• Breaking News

    Thursday, 29 October 2015

    LIFE CERTIFICATE: LIFE CERTIFICATE TO BE SUBMITTED BY PENSIONER ONCE A YEAR IN NOVEMBER

    ANNEXURE-XVII
    (See para 15.1 page 11 of
    CPAO's Scheme Booklet) 

    Part-A (Every year)
    (To be submitted by Pensioner once a year in November)

    Certified that I have seen the pensioner Shri/Smt./Ms. _________________________________ (Name of Pensioner) holder of Pension Payment Order No. _____________ and that he/she is alive on this date. 

    1. Present address of the pensioner/family pensioner.
    2. Telephone/Mobile number (if any).
    3. E-mail Address (if any).

    Name
    Place:
    Designation of Authorised Officer
    Date:
    Seal 

    ACKNOWLEDGEMENT 

    Life Certificate of Pensioner/Family Pensioner of Shri/Smt/Ms. ______________________________ (Name of Pensioner) holder of Pension Payment Order No. ______________ has been received. 

    Date:-
    Signature .................................. 
    Name ………………………….
    Stamp of the receiving Bank branch

    Source:- CPAO

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