Declaration Form For Non-Employment/Re-Employment (For Pensioners)

Company Name(s): 

ANNEXURE-XVIII
(See para 15.3 & 15.4 page 11 & 12)

NON-EMPLOYMENT I RE-EMPLOYMENT CERTIFICATE
(To be given by pensioner once a year in November)
(A) Existed - Deleted
(A) I declare that I have been employed I re-employed in the Offices which is a part of I
financed by and was in receipt of the
following monthly rates of emoluments during the year ended November, 20............ or during the
month of within the said year:
(a) Pay
_ (b) Special Pay
_
(c) Other Allowances I Fees I Honorarium
_
(it includes D.A, A.D.A., these to be shown clearly)

Further, that the orders of my re-employment do/do not stipulate my pension being held in abeyance during the re-employment period.

I declare that I have not accepted any commercial employment in India.

Or

I declare that I have accepted commercial employment in India, after obtaining previous sanction of the Central Government and none of the conditions, if any, attached thereto by Government has been violated.

Or

I declare that I have accepted Commercial Employment in India without obtaining the sanction of Central Govt.

NOTE - This declaration is required to be given for a period of two years from the date of retirement.

(B) I declare that I have not accepted any employment under a Govt. outside India /an International Organisation of which Govt. of India is not a member.

Or

I declare that I have accepted employment under a Govt. outside India/an International Organisation of which Govt. of India is not a member after obtaining the previous sanction of the Central Government and none of the conditions attached thereto by the Govt. has been deviated from.

Or

I declare that I have accepted employment under a Govt. outside India/an International Organisation of which Govt. of India is not a member, without obtaining the previous sanction of the Central Govt. of which Govt. of India is not a member, without obtaining the previous sanction of the Central Govt.

Place:

Signature

Name of the Pensioner _

Date: P.P.O. No.

Certificates at (B) and (C) are to be furnished only by retired Group 'A' Officers in May andNovember each year.

·cs No. 2 - Authority. CGA's uo No - 1(7)(1)2000!rA/377 dated 19-8-2002.