THE STATEMENT FORM CAN USE ONE PERSON ONLY
Abstract/Statement of Overtime performed by Shri ……………………………………..
Central Excise, Bolpur for the month of ……………………./OTA/BOL/97-98 date…………………..
Basic Pay Rs. …………………………. .
DATE NORMAL DUTY HOURS OF OVERTIME HOURS OF FREE TOTAL
INCLUDING FREE OVERTIME HOURS HOURS
HOURS
No TA/DA claimed on O.T .period for the above
Month . If TA/DA claimed must submitted in
Duplicate.
__________________________
S I G N A T U R E
Designation ……………………
Section ………………………….
Central Excise: Bolpur:: (Sian)
FORM-- B
FORM FOR SANCTION OF OVERTIME
Certified that I / We worked on ……………………………………………………………..
………………………………………………………………………………………………….
on overtime as per order by the competent authority which was obtained prior to the
performance of overtime work for month of ……………………………………. .
1. Name and Designation ………………………………………………………………………..
2. Basic Pay ……………………………………………………………………………………………
3, Hours spent on overtime work excluding
free allowance (if any) ……………………………………………………………………………
4 Overtime Allowance As admissible.
5 Quantum of work done during overtime.……………………………………………………………
1. 8.
2. 9.
3. 10.
4. 11.
5. 12.
6. 13.
7. 14.
Signature of the person(s)
Certified that I have supervised/checked the above work statement and found correct.
I also certify that the working days for which the overtime allowance was claimed , the above
mentioned person(s) has / have performed the work beyond the regular office hours.
Inspr./D.O.S./O.S.
(Signarure)
A.C.A.O./C.A.O./A.O.(Hq.)/Supdt./Asstt. Comm’er SanctioningAuthority
(Signature)
Commissioner / Addl. Commissioner (P&V) / Deputy Commissioner (P&V) / Assistant
Commissioner (P&V) has been pleased to sanction the overtime allowance of the incumbent(s) on
__________________for the month of _______________________ on working days Saturdays /
Sundays / Holidays and a note in that respect has been kept at N.S.P ___________ of the F. No.
_________________________________ dated __________________________.
.
A.C.A.O./C.A.O./A.O.(Hq.)/Supdt../AsstCommissioner
( Signature )
S 10 K 5 T 2000