October 16, 2015
Kalaivaraikalai
Format for Revised Life Certificate – Modification in Life Certificate (Annexure XVII)
Personnel Ministry has
published correction slip-24 for Modification in
Life Certificate (Annexure XVII)
GOVERNMENT OF INDIA
MINISTRY OF FINANCE
DEPARTMENT OF EXPENDITURE
CENTRAL PENSION ACCOUNTING OFFICE
TRIKOOT-Il, BHIKAJI CAMA PLACE.
NEW DELHI-110066
CPAO/Tech/Amdt.-Sch.
Book/2015-16/1655
dated: 12.10.2015
Amendment to the Scheme for Payment of Pensions
to Central Government Civil Pensioners by Authorized Banks [Fourth
Edition, 3rd December, 2004)
Correction Slip-24
Modification in
Life Certificate (Annexure-XVII)
|
ANNEXURE-XVII
(See para 15.1 page 11 of CPAO’s
Scheme Booklet)
Part-A (Every year)
LIFE CERTIFICATE
(To
be submitted by Pensioner once a year in November)
Certified
that I have seen the pensioner
Shri/Smt./Ms.
______________________________. (Name
of Pensioner) holder of Pension Payment Order No.
_________________________ and that he/she is alive on this date.
1.
Present address of the pensioner/ family pensioner.
2.
Telephone/Mobile number (if any).
3.
E-mail Address (if any).
Name
Place:
Designation
of Authorised Officer
Date:
.
Seal
ACKNOWLEDGEMENT
Life Certificate of
Pensioner/Family Pensioner of Shri/Smt/Ms._______ _____________ _________
_________ (Name of Pensioner) holder of Pension Payment Order
No.___________________ has been received.
Date:-
Signature…………………..
Name
Stamp of the receiving Bank branch
|
(Vijay Singh)
Sr. Accounts Officer (Tech)
CGA’S Authority No. 1(7) CPAO
SCI]. Book (1)/4-th Edition/2005/TA-III/566 dated-9th October, 2015.
.bmp)
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