For P.W. Officers only

No. Dated the

Forwarded to the Superintending Engineer _______________ Circle, to

transmission to Accountant-General, Haryana.

Executive Engineer

__________ Division

No. Dated the

Transmitted to Accountant-General, Haryana, with the remarks that the time

spent in the transfer of charge was/was not excessive.

Superintending Engineer

__________ Division

Note: - The charge certificate may be sent by the Executive Engineer to the

Accountant-General direct when no time has been spent in the transfer of charge

Stereo A. and T/G.C.S. No. 285

All charges among Gazetted Government Servants on of these certificates

should be at once filled up and dispatched by the same day’s post.

Certified that I _____________________ have this day before/after noon,

made over charge and that _________________________ received charge of the

office of ________________________________________________ both officers

being present with reference to the order of Commissioner & Secretary to

Haryana Govt. ___________________________________dated___________

transferring _________________________ granting _________ leaves/absence.

Signature of Govt. Servant making over charge

Certified that (in the case of Govt. Servant whose post is changed while

he is on leave or in transit). I received the order of transfer at _________________

on the _______________ of before/after noon.

Two specimen signatures are attached (for Govt. Servants attached to Shimla only) To be filled in Date of commencement of transfer of charge before/after noon. by P.W. Officers only

Date of completion of transfer of charge before/after noon. Dated _____________

Signature of Govt. Servant recieving charge