FORMS

Treasury Forms

TA Bill of Gazetted Officers (TR-47 New) TR-51, Non Gazetted Bill Form (Actual Size) TR-51, Non Gazetted Bill Form (Reduced to A4) TR 59 (Contingent/Grant in Aid/Scholarship Bills) TR 59(C)-New common bill for Non salary claims TR 60 (Abstract Contingent Bill) TR 61 Fully Vouched Contingent Bill Letter of authority (T.R.103) Treasury Pay-In-Slip Chalan Form PD Account Closing Statement Proforma for SDO Code

SLI Forms

LI Proposal Form (Application Form) Instruction to fill Aplication Form SLI Schedule SLI Nomination Form SLI Loan Application Form SLI Claim Form SLI Indemnity Bond

GIS Forms

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

Spark Forms

SPARK Enrolment Form ( Form No.15) From-1(Joining Report-Fresh Appointment) From-2(Nomination of DMU) From-3 (Nomination / Change of DDOs) From-4(Request for Authentication of SDOs/DDOs) From-5(Application for setting Controlling Officer) From-6(For Revoking/Invoking Authentication)

GPAIS Forms

GPAIS Schedule GPAIS Nomination Form GPAIS Claim Form

Earned Leave Surrender ( Fillable PDF Forms)

Application for Leave Surrender Proceedings of the Principal Application for Leave Forwarding letter to AGs

Miscellane ous Forms

Leave Application Form ( Form 13)  Application for Casual Leave Application for LWA Police Verification Form(New) Option Form for Time Bound Higher Grade Promotion Medical Certificate as per Rule117[1]a Option Form & Statement of Fixation RTC (Report of Transfer of Charge) Fillable PDF TA Form Last Pay Certificate (LPC) Conduct Certificate Certificate of Physical Fitness Certificate of Physical Fitness (As per New GO) Daily Plan Format HRA Proforma – to be submitted in Treasuries Application for NOC to obtain Passport (Submit in triplicate) 10 E Form (To claim rebate u/s 89(1) on arrear received) Application for Transfer of HSS Principals No Objection Certificate to Apply for PSC Proforma to Remit Profession Tax Gazetted Certificate for PAN Fixation Due to Promotion (As per 28A)

FORMS

TREASURY FORMS

(Last updated on 13-01-2015)

1. Form D (FINAL/ ADVANCE PAYMENT FROM G P F ACCOUNT) DOWNLOAD
2. Form A (FBS) DOWNLOAD
3. NEW GPF BILLS AND FORMS DOWNLOAD 
4. NEW GPF CALCULATOR DOWNLOAD
5.  New GPF Forms PDF file DOWNLOAD
6. Form 70 N( Court Fee refund order) DOWNLOAD
7. Form TR.12 (Challan Form) DOWNLOAD
   Form TR.12(Challan Form) Excel format DOWNLOAD
8. Form D (GPF withdrawal) DOWNLOAD
9. Form 49 (Refund Payment order) DOWNLOAD
10. Form 62 (Order of Payment) DOWNLOAD
11. Form 68 (Order of Payment) DOWNLOAD
12. Form 108 (Bill for Grand in Aid) DOWNLOAD
13. Form TR.47 (TA Bill of Gazetted Officers) DOWNLOAD
14. Form TR.56 (TA Bill of Non-Gazetted ) DOWNLOAD
15. Form TR.59 (Contingent/Grand in Aid/Scholarship) DOWNLOAD
16. Form TR.59 C (Common Bill From for All ) DOWNLOAD
17. Form TR.60 (Abstract Contingent Bill) DOWNLOAD
18. Form TR.61(Fully vouched Contingent bill) DOWNLOAD
19. Form TR.65 DOWNLOAD
20. Form TR.81 (Pensioners Bill) DOWNLOAD
21. Form TR.114 (Claiming Scholarship) DOWNLOAD
22. Form TR.51A(Detailed Pay Bill of NGO) DOWNLOAD
23. PD Cheque DOWNLOAD
24. Form TR.42 (for Miscellaneous payments) DOWNLOAD
25. Form TR.47( TA Bill of Gazetted Officers) DOWNLOAD
26. Form TR.46 Gazetted officers Pay etc.(Editable PDF File).DOWNLOAD
27. 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
28. Form TR.43 Statement of Rent recovered from pay bills DOWNLOAD
29. Form TR.103 Letter of Authority DOWNLOAD
30. 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
31. 5% Revision for pensioners who retired from 01.03.2002 to 30.06.2004 DOWNLOAD
32. All LSG Institutions forms and  GO (P) No. 516/2004/Fin dt 03/11/2004 DOWNLOAD
33. SIMPLE EXCEL FORM 16, 10E 2013-14 or IT Calculator DOWNLOAD
34. PROFORMA FOR SDO’s PERSONAL DETAILS DOWNLOAD
35. DCRG Nomination form Form No.4B (Having Family) DOWNLOAD
36. DCRG Nomination form Form No.4D (Having no Family)DOWNLOAD
37. HBA Application forms DOWNLOAD
38. Application for Drawal of Pension Through Selected Banks PDF File WORD File
39. Salary Certificate PDF Format, WORD format(Editable) 
40.  Fixation Due to Promotion (As per 28A) PDF Format
41. Common Bill form TR59(C) 

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