LIFE CERTIFICATE (GTR - 273)

THIS IS TO CERTIFY THAT DHAVALKUMAR RAMESHCHANDRA NAIK

HOLDER OF PPO NO. PR-1/09/2018/328749

IS ALIVE ON THIS DATE AND HE/ SHE HAS SIGNED BEFORE ME AS UNDER

NAME OF BANK_BRANCH State Bank Of India Bardoli

BANK A/C NO.:- 10291742025

IT PAN CARD NO.:- AAZPN9286C

Ledger No/Page No.:- 56/60

SIGNATURE OF PENSIONER

SIGNATURE OF MANAGER

DT / /2020

NOTE: SIGNATURE MUST BE DONE AS PER PENSION OFFICE'S RECORD

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RE-EMPLOYMENT CERTIFICATE (GTR - 256(2)A)

1. I HAVE NOT BEEN RE-EMPLOYED DURING THE PERIOD OF THIS CLAIM IN ANY

GOVERNMENT IN INDIA, ANY LOCAL BODY OR ANY INSTITUTION WHOLLY OR PARTLY FINANCED

BY GOVERNMENT.

2. I AM RE-EMPLOYED IN _________________ W.E.F._________________HENCE

T.I. HAS NOT BEEN CLAIMED.

3. I FURTHER DECLARE THAT EXCEPT THE PENSION SPECIFIED IN THIS BILL I AM NEITHER

IN RECEIPT OF ANY OTHER FAMILY PENSION OR ANY SERVICE OR ANY DISABILITY PENSION

IN RESPECT OF PREVIOUS SERVICE IF ANY REGIMENT OR MILITARY FORMATIONS OR ANY OTHER

DEPARTMENT CIVIL OR MILITARY UNDER GOVERNMENT OF INDIA OR ANY STATE GOVERNMENT.

DATE :- SIGNATURE OF PENSIONER

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FORM BTR - 37 / G.T.R - 53

(IN CASE OF FAMILY PENSIONER)

YEARLY DECLARATION OF PENSIONER WHOSE PENSION IS TERMINABLE ON HIS/HER MARRIAGE

OR REMARRIAGE. PPONO. :- PR-1/09/2018/328749 I, HEREBY DECLARE THAT I AM NOT

MARRIED AND HAVE NOT BEEN MARRIED DURING PAST YEARS.

I Smt/Shri SMT

DATE :- SIGNATURE OF PENSIONER

W/O / D/O LATE Smt/Shri DHAVALKUMAR RAMESHCHANDRA NAIK

I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF ABOVE DECLARATION IS CORRECT.

SIGNATURE ________________

TO BE SIGNED BY DESIGNATION ________________

RESPECTIVE OFFICER

OR WELL KNOWN PERSON

I , HOLDER OF PPONO PR-1/09/2018/328749

HERE BY CERTIFY THAT AS MY BIRTH DATE IS 29/09/1960

CROSSED THE AGE OF 50 YEARS. HENCE CERTIFICATE OF REMARRIAGE IS NOT REQUIRED TO BE

PRODUCED.

DATE :- SIGNATURE OF PENSIONER.