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com

17 FL«g eyãÂ
mYtyf F¿¥ò gâªJ rk®¥Ã¡f¥gL»wJ
e.f. v© : / / 20
bghUŸ : gŸë¡fšé¡fšé-FL«g eyã - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _x‹¿a« _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ muR ca®/nkšãiy¥gŸëæš gâòçªJ _ _ _ _ _ _ _ _
_ _ _ m‹W kuzkilªj ÂU/ÂUk _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _
_ _ _ v‹ghç‹ FL«g thçRjhuU¡F FL«g eyã tH§Fjš–rh®ªJ.
gh®it : 1. muR Miz v© 1515, 㤠Jiw, ehŸ 03.12.1973
2. muR Miz v© 75 㤠Jiw, ehŸ 21.11.1975
3. muR Miz v© 265 㤠Jiw, ehŸ 01.04.1985
4. muR Miz v© 704 ã ¤Jiw, ehŸ 10.07.1989
5. muR Miz v© 501 ã ¤Jiw, ehŸ 19.07.1991
6. muR Miz v© ã ¤Jiw, ehŸ
********

_ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ kht£l«, _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ muR
ca®/nkšãiy¥gŸëæš _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ MÁçauhf¥ gâòçªJ tªj
ÂU/ÂUk _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ v‹gh® _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ m‹W kuzkilªjh®. m‹dh® _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ khj« tiu
bg‰W tH§f¥g£l CÂa¤Âš FL«g eyã Kiwahf¥ Ão¤j« brŒa¥g£LŸsJ.

gh®itæš go¡f¥g£l murhizfë‹go, MÁça® ÂU/ÂUkÂ. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

_ _ _ _ __ _ _ _ _ _ _ _ _ _ _ v‹gh® kuzkilªjijaL¤J FL«g ghJfh¥ò ãÂahf cldo
ãthuz« / x£L bkh¤j¤ bjhifia m‹dhç‹ FL«g thçRjhuuhd ÂU / ÂUk _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ v‹ghU¡F tH§fyhkh v‹gj‰F Miz nt©l¥gL»wJ.

Miz¡fhf

jiyikMÁça®,
muRca®/nkšãiy¥gŸë,

F¿¥ò : mYty®, jdJ F¿¥òiuæid éçthfΫ bjëthfΫ F¿¥gl nt©L«

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17 F.B.F Sanction
Proceedings of the THE HEADMASTER, ………………….GOVT HIGH/HIGHER
SEC.SCHOOL.
Present : Thiru/Tmt

Rc.No.: /A /2014 Date: / / 20

Sub: : Family Security Fund Scheme – Payment of lumpsum benefit -
Ordered
Ref : 1. G.O.Ms.No.1515/ Finance dated: 03.12.1973
2. G.O.Ms.No.75/ Finance dated: 21.11.1975
3. G.O.Ms.No.265/ Finance dated: 01.04.1985
4. G.O.Ms.No.704/ Finance dated: 10.07.1989
5. G.O.Ms.No.501/ Finance dated: 19.07.1991
********
ORDER:
Under the powers vested in rule 12 of the Tamil Nadu Government Servants Family
Security Fund Scheme sanction is hereby accorded for the payment of lumpsum benefit of Rs.
1,50,000/- (Rupees One Lakhs and Fifty thousand only) to Thiru/Tmt:___________________________
Wife/Son/Daughter/Father/Mother/Legal Heirs of Thiru/Tmt _________________________________
of this Office who expired on ___________________ while in service.

2. Thiru/Tmt_________________________________was admitted in the scheme, with

effect from _____________ and has been contributing Rs. 1 every month from the date Rs.3 every
month with effect from 1.4.1985 Rs. 5 every month from 1.7.1989 and Rs. 10 every month from
1.7.1991 and Rs.20 every month from 1.7.1996 and Rs. 30 every month from 01.02.2006.

3. The amonth is debitable under the following Head of Account

“2235 Social Security and Welfare – 60 Other Social Security and

Welfare Programmes – 200 Other Schemes – I – Non Plan – AY Tamil Nadu
Government Servants Family Security Fund Scheme – Ex-gratia payment to the
payment to the family of the deceased Government employees – 09 Grants
in Aids – (2235-60-200-AY-0910)

ii) Payment of lumpsum benefit in the event of death while in service.

The additional particulars required to be furnished as per G.O second cited given tin the
Annexure enclosed.

HEADMASTER,
GOVT HIGH/HIGHER SECONDARY SCHOOL,
________________________________
To
Thiru/Tmt

Copy to Sub-Treasury Officer,-------

Copy to the Regional Deputy Director of Treasuires and Accounts
Copy to the Director of Treasuires and Accounts, Chennai 35
Copy to bill/file
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ANNEXURE

1. Serial numbers (as per register of sanction)

:

2. Name of the deceased employee :

3. Sex :

4. Designation and department :

5. Name of address of office :

6. Date of birth (as per service book) :

7. Date of death :

8. Cause of death :

9. Date of Sanction Order :

10. Relationship of person to whom paid :

HEADMASTER,
GOVT HIGH/HIGHER SECONDARY SCHOOL,
________________________________