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
|
Details Required Details to be filled bv
Pensioner
|
|
1
|
NAME OF AIRMEN/NC(E)
|
|
2
|
SERVICE NUMBER
|
|
3
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RANK
|
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4
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TRADE
|
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5
|
DATE OF BIRTH
|
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6
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DATE OF DISCHARGE
|
|
7
|
DATE OF DEATH (FOR FAMILY
PENSIONER)
|
|
8
|
AMOUNT OF PENSION DRAWN AT THE
TIME OF DISCHARGE/DEATH (FOR FAMILY PENSIONER)
|
|
9
|
FULL POSTAL ADDRESSS WITH PIN CODE
|
|
10
|
AADHAR CARD NUMBER
|
|
11
|
PAN CARD NUMBER(SELF)
|
|
12
|
E-MAIL ID
|
|
13
|
MOBILE NUMBER
|
|
14
|
BANK ACCOUNT NUMBER
|
|
15
|
IFSC CODE OF PAYING BANK
|
|
16
|
BANK ADDRESS
|
|
17
|
ORIGINAL PPO No.(ATTACH COPY IF
AVAILABLE)
|
|
18
|
CORRIGENDUM PPOS NO (ATTACH
COPIES OF ALL)
|
|
19
|
D ISABILITY PPO NO (IF GRANTED
SEPARATELY) ATTACH COPY IF AVAILABLE
|
|
20
|
LATEST CORR PPO No. OF
DISABILITY IF NY(ATTACH COPY IF AVAILABLE
|
|
21
|
WAR INJURY ELEMENT % IF ANY
|
|
22
|
DISABILITY ELEMENT% IF ANY
|
|
23
|
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)
|
|
b)
|
PAN NUMBER (spouse)
|
|
c)
|
AADHAR CARD NUMBER(spouse)
|
|
d)
|
MOBILE NUMBER
|
|
e)
|
E-MAIL ID
|
|
Date: Signature of pensioner
