Retirement CTG Form Generator

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To be given WITHIN 1 YEAR from the DATE OF RETIREMENT (2 copies each)

APPLICATION CUM DECLARATION FOR COMPOSITE TRANSFER GRANT
(FOR RETIRED EMPLOYEES/OFFICERS)

TO,

Sir, Sub: Payment of Composite Transfer Grant Allowance

I have retired from Railway service on . I have shifted my personal effects (household goods) by my own arrangement and have settled down at my native place on the following address:

My service particulars are as under:

1. Name of the employee:

2. Designation: Deptt:

3. Date of appointment: PF:

4. Last Basic Pay: Bill unit:

5. Mode of payment(NEFT) MICR: IFSC:

6. SB A/C No. & Address:

7. PAN No.:

8. Whether in occupation of Railway Quarter: YES / NO

9. If yes, date of vacation of Railway Quarter:

10. Residential Address while in service:

11. Reasons for delay (if any):

12. For employees who are Gazetted and above-

A. I have taken Kit Pass: Yes/NoB. If I have utilized VPU & EVK: Yes/No
C. I am in possession of a CAR: Yes/NoD. Car was carried in VPU: Yes/No
E. I have taken transfer grant advance: Yes/No

Kindly arrange to pay me CTG as admissible under the rules. Thanking You.

Enclosures:
i. Change of Residency Address Proof : Yes/No
ii. Cancelled Cheque of Pension Account : Yes/No
iii. Copy of Last Month Payslip / PPO : Yes/No
iv. Settlement Pass : Yes/No
v. Reservation Ticket : Yes/No
vi. Original transport receipt/bill (GST) : Yes/No

Yours faithfully,


Signature: ______________
Designation:
Date:
Mob No:

(Annexure - 1)
Self-declaration Certificate for change of Residence for claiming
Composite Transfer Grant (CTG) on Retirement

(Annexure to Board's letter No.F(E)I/2022/AL-28/10 dated 09.02.2022)

I, (Name of the employee) hereby declare and certify that:

1. I have changed my residence from:

to:

for settlement on my retirement.

2. In case the above declaration given by me is not found true at any stage, I shall be liable to disciplinary action under Railway Services (Pension) Rules 1993 as amended from time to time and to refund the sum along with penal interest thereon to the Government.

___________________________
(Signature/Thumb impression)

Name:

Address & Mob:

Date: