FORM III
CENTRAL BOARD FOR PREVENTION
AND CONTROL OF WATER POLLUTION
NOMINAL ROLLS
(SEE RULE 17)

R.E., 19…………19………/B.E.19……….19

Name designation	Pay	Dearness allowance	City Compensatory allowance	House rent allowance
1	2	3	4	5

Over-time allowance	Children educational allowance	Leave travel concession	Other allowances	Total
6	7	8	9	10
Total