Retirement Benefits

Application forms for pensioners/family pensioners.

( As referred to in para 7 of O.M. 45/10/98-

P&PW(A) dated 17 December 1998 )

Form of Application

To,

 

(Pension Sanctioning Authority)

Subject: Revision of Pension/family pension on 1.1.1996 in terms of Department of Pension & Pensioners’ Welfare Office Memorandum No. 45/10/98-P&PW(A) dated 17 Dec. 1998.

Sir,

Kindly revise my pension/ family pension entitlement shown in my PPO (Photo copy enclosed) in terms of the Department of Pension and Pensioners’ Welfare Office Memorandum No. 45/10/98-P&PW(A) dated the 17th Dec. 1998. The requisite particulars are given below:-

1. Name of the applicant in block letters and full postal address.
2. Type of pension admissible.
3. Name of the Pensioner/ deceased Government servant (Pensioner) in case of family pension.
4. Date of retirement /death of the Government employee.
5. Date from which pension/family pension is being drawn.
6. Pension Payment Order (P.P.O) No.
7. Office/ Department/Ministry in which the pensioner/ deceased government servant (pensioner) served last and the post held by him.
8. The scale of pay of the post last held and the last pay drawn.
9. Consolidated final pension / family pension admissible from 1.1.96.
10. Name of the authority which issued PPO.
11. Name of the Pension Disbursing Authority with SBA number, wherever applicable.
12. If any documentary evidence is being attached to facilitate settlement of the case, details thereof.

 

Date: (Signature of Pensioner/Family Pensioner)

Department of Personnel and Training
Department of Administrative Reforms & Public Grievances.


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