
| Signature of Head of Office | |
| (Designation) |
| S. No. | Name of the members of 'family' | Date of birth | Relationship with other Officer/Governmentservant | Initials of the Head of Office | Remarks |
| (1) | (2) | (3) | (4) | (5) | (6) |
| 1.2.3.4.5.6.7.8.9. |
| Place.................. | |
| Dated the.............. | ............................ |
| Signature of Government servant |
2. Wife and husband shall include respectively judicially separated wife and husband.
(To be filled in by Head of Office) [xxx] [The words 'Audit Officer', omitted by Notification No. F-B-6-1-77-N-II-IV, dated 1-2-77 (w.e.f. 1-8-1976).]Details of family:Filled by..................Designation..................Office...........................................Signature of Head of Office[xxx] [The words 'Audit Officer', omitted by Notification No. F-B-6-1-77-N-II-IV, dated 1-2-77 (w.e.f. 1-8-1976).]Dated....................Designation..............Form 4[See Rule 48 (7)]Nomination for non-contributory family pensionI,.................hereby nominate the persons mentioned below who are members of my family to receive in the order shown below the non-contributory family pension which may be granted by the State Government in the event of my death.| Name and address of nominee | Relationship with the Government servant | Age | Whether married or unmarried |
| (1) | (2) | (3) | (4) |
1.
............2.
......................................Signature of Government servantDesignation.(To be filled in by the Head of Office) [x x x] [The words 'Audit Officer', omitted by Notification No. F-6-1-77-N-II-IV, dated 1-2-77 (w.e.f 1-8-1976).]Nomination by...................Designation.....................Office.................................................Signature of Head of OfficeDate..................Designation...........Proforma for Acknowledging the Receipt of the Nomination form by the Head of OfficeTo............................................................I acknowledge the receipt of your nomination, dated the........ cancellation dated the....... of the nomination made earlier in respect of non-contributory family pension in Form.... and state that it has been duly placed on record.Place.................Dated the.......................................Signature of Head of OfficePart I – 1. Name of the Government servant.........
2. Father's name (and also husband's name in the case of a female Government servant)........
3. Date of birth (by Christian Era).........
4. Religion and nationality.........
5. Permanent residential address showing village/town, district and State............
6. Present or last appointment including name of establishment...............
7. Date of beginning of service...........
8. Date of ending of service................
9. (i) Total of military service for which pension/gratuity was sanctioned.............
10. Amount and nature of any pension/gratuity received for previous civil service...............
11. Government under which service has been rendered in order of employment...............
12. Interruption and non-qualifying service..............
13. Length of qualifying service..............
14. Class of pension or service gratuity applied for by the Government servant and cause of application. (In case of invalid pension medical certificate to be attached)...............
15. Whether the Government servant is a pre-1933 entrant and sub-rule (2) of Rule 40 of M.P. Civil Services (Pension) Rules, 1976, applies to him...............
(in respect of allocated employees of former M.P. only)...............16. Emoluments reckoning for gratuity..............
17. Average emoluments reckoning for pension..............
18. Proposed pension..............
19. Proposed death-cum-retirement gratuity..............
20. Proposed service gratuity, if any..............
21. Date from which pension is to commence..............
22. Whether nomination made for-
23. Whether the Government servant has paid all the Government dues...............
24. Whether contributory family pension applies to the Government servant and if so-
| at enhanced rate of..... | From....To........ |
| at normal rate of..... | From....To......... |
| S. No. | Name of the member of family | Date of birth | Relationship with Government servant |
| (1) | (2) | (3) | (4) |
| 1.2.3.4. |
25. Height...............
26. Identification marks...............
27. Place of payment of pension/gratuity...............
(Treasury or Sub-Treasury).27A. [ Name and place of a branch of public sector bank if pension/gratuity is desired to be drawn through it] [Inserted by Notification No. FB-6-2(a)-80-R-II-IV, dated 31-3-80 (w.e.f. 18-4-1980).]...............
28. Head of account to which pension and gratuity are debitable...............
Place............Dated the...................................Signature of Head of Office[The following Public Sector Banks located in Madhya Pradesh are to be utilised for payment of State pensions- i.e. (1) State Bank of India, (2) State Bank of Indore, (3) Central Bank of India, (4) Bank of India, (5) Punjab National Bank, and (6) Allahabad Bank] [Inserted by Notification No. FB-6-2(a)-80-R-II-IV, dated 31-3-80 (w.e.f. 18-4-1980).].Part II – Section I
Emoluments drawn during the last 12 months of service| Post held | From | To | Pay | Personal/Special pay |
| (1) | (2) | (3) | (4) | (5) |
| Average emoluments- |
| Y.M.D. | From | To |
1. Interruption(s)
2. Any other service not treated as qualifying Total
Section III1. Period of service verified with reference to...... acquittance Rolls.
2. Whether the above period has been verified in accordance with the provisions of Rule 58 of the M.P. Civil Services (Pension) Rules, 1976 ..........
[Section IV] [Inserted by Notification No. FB-6-1-77-R-II-IV, dated 28-3-77 (w.e.f. 6-5-1977).](To be used by the Head of Office for grant of anticipatory/provisional pension/gratuity)Details of anticipatory/provisional pension and gratuity to be drawn and disbursed by the Head of Office in accordance with the provisions of Rules 61 and 64.| Pension................. | Rs...........p.m............. |
Part III – Section I
Audit enfacement1. Total period of qualifying service which has been accepted for the grant of superannuation/retiring/invalid/compensation/compulsory retirement pension/gratuity with reasons for disallowance, if any.
Note. - Service for the period commencing from....and up to the date of retirement has not yet been verified; this would be done before the pension payment order is issued.2. Amount of superannuation/retiring/invalid/compensation/ compulsory retirement pension/gratuity, that has been admitted.
3. [ x x x] [Omitted by Notification No. FB-6-3-81-R-II-IV, dated 20-3-81 (w.e.f. 17-4-1981).]
4. The date from which superannuation/retiring/invalid/ compensation/compulsory retirement pension/gratuity, is admissible.
5. Head of Account to which superannuation/retiring/invalid/ compensation/compulsory retirement pension/gratuity, is chargeable.
6. The amount of contributory family pension becoming payable to the entitled members of the family in the event of death of the Government servant after retirement;
at enhanced rate of...... P.M. From..... To...... at normal rate of....... P.M. From........ To.......Accounts Officer/Assistant Accountant-GeneralSection II1. Name of the Government servant
2. Class of pension or gratuity
3. Amount of pension sanctioned
4. Amount of gratuity sanctioned
5. Date of commencement of pension
6. Amount of contributory family pension admissible in the event of the death of the Government servant after retirement.
at enhanced rate......at normal rate........7. Amount recoverable from gratuity under sub-rule 2 (b) of Rule 65 of the M.P. Civil Services (Pension) Rules, 1976.
8. The amount of cash deposit or the amount of gratuity held over for adjustment of unassessed Government dues.
Part IV – Instructions
1. Average emoluments - The calculation of average emoluments, mentioned in item 17 of Part I should be based on the actual number of days contained in each month.
2. Compensation pension or gratuity -
3. Details of service - All periods not reckoned as service should be distinguished.
4. Identification marks - Specify a few conspicuous marks, not less than two, if possible.
5. Name - When initials or name of the Government servant are or is incorrectly given in the various records consulted mention this fact in the letter forwarding the pension papers.
6. Date of retirement - Date of retirement to be indicated in the service book and the Last Pay Certificate, if any.
7. Reinstatement - In the case of a Government servant who has been reinstated after having been suspended; compulsory retired, removed or dismissed from service, brief statement leading to his reinstatement should be appended.
8. Alterations - Alterations to be made in red ink under dated initials of a Gazetted Government servant.
Form 7Form of Memo to the Audit Officer forwarding the pension papers of a Government servant[Rule 69 (2)]No.............Government of Madhya PradeshDepartment/ Office...........Dated, the.............ToThe Accountant General, M.P...............................Subject: Pension papers of Shri/Shrimati/Kumari...... for authorisation of pension.The pension papers (as detailed in the list of enclosures) of Shri/Shrimati/Kumari........ of this Office/Department are forwarded herewith for further necessary action.2. The receipt of the letter may be acknowledged.
Head of OfficeList of enclosures1. Form 6 [xxx] [Omitted by Notification No. FB-6-3-81-R-II-IV, dated 20-3-81 (w.e.f. 17-4-1981).] containing the orders of the pension sanctioning authority, if necessary.
2. Medical certificate for invalidation (if the claim is for invalid pension).
3. Service book.
4. Memorandum of average emoluments reckoning for pension.
5. [ (a) Two specimen signatures, duly attested by Gazetted Government servant or in the case of pensioner not literate enough to sign his name two slips bearing the left hand thumb and finger impressions, duly attested by a Gazetted Government servant, and] [If a Government servant is compulsorily retired, the Head of Office may forward the pension papers to the Audit Officer even in the absence of papers at serial No. 5.]
6. Explanation for delay, if any, beyond one month from the date of retirement of the Government servant in forwarded Form 6 [xxx] [Omitted by Notification No. FB-6-3-81-R-II-IV, dated 20-3-81 (w.e.f. 17-4-1981).] when necessary.
7. When the fact of service in another office, is not satisfactorily attested in the service book, duly certified abstract from the Head of Office.
8. Written statement, if any, of the Government servant as required by Rule 58 of the M.P. Civil Services (Pension) Rules, 1976 duly admitted by the Head of Office.
Note. - Pardanashin Ladies are exempted from joint photograph. In such a case declaration that applicant is pardanashin lady shall be enclosed.Form 8Form of Surety bond[Rule 66(1)]In consideration of the Governor of Madhya Pradesh (hereinafter called the 'Government' with expression shall include his successors and assigns) having agreed to settle the final accounts of Shri/Shrimati........ without production of a 'No Demand Certificates' from the PWD/PHED, I hereby stand surety (which expression shall include my heirs, executors and administrators) for payment by the said of rent and other dues in respect of residence allotted to him/her by the Government and also for any residence that may be allotted or that was allotted to the said....from time to time by the Government. I, the surety, further agree and undertake to indemnify the Government against all loss and damage until delivery of vacant possession of the above-said residence is made over to the Government.I hereby also stand surety for any amounts that may be due by said...... to the Government by way of over payment of pay, allowances, leave salary, advances for conveyance, house-building or other purposes, or any other dues.The obligation undertaken by me shall not be discharged or in a way affected by an extension of time or any other indulgence granted by the Government to the said........This guarantee shall remain in force till:1. Signature.............Address and occupation of witness.............
2. Signature.............Address and occupation of witness.............
Certified that Shri/Shrimati.......... is a permanent Government servant he/she shall not attain the age of superannuation, within 2 yeas from the date he/she stands surety.Signature of the Head of the Department orHead of Office in which the surety employed.This bond is hereby accepted.[Signature & Designation of the Head of Officefor and on behalf of the Governor of Madhya Pradesh] [Substituted by Notification No. FB-6-1-77-N-II-IV, dated 10-5-77 (w.e.f. 29-7-1977).].Form 9[Rule 69 (2)]Form of memo to the member or members of the family of a deceased Government servant where valid nomination for the grant of the death-cum-retirement gratuity exists.No......................Government of Madhya PradeshDepartment/OfficeDated, the.....................To,........................................................................Subject: Payment of death-cum-retirement gratuity in respect of the late Shri/Shrimati...............In terms of tire nomination made by the late Shri/Shrimati.......... (Designation), in the Office/Department of............., death-cum-retirement gratuity is payable to his/her nominee(s). A copy of the said nomination is enclosed herewith.2. It is requested that a claim for the grant of the gratuity may be submitted by you in the enclosed Form 11.
3. Should any contingency have happened since the date of making the nomination, so as to render the nomination invalid, in whole or in part, precise details of the contingency may kindly be stated.
Head of Office [xxx] [The words 'Audit Officer', omitted by Notification No. FB-6-1-77-N-II-IV, dated 1-2-77 (w.e.f. 1-8-1976).]Form 10[Rule 69 (2)]Form of memo to the members of the family of a deceased Government servant where valid nomination for the grant of the death-cum-retirement gratuity does not exist.No...................Government of Madhya PradeshDepartment/OfficeDated, the..........To,........................................................................Subject: Payment of death-cum-retirement gratuity in respect of the late Shri/Shrimati...........In terms of Rule 5 of the M.P. Civil Services (Pension) Rules, 1976, a death-cum-retirement gratuity is payable to the legal heirs of late Shri/Shrimati.......... (Designation), in the Office/Department of..........2. It is requested that a claim for the payment of gratuity may be submitted by legal heirs in the enclosed Form 11, as soon as possible with the [proof of legal heirship/Succession Certificate granted by the competent Court of law/and indemnity bond with 2 sureties in the Form 24] [May file an affidavit giving full details of family members of the Government servant with ages and relationship with the deceased Government servant alongwith Form 24 where payment is requested without production of succession certificate and amount of D.C.R. gratuity does not exceed Rs. 10,000.].
Head of Office [xxx] [The words 'Audit Officer' omitted by Notification No. FB-6-1-77-N-II-IV, dated 1-2-77 (w.e.f. 1-8-1976).]Form 11[See Rule 60 (2) (b)]Form of application for the grant of death-cum-retirement gratuity on the death of a Government servantTo be filled in separately by each claimant and in case the claimant is minor the Form should be filled in by the guardian on his/her behalf. Where there are more than one minor, the guardian should claim gratuity in one Form on their behalf).1. (i) Name of the claimant in case he is not minor.
2. (i) Name of the guardian in case the claimants are minors.
3. (i) Name of the deceased Government servant in respect of whom gratuity is being claimed.
4. Relationship of the claimant/guardian with the deceased Government servant.
5. Full postal address of the claimant/guardian.
6. (i) Where gratuity is claimed by the guardian on behalf of minors, the names of the minors, their ages, relationship with the deceased Government servant, etc. :
| S. No. | Name | Age | Relationship with the deceased Government servant | Postal Address |
| (1) | (2) | (3) | (4) | (5) |
| 1.2.3.4.5. |
7. Name of the treasury or sub-treasury at which payment is desired.
Signature/Thumb impression ofthe claimant guardian8. Two specimen [signatures or left hand thumb] [To be furnished in case the applicant is not literate enough to sign his name.] and finger impression of the claimant/guardian duly attested.
(To be furnished in a separate sheet).9. [Attested by] [Attestation should be done by two Gazetted Government servants or, two or more persons of respectability in the town, viliage or Pargana in which the applicant resides.] :
| Name | Full Address | Signature |
| (1) | (2) | (3) |
| (i)(ii) | ||
| Witness : | ||
| (i)(ii) |
2. You are advised that a claim for the grant of contributory family pension may be submitted in the enclosed Form 13.
3. The contributory family pension will be payable till; your death or remarriage whichever event occurs earlier. In the event of your death or remarriage the contributory family pension shall be granted to the child or children, if any, through the guardian.
Head of Office [xxx] [Omitted by Notification No. FB-6-1-77-N-II-IV, dated 1-2-77 (w.e.f. 1-8-1976).]Note. - Where there are more widows than one, family pension is payable to all widows in equal shares and all of them should be asked separately to submit application.Form 13[Rules 69 (3) and 71 (2)jForm of application for the grant of contributory family pension of the death of a Government servant/pensioner1. Name of the applicant
2. Name(s) and age(s) of surviving widow or widows/widower and children of the deceased Government servant/pensioner.
| S. No. | Name | Relationship with the deceased person | Date of birth by Christian Era |
| (1) | (2) | (3) | (4) |
| 1.2.3.4.5. |
3. Date of death of the Government servant/pensioner....
4. Office/Department in which the deceased Government servant/pensioner served last....
5. If the applicant is guardian, his date of birth and relationship with the deceased Government servant/pensioner.
5A. [ If the applicant is a widow/widower the amount of service pension which she/he may be in receipt on the date of death of the husband/wife] [Inserted by Notification No. FB-6-3-78-N-II-IV, dated 11-9-1978 (w.e.f. 13-10-1978).].
6. Full address of the applicant.
7. Name of the Treasury or Sub-Treasury at which payment is desired.
8. Enclosures-
9. Signature or [left hand thumb impression] [To be furnished in case the applicant is not literate enough to sign his name.] of the applicant.
10. Attested by:
| Name | Full Address | Signature |
| (1) | (2) | (3) |
| (i)(ii) | ||
| Witness : | ||
| (i)(ii) |
2. You are advised that a claim for the grant of non-contributory family pension may be submitted by you in the enclosed Form 16.
3. Should any contingency have happened since the date of making the nomination, so as to render the nomination invalid, precise details of the contingency may kindly be stated.
Head of Office [xxx] [Omitted by Notification No. FB-6-1-77-N-II-IV, dated 1-2-77 (w.e.f. 1-8-1976).]Form 15[See Rule 69 (4)]Form of memo to the member of the family of a deceased Government servant where valid nomination for the grant of non-contributory family pension does not exist.No.............Government of Madhya PradeshDepartment/Office.................Dated, the.............To.....................................................................Subject: Payment of non-contributory family pension in respect of the late Shri/Shrimati....In terms of Rule 48 of the M.P. Civil Services (Pension) Rules, 1976, a non-contributory family pension is payable to the family of the late Shri/Shrimati................ (Designation) in the Office/Department of as follows :2. I am to suggest that a claim for the non-contributory family pension may be submitted in the enclosed Form 16 as soon as possible. If you have a prior claim to it in accordance with gradation given above, you are requested to furnish an affidavit to the effect that there is no other surviving member of the family of Shri/Shrimati.............. ranking above you in the order given in the first paragraph. If, in the light of the above gradation, you have no prior claim to the non-contributory family pension, you are requested to intimate this office/department the name, address and relationship with the deceased, of the person who according to your knowledge has a prior claim to the non-contributory family pension. Any false information given or declaration made by you in this connection will render you liable to legal action.
Head of office [xxx] [Omitted by Notification No. FB-6-1-77-N-II-IV, dated 1-2-77 (w.e.f. 1-8-1976).]Form 16[See Rules 69 (4) and 71 (3)]Form of application for the grant of non-contributory family pension on the death of a Government servant/pensioner1. Name of the applicant.
2. (i) Name of the guardian in case the applicant is a minor.
3. Name of the deceased Government servant/pensioner.
4. Relationship of the applicant with the deceased Government servant/pensioner.
5. Date of death of the Government servant/pensioner.
6. Office/Department in which the deceased served last.
7. (i) Date of birth of the applicant.
8. Full address of the applicant/guardian.
9. Name of the treasury or sub-treasury at which payment is desired.
10. Enclosures :
*(i) Two specimen signatures of the applicant, duly attested (to be furnished on two separate sheets)**(ii) Two copies of a passport size photograph of the applicant, duly attested.11. Name and ages of surviving kindred of the deceased Government servant/ pensioner-
| Name | Date of birth by Christian Era |
| (1) | (2) |
12. Signature or thumb impressions of the applicant.
13. Attested by
| Name | Full Address | Signature |
| (1) | (2) | (3) |
| (i)(ii) | ||
| Witness : | ||
| (i)(ii) |
Part I – 1. Name of the deceased Government servant............
2. Father's name (and also husband's name in the case of a female Government servant).........
3. Date of birth (by Christian Era).........
4. Date of death (by Christian Era).........
5. Religion and nationality.........
6. Office/Department in which last employed..........
7. Appointment held last-
8. Date of beginning of service..........
9. Date of ending of service..........
10. (i) Total period of military service for which pension/gratuity was sanctioned..........
11. Amount and nature of any pension received for previous civil service, if any..........
12. Government under which service has been rendered in order of employment..........
13. Interruption and non-qualifying service..........
14. Length of qualifying service..........
15. Whether the deceased Government servant was a pre-1933 entrant and Rule 40 (2) of the M.P. Civil Services (Pension) Rules, 1976, applied to him..........
16. Emoluments reckoning for gratuity..........
17. Proposed death-cum-retirement gratuity..........
18. Whether nomination made for-
19. If non-contributory family pension applies and the Government servant had rendered more than 20 years qualifying service-
20. If contributory family pension applies-
21. Persons to whom family pension (contributory or non-contributory) is payable..........
Name...............Relationship with the deceased Government servant.................Full Postal Address.................22. Persons to whom death-cum-retirement gratuity is payable-
| S.No. | Name | Amount of the share of the death-cum-retirementgratuity | Relationship with the deceased | [The basis on which DCR gratuity is payable i.e.nomination or succession certificate or indemnity bond on Form24] [Inserted by Notification No. FB-6-1-79-N-II-IV, dated 13-2-1979 (w.e.f. 23-2-1979).]. | Full postal address |
| (1) | (2) | (3) | (4) | (5) | (6) |
| 1.2.3.4.5.6. |
23. Name of the guardian who will receive payment of family pension and death-cum-retirement gratuity in the case of minors.
24. Government dues, if any, outstanding against the deceased Government servant.
25. Head of account to which family pension and death-cum-retirement gratuity are debitable.
26. Name of the Treasury or Sub-Treasury where the payment of family pension and death-cum-retirement gratuity is desired.
Place............Dated the.............................................Signature of the Head of Office/[xxx] [Omitted by Notification No. FB-6-1-77-N-II-IV, dated 1-2-77 (w.e.f. 1-8-1976).]Part II – Section I
(To be filled in, if non-contributory family pension is admissible)[Emoluments drawn during the last 12 months] [In a case where the last 12 months include some period not to be reckoned for calculation average emoluments of an equal period backwards has to be taken for calculating the average emoluments.]| Post held | From | To | Pay | Personal/Special pay |
| (1) | (2) | (3) | (4) | (5) |
| Average emoluments: |
1. Interruptions................................
2. Any other service not treated as qualifying..............................
Section IIIPeriod of service not verified with reference to the acquittance Rolls.............................Whether the above period has been verified in accordance with the provision of sub-rule 3 (a) of Rule 58 of the M.P. Civil Services (Pension) Rules, 1976........................Part III – [xxx] [Omitted by Notification No. FB-6-1-77-N-II-IV, dated 10-5-77 (w.e.f. 29-2-1977).] [Part III-A] [Inserted by Notification No. FB-6-1-77-R-II-IV, dated 28-3-1977 (w.e.f. 6-5-1977).] (To be used by the Head of Office in the case of Government servants referred to in Rule 69)
Details of anticipatory family pension and gratuity to be drawn and disbursed by Head of Office in accordance with Rule 69 (7).| (a) | Anticipatory family pension | Rs.....p.m. |
| (b) | Gratuity (90% of gratuity mentioned in item 17 of Part I) | |
| Less | Rs............... | |
| (a) | Contribution towards contributory family pension [mentioned initem 20 (ii) of Part I] | Rs............... |
| (b) | Government dues which have been ascertained and assessed | Rs............... |
| (c) | Amount of gratuity held over for adjustment of Government dueswhich have been assessed so far | Rs............... |
| (d) | Total of (a), (b) and (c) | Rs............... |
| Net amount of gratuity payable provisionally (b) - (d). | Rs............... |
Part IV – Section I
Audit enfacement-1. Total period of qualifying service which has been accepted for-
2. [xxx] [Omitted by Notification No. FB-6-1-77-N-II-IV, dated 10-5-77 (w.e.f. 29-2-1977).]
3. [Net amount of death-cum-retirement gratuity after adjusting the Government dues.] [Substituted by Notification No. FB-6-1-77-N-II-IV, dated 10-5-77 (w.e.f. 29-2-1977).]....................
4. Amount of contributory family pension-
5. Amount of non-contributory family pension [xxx] [Omitted by Notification No. FB-6-1-77-N-II-IV, dated 10-5-77 (w.e.f. 29-2-1977).] and the period for which it is tenable.
6. The date from which family pension is admissible.
7. Head of Account to which death-cum-retirement gratuity and family pension are chargeable.
.........................Accounts Officer......................Assistant Accountant GeneralSection II1. Name of the deceased Government servant.................
2. Date of death of the Government servant..................
3. Date of submission of claim by the family of the deceased Government servant.................
4. Amount of family [pension authorised] [Substituted by Notification No. FB-6-1-77-N-II-IV, dated 10-5-1977 (w.e.f. 29-2-1977).].................
5. Amount of [gratuity authorised] [Substituted by Notification No. FB-6-1-77-N-II-IV, dated 10-5-1977 (w.e.f. 29-2-1977).].................
6. Amount recoverable from gratuity.................
7. The amount of gratuity held over for adjustment of unassessed Government dues..................
Part V – Instructions
1. Average emoluments. - The calculation of average emoluments, mentioned in item 19 of Part I of this Form should be based on the actual number of days contained in each month.
2. Details of service. - All periods not reckoned as service should be distinguished.
3. Identification marks. - Specify few conspicuous marks, not less than two, if possible.
4. Name. - When initials or the name of the Government servant are or is incorrectly given in the various records consulted mention this fact in the letter forwarding the pension papers.
5. Date of death. - Date of death to be indicated in the service book, and the last Pay Certificate, if any.
6. Alterations. - Alterations to be made in red ink under dated initials of a Gazetted Government servant.
Form 18[See Rule 69 (6)]Form of letter to the Audit Officer forwarding papers for the grant of family pension and death-cum-retirement gratuity to the family of a Government servant who dies while in service.No......................Government of Madhya PradeshDepartment/Office.............Dated the.....................ToThe Accountant GeneralMadhya PradeshSubject: Grant of family pension and death-cum-retirement gratuity.I am to inform you that Shri........... (Designation), died on.............. His family has become eligible for the grant of family pension and death-cum-retirement gratuity. Form 7 duly completed [x x x] [Omitted by Notification No. FB-6-1-77-N-II-IV, dated 10-5-77 (w.e.f. 29-2-1977).] is forwarded herewith for further necessary action.2. Your attention is invited to the list of enclosures which is forwarded herewith.
3. The receipt of this letter, may be acknowledged and this Department/Office informed that necessary instruction for the disbursement of family pension and death-cum-retirement gratuity have been issued to the Treasury Officer concerned.
Head of OfficeList of enclosures.1. Specimen signature or left hand thumb and finger impressions of the beneficiary, duly attested.
2. [ Two attested copies of a passport size photograph of the beneficiary.] [Purdanashin ladies are exempted from submission of photograph. In such cases declaration that beneficiary is purdanashin lady shall be enclosed.]
3. Descriptive Roll of the beneficiary, duly attested.
Form 19[See Rule 71 (2)]Form of letter sanctioning Contributory family pension to the child or children of a retired Government servant who dies after retirement but does not leave behind a widow/widowerNo.......................Government of Madhya PradeshDepartment/Office..............Dated the.................ToThe Accountant GeneralMadhya Pradesh, GwaliorSubject: Grant of family pension to the child/children.I am to inform you that Shri/Shrimati........... formerly......... (Designation)........ in this Department/Office was sanctioned pension of Rs.... with effect from....... on his/her retirement from service.2. Intimation has been received in this Department/Office that Shri/Shrimati......... died on and that at the time of death left no widow/widower but was survived by the following [children] [The names of children should be mentioned in the order of eligibility mentioned in Rule 47 of the M.P. Civil Services (Pension) Rules, 1976. Children born as a result of marriage which took place before the retirement of the Government servant or children adopted legally before retirement should only be included.] :-
| S. No. | Name | Son/daughter | Date of birth in Christian Bra | Date from which family pension ceases to bepayable. |
| (1) | (2) | (3) | (4) | (5) |
| 1.2.3.4.5.6. |
3. In terms of Rule 47 of the M.P. Civil Services (Pension) Rules, 1976, the amount of contributory family pension has become payable to the children in the order mentioned above. The contributory family pension will be payable on behalf of the minors to Shri/Shrimati........ who is the guardian.
4. Sanction for grant of contributory family pension is accorded as under :-
5. The contributory family pension is debitable to the Head......
6. Attention is invited to the information furnished in the enclosed list.
7. The receipt of this letter may kindly be acknowledged and this Department/Office informed that necessary instructions for the payment of contributory family pension to the guardian have been issued to the Treasury Officer concerned.
Head of OfficeList of enclosures.-1. Permanent address of the guardian.
2. Place of payment (Government Treasury or Sub-Treasury).
3. Specimen signature or [left hand thumb] [To be furnished in the case of the guardian who is not literate enough to sign his/her name.] and finger impressions of the guardian, duly attested.
4. [ Two attested copies of a passport size photograph of the guardian.] [If lady guardian is purdanashin lady and does not wish to furnish photograph, a declaration of being a purdanashin lady shall be enclosed.]
5. Descriptive Roll of the guardian, duly attested.
Form 20Form of letter sanctioning family pension to the child or children on the death or re-marriage of a widow/widower who was in receipt of contributory family pension.No......................Government of M.P.Department/Office.......Dated the...............ToThe Accountant GeneralMadhya Pradesh.Subject: Grant of family pension to the child/children.Shrimati/Shri........... widow/Widower of late Shri/Shrimati......... formerly....... (Designation) in this Department/Office, was sanctioned contributory family pension of Rs......... with effect from the.......... This contributory family pension was tenable till the death or remarriage of the widow/widower.2. Intimation has been received in this Department/Office that Shri/Shrimati........ died/re-married/on........
3. At the time of death/re-marriage, Shri/Shrimati....... had following [children] [The names of children should be mentioned in the order of eligibility mentioned in Rule 47 of he M.P. Civil Services (Pension) Rules, 1976. Children born as a result of marriage which took place before the retirement of the Government servant or children adopted legally before retirement should only be included.] :-
| S. No. | Name | Son/daughter | Date of birth in Christian Bra | Date from which family pension ceases to bepayable. |
| (1) | (2) | (3) | (4) | (5) |
| 1.2.3.4.5.6. |
4. In terms of Rule 47 of the M.P. Civil Services (Pension) Rules, 1976 the amount of contributory family pension has become payable to the children in the order mentioned above. The contributory family pension will be payable on behalf of the minors to Shri/Shrimati....... who is the guardian.
5. Sanction for grant of contributory family pension to the children mentioned above is accorded as under :-
6. The Contributory family pension is debitable to the Head........
7. Attention is invited to the information furnished in the enclosed list.
8. The receipt of this letter may kindly be acknowledged and this Department/Office informed that necessary instructions for the payment of contributory family pension to the guardian have been issued to the Treasury Officer concerned.
.........................Head of OfficeList of enclosures-1. Permanent address of the guardian.
2. Place of payment (Government Treasury or Sub-Treasury).
3. Specimen signature or [left hand thumb] [To be furnished in the case of the guardian who is not literate enough to sign his/her name.] and finger impressions of the guardian, duly attested. ;
4. [ Two attested copies of a passport size photograph of the guardian.] [Purdanashin ladies are exempted from submission of photograph. In such cases a declaration that beneficiary is purdanashin lady shall be enclosed.]
5. Descriptive Roll of the guardian, duly attested.
Form 21[See Rule 71 (4)]Form of application of the grant of residuary [gratuity] [If a retired Government servant is in receipt of service gratuity or pension dies within five years from the date of his retirement from service including compulsory retirement as a penalty and the sums actually received by him at the time of his death on account of such gratuity or pension including ad hoc increase, if any, together with the death-cum-retirement gratuity and the commuted value of any portion of pension commuted by him are less than the amount equal to 12 times of his emoluments, a residuary gratuity equal to the deficiency becomes payable to the family.] on the Death of a pensioner(To be filled in separately by each applicant)1. Name of the applicant.............
2. (i) Name of the guardian in case the applicant is a minor.............
3. Name of the deceased pensioner.............
4. Office/Department in which the deceased pensioner served last.............
5. Date of death of the pensioner.............
6. Date of retirement of the deceased pensioner.............
*7. Amount of monthly pension (including ad hoc increase if any) sanctioned to deceased pensioner..............8. Amount of death-cum-retirement gratuity received by the deceased pensioner..............
9. The amount of pension (including ad hoc increase if any) drawn by the deceased till the date of death..............
10. If the deceased had commuted a portion of pension before his death, the commuted value of the pension..............
11. Total of items 8,9 and 10..............
12. Amount of death-cum retirement gratuity equal to 12 times of the emoluments.............
13. The amount of residuary gratuity claimed, i.e. the difference between the amount shown against item 12 and item 11..............
14. Relationship of the applicant with the deceased pensioner..............
15. Date of birth of the applicant...............
16. Name of the Treasury or Sub-Treasury at which payment is desired...............
17. Full address of the applicant...............
18. Signature or thumb impression of the applicant (to be furnished in a separate sheet) duly attested...............
**19. Attested by:-Name..............Full address............Signature.1.
........2.
........Signature of ObligorSigned by the above named,Surety/Sureties in the presence ofSignature of Surety/Sureties.Accepted for and on behalf of the Governor of Madhya Pradesh by........... in the presence of.................| (Name and designation ofwitness)............................. | Name and designation of officeraccepting thebond |
| [..........] [Signature of the Obligor.] | Signed by the above named"Obligor"in the presence of............ |
| Witnesses: | |
| (1)[...................] [Signature of the First Surety.] | (1)................. |
| (2)[...................] [Signature of the Second Surety.] | (2)................. |
| Signed by the above named suretysureties inthe presence of:- | |
| Witnesses (1)................... | |
| (2).................. |
| [Signature of witness] [Name and designation of witness.] | [Signature and designation] [Signature of the officer accepting the bond.] |
| AttestedSignature of Head of Office/Department. | Signature of retired Government servant |
| Date : | Signature and designation |
| Witnesses: | |
| 1.............................. | |
| 2.............................. | Signed before meSignature and designation. |
1.
2.
3.
Signature of Head of OfficeToShri......(Name and designation)[Form 28] [Inserted by Notification No. FB-6-2(a)-80-R-II-IV, dated 1-1-81 (w.e.f. 27-3-1981).][See Rule 42 (1)(a)]To..........................................................Whereas, I have completed 20 yeas qualifying service and now desire to retire from Government service under clause (a) of sub-rule (1) of Rule 42 of the M.P. Civil Services (Pension) Rules, 1976, with effect from....... a notice whereof is hereby given accordingly.Or*Whereas, I have completed 20 years qualifying service and now desire to retire from Government service under clause (a) of sub-rule (i) of Rule 42 of the M.P. Civil Services (Pension) Rules, 1976, with effect from a notice whereof is hereby given accordingly;And, whereas the period of this notice falls short of...... days, the pay and allowances for the days aforesaid have been credited under challan No...... dated...... a copy whereof is enclosed herewith;Or*Whereas, I have completed 20 years qualifying service and now desire to retire from Government service under clause (a) of sub-rule (i) of Rule 42 of the M.P. Civil Services (Pension) Rules, 1976, forthwith, that is to say from....... a notice whereof is hereby given accordingly;The pay and allowances for three months have been credited under challan No....... dated........ a copy whereof is enclosed; in lieu of three months notice as required by the said clause.Dated............Signature and designation ofthe Government servant.*Strike out which are not applicable.[Form 29] [Substituted by Notification No. F-25-2-2000-PWC-IV, dated 30th May, 2000.][See Rule 42(1) (b)]To,............................................................*Whereas, you have completed 20 years qualifying service/50 years of age on.....2. And whereas, with the approval of the State Government, it has been decided in the public interest to retire you from service with effect from, under clause (b) of sub-rule (1) of Rule 42 of the Madhya Pradesh Civil Services (Pension) Rules, 1976, three months notice in that behalf is hereby given accordingly.
OR*Whereas, you have completed 20 years qualifying service/50 years of age on.........2. And whereas, with the approval of the State Government, it has been decided to retire you in public interest from service with effect from under clause (b) of sub-rule (1) of Rule 42 of the Madhya Pradesh Civil Services (Pension) Rules, 1976, a notice short of three months in that behalf is hereby given accordingly.
OR*Whereas, you have completed 20 years qualifying service/50 years of age on......2. Now therefore, in exercise of the powers conferred by clause (b) of sub-rule (1) of Rule 42 of the Madhya Pradesh Civil Services (Pension) Rules, 1976, with the approval of the State Government you are hereby retired in public interest forthwith without notice that is to say with effect from.........
Date.................................Appointing Authority.*Strike out which are not applicable.[Form 30] [Inserted by Notification No. B-6-1-92-PWC-IV, dated 29-6-96 (w.e.f. 21-8-1995).][See Rule 47 (14) (b) (ii)]Form of application for authorisation of family pension of spouse from post retiral marriage and children born after retirement(To be filled in Triplicate and submitted to the Head of Office, from where the Pensioner retired).To(Head of Office)Sir/Madam,I am to inform you that I have married/remarried on............ I give below the necessary particulars of my spouse/children born after retirement of such marriage, for necessary endorsement on my Pension Payment Order (P.P.O.):1. Name of the pensioner (As recorded in the P.P.O.) ......
2. Date of retirement ......
3. Post held at the time of retirement. ......
4. Details of the P.P.O. ......
5. Address
6. Details of pension Disbursing Authority ........
1. Station .......
2. Name of Treasury, Sub-Treasury or Bank ......
7. (a) Details of family as furnished at the time of retirement -
| S. No. | Name(s) and Address(es) of member(s) of family | Relationship with the pensioner | Marital status in case of daughters | Date of birth of children | Whether children are physically handicapped |
| (1) | (2) | (3) | (4) | (5) | (6) |
8. Name of husband/wife of post retiral marriage. ...........
9. Particulars of children born after retirement:-
| S.No. | Name(s) and Address(es) of post retiral family | Relationship with the pensioner | Date of birth | Whether the children are physically handicapped |
| (1) | (2) | (3) | (4) | (5) |