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DPI (Colleges Punjab)

Punjab School Education Complex


Ajit Nagar, Mohali

APPLICATION FOR RE-REVISION OF PENSION

w.e.f. 01-12-2011in the light of (i) letter no. /4/13/2013-IFPPC/1010607/1 dated 27.06.2017 and (ii) letter no.
4/1342013/IFPPC/1035969/1 dated 02.08.2017

1. Name of Pensioner
2. Date of Retirement
3. PPO No.
4. Qualifying Service
5. Type of Pension
6. Saving Bank A/c. No.
7. Name of Bank and IFSC Code

8. Name of Post held at time of retirement


9. Unrevised Scale of Pay an on date of retirement
10 Revised Scale w.e.f. 9.1.2006
Pay Band + Grade Pay = initial Pay
11. Revised Scale w.e.f. 01.12.2011
Pay Band + Grade Pay = initial Pay
12. Revised Basic Pension w.e.f. 01.12.2011
13. Supporting Documents
(i) Copy of the Latest CR/PO
(ii) Proof of Scale
(iii) Any Other

Place:
Date: Signature

Pensioner / Family Pensioner


Address: ___________________________
___________________________________
Ph No. _____________________________

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