DATA SHEET REQUESTED BY IOB FROM ALL VETERANS

ADDITIONAL INFORMATION OF PENSIONER/FAMILY PENSIONER

1	NAME OF THE PENSIONER/FAMILY PENSIONER
2	PPO NUMBER (COPY TO BE ATTACHED)
3	TYPE OF PENSIONER
4	FATHERS NAME/ SPOUSE NAME
5	DATE OF BIRTH OF THE PENSIONER(With Proof)
6	DATE OF DEATH OF PENSIONER(In case of Family Pensioner)
7	DATE OF JOINING SERVICE
8	DATE OF RETIREMENT
9	NAME OF THE FAMILY PENSIONER
10	DATE OF BIRTH OF FAMILY PENSIONER(WITH Proof)
11	RELATIONSHIP WITH THE PENSIONER
12	PRESENT ADDRESS WITH PIN CODE
13	PERMANENT ADDRESS
14	OTHER CONTACT DETAILS(PERSONAL Mobile No
15	NAME AND ADDRESS OF THE BANK BRANCH WHERE FROM PENSION IS DRAWN
16	PENSIONERS BANK ACCOUNT NUMBER
17	BSR CODE OF BANK
18	AADHAR NUMBER
19	PAN NUMBER (Self)
20	RATION CARD NUMBER
21	BLOOD GROUP “A” POSITIVE
22	DEPARTMENT FROM WHERE HE RETIRED
23	LAST POST  HELD
24	LAST PAY SCALE
25	TOTAL QUALIFYING SERVICE

Signature of the pensioner                                  Signature  of Branch Manager

Place                                                                              Name

Date                                                                               Designation

                                                                                         Seal              
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