FORM OF CERTIFICATE OF NON-EMPLOYMENT/RE-EMPLOYMENT

(i)
I declare that I have not been serving in any capacity either in a Government department/office Compny, Corporation, autonomous body or Society of Central or State Government or Union Territory or a Local Fund during that half-year ended May/Novenmber, 20.........
OR
I declare that I have been employed /re-employed in the office of_____________________________which is a part of/financed by________________________________Government and was in receipt of the following monthly rates of emoluments during the half year ended May/November, 20________________ or/during the months of ___________________________________________falling within the said half year.
(a)
Pay______________________________________________________________________________ Special Pay/Allowance____________________________________________________________________ (Including D.A,A.D.A. etc.)
OR
(b)
Honorarium
Further, that the orders of my re-employment do/do not stipulate my pension being held in abeyance during the re-employment period.
(ii)
I declare that I have not accepted any commercial employment in India.
OR
I declare that I have accepted commercial employment in India after obtaining previous sanction of the Central Government and none of the conditions, if any, attached thereto by Government has been violated. NOTE: This declaration is required to be given for a period of two years from the date of retirement.
(iii)
I declare that I have not accepted employment under a Government outside India/an International Organization of which Government of India is not a member after obtaining the previous sanction of the Central Government and none of the conditions attached thereto by the Government has been deviated from.
PLACE:___________________ Signature_____________________________________ DATE: __/__/____ Name of the Pensioner______________________________
P.P.O.No._______________________________________
Certificates at (ii) and (iii) are to be furnished only by-retired Group "A" Officers.