To
THE DIRECTOR AV – III
3rd FLOOR
AFRO BUILDING
SUBROTO PARK
NEW DELHI-110010
INFORMATION REQUIRED TO BE F'ILLED BY PRE-01/01/2016
PENSIONERS EX-AIRMEN/NCs (E) AND THEIR ELIGIBLE FAMILY PENSIONERS
FOR REVISION OF PENSION UNDER 7th
CPC
Sl No
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Details Required Details to be filled bv
Pensioner
|
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1
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NAME OF AIRMEN/NC(E)
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2
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SERVICE NUMBER
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3
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RANK
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4
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TRADE
|
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5
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DATE OF BIRTH
|
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6
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DATE OF DISCHARGE
|
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7
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DATE OF DEATH (FOR FAMILY
PENSIONER)
|
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8
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AMOUNT OF PENSION DRAWN AT THE
TIME OF DISCHARGE/DEATH (FOR FAMILY PENSIONER)
|
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9
|
FULL POSTAL ADDRESSS WITH PIN CODE
|
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10
|
AADHAR CARD NUMBER
|
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11
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PAN CARD NUMBER(SELF)
|
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12
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E-MAIL ID
|
|
13
|
MOBILE NUMBER
|
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14
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BANK ACCOUNT NUMBER
|
|
15
|
IFSC CODE OF PAYING BANK
|
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16
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BANK ADDRESS
|
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17
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ORIGINAL PPO No.(ATTACH COPY IF
AVAILABLE)
|
|
18
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CORRIGENDUM PPOS NO (ATTACH
COPIES OF ALL)
|
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19
|
D ISABILITY PPO NO (IF GRANTED
SEPARATELY) ATTACH COPY IF AVAILABLE
|
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20
|
LATEST CORR PPO No. OF
DISABILITY IF NY(ATTACH COPY IF AVAILABLE
|
|
21
|
WAR INJURY ELEMENT % IF ANY
|
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22
|
DISABILITY ELEMENT% IF ANY
|
|
23
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SERVEICE ELEMENT AS ON 31 DEC
15
|
|
24
|
DISABILITY ELEMENT AS ON 31 DEC
15
|
|
25
|
LFP/SFP/OFP GRANTED( IN CASE OF
FAMILY PENSIONER)
|
|
26
|
WAR INJURY ELEMENT AS ON 31 DEC
15(IF ANY)
|
|
27
|
FAMILY PENSION SHARE % (IN CASE
OF DIVISION OF FAMILY PENSION% SHARE)
|
|
28
|
WHETHER PENSION NOTIFIED AS PER
COURT ORDER (YES/NO). IF YES MENTION PPO NUMBER ISSUED AFTER SATISFACTION OF
COURT ORDER
|
|
29
|
NAME OF SPOUSE/ FAMILY
PENSIONER
|
|
a)
|
DATE OF BERTH (spouse)
|
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b)
|
PAN NUMBER (spouse)
|
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c)
|
AADHAR CARD NUMBER(spouse)
|
|
d)
|
MOBILE NUMBER
|
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e)
|
E-MAIL ID
|
Date: Signature of pensioner