FORM 6 – Form for Assessing Gratuity, Checklist and Calculation Sheet: CCS (Payment of Gratuity under NPS) Rules, 2021
FORM 6
Form for Assessing Gratuity
[To be sent four months before the date of retirement to the PAO]
[See rules 34, 37, 38 and 42]
PART-I (To be filed by Head of Office)
| 1. Name of the retiring Government employee | |||||||||||||||||||||||||||||||||||||||
| Name of [ ] Mother [ ] Father | |||||||||||||||||||||||||||||||||||||||
| PAN
no. |
Date of Birth | ||||||||||||||||||||||||||||||||||||||
| 2. Post held at the time of retirement: – | |||||||||||||||||||||||||||||||||||||||
| (a) Name of the office | (b) Post held | ||||||||||||||||||||||||||||||||||||||
| (c) Level of pay in the pay matrix | (d) Basic pay | ||||||||||||||||||||||||||||||||||||||
| (e) Whether the appointment mentioned above was under Government or outside the Government on foreign service terms | |||||||||||||||||||||||||||||||||||||||
| (f) Level of pay /basic pay in the pay matrix of the post in the parent department | |||||||||||||||||||||||||||||||||||||||
| Whether declared substantive in any post under the Central Government | |||||||||||||||||||||||||||||||||||||||
| 3. Date of beginning of service | D | D | M | M | Y | Y | Y | Y | 4. Date of ending of service | D | D | M | M | Y | Y | Y | Y | ||||||||||||||||||||||
| 5. Cause of ending of service (please tick one) | |||||||||||||||||||||||||||||||||||||||
| (a) Superannuation | (b) Voluntary retirement on being declared surplus (rule 29) | ||||||||||||||||||||||||||||||||||||||
| (c) Voluntary/premature retirement at the initiative of the Government servant [under rules 12 of CCS(Implementation of NPS) Rules, 2021 and FR 56 (k)] | |||||||||||||||||||||||||||||||||||||||
| (d) Premature retirement at the initiative of the Government [FR 56 (j) ] | |||||||||||||||||||||||||||||||||||||||
| (e) Permanent absorption in public sector undertaking/Autonomous Body (rule 32) | |||||||||||||||||||||||||||||||||||||||
| (f) Invalidment on medical ground (Rule 16 of CCS(Implementation of NPS) Rules | (g) Due to abolition of post (rule 29) | ||||||||||||||||||||||||||||||||||||||
| (h) Compulsory retirement (rule 30) | (i) Removal/dismissal from service (rules 31) | ||||||||||||||||||||||||||||||||||||||
| 5.A. In the case of compulsory retirement, the orders of the competent authority whether gratuity may be allowed at full rates or at reduced rates and in case of reduced rates, the percentage at which it is to be allowed (Please see Rule 30) | |||||||||||||||||||||||||||||||||||||||
| 5.B.In case of removal/dismissal from service whether orders of competent authority have been obtained for grant of gratuity and if so, at what rate (Please see rule 31) | |||||||||||||||||||||||||||||||||||||||
| 6. Service in Autonomous body/State Government, if any :- | |||||||||||||||||||||||||||||||||||||||||||||||||||
| (a) Details of service : | Name of organisation | Post held | |||||||||||||||||||||||||||||||||||||||||||||||||
| Period of service | From | D | D | M | M | Y | Y | Y | Y | To | Period | D | D | M | M | Y | Y | Y | Y | ||||||||||||||||||||||||||||||||
| (b) Whether the above service is to be counted for gratuity in the Government | |||||||||||||||||||||||||||||||||||||||||||||||||||
| (c) Whether the Autonomous Organisation has discharged its gratuity liability to the Central Government | |||||||||||||||||||||||||||||||||||||||||||||||||||
| 7. Whether any departmental or judicial proceedings in terms of rule 5 are pending against the retiring employee. (If yes, gratuity will be withheld till the conclusion of departmental or judicial proceedings and issue of final orders.) | |||||||||||||||||||||||||||||||||||||||||||||||||||
| 8. Details of Service | |||||||||||||||||||||||||||||||||||||||||||||||||||
| (a) Period of service | From | To | Total duration of service | ||||||||||||||||||||||||||||||||||||||||||||||||
| (b) Details of omission, imperfection or deficiencies in the Service Book which have been ignored [under rule 36 (1) (b)(iii)] | |||||||||||||||||||||||||||||||||||||||||||||||||||
| (c) Period not counting as qualifying service :- | |||||||||||||||||||||||||||||||||||||||||||||||||||
| (i) Extraordinary leave not counting as qualifying service (rule 13) | |||||||||||||||||||||||||||||||||||||||||||||||||||
| (ii) Periods of suspension not treated as qualifying service (rule 14) | |||||||||||||||||||||||||||||||||||||||||||||||||||
| (iii) Interruptions in service [rule 18 and rule 19 ] | |||||||||||||||||||||||||||||||||||||||||||||||||||
| (iv) Periods of foreign service with United Nation Bodies for which no contribution for gratuity was received (rule 20) | |||||||||||||||||||||||||||||||||||||||||||||||||||
| (v) Any other period not treated as qualifying service (give details) | |||||||||||||||||||||||||||||||||||||||||||||||||||
| (d) Additions to qualifying service :- | |||||||||||||||||||||||||||||||||||||||||||||||||||
| (i) Benefit of service in an Autonomous Body | |||||||||||||||||||||||||||||||||||||||||||||||||||
| (e) Net qualifying service(a – b – c + d) | |||||||||||||||||||||||||||||||||||||||||||||||||||
| (f) Qualifying service expressed in terms of completed six monthly periods (Period of three months and above is to be treated as completed six monthly period (rule 22) | |||||||||||||||||||||||||||||||||||||||||||||||||||
| 9. Emoluments :- | |||||||||||||||||||||||||||||||||||||||||||||||||||
| (a) Emoluments in terms of rule 6 | |||||||||||||||||||||||||||||||||||||||||||||||||||
| (b) Emoluments drawn during ten months preceding retirement | From | d | d | m | m | y | y | y | y | To | Period | d | d | m | m | y | y | y | y | ||||||||||||||||||||||||||||||||
| Note: If the officer was on foreign service immediately preceding retirement, the notional emoluments which he would have drawn under Government but for being on foreign service may be mentioned in items (a) and (b) above (sub rule 7 of rule 6) | |||||||||||||||||||||||||||||||||||||||||||||||||||
| (a) Average emoluments (rule 7) | |||||||||||||||||||||||||||||||||||||||||||||||||||
| (b) Emoluments reckoned for retirement gratuity/death gratuity (rule 22) | |||||||||||||||||||||||||||||||||||||||||||||||||||
| 10. Amount of retirement gratuity/death gratuity (rule 22) | |||||||||||||||||||||||||||||||||||||||||||||||||||
| 11. Details of gratuity on finalisation of Department /judicial proceedings | |||||||||||||||||||||||||||||||||||||||||||||||||||
| (a) Percentage of gratuity to be withheld under rule 5 | |||||||||||||||||||||||||||||||||||||||||||||||||||
| (b) Amount of gratuity after deduction of amount withheld | |||||||||||||||||||||||||||||||||||||||||||||||||||
| 12. Details of Government dues recoverable out of gratuity | |||||||||||||||||||||||||||||||||||||||||||||||||||
| (a) Licence fee for Government accommodation [rule 45 and rule 46] | |||||||||||||||||||||||||||||||||||||||||||||||||||
| (b) Dues referred to in rule 47 | |||||||||||||||||||||||||||||||||||||||||||||||||||
| (c) Amount indicated by Directorate of Estates to be withheld under rule 46 | |||||||||||||||||||||||||||||||||||||||||||||||||||
| Post-retirement address of the retiree | ||||
| e-mail ID, if any | Mobile number, if any | |||
FORM 6 CHECK LIST FOR HEAD OF OFFICE FOR TIMELY PROCESSING OF RETIREMENT DUES
| 1. Whether retiring employee is an allottee of Government accommodation | |||||||||||||
| 2. The date on which action initiated to obtain the ‘No demand certificate from the Directorate of Estates as provided in rule 22 of CCS( Implementation of NPS) Rules, 2021. | |||||||||||||
| 3. Date of receipt of ‘No Demand Certificate’ from Directorate of Estates | |||||||||||||
| 4. Date on which intimation regarding any recovery/withholding of amount from gratuity received from Directorate of Estates | |||||||||||||
| 5. If retiring employee is not an allottee of Government accommodation, date on which | d | d | m | m | y | y | y | y | |||||
| ‘No Demand Certificate’ issued by the office | |||||||||||||
| 6. Date on which action initiated to assess the service and emoluments qualifying for | d | d | m | m | y | y | y | y | |||||
| gratuity as provided in rule 36 | |||||||||||||
| 7. Date on which action initiated to assess the Government dues other than the dues | D | d | m | m | y | y | y | y | |||||
| relating to allotment of Government accommodation as provided in rule 47 (1) | |||||||||||||
| 8. Date on which the retiring Government servant was furnished with a certificate regarding the length of qualifying service and the emoluments/average emoluments
proposed to be reckoned for retirement gratuity. |
D | d | m | m | y | y | y | y | |||||
| 9. Whether any objection received from the employee on the above certificate | |||||||||||||
| 10. Whether nominations made in Form 2 for | |||||||||||||
| (i) Death gratuity/retirement gratuity | |||||||||||||
| 11. Whether Details of family in Form 2 of CCS( Implementation of NPS) Rules, 2021 attached | Yes [ ] No [ ] | ||||||||||||
| 12. Whether Statement of the savings effected and the reasons why employment could not be found elsewhere attached (if claim is for gratuity). | |||||||||||||
| 13. Whether the orders of the competent authority regarding grant of gratuity in the cases of compulsory retirement/dismissal/removal placed on record | |||||||||||||
| 14. Whether order for withholding gratuity on finalisation of departmental/judicial proceedings attached, if applicable on finalisation of proceedings. | |||||||||||||
| 15. Whether a statement indicating the reasons for delay (in case the papers for payment of gratuity are not forwarded before four months of the retirement of Government Servant) attached | |||||||||||||
| 16. Whether brief statement leading to reinstatement of the Government servant attached (In case the Government servant has been reinstated after having been suspended, compulsorily retired, removed or dismissed from service.) | |||||||||||||
PART-II
[Account Enfancement (by Accounts Officer)]
| Date of receipt of papers for payment of gratuity by the Accounts Officer from Head of Office | d | d | m | m | y | y | y | Y | |||
| Entitlements admitted – | |||||||||||
| A. Length of qualifying service | |||||||||||
| B. Retirement/Death Gratuity – | |||||||||||
| (i) Total amount of gratuity | |||||||||||
| (ii) Percentage of gratuity to be withheld under rule 5 | |||||||||||
| (iii) Amount of gratuity after deduction of amount withheld | |||||||||||
| (iv) Amount to be adjusted towards arrears of licence fee for Government accommodation and licence fee for retention of Govt. accommodation beyond retirement (rule 46) | |||||||||||
| (v) Amount intimated by Directorate of Estates for being withheld on account of unassessed licence fee (rule 46) | |||||||||||
| (vi) Amount to be adjusted towards Government dues other than those pertaining to Government accommodation (rule 47) | |||||||||||
| (v) Net amount to be released immediately | |||||||||||
| C. Head of account to which the amount of retirement/death gratuity is to be debited | |||||||||||
| D. Whether any order affecting gratuity issued under rule 5. | Yes No | ||||||||||
| If so, details thereof | |||||||||||
Signature of Accounts Officer
GRATUITY CALCULATION SHEET
| 1. Name | 2. Designation | |||||||||||||||||||||||
| 3. Date of birth | 4. Level of pay in the pay matrix | 5. Basic pay | ||||||||||||||||||||||
| 6 Date of entry in the Government service | d | D | M | M | Y | y | y | Y | 7. Date of retirement | d | d | m | m | y | y | y | Y | |||||||
| 8. Length of qualifying service reckoned for gratuity | ||||||||||||||||||||||||
| 9. Emoluments drawn during the last ten months | ||||||||||||||||||||||||
| 10. Emoluments or average emoluments, whichever is more beneficial for gratuity | ||||||||||||||||||||||||
| 11. Emoluments for gratuity | ||||||||||||||||||||||||
| 12. Retirement gratuity admissible: calculation to be shown as follows :- Emoluments/4 x Qualifying Service (In completed six monthly periods, not exceeding 66.) | ||||||||||||||||||||||||
Signature of the Head of Office
Countersigned by PAO
Copy to:- Shri/Smt.Kumari …… …… …… …… …… …… …… …… …… …… …… ……..
Retired/retiring Govt. servant
COMMENTS
can one employee under premature retirement entitled to get his gratuity and unutilised leave salary?