Department of Posts, India

CERTIFICATE TO BE SUBMITTED BY THE PENSIONER (PARA-8)

LIFE CERTIFICATE

Certified that I have seen the pensioner

Shree/Smt............................... holder of PPO No...............................SB A/C
NO..........................and that he/she is alive on date................

Place Name...................

Designation.......................
NON EMPLOYMENT CERTIFICATE

I declare that I have not received any remuneration for servicing

in any capacity in a establishment of the Central Govt. Or State Govt.
Undertaking to November.......

Place Signature of Pensioner...................

Name of Pensioner ......................

Dated................ PPO NO. ............................

MOBILE NO. ............................

CERTIFICATE OF RE-MARRIAGE / NON MARRIAGE
ANNEXURE-V

I declare that I am not married / I have not been married

during the past six months.

Place Signature of Pensioner...................

Name of Pensioner ......................

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

Place Signature of responsible Officer...................

Name...................

Dated........ Designation......................