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    Application For Issue of Identity Card For Ex-Servicemen

    Uploaded by

    Mike Romeo
    The document is an application form for an ex-serviceman or widow of an ex-serviceman to apply for an identity card. It requests basic personal information such as name, address, date of birth, military service details including rank, regiment, dates of enrollment and discharge, pension amounts, discharge book and PPO numbers, and an identification mark. The applicant must sign a declaration that the information provided is true.

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    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd

    Application For Issue of Identity Card For Ex-Servicemen

    Uploaded by

    Mike Romeo
    104 views2 pages
    The document is an application form for an ex-serviceman or widow of an ex-serviceman to apply for an identity card. It requests basic personal information such as name, address, date of birth, military service details including rank, regiment, dates of enrollment and discharge, pension amounts, discharge book and PPO numbers, and an identification mark. The applicant must sign a declaration that the information provided is true.

    Original Description:

    ex-service​ man

    Original Title

    esm

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    The document is an application form for an ex-serviceman or widow of an ex-serviceman to apply for an identity card. It requests basic personal information such as name, address, date of birth, military service details including rank, regiment, dates of enrollment and discharge, pension amounts, discharge book and PPO numbers, and an identification mark. The applicant must sign a declaration that the information provided is true.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    104 views2 pages

    Application For Issue of Identity Card For Ex-Servicemen

    Uploaded by

    Mike Romeo
    The document is an application form for an ex-serviceman or widow of an ex-serviceman to apply for an identity card. It requests basic personal information such as name, address, date of birth, military service details including rank, regiment, dates of enrollment and discharge, pension amounts, discharge book and PPO numbers, and an identification mark. The applicant must sign a declaration that the information provided is true.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 2

    APPLICATION FOR ISSUE OF IDENTITY CARD FOR EX-SERVICEMEN

    1. Number _________________________ 2. Rank _____________________

    3. Name _______________________________________________________

    4. Regt/Corps ___________________________________________________

    5. Father's Name ________________________________________________

    6. Address _____________________________________________________

    _______________________________________________________

    Teh or Police Station _____________________ Tele __________________

    7. Date of Birth ________________________________

    8. Date of Enrollment ___________________________

    9. Date of discharge ____________________________

    10. Amount of pension (a) Service Pension Rs. __________________________

    (b) Disability Pension Rs. ________________________

    (c) Percentage of disability _______________________

    11. Discharge Book No. & date ________________ PPO No. & Date___________

    12. Identification Mark ________________________________

    DECLARATION

    I hereby declare that the particulars given above are true to the best of my knowledge
    and belief.

    Date:

    Place: (Signature)
    APPLICATION FOR ISSUE OF IDENTITY CARD FOR
    WIDOWS/WAR WIDOWS OF EX-SERVICEMEN

    1. Name of the applicant _________________________________________________

    2. Date of Birth/Age _____________________________________________________

    3. Address ____________________________________________________________

    _________________________________________________________________________

    Teh or PS _______________________________Tele ________________________

    4. Wife of late __________________________________________________________

    5. Service Particulars of husband (a) No. ______________________

    (b) Rank _______________ (c) Date of Birth _______________

    (d) Date of enrollment _______ (e) Date of death ______________

    (f) Discharge book __________ (g) PPO No. and date ___________
    No. and dte

    6. Death details of husband

    War/Operation in which died _______________________________________

    Attributable ___________________________________________________________

    Non Attributable _______________________________________________________

    After retirement _______________________________________________________

    7. Pension received Ordinary family Special family


    pension Rs. ________ pension Rs. ________

    Liberalised special family pension Rs. __________________________________

    8. Identification Mark__________________________________________________

    DECLARATION
    I hereby declare that the particulars given above are true to the best of my knowledge.

    Date :

    Place : (Signature of applicant)

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