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Pensioner Bio-Data: Note: If Gratuity/commutation Amount Revised

This document contains biographical and pension details for a retired pensioner. It includes their name, date of birth, retirement details, spouse information, pension amounts, bank account details, and signatures from treasury officers. The pensioner's retirement date, last position held, pension start date, current net pension and total pension are provided along with notes on any revisions to gratuity or commutation amounts.

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302 views2 pages

Pensioner Bio-Data: Note: If Gratuity/commutation Amount Revised

This document contains biographical and pension details for a retired pensioner. It includes their name, date of birth, retirement details, spouse information, pension amounts, bank account details, and signatures from treasury officers. The pensioner's retirement date, last position held, pension start date, current net pension and total pension are provided along with notes on any revisions to gratuity or commutation amounts.

Uploaded by

manoj_structure
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 PDF, TXT or read online on Scribd
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PENSIONER BIO-DATA

PPO No:

__________________________________________

Name of Pensioner: ______________________________________________________


Date of Retirement: ___________________ Date of Birth: ______________________
Designation (at the time of retirement): _______________________________________
Deptt/Office Last Served: __________________________________________________
Last Pay Scale held: _______________________________________________________
Name of Spouse:
Relation (Spouse):

_______________________________________________________
____________________________________________________

Date of Birth (Spouse): ___________________


Treasury (Authorized by AG): ______________________________________________
Current Treasury (Changed): _______________________________________________
Address:

_______________________________________________________

Phone No.:

______________

Gratuity Amt:

______________

Gratuity Amt2*:

______________

Gratuity Amt3*:

______________

Commutation Amt:

______________

Commutation Amt2*: ______________


Commutation Amt3*: ______________
* Note: If gratuity/commutation amount revised

Bank A/c No.

Basic/Revised Basic

Bank Branch Code


(SOLID)
Type of Pension.
(Self/Family)

DA Allowed (Yes/No)

Special/Enhanced/Normal
(If Family Pension)
Category (State Govt.)

Recovery Amount

Pension Start Date

Net Pension

Other Allowances
Amount

Total Pension

Date of Commutation
Completion

Pension Stopped (Yes/No):

________________

Pension Closing Date:

_____________

Pension Closing (Remarks): ____________________________________________

Signature of Treasury Officer


SEAL
Dated

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