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Life Certificate Form Form C

The document is a Life Certificate Form used to certify that a pensioner is alive as of the date specified. It requires the pensioner's details, signature or thumb impression, and must be signed by an authorized attesting officer. The certificate can be submitted in person or via postal services to the relevant authorities.

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Touseef Ahmed
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55 views

Life Certificate Form Form C

The document is a Life Certificate Form used to certify that a pensioner is alive as of the date specified. It requires the pensioner's details, signature or thumb impression, and must be signed by an authorized attesting officer. The certificate can be submitted in person or via postal services to the relevant authorities.

Uploaded by

Touseef Ahmed
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Form-C

LIFE CERTIFICATE FORM


TO WHOM IT MAY CONCERN

This is to certify that________________________________S/O_____________________________

Holder of PPO No.____________________ CNIC No.________________________ whose specimen


signature / thumb impression and address are appended below is alive todate_________________

Address

_______________________________________ ______________________________

(Pensioner Signature/Thumb Impression) __________________________________________

Date _____________________________

Phone No._____________________

(City / Area Code)

________________________ Name________________

(Signature of attesting officer with date) Address___________________

_________________________

__________________________

_____________________________ Phone No._________________

(Official Stamp of attesting officer)

NOTE-1: THIS CERTIFICATE IS TO BE SIGNED BY CLASS-1 GAZETTED OFFICER/MILITARY


COMMISSIONED OFFICER / MAGISTRATE / SUB-REGISTRAR / PENSIONED OFFICER / MUNSIF
/ MEMBER OF THE CENTRAL OR PROVINCIAL LEGISLATURE ASSEMBLIES / MANAGER OF THE
SCHEDULED BANK.

NOTE-2: THIS CERTIFICATE MAY BE FURNISHED TO THE AG (PUNJAB) / DAO IN PERSON OR THROUGH
A REPRESENTATIVE OR BY POST/COURIER SERVICE

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