Public Service Commission with letter No........................
Date.................
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*1 |
Name of accused officer and the Service to which he belongs. |
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*2(i) |
Whether confirmed in the Service. |
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2(ii) |
Date of such confirmation. |
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3 |
Post held: |
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3(a) |
Designation. |
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3(b) |
Scale of Pay. |
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3(c) |
Pay Drawn. |
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3(d) |
Date from which Pay shown against (c) drawn. |
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4 |
Date of next increment. |
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5 |
Date of Birth. |
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6 |
Date of Joining Govt. Service. |
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7 |
Date when due to retire or date of actual retirement in case of persons who have already retired. |
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8(a)(i) |
Amount of monthly pension admissible. |
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8(a)(ii) |
Amount of monthly pension sanction. |
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8(b)(i) |
Amount of gratuity admissible |
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8(b)(ii) |
Amount of gratuity sanctioned. |
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(This information is required only in respect of cases of recovery from or withholding of pension/special additional pension) |
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9(a) |
Appointing authority. |
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9(b) |
Punishing authority. |
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9(c) |
Appellate authority. |
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10 |
Whether an oral enquiry, if required, under the rules has been held. |
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11 |
Name and designation of the Enquiry officer, appointed, if any. |
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12 |
Whether all the relevant documents, in original particularly the following have been enclosed with the letter seeking the Commission's advice/letter forwarding the case to the Central Government in the case of certain major penalties, appeals and memorials). |
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12(A) |
In the case of original enquiries: |
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(i) |
Papers relating to preliminary enquiry, if any. In case the preliminary enquiry as done by S.P.E. their report together with all the depositions recorded by them. |
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(ii) |
Suspension order, if any. |
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(a) |
Order revoking suspension, if any. |
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(iii) |
Order of the Competent Authority for joint / common proceedings. Where issued, if two or more Govt. servants are involved in the case. |
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(iv) |
Charge-sheet with the statement of imputations of misconduct or misbehaviour and other enclosures. |
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(v) |
Reply of the accused officer to the charge sheet. |
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(vi) |
Order of appointment of the Inquiry Officer. |
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(vii) |
Order appointing the Presenting officer. |
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(viii) |
Record of the oral inquiry. |
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(a) |
Daily order sheet. |
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(b) |
Correspondence file of the Inquiry officer. |
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(c) |
Depositions. |
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(d) |
Questions put to the accused officer by the I.O. |
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(e) |
Statement of defence before the Inquiry officer. |
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(f) |
Written briefs of: |
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(i) |
the Presenting officer. |
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(ii) |
the charged officer. |
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(g) |
Inquiry Officers' report. |
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(ix) |
Miscellaneous documents regarding evidence such as exhibits, statements etc. referred to in items (i) to (viii) above. |
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*(x) |
Sanction of the central Govt. for institution of departmental proceedings where necessary. |
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(xi) |
Show cause notice for withdrawing-withholding the pension. |
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(xii) |
Reply of the accused officer to the show cause notice (B) In (the case of appeals). |
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In addition to the documents specified under (A) above, the following: |
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(i) |
Order of the punishing authority. |
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(ii) |
Appeal, if any, of the accused officer. |
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(iii) |
Comments on the appeal as required under rule 18(4) of the A.I.S. (Discipline and Appeal) Rules, 1969. |
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(C) |
In the case of Memorials or Suo Moto Review. |
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In addition to the documents specified under (A) & (B) above, the following: |
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(i) |
Orders, if any, on the appeal. |
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(ii) |
Memorial if any, from the accused officer. |
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(iii) |
Note indicating the reasons for modifying the existing order of penalty and precise extent of such modification. |
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13 |
Miscellaneous documents such as extracts of relevant Rules, Codes Acts, Judgements, Manuals etc., referred to in the charge-sheet, statement of allegations, statement of defence Inquiring Authority's Report, reply to show cause notice appeal, State Government's comments. |
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14 |
In case where no enquiry has been held and factual and procedural points have been raised in the officers. |
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Explanation. A note explaining such points. |
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15 |
Whether comments on procedural points, if any raised by the officer in his explanation to the charge sheet/reply to show cause notice/appeal have been given. |
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16 |
Whether complete and upto date confidential roll of the officer has been enclosed. |
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Signature. |
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Name in Block letters of officer of the State Govt. signing the Statement: |
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Designation. |
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Date. |
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Telephone Number. |