NON EMPLOYMENT / RE-EMPLOYMENT CERTIFICATE
(To be given by pensioner in May/November)

Category of Pension: Central Civil / Defence / Railway / Telecom / TN State Govt /
Other State Govt (Mention State) :

(A) I declare that I have not accepted any commercial employment in India
Or
I declare that I have been employed / re employed in the Offices which is a part of /
financed by ………………………………..and was in receipt of the following
monthly rates of emoluments during the year ended November, 20……. Or during
the month of within the said year:
(a) Pay………………………………………………………………………...
(b) Special Pay………………………………………………………………...
(c) Other allowances / fees /Honorarium ……………………………………..
(it includes D.A., A.D.A., these to be shown clearly)
Further, that the orders of my re-employment do/do not stipulate my pension being
held in abeyance during the re-employment period.
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.
Or
I declare that I have accepted Commercial Employment in India without obtaining
the sanction of Central Govt.
(B) I declare that I have not accepted any employment under a Govt. outside India/ an
International Organisation of which Govt.of India is not a member.
Or
(C) I declare that I have accepted employment under a Govt. outside India/ an
International organization of which Govt. of India is not a member after obtaining
the previous sanction of the Central government and none of the conditions
attached thereto by the Govt has been deviated from.
Or
I declare that I have accepted employment under a Govt. outside India/ an
International Organisation of which Govt. of India is not a member, without
obtaining the previous sanction of the Central Govt
Signature
Place: Name of the Pensioner:
Date: PPO No
S.B.No:
Certificates at (B) and (C) are to be furnished only be retired Group ‘A’ Officers in May and November each year.
Delete whichever is not applicable