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    Life Certificate

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    shoykapoor
    This document contains forms and certificates that must be submitted by a pensioner to Punjab National Bank annually. It includes: [1] A life certificate signed by an authorized officer confirming the pensioner is alive; [2] A certificate of non-employment or details of re-employment; [3] An acknowledgement that the pensioner submitted their life certificate for the year; [4] A certificate of non-marriage or remarriage; and [5] Details of the pensioner like Aadhaar, mobile number, and address to be updated.

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    Life Certificate

    Uploaded by

    shoykapoor
    90 views2 pages
    This document contains forms and certificates that must be submitted by a pensioner to Punjab National Bank annually. It includes: [1] A life certificate signed by an authorized officer confirming the pensioner is alive; [2] A certificate of non-employment or details of re-employment; [3] An acknowledgement that the pensioner submitted their life certificate for the year; [4] A certificate of non-marriage or remarriage; and [5] Details of the pensioner like Aadhaar, mobile number, and address to be updated.

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    This document contains forms and certificates that must be submitted by a pensioner to Punjab National Bank annually. It includes: [1] A life certificate signed by an authorized officer confirming the pensioner is alive; [2] A certificate of non-employment or details of re-employment; [3] An acknowledgement that the pensioner submitted their life certificate for the year; [4] A certificate of non-marriage or remarriage; and [5] Details of the pensioner like Aadhaar, mobile number, and address to be updated.

    Copyright:

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

    Life Certificate

    Uploaded by

    shoykapoor
    This document contains forms and certificates that must be submitted by a pensioner to Punjab National Bank annually. It includes: [1] A life certificate signed by an authorized officer confirming the pensioner is alive; [2] A certificate of non-employment or details of re-employment; [3] An acknowledgement that the pensioner submitted their life certificate for the year; [4] A certificate of non-marriage or remarriage; and [5] Details of the pensioner like Aadhaar, mobile number, and address to be updated.

    Copyright:

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

    MANAGER

    PUNJAB NATIONAL BANK___________________ ANNEXURE – “D”

    CERTIFICATES TO BE SUBMITTED BY PENSIONER

    (A) LIFE CERTIFICATE BY AUTHORIZED OFFICER

    Certified that I have seen the pensioner ______________________ (Name of the Pensioner) holder of
    the Pension Payment Order No. _________________& that he/she is alive on this date. His/her Saving
    A/c No. is ___________________

    Specimen Signature of Pensioner :______________________________

    PLACE: _____________ Signature of Authorized Officer _________________________

    Name ________________________
    Date________________
    Designation _____________________

    SEAL : For Punjab National Bank


    (B) CERTIFICATE OF NON-EMPLOYMENT/RE-EMPLOYMENT
    **I declare that I have not been serving in any capacity either in a Govt. Deptt. / Office / Company,
    Corporation, Autonomous Body or Society of Central or State Govt. or Union Territory or a Local Fund
    during the year ended October, 20…………... OR
    **I declare that I have been employed/re-employed in the office of _________________________ which is
    a part of/financed by ___________ govt. and was in receipt of following monthly rates of emoluments
    during the period ended October 20 ____ or / during the months of _______ falling within the said year.
    a) Pay ________ Special pay __________ Allowance____________including DA , ADA etc. OR
    b) Honorarium
    Further, that the orders of my re-employment do/do not stipulate my pension being held in abeyance during
    the re-employment period.
    ii) I declare that I have not accepted any commercial employment in India. OR

    I declare that I have accepted commercial employment in India after obtaining previous sanction of the
    Central Govt. and none of the conditions, if any, attached thereto by Govt. has been violated.

    Note : This declaration is required to be given for a period of two years from the date of retirement

    iii) I declare that I have accepted employment under a Govt. outside India/an International Organisation of
    which Govt. of India is not a member.OR
    I declare that I have accepted employment under a Govt. outside India/an International Organisation of
    which Govt. of India is not a member after obtaining the previous sanction of the Central Govt. and none of
    the conditions attached thereto by the Govt. has been deviated from.
    Place _________ Signature : ____________________

    Date_________ Name of the Pensioner _______________


    PPO NO. : ______________

    * Certificates at (ii) and (iii) are to be furnished only by retired Group “A” Officers

    /////////////////////////////////////////////////////////////////////////////////////////////////////////

    ACKNOWLEDGEMENT.

    IT IS CONFIRMED THAT MR./ MS. _______________HAS SUBMITTED HIS/ HER LIFE


    CERTIFICATE FOR THE YEAR 2015-16.

    Date____________ Signature of the authorised officer


    (A) CERTIFICATE OF RE-MARRIAGE/NON-MARRIAGE (Wherever applicable)

    I hereby declare that I am not married / have not been married during the past twelve months

    Place _________ Signature of Family Pensioner ______________

    Date_________ Name______________

    PPO No.______________________

    I certify to the best of my knowledge and belief that the above declaration is correct

    Place _________ Signature of a responsible officer or a well-known person


    __________________

    Date_________ Name_________________________

    Designation____________________

    DETAILS TO BE SUBMITTED BY THE PENSIONER

    1. Aadhaar Number (with copy of Aadhaar Card) : ________________________


    2. Mobile number : ________________________
    3. E-mail ID : __________________________
    4. Date of Birth (attached copy of proof if details not on PPO): ___________________
    5. Present Postal address : ______________________________

    Signature of pensioner / family pensioner _____________________

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