Enter details once, review calculations, and prepare selected pension papers in A4 format.
No: ____________/Retirement
Dated: ____________
To
The Director / Competent Authority
________________
Enclosed please find herewith pension / retirement papers and supporting documents in respect of Mr. ________________ S/O ________________, ________________ (BPS-__), who is to retire / whose pension case is being processed w.e.f. ________________.
| S.No. | Documents / Papers | Remarks |
| 1 | Personal Application (Employee) | 2 Sets |
| 2 | Application for Leave (LPR) | 2 Sets |
| 3 | Leave Not Taken Certificate | 2 Sets |
| 4 | Non-Involvement Certificate | 2 Sets |
| 5 | Bank NOC | 2 Sets |
| 6 | PTCL NOC | 2 Sets |
| 7 | SNGPL NOC | 2 Sets |
| 8 | WAPDA / Electricity NOC | 2 Sets |
| 9 | C&W / Government Accommodation NOC | 2 Sets |
| 10 | Undertaking on Judicial Paper | 2 Sets |
| 11 | Service Verification Roll (NG Period) | 2 Sets |
| 12 | History of Service (Gazetted Period) | 2 Sets |
| 13 | Pension Application / Summary | 2 Sets |
To
The Competent Authority
I submit that I have been serving in the Education Department as ____________ (BPS-__). My date of birth is ________________. I am due to retire from Government service on ________________.
It is therefore requested that I may kindly be allowed retirement with admissible pension, gratuity, commutation and 365 days leave encashment under the applicable rules.
| 1. Name of Applicant | Mr. ________________ S/O ________________, ________________ (BPS-__) |
| 2. Leave Rules Applicable | Revised Leave Rules, 1981 |
| 3. Post Held | ____________ |
| 4. Department / Office | ____________ |
| 5. Pay / BPS | BPS-__ |
| 6. Nature of Leave | Leave Preparatory to Retirement / Encashment |
| 7. Period of Leave | 365 Days |
| 8. Date of Commencement | ________________ |
Remarks & Recommendation of Controlling Officer: Certified that the leave applied for is admissible under applicable rules.
It is certified that Mr. ________________ S/O ________________, ________________ (BPS-__), at ________________, has not availed leave during the last 12 months of service except leave shown in official record.
It is certified that Mr. ________________ S/O ________________, ________________ (BPS-__) has neither been involved in any disciplinary / departmental / anti-corruption / judicial proceeding nor is any inquiry pending, to the best of office record.
Certified that Mr. ________________ S/O ________________, ________________ (BPS-__) has no outstanding liability reported by the office / bank for the purpose of processing pension benefits. Salary / pension account details are given below.
Certified that Mr. ________________ S/O ________________, ________________ (BPS-__) has cleared all PTCL dues, if any, and no outstanding amount is reported against the employee up to retirement date.
Certified that Mr. ________________ S/O ________________, ________________ (BPS-__) has cleared all SNGPL dues, if applicable, and no outstanding amount is reported against the employee up to retirement date.
Certified that Mr. ________________ S/O ________________, ________________ (BPS-__) has cleared all electricity dues, if applicable, and no outstanding amount is reported against the employee.
Certified that Mr. ________________ S/O ________________, ________________ (BPS-__) has no outstanding liability on account of Government accommodation / C&W dues, or has not been provided Government accommodation, as applicable.
To be executed on applicable Non-Judicial Stamp Paper
I, Mr. ________________ S/O ________________, ________________ (BPS-__), CNIC No. ________________, solemnly declare and undertake that:
ATTESTATION: ________________________ Oath Commissioner / Notary Public
In respect of Mr. ________________ S/O ________________, ________________ (BPS-__)
| S.# | From | To | Page # | Verified By |
| 1 | — | — | — | — |
| Name | — |
| Father / Husband | — |
| CNIC | — |
| Date of Birth | ________________ |
| Date of 1st Appointment | ________________ |
| Date of Retirement | ________________ |
| Total Service | 0.00 years |
| Current Designation | — (BPS-—) |
| Institution | — |
| Personal No. | — |
| Basic Pay | Rs. 0 |
| S.# | Post / Designation | BPS | From | To |
| 1 | — | — | — | — |
| Pensionable Emoluments | Rs. 0 |
| Qualifying Service | 0.00 years (maximum 30) |
| Formula | (Emoluments × 7 × Qualifying Years) ÷ 300 |
| Gross Pension | Rs. 0 / month |
| Commutation % | 35% |
| Commuted Portion | Rs. 0 / month |
| Age Next Birthday | 20 |
| Years Purchased | 0.0000 |
| Commutation Factor | 0.00 |
| Commutation Lump Sum | Rs. 0 |
| Net Monthly Pension | Rs. 0 |
| Restoration (estimated) | 0 years |
| Gratuity (if applicable) | Rs. 0 |
Gross pension and commuted monthly portion are calculated automatically. For commutation lump sum, enter the applicable official KPK 2021 table factor if the auto factor is not available; final sanction remains subject to Accounts Office verification.
| S.# | Name | Relation | CNIC | Date of Birth | Status |
| 1 | — | — | — | — | — |
Certified that the above list contains family members as declared by the employee / claimant.
| S.# | Name | Relation | CNIC | Date of Birth | Status |
| 1 | — | — | — | — | — |
| Bank Name | — |
| Branch | — |
| District | — |
| Account / IBAN | — |
| Head of Office | Head of Office |
| Office Subline | — |
| Issuing Office | — |
| Institution | — |
| Reference District | — |
| S.# | Document | Attached / Verified |
| 1 | Cover Letter (DEO → Director E&SE) | YES |
| 2 | Personal Application (Employee) | YES |
| 3 | Application for Leave (LPR) | YES |
| 4 | Leave Not Taken Certificate | YES |
| 5 | Non-Involvement Certificate | YES |
| 6 | Bank NOC | YES |
| 7 | PTCL NOC | YES |
| 8 | SNGPL NOC | YES |
| 9 | WAPDA / Electricity NOC | YES |
| 10 | C&W / Government Accommodation NOC | YES |
| 11 | Undertaking on Judicial Paper | YES |
| 12 | Service Verification Roll (NG Period) | YES |
| 13 | History of Service (Gazetted Period) | YES |
| 14 | Pension Application / Summary | YES |
| 15 | Pension Calculation Sheet | YES |
| 16 | Family Members List | YES |
| 17 | Legal Heirs List | YES |
| 18 | Bank & Office Certificate | YES |
| 19 | Document Checklist & Signatures | YES |
Certified that pension papers have been checked and documents marked above are included for processing.
Use this IlmBox tool to prepare Khyber Pakhtunkhwa pension calculations and pension papers. Punjab pension tools are also available separately on IlmBox, helping government employees find province-specific pension calculators and document generators in Pakistan.