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Application Form For Pre-2006 Pensioner/Family Pensioner

This document contains an application form for revising the pension or family pension of pre-2006 pensioners or family pensioners in accordance with the recommendations of the 6th Central Pay Commission. The form requests information such as the applicant's name and address, designation and department during service, pension payment order details, bank account details, and documents required for verification such as service certificates, pay slips, death certificates if applicable, and proof of age. The applicant is requesting that their pension or family pension entitlement shown in their PPO be revised based on the 6th CPC recommendations.

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592 views

Application Form For Pre-2006 Pensioner/Family Pensioner

This document contains an application form for revising the pension or family pension of pre-2006 pensioners or family pensioners in accordance with the recommendations of the 6th Central Pay Commission. The form requests information such as the applicant's name and address, designation and department during service, pension payment order details, bank account details, and documents required for verification such as service certificates, pay slips, death certificates if applicable, and proof of age. The applicant is requesting that their pension or family pension entitlement shown in their PPO be revised based on the 6th CPC recommendations.

Uploaded by

krishnamalhotra14
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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Application Form for Pre-2006 Pensioner/Family Pensioner

Application Form for Pre-2006 Pensioner/Family Pensioner

To........................
.........................
(Pension Sanctioning Authority)
(i.e. CPO/Sr.DPOs/WPOs etc.)
Sub: - Revision of Pension/Family Pension of Pre-2006
Pensioners/Family Pensioners in terms of the recommendation of
6th CPC.
Sir,
Kindly revise my Pension/Family Pension entitlement shown in my PPO
(photocopy enclosed) in terms of recommendation of 6th CPC. The
requisite particulars are given below:1. Name of the Applicant (in Block Letters with Full Postal Address,
PIN Code No. & Phone No. : ..............................................................
...................................................
2. Designation/Dept./Office: ...................................................
3. Name of Railway Servant/Deceased Railway Servant with
designation/Dept.: ...................................................

4. Date of Retirement/Death of the Railway servant (Death Certificate of


the Pensioner to be attached, if application is made by Family
Pensioner): ....................................................
5. Last Pay drawn & Scale: ....................................................
6. PPO No. & Date: ....................................................
7. Name of the office which issued PPO:
.....................................................
8. Name of the Bank & Branch/Post Office/Treasury:
.....................................................
9. Full Postal Address of the Linked Bank:
.....................................................
.....................................................
10. Pension Account Number (Photocopy of the first page of Pass Book
containing SB A/c No. to be attached): .....................................................
11. Pension/Family Pension consolidated/revised by Bank/Post
Office/Treasury as on 01.01.2006 (for Pre-2006 Pensioners/Family
Pensioners): ......................................................
12. (a) Name of the Spouse & Date of Birth with proof:
......................................................
(b)Name of dependent & DOB with proof:
......................................................
(c)Relation of dependent with deceased pensioner:
......................................................

13. Date of Birth of the Spouse/widow (proof of Date of Birth * must be


enclosed): ......................................................
14. Documentary evidences such as photo copies of
(i) Service Certificate, (ii) PPO Book,
(iii) Death Certificate, if applicable, (iv) Photocopy of 1st page of Pass
Book & (v) Age proof certificate: ....................................................
Date: .................................

Yours faithfully,

Place: .................................

______________
(Signature)

N.B.
* Attested copy of any one of the following documents in support of
Date of Birth of the
Spouse/Widow may be submitted- (a) Birth Certificate (b) School
Leaving Certificate
(c) Identify Card issued by Railways (d) Medical Card issued by
Railways (e) Pan Card
(f) Passport (g) Voter ID.
Copy to: Pension Disbursing Authority (i.e. Bank/Post Office/Treasury
etc.)

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