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    In Block Letters

    Uploaded by

    Bala Chandran
    This document provides instructions for applying for a canteen identity card for police, fire, prison and other retired personnel in India. It outlines: 1. The application form should be filled in capital letters in Annexure-1 format. 2. Applicants must provide necessary details about their service, PPO number, etc. 3. Two passport photos and a postcard sized photo are required to be enclosed and sent to the Unit Canteen Manager along with the application and 125 rupee fee. 4. Cards will only be issued to serving and retired personnel and their families at the discretion of the Unit Canteen Manager.

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    In Block Letters

    Uploaded by

    Bala Chandran
    287 views3 pages
    This document provides instructions for applying for a canteen identity card for police, fire, prison and other retired personnel in India. It outlines: 1. The application form should be filled in capital letters in Annexure-1 format. 2. Applicants must provide necessary details about their service, PPO number, etc. 3. Two passport photos and a postcard sized photo are required to be enclosed and sent to the Unit Canteen Manager along with the application and 125 rupee fee. 4. Cards will only be issued to serving and retired personnel and their families at the discretion of the Unit Canteen Manager.

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    ID Card.docx

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    This document provides instructions for applying for a canteen identity card for police, fire, prison and other retired personnel in India. It outlines: 1. The application form should be filled in capital letters in Annexure-1 format. 2. Applicants must provide necessary details about their service, PPO number, etc. 3. Two passport photos and a postcard sized photo are required to be enclosed and sent to the Unit Canteen Manager along with the application and 125 rupee fee. 4. Cards will only be issued to serving and retired personnel and their families at the discretion of the Unit Canteen Manager.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    287 views3 pages

    In Block Letters

    Uploaded by

    Bala Chandran
    This document provides instructions for applying for a canteen identity card for police, fire, prison and other retired personnel in India. It outlines: 1. The application form should be filled in capital letters in Annexure-1 format. 2. Applicants must provide necessary details about their service, PPO number, etc. 3. Two passport photos and a postcard sized photo are required to be enclosed and sent to the Unit Canteen Manager along with the application and 125 rupee fee. 4. Cards will only be issued to serving and retired personnel and their families at the discretion of the Unit Canteen Manager.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    of 3

    ANNEXURE-I

    APPLICATION FOR THE CANTEEN IDENTITY CARD


    1.
    2.
    3.

    UNIT CANTEEN CODE NO & NAME


    (To be filled by the Canteen Manager)
    NAME OF THE EMPLOYEE (IN BLOCK LETTERS)

    4.

    WHETHER SERVING / RETIRED / FAMILY


    PENSIONER
    *GPF
    *CPS
    *PPO

    5.
    6.

    (*Please tick whichever is applicable and write your


    no.)
    RANK & NO / DESIGNATION
    DEPARTMENT

    7.

    UNIT NAME

    8.
    9.

    CITY/DISTRICT/Bn.,/SPECIAL UNIT
    DATE OF BIRTH (DD/MM/YY)

    10
    .
    11.

    DATE OF ENLISHMENT (DD/MM/YY)

    12
    .

    *DATE OF DEATH (DD/MM/YY)


    *In case of family pensioner

    13
    .
    14
    .
    15
    .
    16
    .
    17
    .
    18
    .
    19
    .
    20
    .
    21
    .
    22
    .
    23
    .

    24
    .

    DATE OF RETIREMENT (DD/MM/YY)

    BASIC PAY

    GRADE PAY

    CEILING SLAB *(Please tick whichever is


    applicable)
    GENDER
    MARTIAL STATUS

    Rs:12200

    Rs:2800

    SLAB-I

    SLAB-II
    MALE

    MARRIED

    SLAB-III
    FEMALE

    UNMARRIED

    WIDOW

    WIDOWER

    CUG MOBILE NO.


    E-MAIL I.D
    OFFICE ADDRESS
    PRESENT ADDRESS
    PERMANENT ADDRESS
    IF ON DEPUTATION, FURNISH THE PARENT UNIT &
    EXPIRY OF DEPUTATION
    NAME OF THE FAMILY MEMBER WITH
    RELATIONSHIP

    I certify that the information furnished above is correct and myself or any other member of my family has not
    been issued with Canteen Identity Card. I have read and understood the instructions relating to Canteen Identity
    Card. I am aware that I am liable for disciplinary action including cancellation of card without prior notice at any point
    of time, if the information furnished above is found correct.
    Signature of Applicant

    Certified that the information furnished above are correct as per records.

    Counter signature of the Controlling Officer.


    In case of Retired / Deceased Employee, the Unit Canteen Manager may countersign the application where the
    Pensioner / Family Pensioner resides after verifying his identity and other particulars.
    Date:

    Place:
    Unit Canteen Managers signature & seal

    SMART CARD tpz;zg;gk; ngw tpjpKiwfs;


    1. Annexure -1 / tpz;zg;gj;ij Capital Letters y;
    g+h;j;jp nra;aTk;.
    2. cq;fSila (Police, Forest, Fire Service,
    Prisons,
    Retired PPO) milahs ml;ilia
    tpz;zg;gj;Jld; Nrh;f;fTk;.
    3 muR Copahpd;> (2 Passport Size Photos)
    kw;Wk; FLk;gj;jhUld; Nrh;e;J Post Card Size
    Photograph Mfpatw;iw tpz;zg;gj;Jld; Envelope
    Cover y; Nrh;f;fTk;. Photo kw;Wk; Post Card
    fis xl;lNth gpd; nra;aNth $lhJ. Post Card
    gpd;Gwk; ngah; > Rank & No , Place of
    Serving and GPF, CPS, PPO No vOjTk;.
    4.tpz;zg;gj;ij>
    jq;fs;
    Nky;
    mjpfhhpapd;
    ifnahg;gk; ngw;W &gha; 125/- fl;lzkhf>
    Manager/RI, Salem Unit Canteen mth;fsplk;
    nfhLf;fTk;.
    5.milahs ml;ilapy; cs;sth;fs; kw;Wk; milahs
    ml;il nfhz;L tUgth;fs; kl;Lk; nghUs; thq;f
    mDkjpf;fg;gLth;.
    6.milahs ml;il njhiye;jhy; clNd Manager/RI ,
    Salem
    Unit
    Canteen
    mth;fsplk;
    clNd
    njhpag;gLj;jTk;. NkYk>; Gjpa milahs ml;il fl;lz
    mbg;gilapy; nfhLf;fg;gLk;.

    7.jftYf;F:
    9444271584/9884051976/9884818074/004/435627
    19
    E Mail: info@kstechnology.in

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