FORM 6 – Form for Assessing Gratuity, Checklist and Calculation Sheet: CCS (Payment of Gratuity under NPS) Rules, 2021

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
PANno.
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
4. Date of ending of service

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
(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
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
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
‘No Demand Certificate’ issued by the office
6. Date on which action initiated to assess the service and emoluments qualifying for
gratuity as provided in rule 36
7. Date on which action initiated to assess the Government dues other than the dues
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  emolumentsproposed to be reckoned for retirement gratuity.
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
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
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.
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
7. Date of retirement
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

FORM 6 – Form for Assessing Gratuity Hindi and English PDF 

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