Application For Pensioner's ID Card PWD
Application For Pensioner's ID Card PWD
Application For Pensioner's ID Card PWD
Present Address :
Date of Birth :
Date of Retirement :
Voters ID Card Number :
UID No(Aaadhar No) :
Mobile No/Contact Phone No. :
Blood Group :
Signature of the applicant (It should be in the :
box provided and legible for scanning)
Certified that the above information is correct and the applicant has been retired from the
mentioned office on ……………………………………(date) .
2.Photo copies ( attested by the Head of Office) of Relieving Order, Election ID Card, Adhar
card should be submitted along with this application